HESI LPN
Community Health HESI Test Bank
1. What is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions known as?
- A. Health literacy
- B. Health equity
- C. Health disparity
- D. Health promotion
Correct answer: A
Rationale: Health literacy refers to the ability to obtain, process, and understand basic health information and services necessary to make informed health decisions. It empowers individuals to navigate the healthcare system, understand medical instructions, and advocate for their own health needs. - Choice B, Health equity, is the concept of everyone having a fair opportunity to attain their full health potential and not being disadvantaged due to their social or economic status. - Choice C, Health disparity, refers to differences in health outcomes or access to healthcare between different populations, often influenced by social, economic, or environmental factors. - Choice D, Health promotion, involves efforts to enhance and protect the health of individuals and communities through education, behavior change, and public health initiatives.
2. With the present system, family planning programs at the municipal barangay levels are managed by:
- A. non-governmental organizations
- B. LGUs
- C. all these units/organizations are managing family planning programs
- D. other government organizations
Correct answer: C
Rationale: The correct answer is C because family planning programs at the municipal barangay levels are managed by a combination of non-governmental organizations (NGOs), Local Government Units (LGUs), and other government organizations. Therefore, all these units/organizations are involved in managing family planning programs. Choices A, B, and D are incorrect because they individually do not capture the full scope of the entities involved in managing family planning programs at the specified levels.
3. 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.
4. A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
- A. High risk for infection related to vomiting
- B. Altered family processes related to chronic illness
- C. Fluid volume deficit related to vomiting
- D. Risk for aspiration related to loss of consciousness
Correct answer: D
Rationale: Risk for aspiration is a priority concern following a seizure, especially when the child vomits, as there is a danger of aspirating the vomit into the lungs, leading to respiratory complications. The other options are not the priority in this situation. While infection risk and fluid volume deficit are important, ensuring the child's airway is clear and there is no risk of aspiration takes precedence. Altered family processes may be a concern but addressing the immediate physiological risk is the priority.
5. A 14-month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?
- A. Hot dog, carrot sticks, gelatin, milk
- B. Soup, blenderized soft foods, ice cream, milk
- C. Peanut butter and jelly sandwich, chips, pudding, milk
- D. Baked chicken, applesauce, cookie, milk
Correct answer: B
Rationale: Choice B, 'Soup, blenderized soft foods, ice cream, milk,' is the correct answer. After cleft palate repair, it is essential to provide soft and blenderized foods to prevent trauma to the surgical site and promote proper healing. Choices A, C, and D contain foods that may be difficult for the child to consume comfortably and safely after a cleft palate surgical repair. A hot dog, carrot sticks, chips, and hard cookies could potentially cause injury or discomfort to the surgical area. Peanut butter and jelly sandwich might be too difficult to swallow or may stick to the surgical site. Baked chicken could be too challenging to chew. Therefore, the best choice for an appropriate meal post cleft palate repair is soft, blenderized foods like soup, along with other soft options like ice cream and milk.
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