HESI LPN
Community Health HESI Test Bank
1. 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.
2. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?
- A. Secondary level care
- B. Primary care
- C. Tertiary care
- D. Intermediate care
Correct answer: C
Rationale: Tertiary care is the correct answer because it involves specialized care provided by medical centers and regional or provincial hospitals. Primary care (Choice B) refers to basic healthcare services usually delivered by general practitioners, nurses, and other healthcare professionals. Secondary care (Choice A) involves specialized services provided by medical specialists and other health professionals who generally do not have first contact with patients. Intermediate care (Choice D) is not a recognized level of care in the typical healthcare system hierarchy; it may cause confusion as it's not a standard term used to describe levels of care.
3. Which of the following tools is used by community health nurses to identify the health needs of a population?
- A. Health survey
- B. Medical records
- C. Patient interviews
- D. Epidemiological studies
Correct answer: D
Rationale: Epidemiological studies are used by community health nurses to identify the health needs of a population. These studies involve investigating patterns, causes, and effects of health and disease conditions in defined populations. While health surveys, medical records, and patient interviews are valuable tools in healthcare, epidemiological studies provide a broader population-based perspective essential for understanding and addressing community health needs.
4. What title should be given to this occupational health nurse job description? A registered nurse who establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs, monitors outcomes, and maintains communication among all involved.
- A. manager
- B. researcher
- C. case manager
- D. health promotion specialist
Correct answer: C
Rationale: The correct answer is C: case manager. A case manager in healthcare coordinates care, monitors outcomes, and ensures quality and cost-effectiveness. In this job description, the nurse is mainly focused on coordinating care, recommending treatment plans, monitoring outcomes, and maintaining communication among all involved, which aligns with the responsibilities of a case manager. Choices A, B, and D are incorrect because the job description does not primarily involve general management, research, or health promotion specialization.
5. Which family planning method is not advisable for women with extremely irregular menstrual periods?
- A. oral contraceptives
- B. diaphragm
- C. natural family planning
- D. vaginal contraceptives
Correct answer: C
Rationale: Natural family planning relies on tracking menstrual cycles to determine fertile days for avoiding or achieving pregnancy. It may not be suitable for women with extremely irregular menstrual periods as it can be challenging to predict fertile days accurately. Oral contraceptives (A), diaphragms (B), and vaginal contraceptives (D) do not rely on regular menstrual cycles for their effectiveness, making them more suitable options for women with irregular periods.
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