Community Health HESI Exam

HESI LPN

Community Health HESI Exam

1. What does the acronym ICD stand for in medical terminology?

A. International Classification of Diseases
B. Internal Care Documentation
C. Intensive Care Division
D. Integrated Care Department

Correct answer: A

Rationale: The correct answer is A: International Classification of Diseases. The ICD is a system used worldwide to classify and code various health conditions and diseases. This system helps in standardizing the documentation and coding of diseases, which is essential for epidemiology, research, and healthcare management. Choices B, C, and D are incorrect as they do not represent the widely recognized meaning of the acronym ICD in medical terminology.

2. Which playroom activities should the nurse organize for a small group of 7-year-old hospitalized children?

A. Sports and games with rules
B. Finger paints and water play
C. "Dress-up" clothes and props
D. Chess and television programs

Correct answer: A

Rationale: Sports and games with rules are appropriate for the cognitive development stage of 7-year-olds.

3. A client with heart failure is receiving digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of digoxin toxicity?

A. Tachycardia
B. Hypotension
C. Bradycardia
D. Hyperglycemia

Correct answer: C

Rationale: The correct answer is C: Bradycardia. Digoxin toxicity often presents with bradycardia, which is a common sign of toxicity associated with this medication. Tachycardia (Choice A) is not typically seen with digoxin toxicity. Hypotension (Choice B) can occur but is less specific to digoxin toxicity. Hyperglycemia (Choice D) is not a typical sign of digoxin toxicity. Therefore, monitoring for bradycardia is crucial in clients receiving digoxin to detect toxicity early.

4. A public health nurse can say that she is beginning to achieve her goal of more optimal health for her community when:

A. people learn self-care
B. people become involved in determining health care policy
C. all these indicators are present
D. people assume responsibility for their own health

Correct answer: C

Rationale: Achieving optimal health for a community involves multiple factors and indicators. For a public health nurse to begin achieving this goal, it is essential that all relevant indicators are present, not just one or a few. While choices A, B, and D are important components of promoting community health, optimal health for a community encompasses a comprehensive approach where all indicators are considered and addressed. Therefore, the correct answer is C.

5. 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.