HESI LPN
Community Health HESI Study Guide Questions
Question 1 of 5
When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity?
Correct Answer: A
Rationale: The correct answer is A: Setting goals that are focused on developing healthier lifestyles. This approach is essential in combating childhood obesity as it promotes sustainable habits and behaviors. Option B, developing strict diet plans, may not be effective in the long term and could lead to unhealthy relationships with food. Option C, providing diet classes during school hours, may not address the root causes of obesity and could potentially stigmatize the children. Option D, requiring all children to participate in organized team sports, may not be feasible for all children and might not address dietary habits and sedentary behaviors.
Question 2 of 5
Which presentation of an infectious disease is acquired through an indirect transmission?
Correct Answer: C
Rationale: The correct answer is C. Malaria is transmitted indirectly through mosquito bites.
Choice A is incorrect as syphilis is acquired through direct contact with an infected sexual partner.
Choice B is incorrect as measles can be transmitted through respiratory droplets in close contact settings like daycare centers.
Choice D is incorrect as nosocomial influenza spreads within healthcare facilities through direct contact or droplets.
Question 3 of 5
Which level of care serves as a referral center for primary health facilities?
Correct Answer: A
Rationale: Secondary level health care is the correct answer as it serves as a referral center for primary health facilities. Primary health care refers to basic health services provided in the community setting. Tertiary level care involves specialized services like hospitals with advanced medical equipment and expertise. Intermediate level care is not a standard term in the hierarchy of health care services.
Question 4 of 5
Which finding would be the most characteristic of an acute episode of reactive airway disease?
Correct Answer: C
Rationale: The correct answer is C: Auditory expiratory wheezing. Expiratory wheezing is a common sign of reactive airway disease, such as asthma, where airways are constricted, making it difficult to expel air from the lungs.
Choices A, B, and D are incorrect as they are not typically associated with reactive airway disease. Auditory gurgling may suggest airway secretions or fluid accumulation, inspiratory laryngeal stridor indicates upper airway obstruction, and frequent dry coughing is more commonly seen in conditions like upper respiratory infections or postnasal drip.
Question 5 of 5
The hospital is planning to downsize and eliminate a number of staff positions as a cost-saving measure. To assist staff in this change process, the nurse manager is preparing for the "unfreezing" phase of change. With this approach and phase the nurse manager should
Correct Answer: B
Rationale: The "unfreezing" phase involves preparing staff for change by explaining the necessity and benefits of the change, helping them to understand and accept it.