HESI LPN
Community Health HESI Practice Questions
1. The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
- A. The complaints of at least 3 common findings.
- B. The absence of any opportunistic infection.
- C. CD4 lymphocyte count is less than 200.
- D. Developmental delays in children.
Correct answer: C
Rationale: The correct answer is C. A CD4 count less than 200 cells/mm³ is a diagnostic criterion for AIDS. Choices A, B, and D are incorrect. Choice A is vague and does not reflect the diagnostic criteria for AIDS. Choice B is not accurate, as the presence of opportunistic infections, not their absence, is indicative of AIDS. Choice D is unrelated to the diagnosis of AIDS in adults.
2. Environmental sanitation is the primary problem in community Y. As a stranger to the health unit, one of the major strategies in your plan is the improvement of the environmental health conditions of the community. To indicate this, which of the following would you do?
- A. meet with youth officials and parents' group leaders
- B. meet with religious and educational leaders
- C. request mayors to create a task force to help implement your project
- D. inform local announcers to disseminate the what and why of your project
Correct answer: C
Rationale: In this scenario, requesting mayors to create a task force is the most effective strategy to improve environmental health conditions in the community. Engaging with local government officials ensures the allocation of resources, coordination of efforts, and the implementation of sustainable solutions. While meeting with youth officials, parents' group leaders, religious and educational leaders are important, involving mayors in creating a task force will lead to broader community involvement and support. Informing local announcers about the project, although helpful for awareness, is not as impactful as engaging with local authorities for tangible change.
3. What title should be given to this occupational health nurse job description? A registered nurse who establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs, monitors outcomes, and maintains communication among all involved.
- A. manager
- B. researcher
- C. case manager
- D. health promotion specialist
Correct answer: C
Rationale: The correct answer is C: case manager. A case manager in healthcare coordinates care, monitors outcomes, and ensures quality and cost-effectiveness. In this job description, the nurse is mainly focused on coordinating care, recommending treatment plans, monitoring outcomes, and maintaining communication among all involved, which aligns with the responsibilities of a case manager. Choices A, B, and D are incorrect because the job description does not primarily involve general management, research, or health promotion specialization.
4. On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to
- A. Give the client orientation materials and review the unit rules and regulations
- B. Introduce oneself and accompany the client to their room
- C. Take the client to the day room and introduce them to the other clients
- D. Ask the nursing assistant to get the client’s vital signs and complete the admission search
Correct answer: B
Rationale: In situations where a client is trembling and fearful upon admission to a psychiatric unit, it is essential to prioritize building trust and reducing anxiety. By introducing oneself and accompanying the client to their room, the nurse can establish a therapeutic relationship, provide a sense of security, and address the client's immediate emotional needs. Choices A, C, and D are not the most appropriate initial responses as they do not directly address the client's emotional state or focus on establishing a supportive relationship.
5. In order to be effective as an occupational health nurse, you should be equipped with knowledge and skills in which of the following:
- A. public health science
- B. research process
- C. interviewing and counseling
- D. oral and written communication
Correct answer: D
Rationale: To be effective as an occupational health nurse, having knowledge and skills in public health science, the research process, interviewing and counseling, and oral and written communication are all important. However, communication skills, both oral and written, are crucial for conveying information, educating employees, documenting findings, and collaborating with other healthcare professionals. While public health science, research process, interviewing, and counseling are essential, oral and written communication is fundamental for effective communication and coordination in the workplace, making it the most critical skill for an occupational health nurse.
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