HESI LPN
Community Health HESI Test Bank 2023
1. A newborn presents with a pronounced cephalic hematoma following a birth in the posterior position. Which nursing diagnosis should guide the plan of care?
- A. Pain related to periosteal injury
- B. Impaired mobility related to bleeding
- C. Parental anxiety related to knowledge deficit
- D. Injury related to intracranial hemorrhage
Correct answer: C
Rationale: The correct nursing diagnosis to guide the plan of care for a newborn with a pronounced cephalic hematoma following a birth in the posterior position is 'Parental anxiety related to knowledge deficit.' This is appropriate because the parents may be worried about the appearance and potential complications of the cephalic hematoma. They may require education and reassurance from the nurse. Choices A, B, and D are incorrect because they do not address the emotional needs of the parents and the knowledge deficit they may have regarding the condition.
2. The milk code aims to ensure that:
- A. the public receives accurate information about breastmilk and breastfeeding
- B. health workers do not provide samples of infant formula to pregnant women or mothers of infants
- C. companies consistently recognize the superiority of breastmilk
- D. health workers do not accept any incentives from milk companies
Correct answer: C
Rationale: The correct answer is C because the milk code emphasizes that companies should always acknowledge the superiority of breastmilk over formula. Choice A is incorrect because the focus is not on the public receiving information, but rather on companies recognizing breastmilk's superiority. Choice B is incorrect as it addresses health workers' actions, not the companies' behavior. Choice D is incorrect as the milk code is primarily concerned with regulating companies' practices, not health workers' acceptance of incentives.
3. What is a critical factor in determining community health?
- A. Number of hospitals
- B. Availability of healthcare services
- C. Socioeconomic status
- D. Population density
Correct answer: B
Rationale: The availability of healthcare services is a critical factor in determining community health. While the number of hospitals may contribute to healthcare accessibility, it is the overall availability of healthcare services that encompasses various factors including hospitals, clinics, healthcare providers, and resources. Socioeconomic status and population density are important determinants of health outcomes, but the direct availability of healthcare services plays a more immediate and direct role in promoting community health.
4. A nurse is preparing to administer a tuberculosis (TB) test to a client. Which of the following is the correct method for administering this test?
- A. Intradermal injection on the forearm
- B. Subcutaneous injection on the upper arm
- C. Intramuscular injection on the deltoid
- D. Oral administration
Correct answer: A
Rationale: The correct method for administering a tuberculosis (TB) test is through an intradermal injection on the forearm. This technique allows for the proper administration of the test under the skin to assess the body's response to the TB antigen. Choices B, C, and D are incorrect because the TB test specifically requires an intradermal injection, not subcutaneous, intramuscular, or oral administration.
5. Which of the following is an example of a social determinant of health?
- A. Blood pressure
- B. Genetic mutations
- C. Housing conditions
- D. Age
Correct answer: C
Rationale: The correct answer is C: Housing conditions. Social determinants of health are the conditions in which people are born, grow, live, work, and age. Housing conditions directly impact health outcomes as they can affect exposure to toxins, safety, and overall well-being. Choice A, blood pressure, is a physiological measure and not a social determinant. Choice B, genetic mutations, relates to an individual's genetic makeup and is not influenced by social factors. Choice D, age, is a demographic factor and not a social determinant of health.
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