HESI LPN
Community Health HESI Study Guide
1. The Philippine Family Program seeks to improve and maintain which of the following life-saving measures?
- A. proper spacing of pregnancies
- B. proper timing of pregnancies
- C. fewer pregnancies
- D. all of the above
Correct answer: D
Rationale: The correct answer is D, all of the above. The Philippine Family Program aims to enhance and sustain proper spacing of pregnancies, proper timing of pregnancies, and reducing the number of pregnancies. These measures are essential for promoting maternal and child health, preventing complications, and ensuring better outcomes. Choices A, B, and C are all part of the comprehensive approach taken by the program to safeguard the well-being of families and contribute to overall public health.
2. Which of the following patients should the home care nurse assess first?
- A. A 65-year-old male with known COPD and difficulty breathing after climbing a flight of stairs.
- B. A 78-year-old with CHF who has gained 4 lbs according to her tele-monitoring.
- C. A 50-year-old with bilateral leg swelling and difficulty walking.
- D. A 60-year-old with lower back pain.
Correct answer: A
Rationale: The correct answer is A. A patient with known COPD and difficulty breathing after physical exertion like climbing stairs requires immediate assessment by the nurse. This could indicate a potential exacerbation of COPD, which needs prompt intervention to prevent respiratory distress. Choices B, C, and D describe important patient situations that also require attention, but the urgency is higher with a COPD patient experiencing difficulty breathing.
3. 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.
4. Which of the following statements about TB treatment is INCORRECT?
- A. Combination of 3-4 anti-TB drugs is the treatment of choice
- B. Single drug therapy is appropriate
- C. Treatment renders patients non-infectious and cured
- D. Tuberculosis is a curable disease
Correct answer: B
Rationale: The correct answer is B. Single drug therapy is not appropriate for TB due to the risk of developing resistance. The most effective approach to TB treatment is a combination of 3-4 anti-TB drugs. This combination helps to prevent the development of drug resistance and improve treatment outcomes. Choice C is correct as TB treatment, when completed successfully, renders patients non-infectious and cured. Choice D is also correct as tuberculosis is indeed a curable disease with appropriate treatment. Therefore, the incorrect statement is B.
5. Which of the following is designed to help clients reduce the risk of illness and maintain the maximum level of function?
- A. illness prevention
- B. crisis intervention
- C. rehabilitation
- D. health promotion
Correct answer: D
Rationale: The correct answer is 'D: health promotion.' Health promotion strategies are aimed at helping individuals reduce the risk of illness and maintain their maximum level of function by emphasizing preventive measures, healthy behaviors, and lifestyle choices. Illness prevention (choice A) focuses on specific actions to avoid illness but may not necessarily address overall function. Crisis intervention (choice B) refers to immediate assistance during emergencies rather than long-term prevention. Rehabilitation (choice C) involves restoring function after illness or injury rather than primarily focusing on preventive measures and maintaining maximum function.
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