HESI LPN
Community Health HESI Questions
1. What refers to a systematic approach of obtaining, organizing, and analyzing numerical facts so that conclusions may be drawn from them?
- A. Vital statistics
- B. Statistics
- C. Morbidity
- D. Mortality
Correct answer: B
Rationale: The correct answer is B: 'Statistics'. Statistics is the systematic approach of obtaining, organizing, and analyzing numerical facts to draw conclusions. Vital statistics, morbidity, and mortality are more specific terms within the field of statistics. Vital statistics focus on births, deaths, marriages, and divorces. Morbidity refers to the incidence of illness or disease in a population. Mortality specifically deals with deaths in a population. Hence, B is the most comprehensive and fitting choice for the definition provided.
2. A client with a peptic ulcer is scheduled for a vagotomy and pyloroplasty. The nurse explains that the purpose of this surgery is to:
- A. Increase acid secretion
- B. Reduce acid secretion
- C. Promote gastric emptying
- D. Remove the ulcerated area
Correct answer: B
Rationale: The correct answer is B: "Reduce acid secretion." Vagotomy is performed to reduce acid secretion by cutting the vagus nerve, which stimulates acid production. Choices A, C, and D are incorrect. A vagotomy does not increase acid secretion, promote gastric emptying, or remove the ulcerated area. It specifically aims to decrease acid production to help in the healing of peptic ulcers.
3. What is the focus of health promotion activities?
- A. Treating existing health conditions
- B. Preventing the onset of disease
- C. Providing palliative care
- D. Conducting clinical trials
Correct answer: B
Rationale: The correct answer is B: Preventing the onset of disease. Health promotion activities aim to prevent illnesses and promote overall well-being through education, lifestyle changes, and preventive measures. Choice A is incorrect as health promotion is not primarily about treating existing health conditions but rather preventing them. Choice C is incorrect because palliative care focuses on providing relief and comfort to patients with serious illnesses, not on preventing diseases. Choice D is also incorrect as conducting clinical trials is a research activity to test new treatments or interventions, not a focus of health promotion.
4. What is the aim of the Magna Carta of Public Health Workers?
- A. Develop skills and capabilities of health workers to deliver health projects/programs
- B. All of these
- C. Encourage those with proper qualifications to remain in government service
- D. Promote social and economic well-being of health workers
Correct answer: B
Rationale: The correct answer is B - 'All of these.' The Magna Carta of Public Health Workers aims to achieve multiple objectives, including developing the skills and capabilities of health workers to deliver health projects/programs, encouraging those with proper qualifications to remain in government service, and promoting the social and economic well-being of health workers. Choice A, C, and D are all part of the comprehensive goals outlined in the Magna Carta for Public Health Workers.
5. The RN is planning care at a team meeting for a 2-month-old child in bilateral leg casts for congenital clubfoot. Which of these suggestions by the PN should be considered the priority nursing goal following cast application?
- A. Infant will experience minimal pain
- B. Muscle spasms will be relieved
- C. Mobility will be managed as tolerated
- D. Tissue perfusion will be maintained
Correct answer: D
Rationale: Following cast application for congenital clubfoot in a 2-month-old child, the priority nursing goal should be to maintain tissue perfusion. This is crucial to prevent complications like compartment syndrome and ensure proper healing. While managing pain, relieving muscle spasms, and promoting mobility are important aspects of care, they are secondary to ensuring adequate tissue perfusion in this scenario.
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