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. Refers to the nurses in the local/national health departments or public schools:
- A. Public health nursing
- B. Public health nurse
- C. Registered midwives
- D. Registered nurses
Correct answer: B
Rationale: The correct term for nurses working in local/national health departments or public schools is 'public health nurse.' This term specifically refers to individual nurses in those settings. Choice A, 'Public health nursing,' is a broader term that refers to the field of nursing focused on improving community health. Choices C and D, 'Registered midwives' and 'Registered nurses,' do not specifically indicate the nurses working in local/national health departments or public schools, making them incorrect.
3. What is the term for a learning process whereby knowledge, attitudes, and practice of people are changed to improve the health status of individuals, families, or communities?
- A. Motivating
- B. Counseling
- C. Disease prevention
- D. Health education
Correct answer: D
Rationale: Health education is the correct term for the learning process that involves changing knowledge, attitudes, and practices to enhance health status. Choice A, 'Motivating,' is incorrect as it refers to inspiring action rather than the educational aspect. Choice B, 'Counseling,' focuses on providing guidance and support rather than specifically targeting knowledge and practice changes. Choice C, 'Disease prevention,' is related to strategies aimed at avoiding the occurrence of illnesses rather than the broader concept of educating for overall health improvement.
4. Epidemiology is directly concerned with which of the following?
- A. factors influencing occurrence and distribution of diseases, defects, disability, or death of groups of individuals
- B. vital health statistics
- C. environmental sanitation
- D. treatment of a communicable disease
Correct answer: A
Rationale: Corrected Rationale: Epidemiology is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems. It focuses on identifying and understanding the factors that influence the occurrence and distribution of diseases, defects, disability, or death of groups of individuals. Therefore, the correct answer is A. Choice B, vital health statistics, is not the primary focus of epidemiology. While vital health statistics may be used in epidemiological studies, it is not the direct concern of epidemiology. Choice C, environmental sanitation, although important for public health, is not the main focus of epidemiology. Epidemiology is more concerned with the factors influencing disease occurrence and distribution, rather than environmental sanitation. Choice D, treatment of a communicable disease, is more related to clinical medicine rather than epidemiology. Epidemiology is more focused on prevention, control, and understanding the patterns and causes of diseases rather than their treatment.
5. A nurse working in a community health setting is performing primary health screenings. Which individual is at highest risk for contracting an HIV infection?
- A. A 17-year-old who is sexually active with numerous partners.
- B. A 45-year-old lesbian who has been sexually active with two partners in the past year.
- C. A 30-year-old cocaine user who inhales the drug and works in a topless bar.
- D. A 34-year-old male homosexual who is in a monogamous relationship.
Correct answer: A
Rationale: The correct answer is A. A 17-year-old who is sexually active with numerous partners is at the highest risk for contracting an HIV infection due to engaging in risky sexual behavior with multiple partners, increasing the likelihood of exposure to the virus. Choice B is less risky as the individual has had a relatively lower number of sexual partners in the past year. Choice C, although involving drug use, does not directly correlate with a higher risk of contracting HIV unless needles are shared. Choice D, a 34-year-old male homosexual in a monogamous relationship, has a lower risk compared to choice A as long as the relationship remains monogamous.
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