HESI LPN
Community Health HESI Test Bank 2023 Questions
Question 1 of 5
The appropriate order of steps in active management of the third stage of labor includes:
Correct Answer: C
Rationale: The correct sequence of steps in active management of the third stage of labor includes intramuscular injection of oxytocin to prevent postpartum hemorrhage, controlled cord traction with counter traction to the uterus to facilitate placental delivery, and uterine massage to aid in uterine contraction and prevent excessive bleeding.
Choice A is incorrect because ergometrine administration is not routinely recommended in active management.
Choice B is incorrect as intravenous oxytocin is not the preferred route of administration.
Choice D is incorrect as the order of steps is not accurate.
Question 2 of 5
The healthcare provider is evaluating the health status of a 16-year-old client with a history of Type 1 diabetes. Which laboratory test would provide the most accurate information about long-term blood glucose control?
Correct Answer: B
Rationale: The correct answer is B: Glycosylated hemoglobin (HbA1c). Glycosylated hemoglobin provides valuable information about blood glucose control over the past 2-3 months. This test measures the average blood sugar levels during this period, offering a more comprehensive view of long-term glycemic control.
Choice A, blood glucose level, reflects the blood sugar concentration at the time of testing and may fluctuate throughout the day.
Choice C, urine ketones, indicates the presence of ketones and is more relevant for assessing acute complications like diabetic ketoacidosis.
Choice D, serum insulin level, evaluates insulin production and is not a direct indicator of long-term blood glucose control in diabetes management.
Question 3 of 5
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
Correct Answer: A
Rationale: A curandero practices holistic healing, which includes addressing the physical, spiritual, and emotional aspects of illness.
Choice A is correct because holistic healing aligns with the curandero's approach.
Choices B, C, and D are incorrect because while spiritual advising, herbal preparations, and witchcraft potions may be part of some cultural healing practices, they do not fully capture the comprehensive nature of holistic healing provided by a curandero.
Question 4 of 5
In evaluating your client's level of wellness, which of the following indicators can you see?
Correct Answer: C
Rationale: When evaluating a client's level of wellness, indicators such as appropriate nutritional level, sense of personal security, and acceptance of oneself and one's limitations are crucial. Option C, 'Acceptance of oneself and one's limitations,' directly relates to mental wellness and self-awareness, making it a key indicator of overall well-being. Options A, B, and D are not as directly tied to the psychological and emotional aspects of wellness, making them less relevant indicators in this context.
Therefore, the correct answer is C.
Question 5 of 5
The nurse is caring for a 5-year-old child who has the left leg in skeletal traction. Which of the following activities would be an appropriate diversional activity?
Correct Answer: C
Rationale: Playing handheld games is an appropriate diversional activity for a child in skeletal traction because it does not require physical movement of the affected limb. This activity can help keep the child entertained and engaged without risking any harm to the tractioned leg.
Choices A, B, and D involve physical movements that could potentially interfere with the skeletal traction or cause discomfort to the child.