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Community Health HESI Test Bank 2023
1. Which of the following is the earliest school of nursing in the country?
- A. Iloilo Mission Hospital School of Nursing
- B. St. Paul's Hospital School of Nursing
- C. University of Sto. Tomas College of Nursing
- D. Manila Central University
Correct answer: A
Rationale: The correct answer is A: Iloilo Mission Hospital School of Nursing. This nursing school holds the distinction of being the earliest in the Philippines. St. Paul's Hospital School of Nursing, University of Sto. Tomas College of Nursing, and Manila Central University are not the oldest nursing schools in the country, making them incorrect choices.
2. A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse should monitor the client for which of the following side effects?
- A. Hypertension
- B. Muscle spasms
- C. Drowsiness
- D. Tachycardia
Correct answer: C
Rationale: The correct answer is C: Drowsiness. Baclofen, a muscle relaxant commonly used to treat conditions like multiple sclerosis, can cause drowsiness as a side effect. Monitoring for drowsiness is important to ensure the client's safety and well-being. Choice A, Hypertension, is incorrect because baclofen is not known to cause hypertension. Choice B, Muscle spasms, is not a common side effect of baclofen but rather the symptom it is used to treat. Choice D, Tachycardia, is also incorrect as baclofen is not associated with causing an increase in heart rate.
3. To prevent keratitis in an unconscious client, where should the nurse apply moisturizing ointment?
- A. Finger and toenail quicks
- B. Eyes
- C. Perianal area
- D. External ear canals
Correct answer: B
Rationale: The correct answer is B: Eyes. Applying moisturizing ointment to the eyes helps prevent keratitis, a condition that can occur due to inadequate blinking in unconscious clients, leading to corneal dryness and potential damage. Choices A, C, and D are incorrect as moisturizing ointment should not be applied to finger and toenail quicks, perianal area, or external ear canals to prevent keratitis.
4. In order to establish priorities in planning and implementing the occupational health program, which of the following data will the nurse need?
- A. disease trends, birth and death rates, and social environmental conditions
- B. birth and death rates
- C. disease trends
- D. social environmental conditions
Correct answer: A
Rationale: To effectively plan and implement an occupational health program, the nurse needs comprehensive data, including disease trends, birth and death rates, and social environmental conditions. This holistic approach ensures that the program addresses a wide range of health aspects impacting the target population. Option A is the correct choice as it considers multiple factors influencing occupational health. Choices B, C, and D are each individually important but do not provide the breadth of information required to establish priorities in a comprehensive occupational health program.
5. Health activities are designed to:
- A. prevent people from being exposed to germs
- B. ignore spiritual factors as they can confuse medical issues
- C. increase communities' control over their health and well-being
- D. ensure that the community health nurse leads health programs
Correct answer: C
Rationale: Health activities are structured to enhance communities' autonomy and influence over their health and well-being, aiming to empower them to make informed choices and take control of their health. Choice A is incorrect as health activities encompass a broader scope beyond just preventing exposure to germs. Choice B is incorrect because spiritual factors are crucial components that should not be disregarded in healthcare. Choice D is incorrect as health activities are not solely about the community health nurse being in charge, but about empowering the community as a whole.
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