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    HESI Exit Exam AQuestion 43
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    HESI Exit Exam A

    What action should the school nurse take to provide secondary prevention for school-aged children?

    Explanation & Rationale

    Choice A rationale Initiating a hearing and vision screening program for first graders is an example of secondary prevention. Secondary prevention aims to identify and treat an illness or disease at an early stage, which is exactly what a screening program does. Choice B rationale Observing a person with type I diabetes mellitus self-administer a dose of insulin is not an example of secondary prevention. This is more related to disease management, which falls under tertiary prevention. Choice C rationale Preparing a presentation on how to prevent the spread of lice is an example of primary prevention, which aims to prevent disease or injury before it ever occurs. Choice D rationale Collaborating with a science teacher to prepare a health lesson could be seen as primary prevention if the lesson is about preventing disease, or tertiary prevention if it’s about managing existing conditions.

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