HESI LPN
Community Health HESI Test Bank
1. In the provision of preventive care to workers, the nurse must be aware of biological hazards that are harmful to workers and their families, such as:
- A. bacteria, fungi, and insects
- B. noise
- C. toxic metals, poisonous gas fumes, and dust
- D. stress
Correct answer: A
Rationale: The correct answer is A: bacteria, fungi, and insects. Biological hazards in the workplace can include microorganisms like bacteria and fungi that can cause infections, as well as insects that may carry diseases. Noise (choice B) is considered a physical hazard, not a biological one. Toxic metals, poisonous gas fumes, and dust (choice C) are examples of chemical hazards, not biological hazards. While stress (choice D) can be a health concern in the workplace, it is not classified as a biological hazard.
2. When caring for premature newborns in an intensive care setting, a nurse carefully monitors oxygen concentration. What is the most common complication of this therapy?
- A. Intraventricular hemorrhage
- B. Retinopathy of prematurity
- C. Bronchopulmonary dysplasia
- D. Necrotizing enterocolitis
Correct answer: B
Rationale: Retinopathy of prematurity is the most common complication in premature infants exposed to high concentrations of oxygen. This condition leads to abnormal blood vessel growth in the retina, which can potentially result in blindness if not managed promptly. Intraventricular hemorrhage, though a significant concern in premature infants, is not directly related to oxygen therapy. Bronchopulmonary dysplasia is primarily associated with mechanical ventilation and oxygen exposure over time, not specifically with oxygen concentration monitoring. Necrotizing enterocolitis is more linked to gastrointestinal issues and is not the most common complication of oxygen therapy in premature newborns.
3. BCG vaccine is supplied in:
- A. freeze-dried form in a sealed glass ampule
- B. liquid form in a sealed glass ampule
- C. liquid form in a vial
- D. both 2 and 3
Correct answer: A
Rationale: The correct answer is A. BCG vaccine is commonly supplied in freeze-dried form, not in liquid form. Therefore, choices B and C are incorrect. Option D is also incorrect as the vaccine is not supplied in liquid form in a glass ampule.
4. The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
- A. Achieved developmental milestones at an erratic rate
- B. Delay in musculoskeletal development
- C. Displayed difficulty with speech development
- D. Delay in achievement of most developmental milestones
Correct answer: D
Rationale: Children with AIDS often experience delays in achieving developmental milestones, affecting their overall growth and development. This delay can impact various areas of development, not limited to a specific aspect like musculoskeletal or speech development. While some children may achieve milestones at varying rates (choice A), the general trend is a delay in multiple milestones (choice D). Musculoskeletal development (choice B) and speech development (choice C) may be affected but are not as comprehensive as the delay in most developmental milestones.
5. What title should be given to this role in occupational health? An advanced practice nurse who provides workers with primary care services with an emphasis on the diagnosis and management of common acute illnesses/injuries and stable chronic diseases.
- A. case manager
- B. nurse consultant
- C. clinician nurse practitioner
- D. health promotion specialist
Correct answer: C
Rationale: The correct title for this role is a clinician nurse practitioner as they provide primary care services, including diagnosing and managing illnesses. Choice A, case manager, typically focuses on coordinating care and services for patients. Choice B, nurse consultant, involves providing expert advice and guidance. Choice D, health promotion specialist, concentrates on promoting health and preventing diseases rather than diagnosing and treating illnesses.
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