HESI LPN
Community Health HESI Practice Exam
1. An example of individual influences on health status would be:
- A. Cigarette smoking
- B. A parent with adult-onset diabetes
- C. Exposure to toxic substances in the workplace
- D. All of the above
Correct answer: D
Rationale: The correct answer is 'D' because all the listed factors - cigarette smoking, a parent with adult-onset diabetes, and exposure to toxic substances in the workplace - can individually influence a person's health status. Cigarette smoking directly impacts health by increasing the risk of various diseases. Having a parent with adult-onset diabetes can also influence one's health due to genetic predisposition and lifestyle factors. Exposure to toxic substances in the workplace can lead to health issues. Choices A, B, and C are not mutually exclusive but rather represent different aspects of individual influences on health status, making 'D' the most comprehensive and accurate answer.
2. The nurse is planning care for a client with increased intracranial pressure. The best position for this client is
- A. Trendelenburg
- B. Prone
- C. Semi-Fowler's
- D. Side-lying with head flat
Correct answer: C
Rationale: The correct answer is C, Semi-Fowler's. This position helps to reduce intracranial pressure by promoting venous drainage from the head while maintaining adequate oxygenation. Option A, Trendelenburg position, is incorrect as it involves placing the patient with the head lower than the body, which can increase intracranial pressure. Option B, Prone position, is also incorrect as it involves lying on the stomach, which can further elevate intracranial pressure. Option D, Side-lying with head flat, does not provide the same benefits as the Semi-Fowler's position in terms of promoting venous drainage and maintaining oxygenation in a client with increased intracranial pressure.
3. All of the following are objectives of FHSIS EXCEPT:
- A. To complete the clinical picture of chronic diseases and describe their natural history
- B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
- C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
- D. To ensure that data reported are useful and accurate and are disseminated in a timely and easy-to-use fashion
Correct answer: A
Rationale: The correct answer is A. Completing the clinical picture of chronic diseases and describing their natural history is not an objective of FHSIS. The objectives of FHSIS include providing a standardized, facility-level database for more in-depth studies (B), minimizing recording and reporting burden to allow more time for patient care and promotive activities (C), and ensuring that reported data are useful, accurate, and disseminated in a timely and easy-to-use manner (D). Therefore, A is the exception among the listed objectives.
4. What is the primary goal of community health nursing?
- A. Promote health and prevent disease
- B. Provide care to the sick
- C. Conduct research
- D. Develop health policies
Correct answer: A
Rationale: The primary goal of community health nursing is to promote health and prevent disease. Community health nurses focus on preventive care, health promotion, and education to improve the overall health of the community. Providing care to the sick (Choice B) is part of nursing but not the primary goal of community health nursing. While research (Choice C) and developing health policies (Choice D) may be components of community health nursing, they are not the primary goal, which is centered around promoting health and preventing disease.
5. A client is scheduled to have a blood test for cholesterol and triglycerides the next day. The nurse would tell the client
- A. ''Be sure to eat a fat-free diet until the test.''
- B. ''Do not eat or drink anything but water for 12 hours before the blood test.''
- C. ''Have the blood drawn within 2 hours of eating breakfast.''
- D. ''Stay at the laboratory so 2 blood samples can be drawn an hour apart.''
Correct answer: B
Rationale: Fasting for at least 12 hours is necessary before a cholesterol and triglyceride test to ensure accurate results by avoiding fluctuations that can occur after eating. Choice A is incorrect because a fat-free diet is not required; fasting is. Choice C is incorrect as it suggests having the test right after eating, which can affect the results. Choice D is incorrect as there is no need to stay at the laboratory for 2 blood samples unless specifically instructed by a healthcare provider.
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