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
A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
Correct Answer: D
Rationale: An evidence-based nursing journal is the correct choice for the nurse to obtain information about the prevalence of Tay-Sachs disease. These journals contain peer-reviewed research and studies conducted by experts in the field, providing accurate and reliable information.
Choice A, the client's health care provider, may have general information but may not provide detailed prevalence data.
Choice B, a collaborative, user-edited website, is not a reliable source as the information may be inaccurate or outdated.
Choice C, the facility's case manager, is unlikely to have specific prevalence data on Tay-Sachs disease.
Question 3 of 5
Which of the following strategies can help improve patient adherence to treatment plans?
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.
Question 4 of 5
What does the mnemonic device ABCDE stand for?
Correct Answer: D
Rationale: The correct answer is D: 'Allergy, bleeding, cortisone, diabetes, emboli.' The ABCDE mnemonic is used in healthcare to help remember key assessment points.
Choice A is incorrect as 'chemicals' and 'dietary' are not part of the ABCDE assessment.
Choice B is incorrect as 'cardio' is not part of the ABCDE mnemonic.
Choice C is incorrect as 'cardio' and 'digestive' are not part of the ABCDE mnemonic.
Question 5 of 5
Your long-term care patient has chronic pain and at this point in time, the patient needs increasing dosages to adequately control this pain. What is this patient most likely affected by?
Correct Answer: D
Rationale: The correct answer is D: Drug tolerance. When a patient needs increasing dosages to achieve the same pain relief, it indicates the development of drug tolerance. This means the body has adapted to the drug, requiring higher doses to produce the same effect.
Choice A, drug addiction, is incorrect because drug addiction involves a psychological and physical dependence on the drug, which is not described in the scenario.
Choice B, drug interactions, is incorrect as it refers to the effects when multiple drugs interact with each other, not the situation described.
Choice C, drug side effects, is also incorrect as it pertains to the unintended effects of a drug, not the need for higher doses to control pain.