HESI LPN
Community Health HESI Practice Exam Questions
Question 1 of 9
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is:
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.
Question 2 of 9
In a long term rehabilitation care unit a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television in the assigned room. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should do which action next?
Correct Answer: C
Rationale: These symptoms suggest autonomic dysreflexia, often triggered by bladder distention.
Question 3 of 9
What title should be given to this role in the occupational health nurse job description? A registered nurse who teaches and prepares nursing students to function as expert clinicians/practitioners, administrators, educators, researchers, or consultants at the work site.
Correct Answer: C
Rationale: The correct title for the role described in the job description is a health educator. A health educator is responsible for teaching and preparing nursing students for various professional roles. Choice A, researcher, is incorrect because the main focus in the job description is on teaching and preparing students, not conducting research. Choice B, case manager, does not align with the role of teaching and preparing nursing students. Choice D, health promotion specialist, is also not the best fit as the primary focus in the job description is on education and preparation, rather than promoting health within a specific population.
Question 4 of 9
The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse or a practical nurse?
Correct Answer: C
Rationale: The correct answer is C because wound care for a postoperative infection qualifies for Medicare reimbursement. Medicare typically covers skilled nursing care, like wound care, required due to a postoperative infection. Choices A, B, and D involve assessments, teaching, and evaluation, which may not always be eligible for Medicare reimbursement unless they are directly related to skilled nursing care for a specific medical condition.
Question 5 of 9
A senior high school student, whose immunization status is current, asks the school nurse which immunizations will be included in the precollege physical. Which vaccine should the nurse tell the student to expect to receive?
Correct Answer: C
Rationale: The correct answer is C: Measles, mumps, rubella (MMR). MMR vaccine is commonly included in precollege physicals to ensure students are protected against these diseases. Choice A, Hepatitis C (HepC), is incorrect as the standard vaccine for hepatitis given in childhood is Hepatitis B. Choice B, Influenza type B (HIB), is not typically administered during precollege physicals but is recommended for younger children. Choice D, Diphtheria, tetanus, pertussis (DTaP), is usually given in early childhood and not typically repeated during precollege physicals.
Question 6 of 9
When designing a home health care program for disabled children, which factor should be considered when assessing reimbursement for services from private insurance companies?
Correct Answer: D
Rationale: When assessing reimbursement for services from private insurance companies, approval by the network healthcare provider is crucial. This approval ensures that the services provided are within the approved network, allowing for reimbursement. Choices A, B, and C are not directly related to the reimbursement process by private insurance companies. While greater access to any healthcare provider, allowance for early discharge, and concern for the quality of care are important considerations when designing a home health care program, they do not specifically impact the reimbursement process from private insurance companies.
Question 7 of 9
The term 'epidemiology' is best defined as the study of:
Correct Answer: B
Rationale: Epidemiology is the study of the distribution and determinants of health-related states in populations. Choice A is incorrect because epidemiology focuses on more than just causes but also on distribution and determinants. Choice C is incorrect as it specifically relates to public health and not just treatment and prevention. Choice D is incorrect as epidemiology is broader than just focusing on the healthcare system and its effectiveness.
Question 8 of 9
The Food Fortification Act of 2000 provides for the mandatory fortification of staple foods, which includes:
Correct Answer: A
Rationale: The correct answer is A: Flour with iron. The Food Fortification Act of 2000 mandates the fortification of flour with iron to address iron deficiency in the population. Refined sugar is not typically fortified with iron, making choice B incorrect. While cooking oil fortification with vitamin A is common in some regions, it is not specified under the Food Fortification Act of 2000, rendering choice C incorrect. Similarly, rice fortification with vitamin A is not included in the mandatory fortification list according to the act, making choice D incorrect.
Question 9 of 9
The social ecological model considers the complex interplay between which levels of influence?
Correct Answer: A
Rationale: The correct answer is A: Individual, interpersonal, organizational, community, and policy. The social ecological model examines how individual, interpersonal, organizational, community, and policy factors interact to influence health and well-being. Choice B is incorrect because it includes genetic and biological factors that are not part of the social ecological model. Choice C is incorrect as it does not include organizational and policy levels of influence. Choice D is incorrect as it includes wealth and politics, which are not typically considered in the social ecological model.