HESI LPN
Community Health HESI Test Bank
1. Under which level of primary health care workers does a rural sanitary inspector fall?
- A. Village health workers
- B. Intermediate level health workers
- C. Barangay health workers
- D. All of the above
Correct answer: B
Rationale: Rural sanitary inspectors are classified as intermediate level health workers. They are not categorized under village health workers or barangay health workers. Therefore, the correct answer is B.
2. In planning for the nursing care of the sick person in the home, the major point that the nurse must keep in mind is:
- A. who will be responsible for the patient during the nurse's absence from the home
- B. economic level of the family
- C. the availability of the nearest hospital
- D. whether or not the patient is under a private physician
Correct answer: A
Rationale: The correct answer is A because ensuring someone is responsible for the patient is crucial for continuous care. The presence of a caregiver during the nurse's absence ensures the patient's safety and well-being. Choice B, economic level of the family, is important but not the major point when planning nursing care in the home. Choice C, the availability of the nearest hospital, is significant but doesn't address the day-to-day care in the home. Choice D, whether or not the patient is under a private physician, is relevant but not as critical as ensuring someone is available to care for the patient at all times.
3. The nurse has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis?
- A. Nutrition
- B. Elimination
- C. Activity
- D. Safety
Correct answer: D
Rationale: In severe depression, the priority nursing diagnosis is safety. Individuals with severe depression are at risk of self-harm or suicide. Ensuring the client's safety by implementing measures to prevent harm to themselves or others is crucial. While nutrition, elimination, and activity are important aspects of care, ensuring the client's immediate safety takes precedence in this situation.
4. Which ethnic group has the highest risk for diabetes?
- A. African Americans
- B. Hispanic Americans
- C. Asian Americans
- D. Native Americans
Correct answer: D
Rationale: Native Americans have the highest risk for diabetes compared to other ethnic groups. This is due to genetic predisposition, lifestyle factors, and limited access to healthcare. African Americans, Hispanic Americans, and Asian Americans also have an increased risk of developing diabetes, but statistically, Native Americans have the highest prevalence of the disease. Therefore, choices A, B, and C are incorrect.
5. The nurse is teaching childbirth preparation classes. One woman asks about her rights to develop a birthing plan. Which response made by the nurse would be best?
- A. "What is your reason for wanting such a plan?"
- B. "Have you talked with your health care provider about this?"
- C. "Let us discuss your rights as a couple."
- D. "Write your ideal plan for the next class."
Correct answer: C
Rationale: Discussing the rights as a couple allows for open communication and helps ensure that the birthing plan aligns with the couple's preferences and medical advice.
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