HESI LPN
Leadership and Management HESI Test Bank Questions
Question 1 of 5
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: C
Rationale: A nurse who floated from a medical-surgical unit would be appropriate to care for a client who is 1 day postoperative following a Cesarean section and has a PCA pump. This client requires monitoring of the postoperative incision site, pain management through the PCA pump, and assessment for any signs of complications related to the surgery. Assigning this client to an RN with experience in postoperative care aligns with providing specialized and appropriate care.
Choices A, B, and D involve conditions or procedures specific to obstetrics that would be better managed by a nurse with obstetrical experience, making them incorrect choices for the floated RN.
Question 2 of 5
Clients with type 1 diabetes may require which of the following changes to their daily routine during periods of infection?
Correct Answer: C
Rationale: During periods of infection, clients with type 1 diabetes may require more insulin to manage the increased blood glucose levels caused by stress and illness. Insulin needs often rise during infections due to the body's increased resistance to the effects of insulin.
Therefore, increasing insulin doses is crucial to maintain blood glucose control.
Choices A, B, and D are incorrect. Option A ('No change') is inaccurate because during infections, insulin requirements typically increase. Option B ('Less insulin') is incorrect as the body's increased insulin resistance during infections usually necessitates higher insulin doses. Option D ('Oral antidiabetic agents') is not suitable for type 1 diabetes management as these medications are primarily used for type 2 diabetes.
Question 3 of 5
Which individual is most at risk for Osgood-Schlatter disease?
Correct Answer: C
Rationale: Osgood-Schlatter disease is a condition that commonly affects adolescents who are physically active, especially during growth spurts. It is caused by overuse of the knee, leading to inflammation of the patellar ligament at the tibial tuberosity. The repetitive stress on the growth plate during activities like running and jumping can trigger this condition.
Therefore, an adolescent who is physically active and the captain of their soccer team is most at risk for Osgood-Schlatter disease.
Choices A, B, and D are not at high risk for this condition as it is primarily seen in active adolescents.
Question 4 of 5
Which of the following is considered normal for the neonate?
Correct Answer: D
Rationale: A normal head circumference for a neonate typically falls within the range of 12.6 to 14.5 inches.
Choice A is incorrect because the chest circumference for a neonate is usually smaller.
Choice B is incorrect as the length of a neonate is typically shorter.
Choice C is incorrect as the weight of a neonate is usually measured in grams and falls within a different range.
Question 5 of 5
Which patient is at greatest risk for papilledema?
Correct Answer: D
Rationale: An adolescent with a closed head injury is at the highest risk for papilledema due to increased intracranial pressure. Papilledema is often a consequence of elevated intracranial pressure, which can occur in conditions like head trauma.
Choices A, B, and C do not directly correlate with an increased risk of papilledema compared to a closed head injury, which is more likely to lead to elevated intracranial pressure and subsequent papilledema.