HESI LPN
Community Health HESI Practice Exam
1. What is the measure of the number of new cases of a disease in a specific population during a certain time period called?
- A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Morbidity rate
Correct answer: B
Rationale: The correct answer is B, Incidence. Incidence refers to the number of new cases of a disease in a specific population during a certain time period. Prevalence (choice A) refers to the total number of cases of a disease in a population at a specific point in time. Mortality rate (choice C) is the measure of the number of deaths in a particular population due to a specific cause. Morbidity rate (choice D) is a broader term that encompasses the incidence and prevalence of a disease in a population.
2. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?
- A. Secondary level care
- B. Primary care
- C. Tertiary care
- D. Intermediate care
Correct answer: C
Rationale: Tertiary care is the correct answer because it involves specialized care provided by medical centers and regional or provincial hospitals. Primary care (Choice B) refers to basic healthcare services usually delivered by general practitioners, nurses, and other healthcare professionals. Secondary care (Choice A) involves specialized services provided by medical specialists and other health professionals who generally do not have first contact with patients. Intermediate care (Choice D) is not a recognized level of care in the typical healthcare system hierarchy; it may cause confusion as it's not a standard term used to describe levels of care.
3. A 16-year-old female client returns to the clinic because she is pregnant for the third time by a new boyfriend. Which vaccine should the nurse plan to administer?
- A. MMR
- B. Hepatitis B
- C. Human papillomavirus
- D. Pneumococcal
Correct answer: B
Rationale: The correct answer is B, Hepatitis B. The Hepatitis B vaccine is crucial for pregnant women to prevent transmission of the virus to the baby during childbirth. Option A, MMR (Measles, Mumps, Rubella) vaccine, is not indicated during pregnancy. Option C, Human papillomavirus vaccine, is recommended for prevention of HPV infections but is not specifically indicated during pregnancy. Option D, Pneumococcal vaccine, is important for certain populations but is not the priority vaccine for a pregnant woman in this scenario.
4. Tertiary prevention would best be described as:
- A. recovery from physical limitation and psychological regression
- B. health teaching and immunization
- C. rehabilitation of alcoholic and drug dependents
- D. preventing disability and maximum use of remaining capacity
Correct answer: D
Rationale: Tertiary prevention is the stage of prevention that aims at preventing disability and maximizing the use of remaining capacity. Choice A is more aligned with rehabilitation rather than tertiary prevention. Choice B refers to primary prevention by promoting health and preventing diseases. Choice C focuses on rehabilitation specific to alcohol and drug dependence, which is a form of secondary prevention, not tertiary prevention.
5. Which of the following health behavior choices are essential to promoting health and preventing diseases?
- A. Getting the right kind of food, adequate sleep, physical activity, and effectively handling stress
- B. Stopping smoking and taking vacations
- C. Making sure that all prescription medications are taken properly and at the right time
- D. Avoiding crowds during flu season
Correct answer: A
Rationale: The correct answer is A. Proper nutrition, adequate sleep, engaging in physical activity, and effective stress management are crucial for promoting health and preventing diseases. Choices B, C, and D do not encompass the comprehensive approach needed for overall health and disease prevention. Stopping smoking is important for health but is not the only factor to consider. Taking vacations can contribute to well-being but is not a core health behavior choice. Ensuring proper medication intake is essential for managing specific health conditions but does not cover all aspects of health promotion. Avoiding crowds during flu season is a preventive measure for infectious diseases but is not a fundamental health behavior choice for overall well-being.
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