HESI LPN
Community Health HESI Study Guide
1. 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.
2. A client with acute pancreatitis is experiencing severe abdominal pain. The nurse should implement which of the following interventions?
- A. Encourage oral intake
- B. Administer opioid analgesics
- C. Apply a heating pad to the abdomen
- D. Place the client in a supine position
Correct answer: B
Rationale: The correct intervention for a client with acute pancreatitis experiencing severe abdominal pain is to administer opioid analgesics. Opioids are effective in managing the severe pain associated with acute pancreatitis. Encouraging oral intake may exacerbate the symptoms and is contraindicated due to the need for bowel rest. Applying a heating pad to the abdomen can worsen inflammation and should be avoided. Placing the client in a supine position may not provide relief and could potentially lead to increased discomfort.
3. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is:
- A. Eat a balanced diet for your age.
- B. Increase your intake of protein and Vitamin A.
- C. Decrease fatty foods from your diet.
- D. Do not use caffeine in any form, including chocolate.
Correct answer: A
Rationale: The most appropriate advice for an adolescent with acne is to eat a balanced diet for their age. A balanced diet that includes a variety of nutrients is essential for overall health, including skin health. While protein and Vitamin A are important for skin health, focusing solely on increasing these nutrients may not address the overall dietary needs. Similarly, solely decreasing fatty foods or avoiding caffeine may not be the most effective advice for managing acne. Therefore, the best advice is to promote a balanced diet tailored to the adolescent's age.
4. Which of the following is a voluntary organization?
- A. NIH
- B. FDA
- C. CDC
- D. ADA
Correct answer: D
Rationale: The American Diabetes Association (ADA) is a voluntary organization that relies on voluntary contributions and membership fees. NIH (National Institutes of Health), FDA (Food and Drug Administration), and CDC (Centers for Disease Control and Prevention) are governmental agencies and not voluntary organizations. Therefore, the correct answer is D.
5. After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?
- A. Review all health records of the students currently enrolled in classes.
- B. Talk with the current members of the parent-teacher association.
- C. Send a survey form to parents of third-grade students.
- D. Conduct a windshield survey of the geographic areas served by the school.
Correct answer: D
Rationale: Conducting a windshield survey is the best strategy for the nurse to obtain an overview understanding of the student body. This method allows the nurse to observe the community, its resources, potential health hazards, and demographic information. Reviewing health records (Choice A) would provide detailed health information but not an overview of the student body. Talking with the parent-teacher association (Choice B) may offer insights but not a comprehensive overview. Sending a survey form to parents (Choice C) may provide specific information but may not capture a broad understanding of the student body.
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