HESI LPN
HESI Leadership and Management Test Bank
1. A nurse is receiving a verbal prescription from the provider for a client who is experiencing increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?
- A. Morphine sulfate 10 mg IV q 4 IV prn for pain
- B. MS 10 mg IV every 4 8 prn for pain
- C. MSO4 10 mg IVP q 4 8 prn for pain
- D. Morphine sulfate 10.0 mg every 4 hours IV prn for pain
Correct answer: A
Rationale: The correct transcription is 'Morphine sulfate 10 mg IV q 4 IV prn for pain.' In choice A, 'Morphine sulfate 10 mg IV q 4 IV prn for pain' correctly indicates the medication, route (IV), frequency (every 4 hours), and administration as needed for pain control. Choice B is incorrect as 'MS' is not a standard abbreviation for Morphine Sulfate, and the frequency 'every 4 8' is not a valid time interval. Choice C is incorrect as 'MSO4' is not the standard abbreviation for Morphine Sulfate, and 'IVP' is not the standard route abbreviation for intravenous. Choice D is incorrect as it lacks clarity with '10.0 mg' instead of '10 mg,' and the frequency is given as 'every 4 hours' without specifying the route of administration.
2. Which of the following best describes evidence-based practice?
- A. Using outdated research
- B. Relying on personal experience alone
- C. Integrating clinical expertise with the best available evidence
- D. Disregarding patient preferences
Correct answer: C
Rationale: Evidence-based practice involves integrating clinical expertise with the best available evidence to make informed decisions about patient care. Choice A is incorrect as evidence-based practice relies on current and relevant research. Choice B is incorrect as it emphasizes the importance of not relying solely on personal experience. Choice D is incorrect as patient preferences play a significant role in evidence-based practice.
3. Which of the following new opportunities might a new nurse see in the future?
- A. Transitional care
- B. Traditional care
- C. Hospital-based care
- D. Care based on cost
Correct answer: A
Rationale: In the future, new nurses may see opportunities in transitional care. Transitional care involves the coordination and continuity of healthcare during a movement from one healthcare setting to another. This type of care is increasingly important in today's healthcare landscape due to the focus on improving patient outcomes and reducing hospital readmissions. Choices B, C, and D are incorrect as they do not represent emerging opportunities for new nurses in the future. Traditional care and hospital-based care are existing models of care delivery, while care based solely on cost does not align with the holistic approach to patient care that is becoming more prevalent in healthcare.
4. When developing an educational program for staff regarding a new intravenous pump, what is the correct sequence of actions for a nurse to take?
- A. Develop learning objectives for the program
- B. Identify what skills to teach the staff members
- C. Conduct program evaluation with staff members
- D. Schedule several sessions of the program
Correct answer: B
Rationale: The correct sequence of actions when developing an educational program for staff regarding a new intravenous pump is to first identify what skills to teach the staff members. This step is essential as it sets the foundation for the learning objectives to be developed next. Once the learning objectives are established, scheduling several sessions of the program can be planned accordingly. Finally, after the program has been conducted, program evaluation with staff members should take place to assess the effectiveness of the educational program. Therefore, options A, C, and D are out of sequence, making them incorrect choices.
5. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
- A. If you have the procedure now, you won't have to deal with pain and disability later.
- B. You'll be fine. You'll receive a prescription for pain medication.
- C. Why didn't you discuss your concerns with your provider?
- D. I understand and it's not too late to change your mind.
Correct answer: D
Rationale: The appropriate response acknowledges the client's concern and confirms that they have the right to change their mind.
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