the wound irrigation process cleanses the wound and

HESI LPN

HESI Leadership and Management Test Bank

1. The wound irrigation process cleanses the wound and:

A. Reduces the potential pain in the wound region or area.
B. Stops the spread of infection by creating a 'clean' area.
C. Pushes extravasated blood from a hematoma into nearby healthy tissue.
D. Allows for the introduction of medications in solution form.

Correct answer: D

Rationale: The correct answer is D because wound irrigation allows for the introduction of medications in solution form to the wound site. Choice A is incorrect because while wound irrigation can help with pain management indirectly by promoting healing, its primary purpose is not to reduce pain directly. Choice B is incorrect as wound irrigation primarily aims to cleanse the wound and remove contaminants rather than creating a 'clean' area to stop infection spread. Choice C is incorrect because wound irrigation does not involve pushing extravasated blood from a hematoma into nearby healthy tissue; its main goal is to cleanse the wound and promote healing.

2. Which of the following most accurately describes a current concern in health care today?

A. Health care-associated (nosocomial) infections continue to increase, not limited to health-care settings.
B. Despite preventable deaths increasing from the opioid crisis, life expectancy in the United States has slightly risen over the last 2 years.
C. Although adverse drug events persist, medication errors have not been completely eliminated through the use of electronic medication administration records.
D. Gun violence has become a growing public health concern.

Correct answer: D

Rationale: Gun violence has become a growing public health concern due to the increasing rates of injury and death caused by the misuse of firearms. Choice A is incorrect because health care-associated infections are not limited to health-care settings and continue to increase. Choice B is inaccurate as preventable deaths from the opioid crisis have not led to a rise in life expectancy in the United States. Choice C is incorrect as medication errors have not been completely eliminated despite the use of electronic medication administration records.

3. What is the purpose of a healthcare audit?

A. To increase paperwork
B. To assess and improve quality of care
C. To reduce patient satisfaction
D. To limit healthcare services

Correct answer: B

Rationale: The correct answer is B: 'To assess and improve quality of care.' Healthcare audits are conducted to evaluate the quality and efficiency of healthcare services provided. Choice A, 'To increase paperwork,' is incorrect as audits aim to streamline processes and reduce unnecessary paperwork. Choice C, 'To reduce patient satisfaction,' is incorrect as audits are meant to identify areas for improvement to enhance patient satisfaction. Choice D, 'To limit healthcare services,' is also incorrect as audits help in optimizing healthcare services rather than limiting them.

4. A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

A. Apply vest restraints to residents who are confused
B. Keep all four side rails up on beds at night
C. Accompany residents over 85 years of age during ambulation
D. Implement rounds every 2 hours during the day to offer toileting

Correct answer: D

Rationale: The correct answer is to implement rounds every 2 hours during the day to offer toileting. This intervention helps prevent falls by addressing the common cause of unassisted mobility, which is the need to use the bathroom. Choice A is incorrect as restraints should not be the first choice for fall prevention due to the risk of injury and loss of independence. Choice B is incorrect because all side rails up can lead to entrapment and should only be used based on individualized assessments. Choice C may not be feasible for all residents over 85 years old and does not directly address the risk of falls.

5. Select the cranial nerve that is accurately paired with its name.

A. The fourth cranial nerve: The trochlear nerve
B. The twelfth cranial nerve: The hypoglossal nerve
C. The tenth cranial nerve: The olfactory nerve
D. The thirteenth cranial nerve: The auditory nerve

Correct answer: B

Rationale: The twelfth cranial nerve is the hypoglossal nerve, which controls the muscles of the tongue. The other choices are incorrect because the trochlear nerve is the fourth cranial nerve responsible for eye movement, the olfactory nerve is the first cranial nerve responsible for the sense of smell, and there are only twelve cranial nerves, so there is no thirteenth cranial nerve.