HESI LPN
Community Health HESI Test Bank
1. A unit of Girl Scouts went hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age, complained of a sudden moderately bearable toothache. In checking their first-aid kit, they found none of mefenamic acid, BUT they luckily chanced upon a home that uses alternative pain-relieving medicinal plants. What would this plant be?
- A. Bawang
- B. Lagundi
- C. Sambong
- D. Tsaang gubat
Correct answer: A
Rationale: The correct answer is A, Bawang (garlic), which is traditionally used for its pain-relieving properties. While Lagundi, Sambong, and Tsaang gubat are also medicinal plants with various health benefits, they are not specifically known for their pain-relieving properties like garlic.
2. On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to
- A. Give the client orientation materials and review the unit rules and regulations
- B. Introduce oneself and accompany the client to their room
- C. Take the client to the day room and introduce them to the other clients
- D. Ask the nursing assistant to get the client’s vital signs and complete the admission search
Correct answer: B
Rationale: In situations where a client is trembling and fearful upon admission to a psychiatric unit, it is essential to prioritize building trust and reducing anxiety. By introducing oneself and accompanying the client to their room, the nurse can establish a therapeutic relationship, provide a sense of security, and address the client's immediate emotional needs. Choices A, C, and D are not the most appropriate initial responses as they do not directly address the client's emotional state or focus on establishing a supportive relationship.
3. The emphasis of community health nursing is on:
- A. treatment of health problems
- B. preventing problems and promoting optimum health
- C. identification and assessment of health problems
- D. illness end of the wellness-illness continuum
Correct answer: B
Rationale: Community health nursing primarily focuses on preventive measures and promoting overall health within a community. Choice A is incorrect as treatment is not the main emphasis. Choice C is incorrect as identification and assessment are steps that may be involved but not the main focus. Choice D is incorrect as it refers to the illness end rather than the preventive end of the wellness-illness continuum.
4. An example of secondary prevention strategy would be:
- A. Screening for breast cancer in women who have no symptoms
- B. Using pain control medications for terminal cancer patients
- C. Educating teenagers about using condoms to prevent STDs
- D. None of the above
Correct answer: A
Rationale: The correct answer is A. Screening for breast cancer is a secondary prevention strategy aimed at early detection, which falls under secondary prevention as it focuses on early identification and intervention before the disease progresses. Choice B is incorrect as it refers to palliative care for symptom management in terminal cancer patients, which is not a secondary prevention strategy. Choice C is incorrect as educating teenagers about condom use is a primary prevention strategy to prevent the initial occurrence of STDs rather than intervening after exposure, making it a primary, not a secondary prevention strategy. Choice D is incorrect as there is a valid example of a secondary prevention strategy provided in choice A.
5. An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age?
- A. Double the birth weight
- B. Triple the birth weight
- C. Gain 6 ounces each week
- D. Add 2 pounds each month
Correct answer: A
Rationale: The correct answer is A: 'Double the birth weight.' Infants typically double their birth weight by 6 months of age. This is a common milestone in healthy infant growth and development. Choice B is incorrect because tripling the birth weight would be excessive and not in line with normal growth patterns. Choice C, 'Gain 6 ounces each week,' is not accurate as infant growth is not linear each week. Choice D, 'Add 2 pounds each month,' is also incorrect as this rate of growth would be too rapid and unrealistic for healthy infant development.
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