HESI LPN
Community Health HESI Study Guide
1. Which of the following qualifications is not required for a Nurse Supervisor at the provincial level?
- A. BSN, RN
- B. at least 3 years experience
- C. Master's in public health
- D. at least 5 years experience in public health
Correct answer: B
Rationale: The correct answer is B because the qualifications for a Nurse Supervisor at the provincial level include a BSN, RN, and a Master's in public health, along with a minimum of 5 years of experience in public health. Choice B, which states 'at least 3 years experience,' is incorrect as the requirement is for at least 5 years of experience in public health. Choices A, C, and D are necessary qualifications for a Nurse Supervisor at the provincial level based on the provided information.
2. A client is suspected of being poisoned and presents with symmetric, descending flaccid paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these findings consistent with which potential bioterrorism agent?
- A. ricin
- B. botulism toxin
- C. sulfur mustard
- D. yersinia pestis
Correct answer: B
Rationale: The correct answer is B: botulism toxin. Botulism toxin is associated with symmetric, descending flaccid paralysis, blurred vision, double vision, and dry mouth, which are consistent with the client's presentation. Ricin (Choice A) typically presents with gastrointestinal symptoms. Sulfur mustard (Choice C) is a blistering agent causing skin, eye, and respiratory issues. Yersinia pestis (Choice D) is associated with the bubonic plague, presenting with fever, malaise, and buboes.
3. Which of the following tools is used by community health nurses to identify the health needs of a population?
- A. Health survey
- B. Medical records
- C. Patient interviews
- D. Epidemiological studies
Correct answer: D
Rationale: Epidemiological studies are used by community health nurses to identify the health needs of a population. These studies involve investigating patterns, causes, and effects of health and disease conditions in defined populations. While health surveys, medical records, and patient interviews are valuable tools in healthcare, epidemiological studies provide a broader population-based perspective essential for understanding and addressing community health needs.
4. In the implementation of the national family planning program, the government assumes the role of a:
- A. decision-maker in the practice of family planning methods
- B. regulator
- C. facilitator
- D. dictator
Correct answer: C
Rationale: The correct answer is C: 'facilitator.' In the implementation of a national family planning program, the government plays a role as a facilitator, meaning it helps to support and enable the access to family planning services and information. The government's role is to ensure that services are available, accessible, and of good quality, rather than making decisions for individuals or regulating them. Choices A, B, and D are incorrect because the government's role is not to make decisions on behalf of individuals (decision-maker), strictly regulate family planning practices (regulator), or impose decisions without considering individual choices (dictator).
5. The following statements pertain to devolution as mandated by the local government code. Which of these is not correct?
- A. People can participate in policymaking relative to healthcare delivery.
- B. Devolution will enhance the quality of community life.
- C. The barangay shall set criteria as to who shall be given priority in the delivery of healthcare services.
- D. The DOH shall transfer regulatory function of inspecting food establishments to local government units.
Correct answer: D
Rationale: The correct answer is D. The Department of Health (DOH) retains regulatory functions for inspecting food establishments, and it is not transferred to local government units. Choices A, B, and C are correct because devolution allows people to participate in policymaking for healthcare, enhances community life quality, and empowers the barangay to set criteria for healthcare service prioritization.
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