HESI LPN
Community Health HESI Practice Exam
1. Which facilities are capable of performing minor surgeries and some simple laboratory examinations?
- A. Secondary level health care
- B. Intermediate level care
- C. Tertiary level care
- D. Primary health care
Correct answer: A
Rationale: Secondary level health care facilities are equipped to perform minor surgeries and simple laboratory examinations. Intermediate level care (choice B) refers to a level of care between primary and secondary care, focusing on more complex procedures than minor surgeries. Tertiary level care (choice C) is specialized care that includes services like cardiac surgery and neurosurgery. Primary health care (choice D) is the first point of contact for individuals and is not typically equipped for minor surgeries or complex laboratory tests.
2. A public health nurse is working with a community to develop a disaster response plan. Which of the following is the priority action?
- A. Identifying available resources and services
- B. Conducting disaster drills
- C. Educating the community about disaster preparedness
- D. Developing a communication plan
Correct answer: A
Rationale: Identifying available resources and services is the priority action when developing a disaster response plan. This step is crucial as it helps the community understand what resources and services are already in place and what additional support may be needed during a disaster. Conducting disaster drills, educating the community about disaster preparedness, and developing a communication plan are important steps in disaster preparedness but come after identifying available resources and services. Without knowing the available resources, it would be challenging to effectively plan and respond to a disaster.
3. Which of the following statements about TB treatment is INCORRECT?
- A. Combination of 3-4 anti-TB drugs is the treatment of choice
- B. Single drug therapy is appropriate
- C. Treatment renders patients non-infectious and cured
- D. Tuberculosis is a curable disease
Correct answer: B
Rationale: The correct answer is B. Single drug therapy is not appropriate for TB due to the risk of developing resistance. The most effective approach to TB treatment is a combination of 3-4 anti-TB drugs. This combination helps to prevent the development of drug resistance and improve treatment outcomes. Choice C is correct as TB treatment, when completed successfully, renders patients non-infectious and cured. Choice D is also correct as tuberculosis is indeed a curable disease with appropriate treatment. Therefore, the incorrect statement is B.
4. When caring for a child with Reye's Syndrome, which action should the nurse give the highest priority?
- A. Monitor intake and output
- B. Provide good skin care
- C. Assess level of consciousness
- D. Assist with range of motion
Correct answer: C
Rationale: Assessing the level of consciousness is crucial when caring for a child with Reye's Syndrome. Changes in neurological status can indicate deterioration of the condition, necessitating immediate medical attention. Monitoring intake and output is important but not the highest priority compared to assessing the child's level of consciousness. Providing good skin care and assisting with range of motion are also important aspects of care but take a lower priority than assessing the child's neurological status in this critical condition.
5. A client with diabetes mellitus is receiving insulin glargine (Lantus). The nurse should monitor the client for which of the following side effects?
- A. Hypoglycemia
- B. Hyperkalemia
- C. Hypertension
- D. Hypercalcemia
Correct answer: A
Rationale: Insulin glargine is a long-acting insulin used to control blood sugar levels in diabetes. The nurse should monitor the client for hypoglycemia, which is a potential side effect of insulin therapy. Hypoglycemia occurs when blood sugar levels drop too low, leading to symptoms such as shakiness, dizziness, sweating, confusion, and in severe cases, loss of consciousness. Hyperkalemia (choice B) is an elevated potassium level, not typically associated with insulin glargine. Hypertension (choice C) is high blood pressure, which is not a common side effect of insulin glargine. Hypercalcemia (choice D) is an elevated calcium level and is not related to the use of insulin glargine.
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