HESI LPN
Leadership and Management HESI Test Bank
1. Which of the following is a common barrier to effective communication in healthcare?
- A. Active listening
- B. Cultural differences
- C. Clear language
- D. Empathy
Correct answer: B
Rationale: Cultural differences are a common barrier to effective communication in healthcare. When individuals from different cultures interact in healthcare settings, varying communication styles, beliefs, values, and language barriers can hinder effective communication. This can lead to misunderstandings, misinterpretations, and ultimately impact the quality of care provided. Active listening (choice A) is a communication skill that helps improve understanding and can actually enhance communication. Clear language (choice C) is essential for effective communication and can help overcome barriers, rather than being a barrier itself. Empathy (choice D) is important in healthcare to understand patients' emotions and perspectives, but it is not a common barrier to effective communication.
2. Which insulin has the most rapid onset of action?
- A. Lente
- B. Lispro
- C. Ultralente
- D. Humulin N
Correct answer: B
Rationale: Lispro insulin has the most rapid onset of action among the options provided. It is a rapid-acting insulin analog that is designed to control postprandial hyperglycemia effectively. Lente insulin (Choice A) and Ultralente insulin (Choice C) are intermediate-acting insulins, which have a slower onset of action compared to Lispro. Humulin N (Choice D) is a neutral protamine Hagedorn (NPH) insulin, which is an intermediate-acting insulin, not rapid-acting like Lispro. Therefore, the correct choice is Lispro.
3. A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?
- A. No transport assistance is available to take the client to PT.
- B. A client is refusing care from an AP of the opposite gender.
- C. Three staff members have called to say they will be absent.
- D. Two nurses had a heated disagreement about a scheduling issue.
Correct answer: C
Rationale: The correct answer is C. Addressing the absence of three staff members should be the nurse manager's priority as it directly impacts staffing levels and patient care. This situation can lead to staffing shortages, affecting patient safety and workload distribution. Option A, lack of transport assistance, although important, can be addressed after ensuring adequate staffing. Option B involves a client's preference and can be addressed by assigning care appropriately. Option D, a disagreement between two nurses, is important but can be addressed after ensuring adequate staffing and patient care.
4. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
- A. A client who is at 32 weeks of gestation and has premature rupture of membranes
- B. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor
- C. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump
- D. A client who has gestational diabetes and is receiving biweekly nonstress tests
Correct answer: C
Rationale: A nurse who floated from a medical-surgical unit would be appropriate to care for a client who is 1 day postoperative following a Cesarean section and has a PCA pump. This client requires monitoring of the postoperative incision site, pain management through the PCA pump, and assessment for any signs of complications related to the surgery. Assigning this client to an RN with experience in postoperative care aligns with providing specialized and appropriate care. Choices A, B, and D involve conditions or procedures specific to obstetrics that would be better managed by a nurse with obstetrical experience, making them incorrect choices for the floated RN.
5. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
- A. Social worker
- B. Pharmacist
- C. Respiratory therapist
- D. Child protective services
Correct answer: A
Rationale: The correct answer is A: Social worker. A social worker can assist the parent in finding resources to afford the nebulizer. While a pharmacist may provide information about medications and devices, they may not have direct resources to address financial concerns. A respiratory therapist focuses on respiratory care but may not specialize in financial assistance. Referring to child protective services is not appropriate in this scenario as the parent's inability to afford a nebulizer does not indicate neglect or abuse.
Similar Questions
Access More Features
HESI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $69.99
HESI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $149.99