HESI LPN
Community Health HESI Exam
1. What is usually the first contact between community members and other levels of health facilities called?
- A. Secondary level health care
- B. Primary health care
- C. Tertiary level care
- D. Intermediate level care
Correct answer: B
Rationale: The correct answer is B: Primary health care. Primary health care is the initial point of contact between community members and the healthcare system. This level of care focuses on preventive and primary treatment services. Choices A, C, and D are incorrect because secondary, tertiary, and intermediate care levels are more specialized and are usually accessed after primary care, depending on the complexity of the health issue.
2. Which of the following characteristics apply to 2 to 3-year-old children?
- A. Prefers to feed themselves
- B. Eats very small nutritious meals a day rather than 3 large meals
- C. Can speak in longer sentences
- D. Can use a toothbrush properly
Correct answer: B
Rationale: The correct answer is B. During the age of 2 to 3 years old, children tend to eat very small, nutritious meals throughout the day rather than having three large meals. This behavior is typical for this age group as their appetites fluctuate. Choices A, C, and D are incorrect because while children of this age may start to prefer feeding themselves and begin using a toothbrush with assistance, they typically do not speak in longer sentences at this stage.
3. A 6-month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to
- A. Gently rub the skin with a cotton swab to relieve itching
- B. Place the favorite books and push-pull toys in the crib
- C. Check every few hours for the next day or 2 for swelling in the baby's feet
- D. Turn the baby with the abduction stabilizer bar every 2 hours
Correct answer: C
Rationale: The correct answer is to check every few hours for the next day or 2 for swelling in the baby's feet. Swelling in the baby's feet could indicate compromised circulation due to the cast, and frequent checks are necessary to ensure that there are no complications. Choices A, B, and D are incorrect because rubbing the skin with a cotton swab, placing favorite items in the crib, and turning the baby with the abduction stabilizer bar do not address the potential issue of compromised circulation and swelling in the baby's feet.
4. The healthcare professional enters the room as a 3-year-old is having a generalized seizure. Which intervention should the healthcare professional do first?
- A. Clear the area of any hazards
- B. Place the child on the side
- C. Restrain the child
- D. Give the prescribed anticonvulsant
Correct answer: B
Rationale: Placing the child on the side is the priority intervention during a generalized seizure as it helps maintain an open airway and prevents aspiration. Clearing the area of any hazards is important but should come after ensuring the child's safety. Restraining the child is not recommended during a seizure as it can lead to injury. Giving the prescribed anticonvulsant is important but should not be the first action during an ongoing seizure.
5. Which bioterrorism agent poses a high risk for use as a potential biological weapon due to its ability to be readily transmitted through several portals of entry?
- A. Anthrax.
- B. Smallpox.
- C. Botulism.
- D. Tularemia.
Correct answer: A
Rationale: The correct answer is Anthrax. Anthrax is a high-risk bioterrorism agent because it can be readily transmitted through multiple portals of entry such as inhalation, ingestion, or skin contact. This makes it a significant concern for use as a biological weapon. Smallpox, though highly contagious, is not known for multiple portals of entry like Anthrax. Botulism is a potent toxin but is not as easily transmissible through various routes as Anthrax. Tularemia, while a serious bacterial infection, does not have the same ease of transmission through multiple portals of entry as Anthrax.
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