HESI LPN
HESI Leadership and Management Test Bank
1. Which of the following chronic complications is associated with diabetes?
- A. Dizziness, dyspnea on exertion, and coronary artery disease.
- B. Retinopathy, neuropathy, and coronary artery disease.
- C. Leg ulcers, cerebral ischemic events, and pulmonary infarcts.
- D. Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias.
Correct answer: B
Rationale: The correct answer is B. Diabetes is associated with chronic complications such as retinopathy, neuropathy, and coronary artery disease. Choice A includes symptoms rather than chronic complications of diabetes. Choice C lists conditions not typically associated with diabetes. Choice D describes symptoms that may occur in various medical conditions but are not specific chronic complications of diabetes.
2. While caring for a four-year-old female patient who was severely burned in a house fire, how would you determine the extent of this child's burns?
- A. By using the Lund and Browder chart
- B. By using the Rule of Nines
- C. By using the Rule of Tens
- D. By using the Parkland Formula
Correct answer: A
Rationale: The correct answer is A: By using the Lund and Browder chart. The Lund and Browder chart is specifically designed to assess the extent of burns in children accurately, taking into account the variation in body proportions as children grow. This method provides a more precise estimation of the total body surface area affected by burns in pediatric patients. Choices B, C, and D are incorrect. The Rule of Nines is more suitable for adults, not children. The Rule of Tens is not a standard method for assessing burn extent, and the Parkland Formula is used to calculate fluid resuscitation requirements in burn patients, not to determine the extent of burns.
3. A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the service?
- A. A nurse can disclose information to a family member with the client's permission
- B. A nurse can apply restraints on an as-needed basis
- C. A nurse can administer medications without consent to a client as part of a research study
- D. A nurse is responsible for informing clients about treatment options
Correct answer: A
Rationale: The correct statement to include in the in-service about client rights is that a nurse can disclose information to a family member with the client's permission. This respects the client's autonomy and privacy. Choice B is incorrect because restraints should only be applied based on a specific assessment and order, not on an as-needed basis. Choice C is incorrect as administering medications without consent is a violation of ethical principles and legal standards. Choice D is incorrect because while nurses should educate clients about treatment options, the ultimate decision lies with the client after being informed.
4. Which of the following foods enhances the absorption of an iron supplement?
- A. Orange juice
- B. Green beans
- C. Fortified milk
- D. Baked potato
Correct answer: A
Rationale: The correct answer is Orange juice. Orange juice enhances the absorption of an iron supplement due to its high vitamin C content. Vitamin C helps in the absorption of non-heme iron, the type of iron found in plant-based foods and iron supplements. Green beans, fortified milk, and baked potato do not have the same level of vitamin C as orange juice, making them less effective in enhancing iron absorption.
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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