HESI LPN
Community Health HESI Questions
1. In terms of CHN practice, how is the nurse in the community trained?
- A. nurse-midwife
- B. practice nursing
- C. generalist in nursing
- D. midwife
Correct answer: C
Rationale: In community health nursing practice, nurses are trained as generalists in nursing. They receive education that equips them to address a wide range of health concerns in the community. Choice A, nurse-midwife, is incorrect as it refers to a specific role focusing on childbirth and maternal health. Choice B, practice nursing, is vague and does not specifically describe the training of community health nurses. Choice D, midwife, is also incorrect as it refers to a specialized role in maternal and newborn care, different from the generalist training of community health nurses.
2. A client with acute pancreatitis is experiencing severe abdominal pain. The nurse should implement which of the following interventions?
- A. Encourage oral intake
- B. Administer opioid analgesics
- C. Apply a heating pad to the abdomen
- D. Place the client in a supine position
Correct answer: B
Rationale: The correct intervention for a client with acute pancreatitis experiencing severe abdominal pain is to administer opioid analgesics. Opioids are effective in managing the severe pain associated with acute pancreatitis. Encouraging oral intake may exacerbate the symptoms and is contraindicated due to the need for bowel rest. Applying a heating pad to the abdomen can worsen inflammation and should be avoided. Placing the client in a supine position may not provide relief and could potentially lead to increased discomfort.
3. The nurse is caring for a 5-year-old child who has the left leg in skeletal traction. Which of the following activities would be an appropriate diversional activity?
- A. Kicking balloons with the right leg
- B. Playing 'Simon Says'
- C. Playing handheld games
- D. Throwing bean bags
Correct answer: C
Rationale: Playing handheld games is an appropriate diversional activity for a child in skeletal traction because it does not require physical movement of the affected limb. This activity can help keep the child entertained and engaged without risking any harm to the tractioned leg. Choices A, B, and D involve physical movements that could potentially interfere with the skeletal traction or cause discomfort to the child.
4. Which of the following is an example of a modifiable risk factor for chronic diseases?
- A. Age
- B. Gender
- C. Genetic predisposition
- D. Physical inactivity
Correct answer: D
Rationale: Physical inactivity is a modifiable risk factor for chronic diseases because individuals have control over their level of physical activity. By increasing physical activity, the risk of chronic diseases can be reduced. Choices A, B, and C are not modifiable risk factors: Age is a non-modifiable factor, gender is a biological characteristic, and genetic predisposition is inherent and cannot be altered.
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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