Question

Which observation(s) should the nurse include as community assessment data when conducting a windshield survey? Select all that apply.

Answer 1

Correct Answers:

Availability of grocery stores and public transportation.
Number of clients and clinics in community area.
Presence of public parks and recreation spaces available.
Condition of the public sidewalks and housing.

Rationale :

Availability of grocery stores and public transportation

⏩ A windshield survey includes direct observation of community resources and services that influence residents' health and quality of life.

⏩ Grocery stores provide information about residents' access to nutritious and affordable food within the community.

⏩ Public transportation affects the ability of residents to reach healthcare facilities, employment, schools, and essential services.

⏩ Limited access to either food outlets or transportation can contribute to health disparities and barriers to care.

⏩ The nurse should therefore document the availability and accessibility of grocery stores and public transportation as objective community-assessment data.

Number of clients and clinics in community area

⏩ Observing the number of people and healthcare facilities in an area helps the nurse understand the community's population patterns and available health resources.

⏩ Clinics provide important information about access to preventive, primary, and ongoing healthcare services.

⏩ The presence or absence of health facilities can indicate whether residents may experience barriers in obtaining timely care.

⏩ Observations about people using community services can also provide clues about the population's age distribution, activity, and service needs.

⏩ These objective observations can therefore contribute useful information to the overall windshield survey.

Presence of public parks and recreation spaces available

⏩ Public parks and recreation areas provide information about opportunities for physical activity, social interaction, and community engagement.

⏩ Safe recreational spaces can promote exercise and support cardiovascular, mental, and social health.

⏩ Their availability may also indicate the community's investment in health-promoting environmental resources.

⏩ The nurse should note whether these spaces appear accessible, maintained, and appropriate for different age groups.

⏩ Parks and recreation facilities are therefore relevant environmental observations during a windshield survey.

Condition of the public sidewalks and housing

⏩ Sidewalk and housing conditions provide important information about the physical safety and environmental health of a community.

⏩ Damaged sidewalks can increase the risk of falls and may discourage walking, especially among older adults or people with mobility limitations.

⏩ Poorly maintained housing can be associated with hazards such as mold, pests, inadequate heating, structural problems, or overcrowding.

⏩ Observing neighborhood infrastructure helps identify environmental factors that may contribute to injuries or chronic health problems.

⏩ The nurse should therefore include the condition of sidewalks and housing as objective community-assessment findings.

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Answer 2

Correct Answers:

Use broad spectrum sunscreen and protective clothing outdoors.

Rationale :

✅ Clients with systemic lupus erythematosus frequently experience photosensitivity, meaning ultraviolet radiation can trigger or worsen skin lesions and systemic disease activity.

✅ The client's new malar rash, joint pain, and fatigue after outdoor exposure are consistent with a photosensitivity-related lupus flare.

✅ Broad-spectrum sunscreen with adequate UVA and UVB protection should be applied regularly to exposed skin when outdoors.

✅ Protective clothing, hats, shade, and avoidance of intense midday sunlight further decrease ultraviolet exposure and reduce the risk of exacerbations.

✅ Consistent sun protection is therefore an important self-management strategy for preventing cutaneous and systemic lupus flares.

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Answer 3

Correct Answers:

Medication management
Home environment
Fluid balance
Oxygen saturation
Respirations
Mental status
Caregiver support
Sputum

Rationale :

Medication management

🏵️ The client's medication history raises significant concerns about adherence, access, and safe inhaler use.

🏵️ The client reports not knowing when the prescribed inhaler was last used, while the daughter states that the inhaler has run out, suggesting ineffective medication management.

🏵️ The client also uses an over-the-counter epinephrine inhaler as a backup, which may cause cardiovascular stimulation and is not an appropriate substitute for a prescribed asthma rescue plan.

🏵️ Medication reconciliation should include inhaler technique, refill access, frequency of rescue-inhaler use, understanding of montelukast, and safe use of all over-the-counter medications.

🏵️ Medication management therefore requires follow-up because poor adherence and inappropriate substitution can contribute directly to uncontrolled respiratory disease and hospitalization.

Home environment

🏵️ The client's daughter continues to smoke inside the client's home, creating ongoing exposure to secondhand tobacco smoke.

🏵️ Tobacco smoke is a major respiratory irritant that can trigger bronchospasm, worsen airway inflammation, and contribute to chronic cough and mucus production.

🏵️ The client's history of smoking and current respiratory findings make avoidance of environmental smoke particularly important.

🏵️ Hospitalization provides an opportunity to assess other home triggers, including smoke, dust, allergens, heating sources, and ability to obtain respiratory medications.

🏵️ The home environment therefore requires follow-up because continued smoke exposure may worsen the client's asthma and possible chronic obstructive respiratory disease.

Fluid balance

🏵️ The client's dry mucous membranes and reduced skin elasticity raise concern for inadequate hydration or altered fluid balance.

🏵️ Thick sputum can become more difficult to expectorate when hydration is insufficient, contributing to retained respiratory secretions.

🏵️ The client also takes hydrochlorothiazide, which increases urinary fluid loss and can contribute to dehydration in susceptible older adults.

🏵️ The nurse should assess oral intake, urine output, daily weight, laboratory values, and any contraindications before encouraging additional fluids.

🏵️ Fluid balance requires follow-up because adequate hydration can support secretion clearance while preventing complications of volume depletion.

Oxygen saturation

🏵️ An oxygen saturation of 87% on room air indicates clinically significant hypoxemia and requires prompt respiratory intervention.

🏵️ Hypoxemia is consistent with the client's dyspnea, tachypnea, diminished breath sounds, crackles, and increased work of breathing.

🏵️ The nurse should reassess oxygenation, provide supplemental oxygen as prescribed or according to protocol, and monitor the response closely.

🏵️ Persistent low oxygen saturation can impair oxygen delivery to the brain, heart, and other vital organs and may contribute to confusion or fatigue.

🏵️ Oxygen saturation therefore requires immediate follow-up because impaired gas exchange represents a high-priority breathing problem.

Respirations

🏵️ A respiratory rate of 30 breaths/min indicates tachypnea and reflects increased respiratory demand or respiratory distress.

🏵️ The client's tripod-like positioning with arms supported, exertional dyspnea, diminished breath sounds, and chest heaviness further demonstrate increased work of breathing.

🏵️ Tachypnea can occur with worsening bronchospasm, mucus retention, hypoxemia, pneumonia, or chronic obstructive pulmonary disease exacerbation.

🏵️ The nurse should assess respiratory pattern, accessory-muscle use, breath sounds, oxygenation, fatigue, and response to respiratory treatments.

🏵️ Respirations require urgent follow-up because continued respiratory distress can progress to fatigue and respiratory failure.

Mental status

🏵️ The client is oriented to person and place but not fully oriented to time, which represents a change requiring further assessment.

🏵️ Altered orientation in an older adult can be associated with hypoxemia, infection, medication effects, dehydration, or other metabolic disturbances.

🏵️ The oxygen saturation of 87% makes inadequate cerebral oxygen delivery an especially important possible contributor.

🏵️ The nurse should establish the client's baseline cognition and monitor for worsening confusion, lethargy, agitation, or decreased responsiveness.

🏵️ Mental status therefore requires follow-up because subtle cognitive changes can be an early manifestation of physiologic deterioration.

Caregiver support

🏵️ The client lives alone, while the daughter provides extended visits and currently performs tasks such as meal preparation and assistance with care.

🏵️ The client's statement that the daughter does all the cooking despite the client's preference to cook independently suggests the need to clarify functional ability, preferences, and caregiver roles.

🏵️ The client has respiratory limitations, slowed ambulation, medication-management problems, and possible cognitive changes that could affect safe independent living.

🏵️ The healthcare team should assess available family assistance, transportation, medication access, nutrition, home safety, and need for community resources after discharge.

🏵️ Caregiver support therefore requires follow-up to create a safe discharge plan that preserves as much independence and autonomy as possible.

Sputum

🏵️ The client reports gray, thick sputum and increased mucus production, with a chronic productive cough that has worsened during the past three months.

🏵️ A change in sputum amount, thickness, or appearance can indicate worsening airway inflammation, retained secretions, or respiratory infection.

🏵️ Thick secretions combined with crackles and diminished breath sounds may interfere with ventilation and contribute to impaired gas exchange.

🏵️ The nurse should assess sputum amount, color, odor, consistency, ability to expectorate, and whether diagnostic testing such as a sputum culture is indicated.

🏵️ Sputum therefore requires follow-up because changing respiratory secretions can provide important information about airway disease and possible infection.

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Answer 4

Correct Answers

Oxygen saturation level of 87% after albuterol [ COPD ]
Frequent thick gray sputum [ COPD ]
Increased anterior-posterior chest diameter [ COPD ]
Diminished breath sounds [ Acute Asthma ]
FEV1/FVC 60% after albuterol [ COPD ]

Rationale :

Oxygen saturation 87% after albuterol — COPD

⏩ An oxygen saturation of 87% despite bronchodilator treatment indicates persistent impairment in pulmonary gas exchange rather than fully reversible bronchospasm.

⏩ COPD causes chronic airflow limitation, ventilation-perfusion mismatch, and in advanced disease can produce persistent hypoxemia.

⏩ The client's prescribed oxygen target of 88% to 92% is also commonly used for clients with COPD who may be vulnerable to hypercapnic respiratory failure.

⏩ Failure of oxygenation to normalize after albuterol suggests that structural lung abnormalities and chronic obstruction continue to interfere with gas exchange.

⏩ Persistent oxygen saturation of 87% after bronchodilator therapy therefore more strongly supports COPD in this clinical picture.

Frequent thick gray sputum — COPD

⏩ Chronic production of thick sputum is characteristic of COPD, particularly the chronic bronchitis phenotype.

⏩ Long-term airway irritation causes goblet-cell hyperplasia and mucus-gland enlargement, leading to excessive bronchial mucus production.

⏩ The client reports a productive cough lasting several years with increased mucus during the past three months, demonstrating a chronic rather than purely episodic process.

⏩ Thick secretions can further narrow already obstructed airways, contribute to crackles, and increase the risk for infection and exacerbations.

⏩ Frequent thick sputum therefore strongly supports chronic obstructive pulmonary disease.

Increased anterior-posterior chest diameter — COPD

⏩ An increased anterior-posterior chest diameter, commonly called a barrel chest, is associated with chronic lung hyperinflation.

⏩ In COPD, especially emphysema, destruction of elastic lung tissue causes air trapping and incomplete expiration.

⏩ Persistent hyperinflation gradually keeps the thorax in a more expanded position and increases the anterior-posterior diameter.

⏩ This structural change develops over time and therefore indicates a chronic pulmonary process rather than a short-lived episode of bronchospasm.

⏩ The client's enlarged rounded rib cage consequently provides strong physical evidence supporting COPD.

Diminished breath sounds — Acute Asthma

⏩ During a significant acute asthma exacerbation, severe bronchoconstriction can markedly decrease the amount of air moving through the lungs.

⏩ As airflow becomes more restricted, wheezing may decrease and breath sounds can become diminished, despite worsening obstruction.

⏩ Severely reduced or absent breath sounds can progress to a “silent chest,” which is an ominous sign of critical airflow limitation.

⏩ The nurse should interpret diminishing air movement during an asthma attack as possible deterioration rather than assuming the client's condition is improving.

⏩ Within this forced-choice classification, diminished breath sounds are therefore associated with acute asthma due to severe bronchospasm and reduced airflow.

FEV1/FVC 60% after albuterol — COPD

⏩ An FEV1/FVC ratio of 60% after bronchodilator administration demonstrates persistent expiratory airflow obstruction.

⏩ COPD is characterized by airflow limitation that does not fully normalize after bronchodilator therapy.

⏩ A post-bronchodilator ratio below approximately 0.70 has traditionally supported the diagnosis of persistent airflow obstruction consistent with COPD in the appropriate clinical context.

⏩ Asthma more commonly demonstrates substantial reversibility, with spirometry improving significantly after administration of a bronchodilator.

⏩ A post-albuterol FEV1/FVC of 60%, together with the client's chronic cough and smoking history, therefore strongly supports COPD.

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Answer 5

Correct Answers:

PCO₂

Rationale :

❣️ The client's PCO₂ of 49 mm Hg is elevated, indicating retention of carbon dioxide caused by inadequate alveolar ventilation.

❣️ In COPD, chronic airflow obstruction and air trapping can impair expiration, causing CO₂ retention and respiratory acidosis.

❣️ The slightly decreased pH of 7.34 together with the elevated PCO₂ and mildly elevated HCO₃⁻ is consistent with partially compensated respiratory acidosis, suggesting a chronic process with current respiratory compromise.

❣️ The client's worsening tachypnea, fatigue, dull headache, hypoxemia, hyperinflated lungs, and diminished breath sounds further increase concern for ventilatory failure and progressive hypercapnia.

❣️ The elevated PCO₂ therefore requires the highest-priority follow-up because increasing carbon dioxide can progress to confusion, somnolence, respiratory failure, and decreased level of consciousness.

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Answer 6

Correct Highlights :

Anti-inflammatory
Administer with food
Short-acting muscarinic antagonist
Utilize a nebulizer with a mouthpiece
Long-acting ẞ2-adrenergic agonists
Ask the client to place their lips around the inhaler mouthpiece

Rationale :

Anti-inflammatory

❣️ Prednisone is a systemic corticosteroid with potent anti-inflammatory effects and is commonly used during COPD exacerbations.

❣️ It decreases airway inflammation, mucosal edema, and inflammatory-cell activity, which helps improve airflow and respiratory symptoms.

❣️ Corticosteroids do not produce immediate bronchodilation, but they improve the client's response to other respiratory therapies over time.

❣️ The nurse should monitor for adverse effects such as hyperglycemia, gastrointestinal irritation, infection risk, fluid retention, and mood changes.

❣️ The client's newly prescribed prednisone therefore makes anti-inflammatory an appropriate selection.

Administer with food

❣️ Prednisone should generally be administered with food or milk to decrease gastrointestinal irritation.

❣️ Systemic corticosteroids can increase gastric acid secretion and contribute to dyspepsia or gastric irritation.

❣️ Taking the medication with a meal can improve gastrointestinal tolerance, particularly in an older adult.

❣️ The nurse should also monitor for abdominal discomfort, gastrointestinal bleeding, and changes in blood glucose during corticosteroid therapy.

❣️ Administering prednisone with food is therefore an appropriate medication-safety intervention.

Short-acting muscarinic antagonist

❣️ Ipratropium is a short-acting muscarinic antagonist (SAMA) commonly used as a bronchodilator in COPD.

❣️ It blocks muscarinic receptors in the bronchial airways, reducing parasympathetic-mediated bronchoconstriction.

❣️ The resulting relaxation of airway smooth muscle helps increase airflow and decrease dyspnea.

❣️ Ipratropium is particularly useful during COPD exacerbations and may be administered through a nebulizer as prescribed in this client's orders.

❣️ The prescribed ipratropium 500 mcg by nebulizer therefore corresponds to the short-acting muscarinic antagonist classification.

Utilize a nebulizer with a mouthpiece

❣️ A mouthpiece is preferred for nebulized ipratropium when the client can use it correctly because it helps direct medication into the respiratory tract.

❣️ Proper mouthpiece use can also reduce unnecessary exposure of the eyes to nebulized ipratropium.

❣️ Ocular exposure should be minimized because anticholinergic medications can potentially increase intraocular pressure in susceptible clients.

❣️ The client should sit upright, create an adequate seal around the mouthpiece, and breathe the aerosolized medication until the prescribed treatment is completed.

❣️ Using the nebulizer with an appropriate mouthpiece therefore promotes effective medication delivery and reduces unintended exposure.

Long-acting β₂-adrenergic agonist

❣️ Salmeterol is a long-acting β₂-adrenergic agonist (LABA) that provides prolonged bronchodilation.

❣️ Stimulation of β₂ receptors relaxes bronchial smooth muscle, helping maintain open airways and decrease chronic respiratory symptoms.

❣️ Salmeterol is used for maintenance therapy and should be taken regularly according to the prescribed schedule.

❣️ Salmeterol is not intended to provide rapid rescue treatment for a sudden episode of severe bronchospasm because its onset is not appropriate for emergency relief.

❣️ The prescribed twice-daily salmeterol Diskus therefore makes long-acting β₂-adrenergic agonist a correct selection.

Ask the client to place their lips around the inhaler mouthpiece

❣️ The client should create a firm seal with the lips around the Diskus mouthpiece so the full medication dose can be inhaled effectively.

❣️ A poor seal can allow medication to escape and reduce the amount reaching the lower respiratory tract.

❣️ With a dry-powder inhaler such as salmeterol Diskus, the client should inhale the medication quickly and deeply through the mouth after preparing the dose.

❣️ The client should then hold the breath briefly when able before slowly exhaling away from the device.

❣️ Correct mouth positioning is therefore an important component of effective salmeterol inhaler technique.

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Answer 7

Correct Answers:

Encourage purse-lipped breathing
Administer ipratropium
Elevate the head of the bed

Rationale :

Encourage pursed-lip breathing

⏩ Pursed-lip breathing helps prolong exhalation and creates mild positive expiratory pressure that prevents premature collapse of small airways.

⏩ The technique is especially beneficial in COPD because it helps decrease air trapping and retained carbon dioxide during expiration.

⏩ The client's elevated PCO₂ of 49 mm Hg and EtCO₂ of 48 mm Hg indicate impaired ventilation and carbon dioxide retention.

⏩ The nurse should instruct the client to inhale slowly through the nose and exhale gently through pursed lips for approximately twice as long as inhalation.

⏩ Pursed-lip breathing can therefore decrease dyspnea, improve expiratory airflow, and reduce the client's work of breathing.

Administer ipratropium

⏩ Ipratropium is a short-acting muscarinic antagonist (SAMA) that produces bronchodilation by blocking parasympathetic-mediated bronchoconstriction.

⏩ The client continues to have tachypnea, chest tightness, diminished breath sounds, and evidence of persistent obstructive airflow despite earlier albuterol therapy.

⏩ Ipratropium is specifically prescribed three to four times daily by nebulizer as needed, making administration appropriate for the client's current respiratory symptoms.

⏩ Bronchodilation can decrease airway resistance, improve expiratory airflow, and assist in reducing air trapping associated with COPD.

⏩ Administering the prescribed ipratropium is therefore an appropriate immediate intervention for the client's ongoing bronchoconstriction and dyspnea.

Elevate the head of the bed

⏩ Elevating the head of the bed promotes maximum lung expansion by allowing the diaphragm to descend more effectively during inspiration.

⏩ An upright position can reduce the work of breathing and improve ventilation in a client experiencing dyspnea and chronic lung hyperinflation.

⏩ The client has already demonstrated a preference for an upright, forward-leaning position by sitting with the arms supported, which is consistent with attempts to improve respiratory mechanics.

⏩ Semi-Fowler's or High-Fowler's positioning can also improve comfort and decrease pressure from abdominal contents against the diaphragm.

⏩ Elevating the head of the bed is therefore a simple, immediate intervention that supports ventilation and oxygenation.

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Answer 8

Correct Answers:

Blood pressure: 132/80 mm Hg
Oxygen saturation on 2L via nasal cannula: 92%
Respirations: 24 breaths/minute

Rationale :

Blood pressure: 132/80 mm Hg

✅ A blood pressure of 132/80 mm Hg is hemodynamically stable and does not indicate hypotension or significant cardiovascular deterioration.

✅ Maintaining an adequate blood pressure suggests that the client continues to have sufficient systemic perfusion during treatment of the respiratory exacerbation.

✅ The previous blood pressures were also stable, so this finding demonstrates that treatment has not caused clinically significant hemodynamic compromise.

✅ Stable circulation is important while interventions such as bronchodilators and oxygen therapy are being administered.

✅ This blood pressure is therefore consistent with an overall stable and progressing clinical condition.

Oxygen saturation on 2 L via nasal cannula: 92%

✅ The client's oxygen saturation has improved from 87% on room air and 90% on 4 L/min to 92% on only 2 L/min.

✅ Achieving adequate oxygenation with a lower supplemental oxygen requirement is a strong indicator of improved gas exchange.

✅ An oxygen saturation of 92% is also at the upper end of the prescribed COPD target range of 88% to 92%.

✅ The improvement suggests that bronchodilator therapy, positioning, breathing techniques, and oxygen therapy are helping improve ventilation-perfusion matching.

✅ This finding therefore provides clear evidence that the client's respiratory condition is progressing favorably.

Respirations: 24 breaths/minute

✅ The respiratory rate has decreased from 30 to 32 breaths/minute to 24 breaths/minute, indicating reduced respiratory distress.

✅ A decreasing respiratory rate suggests that the client's work of breathing is improving following treatment.

✅ Improved expiratory airflow and reduced bronchoconstriction can decrease the compensatory need for rapid breathing.

✅ Although 24 breaths/minute remains mildly elevated, the downward trend is clinically meaningful when compared with the client's earlier tachypnea.

✅ This respiratory change therefore indicates positive progression after interventions.

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Answer 9

Correct Answers:

Sublimation.

Rationale :

➡️ Sublimation occurs when unacceptable impulses or emotions are redirected into a socially acceptable and constructive activity.

➡️ The client may have aggressive or angry impulses but channels that energy into pounding leather with a mallet during occupational therapy.

➡️ The behavior allows emotional tension to be released without harming another person or violating social expectations.

➡️ Activities such as exercise, art, sports, or productive physical work are common examples of sublimating strong impulses.

➡️ Using an acceptable craft activity to express aggressive energy therefore demonstrates sublimation.

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Answer 10

Correct Answers:

Instruct the client on the importance of notifying sexual partners.

Rationale :

↪️ Trichomoniasis is a sexually transmitted infection, so current sexual partners should be notified, evaluated, and treated as indicated.

↪️ Treating sexual partners helps prevent reinfection of the client and continued transmission within the community.

↪️ Sexual activity should generally be avoided until the client and partner or partners have completed treatment and symptoms have resolved according to clinical guidance.

↪️ The nurse should also reinforce consistent barrier protection and appropriate follow-up testing based on current recommendations.

↪️ Partner notification is therefore an essential component of effective treatment and prevention of recurrent trichomoniasis.

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Laboratory Test	Result	Reference Range
White blood cells (WBC)	Pending	5,000–10,000/mm³ (5–10 × 10⁹/L)
Red blood cells (RBC)	Pending	4.7–6.1 × 10⁶/µL (4.7–6.1 × 10¹²/L)
Hemoglobin (Hgb)	Pending	14–18 g/dL (140–180 g/L)
Hematocrit (Hct)	Pending	42%–52% (0.42–0.52 volume fraction)
Platelet count	Pending	150,000–400,000/mm³ (150–400 × 10⁹/L)
Erythrocyte sedimentation rate	Pending	Up to 40 mm/hr
Reticulocyte count	Pending	0.5%–2%

Assessment Finding	COPD	Acute Asthma
Oxygen saturation level of 87% after albuterol
Frequent thick gray sputum
Increased anterior-posterior chest diameter
Diminished breath sounds
FEV1/FVC 60% after albuterol

Laboratory Test	Result	Reference Range
White blood cells (WBC)	Pending	5,000–10,000/mm³ (5–10 × 10⁹/L)
Red blood cells (RBC)	Pending	4.7–6.1 × 10⁶/µL (4.7–6.1 × 10¹²/L)
Hemoglobin (Hgb)	Pending	14–18 g/dL (140–180 g/L)
Hematocrit (Hct)	Pending	42%–52% (0.42–0.52 volume fraction)
Platelet count	Pending	150,000–400,000/mm³ (150–400 × 10⁹/L)
Erythrocyte sedimentation rate	Pending	Up to 40 mm/hr
Reticulocyte count	Pending	0.5%–2%

Laboratory Test	Result	Reference Range
pH	7.34	7.35–7.45
PCO₂	49 mm Hg	35–45 mm Hg
HCO₃⁻	29 mEq/L (29 mmol/L)	21–28 mEq/L
PO₂	82 mm Hg	80–100 mm Hg
O₂ saturation	90%	95%–100%

Laboratory Test	Result	Reference Range
White blood cells (WBC)	Pending	5,000–10,000/mm³ (5–10 × 10⁹/L)
Red blood cells (RBC)	Pending	4.7–6.1 × 10⁶/µL (4.7–6.1 × 10¹²/L)
Hemoglobin (Hgb)	Pending	14–18 g/dL (140–180 g/L)
Hematocrit (Hct)	Pending	42%–52% (0.42–0.52 volume fraction)
Platelet count	Pending	150,000–400,000/mm³ (150–400 × 10⁹/L)
Erythrocyte sedimentation rate	Pending	Up to 40 mm/hr
Reticulocyte count	Pending	0.5%–2%

RN HESI Exit September 2026

No.

1 :
Which observation(s) should the nurse include as community assessment data when conducting a windshield survey? Select all that apply.

2 :
The nurse cares for a client with systemic lupus erythematosus who reports new joint pain and fatigue after spending the weekend outdoors. The client has a new red rash across the cheeks and bridge of the nose. Which instruction should the nurse include?

3 :
Patient data.

Answer Options

4 :
Patient data.

Correct Answers

5 :
Patient data.

Answer Options

6 :
Patient data.

Correct Highlights :

7 :
Patient data.

Answer Options

8 :
The nurse evaluates the client's progression after interventions have been implemented. Which findings indicate that the client is progressing? Select all that apply.

9 :
A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defence mechanism is the client using?

10 :
The nurse is caring for a client with the sexually transmitted infection (STI) trichomoniasis who reports having had unprotected sex. Which response should the nurse provide?

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RN HESI Exit September 2026

No.

1 : Which observation(s) should the nurse include as community assessment data when conducting a windshield survey? Select all that apply.

2 : The nurse cares for a client with systemic lupus erythematosus who reports new joint pain and fatigue after spending the weekend outdoors. The client has a new red rash across the cheeks and bridge of the nose. Which instruction should the nurse include?

3 : Patient data.

Answer Options

4 : Patient data.

Correct Answers

5 : Patient data.

Answer Options

6 : Patient data.

Correct Highlights :

7 : Patient data.

Answer Options

8 : The nurse evaluates the client's progression after interventions have been implemented. Which findings indicate that the client is progressing? Select all that apply.

9 : A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defence mechanism is the client using?

10 : The nurse is caring for a client with the sexually transmitted infection (STI) trichomoniasis who reports having had unprotected sex. Which response should the nurse provide?

1 :
Which observation(s) should the nurse include as community assessment data when conducting a windshield survey? Select all that apply.

2 :
The nurse cares for a client with systemic lupus erythematosus who reports new joint pain and fatigue after spending the weekend outdoors. The client has a new red rash across the cheeks and bridge of the nose. Which instruction should the nurse include?

3 :
Patient data.

4 :
Patient data.

5 :
Patient data.

6 :
Patient data.

7 :
Patient data.

8 :
The nurse evaluates the client's progression after interventions have been implemented. Which findings indicate that the client is progressing? Select all that apply.

9 :
A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defence mechanism is the client using?

10 :
The nurse is caring for a client with the sexually transmitted infection (STI) trichomoniasis who reports having had unprotected sex. Which response should the nurse provide?