which of the following best describes evidence based practice

HESI LPN

HESI Leadership and Management Test Bank

1. Which of the following best describes evidence-based practice?

A. Using outdated research
B. Relying on personal experience alone
C. Integrating clinical expertise with the best available evidence
D. Disregarding patient preferences

Correct answer: C

Rationale: Evidence-based practice involves integrating clinical expertise with the best available evidence to make informed decisions about patient care. Choice A is incorrect as evidence-based practice relies on current and relevant research. Choice B is incorrect as it emphasizes the importance of not relying solely on personal experience. Choice D is incorrect as patient preferences play a significant role in evidence-based practice.

2. Diabetes insipidus is the result of:

A. A diet high in sugar and carbohydrates.
B. A complicated pregnancy.
C. A disorder of the pancreas.
D. A disorder of the pituitary gland.

Correct answer: D

Rationale: Diabetes insipidus is caused by a disorder of the pituitary gland affecting ADH regulation. This disorder results in the decreased production or release of antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine properly. Choices A, B, and C are incorrect as they do not relate to the underlying cause of diabetes insipidus.

3. Your patient has been diagnosed with orchiditis. What information about this disorder should you inform the patient about?

A. This disorder often occurs as a result of streptococcus.
B. This disorder can be symptomatically treated with ice.
C. This disorder can be symptomatically treated with heat.
D. This disorder is typically treated with surgery.

Correct answer: B

Rationale: Orchiditis can be symptomatically treated with ice to reduce inflammation. Choice A is incorrect because orchiditis is not typically caused by streptococcus. Choice C is incorrect as heat is not the recommended treatment for orchiditis. Choice D is also incorrect as surgery is not the first-line treatment for orchiditis.

4. Marlisa has been diagnosed with diabetes mellitus type 1. She asks Nurse Errol what this means. What is the best response by the nurse? Select the one that does not apply.

A. Your beta cells should be able to secrete insulin, but cannot.
B. The endocrine function of your pancreas is to secrete insulin.
C. Without insulin, you will develop ketoacidosis (DKA).
D. The exocrine function of your pancreas is to secrete Estrogen.

Correct answer: D

Rationale: Type 1 diabetes is characterized by the inability of the beta cells in the pancreas to secrete insulin. Choice A is correct because it highlights the role of beta cells. Choice B is accurate as the endocrine function of the pancreas includes insulin secretion. Choice C is true as without insulin, ketoacidosis can develop. Choice D is incorrect as the exocrine function of the pancreas involves secreting digestive enzymes, not estrogen.

5. A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A. Request another family member to assist the client's partner with care
B. Recommend the partner to place the client in a long-term care facility
C. Contact the case manager to discuss discharge options
D. Ask the provider to delay the client's discharge home for a few more days

Correct answer: C

Rationale: The nurse should contact the case manager to discuss discharge options and support the client's partner. This action is appropriate as it involves seeking professional guidance and support for the client's partner who is struggling to care for the client. Option A is not the best choice as it solely focuses on involving another family member without addressing the partner's concerns directly. Option B is premature as recommending long-term care should be a well-considered decision involving multiple healthcare professionals. Option D delays the inevitable without providing a solution to the partner's current challenges.