HESI LPN
Community Health HESI Study Guide
1. A 14-month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?
- A. Hot dog, carrot sticks, gelatin, milk
- B. Soup, blenderized soft foods, ice cream, milk
- C. Peanut butter and jelly sandwich, chips, pudding, milk
- D. Baked chicken, applesauce, cookie, milk
Correct answer: B
Rationale: Choice B, 'Soup, blenderized soft foods, ice cream, milk,' is the correct answer. After cleft palate repair, it is essential to provide soft and blenderized foods to prevent trauma to the surgical site and promote proper healing. Choices A, C, and D contain foods that may be difficult for the child to consume comfortably and safely after a cleft palate surgical repair. A hot dog, carrot sticks, chips, and hard cookies could potentially cause injury or discomfort to the surgical area. Peanut butter and jelly sandwich might be too difficult to swallow or may stick to the surgical site. Baked chicken could be too challenging to chew. Therefore, the best choice for an appropriate meal post cleft palate repair is soft, blenderized foods like soup, along with other soft options like ice cream and milk.
2. Which of the following statements can motivate a couple to practice family planning?
- A. Family planning helps families improve their standard of living.
- B. Family planning reduces or eliminates fear of unwanted pregnancies.
- C. Family planning affords family members time to study or pursue personal interests.
- D. All of the above
Correct answer: D
Rationale: The correct answer is D because all the listed statements provide valid reasons to motivate couples to practice family planning. Option A highlights how family planning can lead to an improvement in the standard of living by allowing families to better manage their resources. Option B emphasizes the importance of family planning in reducing or eliminating the fear of unwanted pregnancies, which can have significant emotional and financial implications for couples. Option C points out that family planning can also afford family members time to focus on personal development, such as studying or pursuing personal interests, without the added responsibilities of unplanned pregnancies. Therefore, all these factors combined can serve as strong motivators for couples to consider and practice family planning. Choices A, B, and C are incorrect because each of them individually provides a valid reason to motivate couples, making the comprehensive answer D the most appropriate.
3. Which client has the highest risk for developing community-acquired pneumonia?
- A. a 40-year-old first-grade teacher who works with underprivileged children
- B. a 75-year-old retired secretary with exercise-induced wheezing
- C. a 60-year-old homeless person who is an alcoholic and smokes
- D. a 35-year-old aerobics instructor who skips meals and eats only vegetables
Correct answer: C
Rationale: The correct answer is C because homeless individuals who are alcoholics and smoke have a higher risk of developing community-acquired pneumonia due to factors like poor living conditions, compromised immune systems, and increased exposure to infections. Choice A is less likely as the teacher's profession, while involving contact with children, may not pose as high a risk as the factors in choice C. Choice B may have respiratory issues but does not have the same risk factors as choice C. Choice D, the aerobics instructor, may have a healthy lifestyle but skipping meals and a restrictive diet do not directly correlate with a higher risk of pneumonia compared to the risk factors in choice C.
4. The organization of nurses employed in the DOH is the:
- A. Philippine Nurses Association
- B. National League of Nurses
- C. Catholic Nurses Guild of the Philippines
- D. MCNAP
Correct answer: A
Rationale: The Philippine Nurses Association is the correct organization for nurses employed in the DOH. The Philippine Nurses Association is a professional organization that represents and serves the interests of Filipino nurses. The National League of Nurses focuses on nursing education and is not specific to nurses employed in the DOH. The Catholic Nurses Guild of the Philippines is a religious organization for Catholic nurses and is not directly linked to nurses employed in the DOH. MCNAP is not a known organization related to nursing in the context provided.
5. What does the term 'vital statistics' refer to?
- A. The systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths
- B. Morbidity
- C. Statistics
- D. Mortality
Correct answer: A
Rationale: The term 'vital statistics' specifically refers to the systematic study of vital events, including births, illnesses, marriages, divorces, separations, and deaths. This field focuses on quantifying and analyzing these essential life events within a population. Choices B, C, and D are incorrect because while they may be related to data collection and analysis, they do not encompass the broad spectrum of vital events covered under the term 'vital statistics.' Morbidity refers to the prevalence of a specific illness or disease within a population, statistics is a more general term for numerical data analysis, and mortality specifically pertains to deaths within a population.
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