HESI LPN
Community Health HESI Exam
1. Which of the following measures the risk of dying from causes related to pregnancy, childbirth, and puerperium?
- A. maternal mortality
- B. neonatal death rate
- C. fetal death rate
- D. infant mortality rate
Correct answer: A
Rationale: The correct answer is A, maternal mortality. Maternal mortality specifically measures the risk of dying from pregnancy-related causes. Neonatal death rate, fetal death rate, and infant mortality rate focus on different populations and timeframes. Neonatal death rate refers to deaths within the first 28 days of life, fetal death rate measures stillbirths, and infant mortality rate includes deaths of infants under one year of age. Therefore, A is the most appropriate measure for assessing the risk of dying from causes related to pregnancy, childbirth, and puerperium.
2. Which of the following best describes the goal of primary health care?
- A. Treating chronic diseases
- B. Providing specialized medical services
- C. Promoting health and preventing illness
- D. Conducting medical research
Correct answer: C
Rationale: The correct answer is C: 'Promoting health and preventing illness.' Primary health care aims to provide essential health services, promote health, prevent diseases, and manage common health problems. Choices A, B, and D are incorrect because primary health care focuses on a holistic approach to health that includes health promotion, disease prevention, treatment of common illnesses, and community participation, rather than specialized services, chronic disease treatment, or medical research.
3. 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.
4. Under which level of primary health care workers does a rural sanitary inspector fall?
- A. Village health workers
- B. Intermediate level health workers
- C. Barangay health workers
- D. All of the above
Correct answer: B
Rationale: Rural sanitary inspectors are classified as intermediate level health workers. They are not categorized under village health workers or barangay health workers. Therefore, the correct answer is B.
5. What does the concept of 'health equity' refer to?
- A. Equal access to healthcare for all individuals
- B. Providing the same treatments to everyone
- C. Eliminating health disparities among different population groups
- D. Focusing on the healthcare needs of the wealthy
Correct answer: C
Rationale: The concept of health equity refers to eliminating health disparities among different population groups. This means ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of social determinants such as race, ethnicity, income, or geographic location. Choice A is incorrect because health equity goes beyond just access to healthcare and focuses on achieving health equality. Choice B is incorrect as health equity considers individual needs rather than providing the same treatments to everyone. Choice D is incorrect as health equity aims to address disparities and inequalities, not just focus on the healthcare needs of the wealthy.
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