HESI LPN
Community Health HESI Exam
1. Which of the following measures the frequency of new cases of the phenomenon during a given period of time?
- A. prevalence rate
- B. proportionate mortality rate
- C. case fatality rate
- D. incidence rate
Correct answer: D
Rationale: The correct answer is D, incidence rate. Incidence rate measures the frequency of new cases of a phenomenon, providing important information about the risk of developing the condition. Prevalence rate (choice A) reflects both old and new cases, proportionate mortality rate (choice B) is the proportion of deaths due to a specific cause, and case fatality rate (choice C) measures the proportion of deaths among confirmed cases, not just new cases.
2. During a home visit for a family with a new baby, what should the nurse assess first?
- A. feeding patterns
- B. sleeping arrangements
- C. support system
- D. immunization status
Correct answer: A
Rationale: Assessing feeding patterns is the priority during a home visit for a family with a new baby because it is crucial for the health and growth of the newborn. By evaluating the feeding patterns, the nurse can ensure that the baby is receiving adequate nutrition and address any feeding issues promptly. While sleeping arrangements, support system, and immunization status are important aspects to assess during a home visit, they are not as critical as ensuring the newborn's nutritional needs are being met.
3. Diabetes has become a major health problem. How can healthcare professionals contribute to reducing the incidence of diabetes?
- A. Conducting extensive diabetes patient screenings
- B. Supporting the implementation of Republic Act 8191-National Diabetes Act
- C. Creating support groups for diabetes patients
- D. Raising community awareness about diabetes prevention
Correct answer: D
Rationale: Raising community awareness about diabetes prevention is an effective way to reduce the incidence of diabetes. By educating the public about healthy lifestyle choices, risk factors, and preventive measures, healthcare professionals can empower individuals to make informed decisions regarding their health. Choice A is not as proactive as raising awareness in the community. While screening is important, prevention through awareness can have a broader impact. Choice B is specific to a particular act and may not apply universally. Choice C, establishing support groups, is beneficial for those already affected by diabetes but may not directly reduce the incidence of the disease.
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. A client with tuberculosis is receiving isoniazid (INH). The nurse should monitor the client for which of the following side effects?
- A. Hepatotoxicity
- B. Hyperglycemia
- C. Hypotension
- D. Hypokalemia
Correct answer: A
Rationale: The correct answer is A: Hepatotoxicity. Isoniazid (INH) can lead to hepatotoxicity, necessitating the monitoring of liver function tests. This adverse effect is characterized by liver damage and dysfunction. Choices B, C, and D are incorrect because isoniazid is not typically associated with hyperglycemia, hypotension, or hypokalemia. Therefore, the nurse should focus on assessing for signs and symptoms of hepatotoxicity in a client receiving isoniazid.
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