HESI LPN
HESI Leadership and Management Quizlet
1. Low birth weight is defined as a newborn's weight of:
- A. 2500 grams or less at birth, regardless of gestational age.
- B. 1500 grams or less at birth, regardless of gestational age.
- C. 2500 grams or less at birth, according to gestational age.
- D. 1500 grams or less at birth, according to gestational age.
Correct answer: A
Rationale: Low birth weight is defined as 2500 grams or less at birth, regardless of gestational age. This means that any newborn weighing 2500 grams or less is considered to have a low birth weight, irrespective of how many weeks they were in the womb. Choices B, C, and D are incorrect because they specify a weight of 1500 grams or less, which is not the standard definition of low birth weight. The correct definition is 2500 grams or less, not influenced by gestational age.
2. Which individual is most at risk for Osgood-Schlatter disease?
- A. An elderly female who is hospitalized with a hip fracture and on bed rest
- B. A middle-aged male patient who has been exposed to asbestos in the shipping industry
- C. An adolescent who is physically active and the captain of their soccer team
- D. An infant of low birth weight and a gestational age of 28 weeks
Correct answer: C
Rationale: Osgood-Schlatter disease is a condition that commonly affects adolescents who are physically active, especially during growth spurts. It is caused by overuse of the knee, leading to inflammation of the patellar ligament at the tibial tuberosity. The repetitive stress on the growth plate during activities like running and jumping can trigger this condition. Therefore, an adolescent who is physically active and the captain of their soccer team is most at risk for Osgood-Schlatter disease. Choices A, B, and D are not at high risk for this condition as it is primarily seen in active adolescents.
3. Which of the following is true regarding the Affordable Care Act?
- A. The Affordable Care Act addressed issues of interest to nursing without controversy.
- B. The Affordable Care Act addressed issues of mandatory overtime, incivility, and high workloads for nurses.
- C. The Affordable Care Act provided a new patient-centered model for health care.
- D. The Affordable Care Act attempted to address many of the issues of interest to nursing, but came with much controversy.
Correct answer: D
Rationale: The correct answer is D. The Affordable Care Act attempted to address many issues relevant to nursing, such as mandatory overtime, incivility, and high workloads, but it faced significant controversy. Choice A is incorrect as the act did not address nursing issues without controversy. Choice B is incorrect as it inaccurately lists the issues the act addressed. Choice C is incorrect as it does not fully capture the controversy surrounding the Affordable Care Act.
4. What is the main purpose of quality improvement in healthcare?
- A. To increase healthcare costs
- B. To improve patient outcomes
- C. To decrease patient satisfaction
- D. To increase hospital stays
Correct answer: B
Rationale: The main purpose of quality improvement in healthcare is to improve patient outcomes by enhancing the quality and safety of healthcare services. Choice A is incorrect because the goal is not to increase healthcare costs but to optimize resources and provide cost-effective care. Choice C is incorrect as the aim is to increase patient satisfaction through better outcomes. Choice D is incorrect as the objective is to reduce hospital stays by improving care efficiency and effectiveness.
5. What are some of the earliest signs and symptoms of Duchenne's muscular dystrophy?
- A. Clumsiness, difficulty running, climbing, and riding a bicycle
- B. Pain and inflammation in the bones
- C. Deformity of the foot
- D. Infection in the joint leading to arthritis
Correct answer: A
Rationale: The correct answer is A: Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of Duchenne's muscular dystrophy. Duchenne's muscular dystrophy is a genetic disorder characterized by progressive muscle degeneration and weakness. Choices B, C, and D are incorrect because they do not represent the typical early signs and symptoms of Duchenne's muscular dystrophy. Pain and inflammation in the bones (choice B) are more indicative of conditions like osteomyelitis; deformity of the foot (choice C) is characteristic of talipes or clubfoot; and infection in the joint leading to arthritis (choice D) is more aligned with septic joint or supportive arthritis.
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