HESI LPN
Leadership and Management HESI Quizlet
1. What is a major concern about the health-care system in the United States?
- A. Emphasis on disease prevention
- B. Quality of care
- C. Collaborative care
- D. Reduction in hospital-acquired drug-resistant infections
Correct answer: B
Rationale: The major concern about the health-care system in the United States is the quality of care provided. While disease prevention and collaborative care are important aspects, the primary focus of concern is ensuring that the care delivered meets high standards in terms of effectiveness, safety, and patient outcomes. Reduction in hospital-acquired drug-resistant infections, although relevant, is not the primary concern when evaluating the overall quality of healthcare services.
2. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?
- A. Store opened bottles of normal saline in a refrigerator for up to 48 hours.
- B. Return unused supplies from the bedside to the unit's supply stock.
- C. Wait to dispose of sharps containers until they are completely full.
- D. Use clean gloves rather than sterile gloves for colostomy care.
Correct answer: D
Rationale: Using clean gloves rather than sterile gloves for colostomy care is a cost-effective measure without compromising care quality. This choice helps in reducing costs without compromising patient safety. Storing opened bottles of normal saline in a refrigerator for up to 48 hours (Choice A) may lead to contamination risks. Returning unused supplies to the unit's supply stock (Choice B) can be inefficient and lead to potential waste. Waiting to dispose of sharps containers until they are completely full (Choice C) may pose safety hazards and not directly impact cost savings.
3. Rotating injection sites when administering insulin prevents which of the following complications?
- A. Insulin edema
- B. Insulin lipodystrophy
- C. Insulin resistance
- D. Systemic allergic reactions
Correct answer: B
Rationale: Rotating injection sites when administering insulin helps prevent insulin lipodystrophy, which is the abnormal distribution of fat at injection sites. Insulin edema (choice A) is not prevented by rotating injection sites; it is characterized by swelling at the site of insulin injection due to increased capillary permeability. Insulin resistance (choice C) is a condition where the body's cells become less responsive to insulin, and rotating injection sites does not directly prevent this. Systemic allergic reactions (choice D) are not specifically prevented by rotating injection sites; they are related to an allergic response to insulin.
4. Select the ethical principles that are paired with their descriptions. Select the one that does not apply.
- A. Justice: Being honest and fair
- B. Beneficence: Doing good
- C. Veracity: Truthfulness
- D. Self-determination: Facilitating patient choices
Correct answer: C
Rationale: The correct answer is C. Veracity is the principle of truthfulness, not treating all patients equally. Choice A is correct as Justice involves being honest and fair. Choice B is correct as Beneficence is about doing good. Choice D is correct as Self-determination is about respecting and facilitating patient choices.
5. Which of the following is considered an internal disaster?
- A. A patient fall
- B. The massive spread of pneumonia
- C. A computer hacking episode
- D. Unexpected staff absences due to illness
Correct answer: C
Rationale: A computer hacking episode is considered an internal disaster as it disrupts the internal operations of the healthcare facility, compromising data security and potentially impacting patient care. Choices A, B, and D do not directly relate to internal disasters in a healthcare setting. A patient fall is a patient safety issue, the massive spread of pneumonia is a public health concern, and unexpected staff absences due to illness may affect staffing levels but are not typically classified as internal disasters.
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