HESI LPN
Community Health HESI Test Bank
1. Who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919?
- A. Ms. Carmen del Rosario
- B. Mrs. Genara de Guzman
- C. Mrs. Annie Sand
- D. Mrs. Anastacio Giron-Tupas
Correct answer: D
Rationale: The correct answer is Mrs. Anastacio Giron-Tupas, who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919. Ms. Carmen del Rosario, Mrs. Genara de Guzman, and Mrs. Annie Sand were not the first Filipino nurse supervisors appointed to this position. Therefore, they are incorrect choices.
2. The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make?
- A. Pastoral care.
- B. Meals-on-Wheels.
- C. Grief support group.
- D. Physical therapy.
Correct answer: B
Rationale: The most important referral for the nurse to make for the elderly, recently widowed female client who had a mild stroke and limited mobility is Meals-on-Wheels. This service will ensure she receives proper nutrition and support given her circumstances. Pastoral care may provide emotional and spiritual support but is not as essential in this scenario. Grief support group could be beneficial but addressing her nutritional needs takes precedence. Physical therapy may be important for rehabilitation but ensuring proper nutrition is more critical at this time.
3. A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?
- A. Infection is acquired when anthrax spores enter a host.
- B. Mature anthrax bacteria live dormant on inanimate objects.
- C. Spores cannot survive for extended periods outside of a living host.
- D. Anthrax is transmitted by respiratory droplets from person to person.
Correct answer: A
Rationale: The correct information that the nurse should provide to the group is that anthrax infection occurs when spores enter a host. Choice B is incorrect because mature anthrax bacteria do not live dormant on inanimate objects. Choice C is incorrect because anthrax spores can survive for extended periods outside of a living host. Choice D is incorrect because anthrax is not transmitted by respiratory droplets from person to person; it is acquired through spores entering a host.
4. Which of these statements by the nurse is incorrect to use to reinforce information about cancers to a group of young adults?
- A. "You can reduce your risk of this serious type of stomach cancer by eating lots of fruits and vegetables, limiting red meat, and avoiding nitrate-containing foods."
- B. "Prostate cancer is the most common cancer in American men, impacting sexuality and life quality."
- C. "Colorectal cancer is the second-leading cause of cancer-related deaths in the United States."
- D. "Lung cancer is the leading cause of cancer deaths in the United States. However, it is the most preventable of all cancers."
Correct answer: A
Rationale: The corrected statement in choice A emphasizes limiting red meat for the prevention of stomach cancer, which is more accurate than avoiding all meats. By focusing on red meat specifically, it provides clearer guidance to young adults. Choice B is not the correct answer as it provides accurate information about prostate cancer being the most common cancer in American men and its impact on sexuality and life quality. Choice C is also a valid statement, correctly highlighting colorectal cancer as the second-leading cause of cancer-related deaths in the United States. Choice D provides accurate information about lung cancer being the leading cause of cancer deaths in the United States and emphasizes its preventability among cancers, making it a valid statement for reinforcing information about cancers to young adults.
5. Which of the following is not classified as an essential health service?
- A. Provision of eye glasses and dentures for the elderly
- B. Maternal and child care
- C. Basic sanitation and prevention and control of locally endemic diseases
- D. Promotion of proper nutrition, adequate supply of safe water, and health education
Correct answer: A
Rationale: The provision of eyeglasses and dentures for the elderly is not classified as an essential health service. Essential health services typically focus on preventive, promotive, curative, and rehabilitative care that address the primary healthcare needs of individuals and communities. Choices B, C, and D are examples of essential health services as they directly contribute to improving and maintaining the health of populations. Maternal and child care, basic sanitation, disease prevention, nutrition promotion, safe water supply, and health education are essential components of public health initiatives.
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