HESI LPN
Community Health HESI Practice Questions
1. In the preparation of your health education plan, what is the first thing to do?
- A. Assess community needs for health education
- B. Identify the subjects for health teaching
- C. Specify your goals and objectives
- D. Identify who will provide support and the type of support to be provided
Correct answer: A
Rationale: The correct answer is A: Assess community needs for health education. This is the initial step in developing a health education plan as it helps in understanding the specific requirements of the community. Identifying subjects for teaching (choice B) comes after assessing needs. Specifying goals and objectives (choice C) is crucial but typically follows the assessment of community needs. Identifying support providers and types (choice D) is important but is not the first step in preparing a health education plan.
2. Which presentation of an infectious disease is acquired through an indirect transmission?
- A. Syphilis contracted from a sexual partner.
- B. Measles resulting from a daycare center outbreak.
- C. Malaria following exposure in a mosquito-infested area.
- D. Nosocomial influenza spreading rapidly in a long-term care center.
Correct answer: C
Rationale: The correct answer is C. Malaria is transmitted indirectly through mosquito bites. Choice A is incorrect as syphilis is acquired through direct contact with an infected sexual partner. Choice B is incorrect as measles can be transmitted through respiratory droplets in close contact settings like daycare centers. Choice D is incorrect as nosocomial influenza spreads within healthcare facilities through direct contact or droplets.
3. A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?
- A. Elevate leg on 2 pillows
- B. Apply support stockings
- C. Apply warm compresses
- D. Maintain complete bed rest
Correct answer: A
Rationale: The highest priority nursing intervention for a client with thrombophlebitis of the left leg is to elevate the leg on 2 pillows. Elevating the leg helps reduce swelling and pain associated with thrombophlebitis by promoting venous return. Applying support stockings (choice B) can be beneficial but is not the highest priority as elevation is more effective in the acute phase. Applying warm compresses (choice C) may worsen the condition by dilating the blood vessels, leading to increased pain and swelling. Maintaining complete bed rest (choice D) is important, but elevation takes precedence to improve circulation and reduce the risk of complications.
4. In planning the use of resources for secondary prevention in a community clinic serving migrant families, which activity should be the priority?
- A. Skin testing for tuberculosis.
- B. Glucose monitoring for diabetes.
- C. Blood work for cardiovascular disease.
- D. Height and weight for altered nutrition.
Correct answer: A
Rationale: The correct answer is A: Skin testing for tuberculosis. In a community clinic serving migrant families, tuberculosis is a significant health concern due to close living conditions and potential exposure during migration. Skin testing for tuberculosis is crucial for secondary prevention as it helps in early detection and prevention of the spread of the disease within the community. Choices B, C, and D are important health screenings but may not be the priority in this specific population where tuberculosis poses a higher risk.
5. 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.
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