HESI LPN
Community Health HESI Exam Questions
Question 1 of 5
A client with heart failure is receiving digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of digoxin toxicity?
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Digoxin toxicity often presents with bradycardia, which is a common sign of toxicity associated with this medication. Tachycardia (Choice A) is not typically seen with digoxin toxicity. Hypotension (Choice B) can occur but is less specific to digoxin toxicity. Hyperglycemia (Choice D) is not a typical sign of digoxin toxicity. Therefore, monitoring for bradycardia is crucial in clients receiving digoxin to detect toxicity early.
Question 2 of 5
Which of the following is an example of a modifiable risk factor for chronic diseases?
Correct Answer: D
Rationale: Physical inactivity is a modifiable risk factor for chronic diseases because individuals have control over their level of physical activity. By increasing physical activity, the risk of chronic diseases can be reduced. Choices A, B, and C are not modifiable risk factors: Age is a non-modifiable factor, gender is a biological characteristic, and genetic predisposition is inherent and cannot be altered.
Question 3 of 5
The community health nurse has been following the care for an adolescent with a history of morbid obesity, asthma, hypertension, and is 22 weeks into a pregnancy. Which of these lab reports sent to the clinic needs to be called to the teen's healthcare provider within the next hour?
Correct Answer: B
Rationale: The correct answer is B. The low magnesium level and elevated creatinine suggest possible renal dysfunction, which is concerning, especially in a pregnant client with multiple risk factors such as morbid obesity, asthma, and hypertension. Immediate attention is needed to address the potential renal issues. The other choices do not indicate such urgent conditions. Hemoglobin and calcium levels in choice A are within acceptable ranges. Choice C shows elevated blood urea nitrogen and glucose levels, which may need monitoring but not immediate attention. Choice D's hematocrit and platelet levels are also within normal ranges and do not indicate an urgent issue.
Question 4 of 5
While explaining an illness to a 10-year-old, what should the nurse keep in mind about the cognitive development at this age?
Correct Answer: B
Rationale: Correct answer: At the age of 10, children are in the stage of concrete operational thought, where they can think logically and organize facts. Choice A is incorrect as simple associations of ideas are more characteristic of earlier developmental stages. Choice C is incorrect as while children at this age are developing perspective-taking skills, their interpretations are not solely limited to their own perspective. Choice D is incorrect as while previous experiences influence their thinking, the ability to think logically and organize facts is more prominent in this stage of cognitive development.
Question 5 of 5
Which of the following best describes the concept of 'health disparity'?
Correct Answer: A
Rationale: The correct answer is A: 'Differences in health outcomes and their determinants between different segments of the population.' Health disparity refers to variations in health status or health care utilization between different groups. Choice B is incorrect because providing equal healthcare services to all individuals is related to health equity, not health disparity. Choice C is also incorrect as it refers to universal access to healthcare, which is different from health disparity. Choice D is incorrect as it describes the concept of high-quality healthcare for everyone, not health disparity.
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