HESI LPN
Community Health HESI Test Bank Questions
Question 1 of 5
When caring for a child with Reye's Syndrome, which action should the nurse give the highest priority?
Correct Answer: C
Rationale: Assessing the level of consciousness is crucial when caring for a child with Reye's Syndrome. Changes in neurological status can indicate deterioration of the condition, necessitating immediate medical attention. Monitoring intake and output is important but not the highest priority compared to assessing the child's level of consciousness. Providing good skin care and assisting with range of motion are also important aspects of care but take a lower priority than assessing the child's neurological status in this critical condition.
Question 2 of 5
The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?
Correct Answer: D
Rationale: The correct answer is D, smoking cessation. Smoking is a major and modifiable risk factor for cardiovascular disease. It is often the highest priority in cardiac risk reduction because stopping smoking has immediate and long-term benefits for heart health. Choices A, B, and C are also important in reducing cardiac risk factors, but smoking cessation takes precedence due to its significant impact on cardiovascular health.
Question 3 of 5
Which topic should be included in planning a secondary prevention project for the local retirement community?
Correct Answer: D
Rationale: In planning a secondary prevention project for the local retirement community, vision and hearing screening should be included. This is crucial as sensory impairments are common among older adults and early detection through screening can help in preventing further complications. Safety measures in the home, adult immunization programs, and rehabilitation after surgery are important but fall more under primary or tertiary prevention strategies rather than secondary prevention, which focuses on early detection and intervention to prevent the progression of health conditions.
Question 4 of 5
A nurse organizes a community action group to help resolve health problems in a low-income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first?
Correct Answer: B
Rationale: The correct answer is B: Low immunization rate of children. Addressing low immunization rates is crucial as it directly impacts the health of children and the community by preventing the spread of infectious diseases. Option A, high rate of unemployment, though important for overall well-being, is not the most immediate health concern. Option C, provision of substandard health care, is a significant issue but may not be as urgent as ensuring children are immunized. Option D, access to bilingual care providers, is important for effective communication but is not as critical as addressing low immunization rates in this scenario.
Question 5 of 5
The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the nurse to determine their risk. Which client should the nurse identify as having the greatest risk for cardiovascular disease?
Correct Answer: C
Rationale: The correct answer is C. A male with a high LDL level (200 mg/dl) has a significant risk for cardiovascular disease. High levels of LDL cholesterol are associated with an increased risk of atherosclerosis and heart disease. Choices A, B, and D have serum cholesterol levels that are slightly elevated but are not as specific or directly linked to cardiovascular risk as high LDL levels. Therefore, the client with the high LDL level is at the greatest risk for cardiovascular disease.