Community Health HESI Practice Exam

HESI LPN

Community Health HESI Practice Exam

1. A client with a urinary tract infection is receiving ciprofloxacin (Cipro). The nurse should monitor the client for which of the following side effects?

A. Hypertension
B. Hypoglycemia
C. Hyperkalemia
D. Tendonitis

Correct answer: D

Rationale: Ciprofloxacin can cause tendonitis and an increased risk of tendon rupture. Monitoring for tendonitis is crucial as it can lead to significant musculoskeletal issues. Choices A, B, and C are incorrect as hypertension, hypoglycemia, and hyperkalemia are not typically associated with ciprofloxacin use.

2. You are teaching a client about the patient-controlled analgesia (PCA) planned for post-operative care. Which statement indicates further teaching may be needed by the client?

A. ''I will be receiving continuous doses of medication.''
B. ''I should call the nurse before I take additional doses.''
C. ''I will call for assistance if my pain is not relieved.''
D. ''The machine will prevent an overdose.''

Correct answer: B

Rationale: PCA allows patients to self-administer pain medication within prescribed limits, without the need to call the nurse before taking an additional dose. Choice B suggests a misunderstanding of how PCA works, as the patient should be educated that they can self-administer doses within the safety parameters set by the healthcare provider. Choices A, C, and D demonstrate proper understanding of PCA, hence are not indicative of needing further teaching.

3. With the present system, family planning programs at the municipal barangay levels are managed by:

A. non-governmental organizations
B. LGUs
C. all these units/organizations are managing family planning programs
D. other government organizations

Correct answer: C

Rationale: The correct answer is C because family planning programs at the municipal barangay levels are managed by a combination of non-governmental organizations (NGOs), Local Government Units (LGUs), and other government organizations. Therefore, all these units/organizations are involved in managing family planning programs. Choices A, B, and D are incorrect because they individually do not capture the full scope of the entities involved in managing family planning programs at the specified levels.

4. In a long term rehabilitation care unit a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television in the assigned room. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should do which action next?

A. Take the client's respirations, blood pressure (BP), temperature and then pupillary responses
B. Place the client into the bed and administer the ordered PRN analgesic
C. Check the client for bladder distention and the client's urinary catheter for kinks
D. Turn the television off and then assist client to use relaxation techniques

Correct answer: C

Rationale: These symptoms suggest autonomic dysreflexia, often triggered by bladder distention.

5. What does the nurse perform to determine the family nursing problems/needs?

A. goal setting
B. family health care plan formulation
C. assessment
D. evaluation

Correct answer: C

Rationale: The correct answer is C: assessment. Assessment is the initial step in identifying family nursing problems/needs. During assessment, the nurse collects data to understand the family's health status, strengths, weaknesses, and potential areas for intervention. This process helps in developing an accurate picture of the family's situation. Choices A, B, and D are incorrect because goal setting, family health care plan formulation, and evaluation come after the assessment phase. Goal setting occurs once the issues are identified, the family health care plan is developed based on assessment findings, and evaluation is the final step to assess the effectiveness of the interventions implemented.