HESI LPN
Community Health HESI Test Bank 2023
1. What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused?
- A. Follow agency protocols to report suspected abuse.
- B. Report suspicions to the local child abuse reporting hotline.
- C. Educate the child's caregivers about growth and development issues.
- D. Call the police department to have the child removed from the home.
Correct answer: A
Rationale: When a community health nurse suspects that an infant is being physically abused, the best course of action is to follow agency protocols to report the suspected abuse. This is essential to ensure that the appropriate authorities are informed, and proper interventions can be initiated. Reporting suspicions to the local child abuse reporting hotline (Choice B) can be a part of the agency protocols but may not cover all necessary steps. Educating the child's caregivers about growth and development (Choice C) is not appropriate in cases of suspected abuse, as the immediate focus should be on the safety and well-being of the infant. Calling the police department to have the child removed from the home (Choice D) is not the primary role of the nurse; the proper authorities should handle the removal process after an investigation.
2. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?
- A. Secondary level care
- B. Primary care
- C. Tertiary care
- D. Intermediate care
Correct answer: C
Rationale: Tertiary care is the correct answer because it involves specialized care provided by medical centers and regional or provincial hospitals. Primary care (Choice B) refers to basic healthcare services usually delivered by general practitioners, nurses, and other healthcare professionals. Secondary care (Choice A) involves specialized services provided by medical specialists and other health professionals who generally do not have first contact with patients. Intermediate care (Choice D) is not a recognized level of care in the typical healthcare system hierarchy; it may cause confusion as it's not a standard term used to describe levels of care.
3. In the provision of preventive care to workers, the nurse must be aware of biological hazards that are harmful to workers and their families, such as:
- A. bacteria, fungi, and insects
- B. noise
- C. toxic metals, poisonous gas fumes, and dust
- D. stress
Correct answer: A
Rationale: The correct answer is A: bacteria, fungi, and insects. Biological hazards in the workplace can include microorganisms like bacteria and fungi that can cause infections, as well as insects that may carry diseases. Noise (choice B) is considered a physical hazard, not a biological one. Toxic metals, poisonous gas fumes, and dust (choice C) are examples of chemical hazards, not biological hazards. While stress (choice D) can be a health concern in the workplace, it is not classified as a biological hazard.
4. A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of which task?
- A. Loss of control
- B. Insecurity
- C. Dependence
- D. Lack of trust
Correct answer: C
Rationale: A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of the task of dependence. Prolonged illness and confinement can lead to the development of dependence as the individual may become reliant on others for their care and needs. Choices A, B, and D are incorrect in this context. Loss of control, insecurity, and lack of trust are important factors to consider but are not directly related to the altered growth and development task of dependence due to illness and confinement.
5. What is the primary goal of community health nursing?
- A. Promote health and prevent disease
- B. Provide care to the sick
- C. Conduct research
- D. Develop health policies
Correct answer: A
Rationale: The primary goal of community health nursing is to promote health and prevent disease. Community health nurses focus on preventive care, health promotion, and education to improve the overall health of the community. Providing care to the sick (Choice B) is part of nursing but not the primary goal of community health nursing. While research (Choice C) and developing health policies (Choice D) may be components of community health nursing, they are not the primary goal, which is centered around promoting health and preventing disease.
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