HESI LPN
Leadership and Management HESI Test Bank
1. Select the types of pain that are accurately coupled with an example of it. Select all that are correct.
- A. Radicular pain: Pain shooting down the leg from a herniated disc
- B. Central neuropathic pain: Pain from nerve damage after a stroke
- C. Peripheral neuropathic pain: Pain from diabetic neuropathy in the feet
- D. Chronic pain: Pain lasting for more than 3-6 months
Correct answer: D
Rationale: The correct answer is D because chronic pain is characterized by lasting for a prolonged period, typically more than 3-6 months, and is not necessarily related to acute injuries like a stab wound to the chest. Choices A, B, and C are incorrect because they do not accurately match the type of pain with its corresponding example. Radicular pain is pain that radiates along the nerve path, often from a pinched nerve or herniated disc, not a broken bone. Central neuropathic pain arises from damage to the central nervous system, such as after a stroke, not a leg injury. Peripheral neuropathic pain is caused by damage to the peripheral nerves, such as in diabetic neuropathy, not a fractured leg bone.
2. A healthcare professional is reviewing a client's laboratory report and notes that the serum calcium level is 4.0 mg/dL. The healthcare professional understands that which condition most likely caused this serum calcium level?
- A. Prolonged bed rest
- B. Renal insufficiency
- C. Hyperparathyroidism
- D. Excessive ingestion of vitamin D
Correct answer: A
Rationale: Prolonged bed rest can lead to hypocalcemia due to decreased mobility and bone resorption. In this scenario, the low serum calcium level of 4.0 mg/dL is likely a result of decreased bone activity and calcium release due to prolonged bed rest. Renal insufficiency would more likely lead to hypercalcemia due to impaired excretion of calcium by the kidneys. Hyperparathyroidism is characterized by increased calcium levels as a result of excess parathyroid hormone. Excessive ingestion of vitamin D can cause hypercalcemia by increasing intestinal absorption of calcium.
3. Wilms' tumor is a form of:
- A. Renal cancer.
- B. Liver cancer.
- C. Basal cell carcinoma.
- D. Brain cancer.
Correct answer: A
Rationale: Wilms' tumor is a type of kidney cancer that primarily affects children. The correct answer is A: Renal cancer. This tumor originates in the kidneys and is most commonly found in children, with the peak incidence around 3-4 years of age. Choice B, Liver cancer, is incorrect as Wilms' tumor specifically involves the kidneys, not the liver. Choice C, Basal cell carcinoma, is a form of skin cancer, not related to Wilms' tumor. Choice D, Brain cancer, is incorrect as Wilms' tumor is not associated with the brain but rather with the kidneys.
4. Which of the following is a benefit of the U.S. health-care system?
- A. With cost savings from technology, more Americans now have health-care insurance.
- B. Quality of care has improved in the United States.
- C. Care in the United States has shifted to a prevention focus rather than an illness focus.
- D. The use of technology is projected to decrease health-care costs and improve clinical outcomes.
Correct answer: D
Rationale: The correct answer is D because the use of technology and electronic health records is projected to decrease health-care costs and improve clinical outcomes, quality, and safety. Choice A is incorrect because it states that very few Americans have no health-care insurance, which is not a benefit of the U.S. health-care system. Choice B may be true, but it does not directly address a benefit of the health-care system. Choice C is not necessarily a benefit but rather a shift in focus, so it is also incorrect.
5. How many calories per kilogram does an average full-term infant require when the infant is around 1-2 months old?
- A. 140 calories per kilogram per day
- B. 120 calories per kilogram per day
- C. 100 calories per kilogram per day
- D. 160 calories per kilogram per day
Correct answer: B
Rationale: An average full-term infant requires about 120 calories per kilogram per day at 1-2 months old. This amount is essential for their growth and development during this critical stage. Choices A, C, and D are incorrect as they provide calorie amounts that are either too high or too low for an average full-term infant at 1-2 months old, which could potentially lead to health issues or inadequate nutrition.
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