HESI LPN
Community Health HESI Test Bank 2023
1. What is the primary function of a public health nurse?
- A. Provide bedside care
- B. Administer medications
- C. Promote and protect the health of populations
- D. Perform surgical procedures
Correct answer: C
Rationale: The primary function of a public health nurse is to promote and protect the health of populations. Public health nurses focus on preventing diseases, promoting healthy behaviors, and addressing health disparities within communities. Providing bedside care (choice A) is typically done by nurses in clinical settings, not public health nurses. Administering medications (choice B) is part of nursing practice but not the primary role of a public health nurse. Performing surgical procedures (choice D) is usually the responsibility of surgical nurses or healthcare providers specializing in surgery, not public health nurses.
2. The nurse manager has a nurse employee who is suspected of having a problem with chemical dependency. Which intervention would be the best approach by the nurse manager?
- A. Confront the nurse about the suspicions in a private meeting
- B. Schedule a staff conference, without the nurse present
- C. Consult the human resources department about the issue and needed actions
- D. Counsel the employee to resign to avoid investigation
Correct answer: C
Rationale: Consulting with human resources is the best approach in this situation. It ensures that the issue is handled according to the organization's policies and that the nurse receives the appropriate support and intervention needed for chemical dependency. Confronting the nurse directly may lead to defensiveness and hinder a constructive resolution. Scheduling a staff conference without the nurse present can create unnecessary speculation and violate the employee's privacy. Counseling the employee to resign is not appropriate and does not address the underlying problem of chemical dependency.
3. Which of the following measures the proportion of the population that exhibits a particular disease at a particular time and includes both new and old cases?
- A. proportionate morbidity rate
- B. case fatality rate
- C. incidence ratio
- D. prevalence ratio
Correct answer: D
Rationale: The correct answer is D, prevalence ratio. Prevalence ratio measures the proportion of the population with a particular disease at a specific time, including both new and existing cases. Choice A, proportionate morbidity rate, is not a standard term and might confuse students. Choice B, case fatality rate, measures the proportion of deaths from a specific disease compared to the total number of cases but does not include both new and old cases. Choice C, incidence ratio, measures the rate of new cases of a disease in a specific population over a defined period, not considering existing cases.
4. What is the process of enabling people to increase control over and improve their health known as?
- A. Health promotion
- B. Disease prevention
- C. Rehabilitation
- D. Health education
Correct answer: A
Rationale: The correct answer is A: Health promotion. Health promotion focuses on empowering individuals to take control of their health by promoting healthy behaviors, lifestyles, and environments. It aims to prevent illnesses and enhance overall well-being. Choices B, C, and D are incorrect because they do not fully encompass the concept of empowering individuals to improve their health. Disease prevention specifically targets avoiding specific illnesses, rehabilitation focuses on restoring health after an illness or injury, and health education primarily involves imparting knowledge about health-related topics.
5. A client with hypothyroidism is receiving levothyroxine (Synthroid). The nurse should monitor the client for which of the following side effects?
- A. Tachycardia
- B. Hypotension
- C. Weight gain
- D. Bradycardia
Correct answer: A
Rationale: The correct answer is A: Tachycardia. Levothyroxine, used to treat hypothyroidism, can lead to increased metabolism, causing tachycardia as a side effect. Monitoring for tachycardia is essential to ensure the client's safety. Choices B, Hypotension, and C, Weight gain, are incorrect as levothyroxine is not typically associated with causing hypotension or weight gain. Choice D, Bradycardia, is also incorrect as levothyroxine-induced bradycardia is not a common side effect.
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