HESI LPN
Community Health HESI Practice Exam
1. Which of the following characteristics apply to 2 to 3-year-old children?
- A. Prefers to feed themselves
- B. Eats very small nutritious meals a day rather than 3 large meals
- C. Can speak in longer sentences
- D. Can use a toothbrush properly
Correct answer: B
Rationale: The correct answer is B. During the age of 2 to 3 years old, children tend to eat very small, nutritious meals throughout the day rather than having three large meals. This behavior is typical for this age group as their appetites fluctuate. Choices A, C, and D are incorrect because while children of this age may start to prefer feeding themselves and begin using a toothbrush with assistance, they typically do not speak in longer sentences at this stage.
2. Which organization is primarily responsible for global public health?
- A. World Health Organization (WHO)
- B. Centers for Disease Control and Prevention (CDC)
- C. National Institutes of Health (NIH)
- D. United Nations (UN)
Correct answer: A
Rationale: The correct answer is A: World Health Organization (WHO). The WHO is the primary organization responsible for global public health initiatives, coordinating international health efforts, setting norms and standards, providing technical support, and monitoring health trends. Choices B, C, and D are incorrect because while they play significant roles in health and global affairs, they do not have the primary responsibility for global public health like the WHO does.
3. Community organizing is an important part of the community nursing function. Given the following elements: choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities; at which stage do these elements belong?
- A. Program maintenance-consolidation
- B. Dissemination-Reassessment
- C. Community Analysis/diagnosis
- D. Design and initiation
Correct answer: D
Rationale: The correct answer is D: Design and initiation. These elements such as choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities belong to the design and initiation stage of community organizing. This stage focuses on setting up the foundation and structure of the community organization. The other choices are incorrect because: A) Program maintenance-consolidation refers to maintaining and strengthening existing programs, not establishing new ones; B) Dissemination-Reassessment involves spreading information and evaluating programs already in place; C) Community Analysis/diagnosis is about assessing community needs and identifying issues, not about setting up the initial structure.
4. The community health nurse has been following the care for an adolescent with a history of morbid obesity, asthma, hypertension, and is 22 weeks into a pregnancy. Which of these lab reports sent to the clinic needs to be called to the teen's healthcare provider within the next hour?
- A. Hemoglobin 11 g/dL and calcium 6 mg/dL
- B. Magnesium 0.8 mEq/L and creatinine 3 mg/dL
- C. Blood urea nitrogen 28 mg/dL and glucose 225 mg/dL
- D. Hematocrit 33% and platelets 200,000
Correct answer: B
Rationale: The correct answer is B. The low magnesium level and elevated creatinine suggest possible renal dysfunction, which is concerning, especially in a pregnant client with multiple risk factors such as morbid obesity, asthma, and hypertension. Immediate attention is needed to address the potential renal issues. The other choices do not indicate such urgent conditions. Hemoglobin and calcium levels in choice A are within acceptable ranges. Choice C shows elevated blood urea nitrogen and glucose levels, which may need monitoring but not immediate attention. Choice D's hematocrit and platelet levels are also within normal ranges and do not indicate an urgent issue.
5. A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?
- A. Infection is acquired when anthrax spores enter a host.
- B. Mature anthrax bacteria live dormant on inanimate objects.
- C. Spores cannot survive for extended periods outside of a living host.
- D. Anthrax is transmitted by respiratory droplets from person to person.
Correct answer: A
Rationale: The correct information that the nurse should provide to the group is that anthrax infection occurs when spores enter a host. Choice B is incorrect because mature anthrax bacteria do not live dormant on inanimate objects. Choice C is incorrect because anthrax spores can survive for extended periods outside of a living host. Choice D is incorrect because anthrax is not transmitted by respiratory droplets from person to person; it is acquired through spores entering a host.
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