which of these tests with frequency would the nurse expect to monitor for the evaluation of clients with poor glycemic control in persons aged 18 and

HESI LPN

Community Health HESI Test Bank

1. Which of these tests with frequency would the nurse expect to monitor for the evaluation of clients with poor glycemic control in persons aged 18 and older?

A. A glycosylated hemoglobin (A1c) should be performed during an initial assessment and during follow-up assessments, which should occur at no longer than 3-month intervals
B. A glycosylated hemoglobin should be obtained at least twice a year
C. A fasting glucose and a glycosylated hemoglobin should be obtained at 3-month intervals after the initial assessment
D. A glucose tolerance test, a fasting glucose, and a glycosylated hemoglobin should be obtained at 6-month intervals after the initial assessment

Correct answer: A

Rationale: Glycosylated hemoglobin (A1c) testing every 3 months is recommended for clients with poor glycemic control to monitor their average blood sugar levels and adjust treatment as necessary. Choice A is correct as it aligns with the guideline of performing A1c testing every 3 months. Choice B is incorrect because testing at least twice a year may not provide adequate monitoring for clients with poor glycemic control. Choice C is incorrect as it only mentions testing at 3-month intervals without specifying the importance of A1c testing. Choice D is incorrect as it includes unnecessary tests like glucose tolerance test and does not emphasize the importance of more frequent A1c monitoring for clients with poor glycemic control.

2. The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?

A. increased attendance at health education classes
B. decreased number of repeat pregnancies among teens
C. higher number of teens seeking prenatal care
D. greater use of contraception among teens

Correct answer: D

Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.

3. Which of the following best describes the goal of primary health care?

A. Treating chronic diseases
B. Providing specialized medical services
C. Promoting health and preventing illness
D. Conducting medical research

Correct answer: C

Rationale: The correct answer is C: 'Promoting health and preventing illness.' Primary health care aims to provide essential health services, promote health, prevent diseases, and manage common health problems. Choices A, B, and D are incorrect because primary health care focuses on a holistic approach to health that includes health promotion, disease prevention, treatment of common illnesses, and community participation, rather than specialized services, chronic disease treatment, or medical research.

4. Which statement specifically describes occupational health nursing?

A. Involves prevention, recognition, and treatment of injury and illness
B. All of these
C. The application of nursing principles in conserving the health of workers in all occupations
D. Requires special skills in the field of health, education, and counseling

Correct answer: B

Rationale: The correct answer is B. Occupational health nursing involves all aspects mentioned in the statements: prevention, recognition, treatment of injury and illness, application of nursing principles in conserving workers' health, and the requirement of special skills in health, education, and counseling. Choice A focuses on prevention, recognition, and treatment but does not encompass all aspects of occupational health nursing. Choice C only mentions the application of nursing principles without including prevention and treatment. Choice D specifically highlights the need for special skills but does not cover all the aspects of occupational health nursing.

5. What does the concept of 'health equity' refer to?

A. Equal access to healthcare for all individuals
B. Providing the same treatments to everyone
C. Eliminating health disparities among different population groups
D. Focusing on the healthcare needs of the wealthy

Correct answer: C

Rationale: The concept of health equity refers to eliminating health disparities among different population groups. This means ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of social determinants such as race, ethnicity, income, or geographic location. Choice A is incorrect because health equity goes beyond just access to healthcare and focuses on achieving health equality. Choice B is incorrect as health equity considers individual needs rather than providing the same treatments to everyone. Choice D is incorrect as health equity aims to address disparities and inequalities, not just focus on the healthcare needs of the wealthy.