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2023 HESI community 2 A+

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2023 HESI community 2 A+
The community health nurses is counseling a group of 14 year olds about safe sexual practices.
Which health teaching strategy would be most effective for the nurse to use with this age group.

A.Encourage group members to describe personal experiences in practicing safe sex

B. Provide the group with statistical data about behaviors leading to venereal diseases

C. Tell the group that for aids prevention abstinence is the best safe sex practice

D. Role play situations in which the adolescent is rewarded for practicing safe sex

Role play situations in which the adolescent is rewarded for practicing safe sex




A young adult man goes to an emergency treatment area after finishing a marathon run. He is
weak dizzy and remains thirsty after drinking a pint of a flavored sports drink. What action
should the nurse implement first

A. Instruct the runner that a urine sample is needed

B. Send for the automatic external defibrillator

C. Determine if there are friends or family nearby

D. Give the runner another pint of fluids to drink

Give the runner another pint of fluids to drink

An older adult male who fractured his right hip is discharged to home one week following an
arthroplasty. Which adjustment to the clients home environment is most important for the home
health nurse to implement

A. Lower the temperature on the clients water heater

B. Encourage the client to wear rubber soled shoes

C. Ensure that an elevated toilet seat is installed

D. Leave motion activated light in the living room

Ensure that an elevated toilet seat is installed

,The nurse is caring for four clients in a women's health clinic. Which client should the nurse
assess for risk for pelvic inflammatory disease

A 30 year old with endometriosis

A 40 year old with leiomyoma

A 50 year old perimenopause

A 20 year old with gonorrhea

A 20 year old with gonorrhea




The nurse is teaching a group of adults at a health fair about healthy life style choices. Which
information is most important for the nurse to emphasize

Completely stop the use of cigarette and tobacco products

Eat a diet high in fruits vegetables and whole grains

Avoid the midday sun and use sunscreen

Perform monthly self examination of breasts and testes

Completely stop the use of cigarette and tobacco products




The school nurse who is reviewing immunization records of students who will start kindergarten
within the next month notes that most of the students have only received on does of the measles
mumps rubella vaccine. Which intervention should the nurse implement?

Note in the student records that the second dose of the mmr vaccine should be administered prior
to entering first grade

Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed

, Contact kindergarten parents to remind them that the second dose of mmr is due at eh start of the
school year

Speak at the next parent teacher association meeting to teach parents the benefits of immunizing
their children

Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed




A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft 10
in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of cigarettes
every day for the last 15 years. Which secondary prevention measure should the nurse
recommend the client to follow?



Compliance with antihypertensive and lipid lowering agents.

Increase physical activity and diet low in saturated fat

Smoking cessation

Blood pressure and lipid screening

Blood pressure and lipid screening




A male high school student is referred to the school nurse because he lost consciousness during
gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is
100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment
data should the nurse obtain first?

Serial bp reading every 30 minutes

Twenty-four hour diet recall

Use of performance enhancing drugs

Recent exposure to allergens

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