HESI LPN
Community Health HESI Test Bank 2023
1. What is the primary function of a public health nurse?
- A. Provide bedside care
- B. Administer medications
- C. Promote and protect the health of populations
- D. Perform surgical procedures
Correct answer: C
Rationale: The primary function of a public health nurse is to promote and protect the health of populations. Public health nurses focus on preventing diseases, promoting healthy behaviors, and addressing health disparities within communities. Providing bedside care (choice A) is typically done by nurses in clinical settings, not public health nurses. Administering medications (choice B) is part of nursing practice but not the primary role of a public health nurse. Performing surgical procedures (choice D) is usually the responsibility of surgical nurses or healthcare providers specializing in surgery, not public health nurses.
2. You organize community groups to participate in community activities. You can BEST motivate participation in the community health development program by:
- A. Conducting group work
- B. Instructing the people to agree with your plans
- C. Allowing the people to exercise decision-making
- D. Assigning people participative roles
Correct answer: C
Rationale: Allowing people to exercise decision-making is the best way to motivate participation in community activities. By involving the community in decision-making processes, you empower them and make them feel valued, which can lead to increased engagement and commitment. Choices A, B, and D do not foster a sense of ownership and empowerment among the community members, which are crucial for sustainable participation in community programs.
3. The school nurse is called to the playground for an episode of mouth trauma. The nurse finds that the front tooth of a 9-year-old child has been avulsed (knocked out). After recovering the tooth, the initial response should be to
- A. Rinse the tooth in water before placing it in the socket
- B. Place the tooth in a clean plastic bag for transport to the dentist
- C. Hold the tooth by the roots until reaching the emergency room
- D. Ask the child to replace the tooth even if the bleeding continues
Correct answer: A
Rationale: The correct immediate action after recovering an avulsed tooth is to rinse it with water and place it back in the socket. This helps preserve the tooth and increases the chances of successful re-implantation. Placing the tooth in a clean plastic bag for transport to the dentist (choice B) is not ideal as immediate re-implantation is preferred. Holding the tooth by the roots until reaching the emergency room (choice C) can further damage the tooth. Asking the child to replace the tooth even if bleeding continues (choice D) is incorrect and may lead to improper re-implantation.
4. The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?
- A. A newborn.
- B. A 3-year-old.
- C. A 7-year-old.
- D. An 11-year-old.
Correct answer: A
Rationale: The correct answer is A: a newborn. Newborns are at the highest risk for HBV due to potential transmission from the mother. The hepatitis B virus can be transmitted from an infected mother to her baby during childbirth. Choices B, C, and D are incorrect because newborns have a higher risk due to this mode of transmission, making them more vulnerable compared to older children.
5. What is a critical factor in determining community health?
- A. Number of hospitals
- B. Availability of healthcare services
- C. Socioeconomic status
- D. Population density
Correct answer: B
Rationale: The availability of healthcare services is a critical factor in determining community health. While the number of hospitals may contribute to healthcare accessibility, it is the overall availability of healthcare services that encompasses various factors including hospitals, clinics, healthcare providers, and resources. Socioeconomic status and population density are important determinants of health outcomes, but the direct availability of healthcare services plays a more immediate and direct role in promoting community health.
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