HESI LPN
Leadership and Management HESI Test Bank
1. Nurse Andy has finished teaching a client with diabetes mellitus how to administer insulin. He evaluates the learning has occurred when the client makes which statement?
- A. I should check my blood sugar immediately prior to the administration.
- B. I should provide direct pressure over the site following the injection.
- C. I should use the abdominal area only for insulin injections.
- D. I should only use a calibrated insulin syringe for the injections.
Correct answer: D
Rationale: The correct answer is D because using a calibrated insulin syringe is crucial for accurate dosing when administering insulin. Choice A is incorrect because checking blood sugar before administration is essential but not the specific evaluation of learning in this context. Choice B is incorrect as applying direct pressure over the injection site is not a key indicator of learning about insulin administration. Choice C is incorrect as insulin injections can also be administered in other sites like the thigh or arm; it is not limited to the abdominal area.
2. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for further evaluation and possible intervention?
- A. A client who is at 28 weeks gestation and has a negative Coombs titer
- B. A client who is 39 weeks of gestation and has a negative contraction stress test
- C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
- D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1
Correct answer: C
Rationale: A biophysical profile of 6 at 35 weeks of gestation indicates a need for further evaluation and possible intervention. A negative Coombs titer at 28 weeks gestation (Choice A) is within normal limits. A negative contraction stress test at 39 weeks gestation (Choice B) is expected as the pregnancy nears term. An L/S ratio of 2:1 at 37 weeks of gestation (Choice D) is consistent with fetal lung maturity.
3. Select the tactile sensation that is accurately paired with its description or procedure for testing.
- A. Fine motor coordination: The use of the fingers
- B. Stereognosis: Equal hearing in both ears
- C. Two-point discrimination: The nurse gently pricks the patient's skin
- D. Gross motor function: The use of the lower limbs
Correct answer: C
Rationale: The correct answer is C: Two-point discrimination: The nurse gently pricks the patient's skin. Two-point discrimination assesses the ability to discern two points touched simultaneously on the skin. Fine motor coordination (Choice A) refers to the precise movements of small muscles, not related to tactile sensation. Stereognosis (Choice B) is the ability to recognize objects by touch, not equal hearing in both ears. Gross motor function (Choice D) involves the coordination of large muscle groups, not specifically related to tactile sensation testing.
4. Select the stage of viral hepatitis that is accurately paired with its characteristic(s).
- A. The prodromal stage: Jaundice begins
- B. The icteric stage: Flu-like symptoms occur
- C. The pre-icteric stage: Elevated urine bilirubin levels
- D. The post-icteric stage: Jaundice and dark urine occur
Correct answer: D
Rationale: The post-icteric stage of viral hepatitis is accurately described as the stage where jaundice and dark urine occur due to the accumulation of bilirubin. The resolution of jaundice and normalization of urine color are seen in this stage. Choices A, B, and C are incorrect. In the prodromal stage, symptoms like fatigue and malaise appear before jaundice. The icteric stage is characterized by jaundice, not flu-like symptoms. The pre-icteric stage does not typically involve elevated urine bilirubin levels, as this occurs after the icteric stage.
5. Which of the following is considered normal for the neonate?
- A. Chest Circumference: 10 to 13 inches
- B. Length: 16 to 22 inches
- C. Weight: 1,500 to 4,000 g
- D. Head Circumference: 12.6 to 14.5 inches
Correct answer: D
Rationale: A normal head circumference for a neonate typically falls within the range of 12.6 to 14.5 inches. Choice A is incorrect because the chest circumference for a neonate is usually smaller. Choice B is incorrect as the length of a neonate is typically shorter. Choice C is incorrect as the weight of a neonate is usually measured in grams and falls within a different range.
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