HESI LPN
Community Health HESI Test Bank
1. Who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919?
- A. Ms. Carmen del Rosario
- B. Mrs. Genara de Guzman
- C. Mrs. Annie Sand
- D. Mrs. Anastacio Giron-Tupas
Correct answer: D
Rationale: The correct answer is Mrs. Anastacio Giron-Tupas, who was the first Filipino nurse supervisor appointed in the Bureau of Health in 1919. Ms. Carmen del Rosario, Mrs. Genara de Guzman, and Mrs. Annie Sand were not the first Filipino nurse supervisors appointed to this position. Therefore, they are incorrect choices.
2. The emphasis of community health nursing is on:
- A. treatment of health problems
- B. preventing problems and promoting optimum health
- C. identification and assessment of health problems
- D. illness end of the wellness-illness continuum
Correct answer: B
Rationale: Community health nursing primarily focuses on preventive measures and promoting overall health within a community. Choice A is incorrect as treatment is not the main emphasis. Choice C is incorrect as identification and assessment are steps that may be involved but not the main focus. Choice D is incorrect as it refers to the illness end rather than the preventive end of the wellness-illness continuum.
3. An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks, 'When can the tube be used for feeding?' The nurse's best response would be which of these comments?
- A. "Feedings can begin in 5 to 7 days."
- B. "The use of the feeding tube can begin immediately."
- C. "The stomach contents and air must be drained first."
- D. "The incision healing must be complete before feeding."
Correct answer: C
Rationale: The correct answer is C: 'The stomach contents and air must be drained first.' Before starting feedings through a gastrostomy tube, it is essential to drain the stomach contents and air. This process helps prevent complications and ensures the proper functioning of the tube after placement. Choice A is incorrect because initiating feedings within 5 to 7 days may lead to complications if the stomach is not adequately prepared. Choice B is incorrect as feeding should not begin immediately to allow for proper preparation of the tube and the stomach. Choice D is incorrect because although incision healing is important, draining the stomach contents and air is a more immediate concern to prevent complications.
4. 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.
5. What is an important basis in preparing the family health care plan?
- A. Needs and problems gathered and recognized by the nurse herself
- B. Data gathered from the health center
- C. Needs and problems as seen and accepted by the family
- D. Needs as expected by the midwife assigned in the area where the family resides
Correct answer: C
Rationale: In preparing a family health care plan, it is crucial to consider the needs and problems as perceived and accepted by the family members themselves. This ensures that the plan aligns with the family's beliefs, values, and preferences, leading to better acceptance and adherence. Choices A, B, and D are incorrect because the active involvement and acceptance of the family in recognizing their needs and problems are essential for effective health care planning.
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