HESI LPN
Community Health HESI Test Bank 2023
1. The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make?
- A. Pastoral care.
- B. Meals-on-Wheels.
- C. Grief support group.
- D. Physical therapy.
Correct answer: B
Rationale: The most important referral for the nurse to make for the elderly, recently widowed female client who had a mild stroke and limited mobility is Meals-on-Wheels. This service will ensure she receives proper nutrition and support given her circumstances. Pastoral care may provide emotional and spiritual support but is not as essential in this scenario. Grief support group could be beneficial but addressing her nutritional needs takes precedence. Physical therapy may be important for rehabilitation but ensuring proper nutrition is more critical at this time.
2. What are the requirements and qualifications for a regional nurse supervisor?
- A. BSN, RN
- B. at least 5 years of experience in public health
- C. Master's in public health
- D. all of the above
Correct answer: D
Rationale: To become a regional nurse supervisor, one must possess a BSN and RN credentials to ensure clinical competency. Additionally, a minimum of 5 years of experience in public health is required to demonstrate a solid understanding of the field. Lastly, holding a Master's degree in public health is essential for leadership and decision-making roles. Therefore, all the choices (BSN, RN; at least 5 years of experience in public health; Master's in public health) are necessary qualifications for a regional nurse supervisor.
3. In a well-child clinic, the nurse examines many children daily. Which of the following toddlers requires further follow-up?
- A. A 13-month-old who is unable to walk
- B. A 20-month-old who is only using 2 and 3 word sentences
- C. A 24-month-old who cries during examination
- D. A 30-month-old who is only drinking from a sip cup
Correct answer: D
Rationale: The correct answer is D because a 30-month-old should have developed the skill to drink from a regular cup by this age. Drinking from a sip cup at this stage may indicate a delay in development. Choices A, B, and C are not as concerning as they can be within the range of normal development. A 13-month-old not walking yet, a 20-month-old using 2 and 3 word sentences, and a 24-month-old crying during examination are all behaviors that can fall within the spectrum of typical development for their respective ages.
4. The nurse is caring for a 75-year-old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?
- A. Extreme fatigue
- B. Increased appetite
- C. Intense itching
- D. Constipation
Correct answer: A
Rationale: Extreme fatigue can be a sign of digitalis toxicity, especially in older adults, and warrants a review of the client's medication levels and potential adjustment. Increased appetite, intense itching, and constipation are not typically associated with digitalis toxicity and do not directly indicate a need for a review of digitalis levels.
5. Certain health policies/strategies serve as guidelines in the delivery of services. Which of these is incorrect?
- A. A growth monitoring chart is a tool recommended for assessing and recording the child's health condition.
- B. Voluntary blood donation should be promoted through the organization of walking blood banks in rural areas.
- C. Public sectors should collaborate with the private sector for effective utilization of resources.
- D. Traditional birth attendants should be trained and allowed to provide prenatal care to mothers.
Correct answer: C
Rationale: Choice C is incorrect because public sectors are encouraged to collaborate with the private sector for effective utilization of resources, not work separately. Collaborating with the private sector can lead to improved resource allocation, better service delivery, and enhanced healthcare outcomes. Choices A, B, and D are correct as growth monitoring charts are indeed recommended for assessing child health, promoting voluntary blood donation through walking blood banks is beneficial, and training traditional birth attendants to provide prenatal care can improve maternal health.
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