HESI LPN
Community Health HESI Practice Exam
1. Which of the following characteristics apply to 2 to 3-year-old children?
- A. Prefers to feed themselves
- B. Eats very small nutritious meals a day rather than 3 large meals
- C. Can speak in longer sentences
- D. Can use a toothbrush properly
Correct answer: B
Rationale: The correct answer is B. During the age of 2 to 3 years old, children tend to eat very small, nutritious meals throughout the day rather than having three large meals. This behavior is typical for this age group as their appetites fluctuate. Choices A, C, and D are incorrect because while children of this age may start to prefer feeding themselves and begin using a toothbrush with assistance, they typically do not speak in longer sentences at this stage.
2. A 19-year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of 'suppression'?
- A. "I don't remember anything about what happened to me."
- B. "I'd rather not talk about it right now."
- C. "It's all the other guy's fault! He was going too fast."
- D. "My mother is heartbroken about this."
Correct answer: B
Rationale: The correct answer is B because the statement "I'd rather not talk about it right now" indicates that the client is consciously choosing to avoid discussing the distressing issue, which aligns with the mechanism of suppression. Choice A does not involve active avoidance but rather memory loss, which is not suppression. Choice C involves blaming others, which is a defense mechanism known as projection. Choice D involves expressing emotions rather than avoiding them, which does not align with suppression.
3. Which bioterrorism agent poses a high risk for use as a potential biological weapon due to its ability to be readily transmitted through several portals of entry?
- A. Anthrax.
- B. Smallpox.
- C. Botulism.
- D. Tularemia.
Correct answer: A
Rationale: The correct answer is Anthrax. Anthrax is a high-risk bioterrorism agent because it can be readily transmitted through multiple portals of entry such as inhalation, ingestion, or skin contact. This makes it a significant concern for use as a biological weapon. Smallpox, though highly contagious, is not known for multiple portals of entry like Anthrax. Botulism is a potent toxin but is not as easily transmissible through various routes as Anthrax. Tularemia, while a serious bacterial infection, does not have the same ease of transmission through multiple portals of entry as Anthrax.
4. What is the main focus of secondary prevention?
- A. Early detection and treatment
- B. Rehabilitation
- C. Health promotion
- D. Palliative care
Correct answer: A
Rationale: The main focus of secondary prevention is early detection and treatment of disease. This approach aims to identify health conditions in their early stages when they are easier to treat or manage effectively. Choice B, rehabilitation, is more aligned with restoring function after an illness or injury has occurred. Choice C, health promotion, concentrates on educating and empowering individuals to adopt healthy behaviors to prevent the onset of diseases. Choice D, palliative care, is focused on providing comfort and improving the quality of life for individuals with serious illnesses or at the end of life, rather than on early detection and treatment.
5. An example of the continuum health model of health and wellness would be:
- A. a person is either well or not, and the emphasis is on continuously and aggressively treating people who are ill
- B. predicting that a person will most likely continue good health practices, based on his or her health practices in the past, such as getting flu shots
- C. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies
- D. none of the above
Correct answer: B
Rationale: The continuum health model emphasizes ongoing health practices based on past behaviors. Choice A is incorrect as it describes a more binary approach to health. Choice C is incorrect as it focuses on alternative therapies rather than the continuity of health practices.
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