HESI LPN
Leadership and Management HESI Test Bank
1. Which of the following strategies can help improve patient adherence to treatment plans?
- A. Providing clear and understandable instructions
- B. Using medical jargon
- C. Limiting patient education
- D. Ignoring patient feedback
Correct answer: A
Rationale: Providing clear and understandable instructions can help improve patient adherence to treatment plans. Clear instructions help patients better understand their treatment plans, leading to increased compliance. Choices B, C, and D are incorrect. Using medical jargon can confuse patients and reduce adherence. Limiting patient education deprives patients of essential information needed for adherence. Ignoring patient feedback can lead to misunderstandings and hinder the patient's commitment to the treatment plan.
2. What is the primary goal of public health?
- A. To focus on individual patient care
- B. To improve the health of populations
- C. To reduce healthcare costs
- D. To increase hospital admissions
Correct answer: B
Rationale: The primary goal of public health is to improve the health of populations by focusing on prevention, health promotion, and addressing the social determinants of health. Choice A is incorrect because public health looks at health from a population perspective rather than focusing on individual patient care. Choice C, while a potential benefit, is not the primary goal of public health. Choice D is incorrect as increasing hospital admissions is not a goal of public health; in fact, public health aims to prevent unnecessary hospitalizations through preventive measures.
3. 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.
4. Who should document care?
- A. The LPNs should document the care that they provided and the care that was given by unlicensed assistive staff.
- B. The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
- C. All staff members should document all of the care that they have provided.
- D. All staff should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it.
Correct answer: C
Rationale: All staff members should document the care they provided as part of their accountability and to ensure accurate and comprehensive records. In healthcare settings, it is essential for all staff to document the care they deliver for continuity of care and legal purposes. The registered nurse may sign off on the documentation for oversight purposes, but the responsibility of documenting care extends to all staff involved in patient care. Choices A and B incorrectly limit the responsibility to specific roles, while choice D inaccurately suggests that only the registered nurse signs off on the documentation, overlooking the importance of comprehensive documentation by all staff members involved.
5. 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.
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