HESI LPN
Community Health HESI Test Bank 2023
1. 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.
2. As the new PHN in barangay Masinag, what is necessary to conduct in order to get a picture of the health and social status of the community?
- A. Mass information campaign
- B. Home visit
- C. Community assembly
- D. Community health survey
Correct answer: D
Rationale: To accurately assess the health and social status of a community, conducting a community health survey is essential. This method provides a comprehensive and systematic way to gather data on various health indicators and social determinants within the community. Choices A, B, and C are not as effective in providing a holistic view of the community's health and social status. A mass information campaign may raise awareness but lacks in-depth data collection, a home visit focuses on individual households rather than the entire community, and a community assembly may not reach all community members or provide structured data collection.
3. The client with asthma who is sensitive to house dust-mites is being instructed by the nurse. Which information about prevention of asthma episodes would be the most helpful to include during the teaching?
- A. Change the pillow covers every month
- B. Wash bed linens in warm water with a cold rinse
- C. Wash and rinse the bed linens in hot water
- D. Use air filters in the furnace system
Correct answer: C
Rationale: The correct answer is to wash and rinse the bed linens in hot water to help eliminate dust mites, a common trigger for asthma episodes. Washing in hot water is more effective in killing dust mites compared to warm water. Changing pillow covers every month may help but is not as effective as washing bed linens in hot water. Using air filters in the furnace system may improve air quality but does not directly target dust mites on bed linens.
4. BCG vaccine is supplied in:
- A. freeze-dried form in a sealed glass ampule
- B. liquid form in a sealed glass ampule
- C. liquid form in a vial
- D. both 2 and 3
Correct answer: A
Rationale: The correct answer is A. BCG vaccine is commonly supplied in freeze-dried form, not in liquid form. Therefore, choices B and C are incorrect. Option D is also incorrect as the vaccine is not supplied in liquid form in a glass ampule.
5. The nurse is working in a community health clinic that serves a diverse population. Which of the following actions best demonstrates cultural competence?
- A. Learning about the cultural practices of the clinic's client population
- B. Providing translation services for non-English speaking clients
- C. Treating all clients the same regardless of their background
- D. Encouraging clients to adopt mainstream health practices
Correct answer: A
Rationale: Learning about the cultural practices of the clinic's client population is the best way to demonstrate cultural competence. This action shows respect for the diverse backgrounds of the clients and helps in providing care that is sensitive to their cultural beliefs and practices. Providing translation services (Choice B) is important for effective communication but may not address the deeper aspects of cultural competence. Treating all clients the same (Choice C) may overlook the unique needs that arise from cultural differences. Encouraging clients to adopt mainstream health practices (Choice D) may not be appropriate or respectful of their cultural traditions and preferences.
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