HESI LPN
Leadership and Management HESI Quizlet
1. Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of:
- A. 1 in 85 births.
- B. 1 in 5400 births.
- C. 1 in 2700 births.
- D. 1 in 540 births
Correct answer: A
Rationale: The correct answer is A: 1 in 85 births. The rate of twin pregnancies is approximately 1 in 85 births. This means that twins are more common compared to triplets, which occur at a rate of 1 in 8,100 births. Choices B, C, and D are incorrect because they do not reflect the correct frequency of twin pregnancies as stated in the question.
2. Which technique or method is used to determine whether or not the patient has an irregular pulse?
- A. Apical pulse
- B. Inspection
- C. Auscultation
- D. Percussion
Correct answer: A
Rationale: An apical pulse check is used to determine if the patient has an irregular pulse. The apical pulse is located at the point of maximal impulse (PMI) and is assessed using a stethoscope. Choice B, inspection, involves visual examination and is not used to assess pulse irregularities. Choice C, auscultation, involves listening to internal sounds using a stethoscope, which can be used to assess heart sounds but not specifically for pulse irregularities. Choice D, percussion, is a technique used to assess the density of body tissues or detect abnormal masses and is not used to determine pulse irregularities.
3. A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why he can't just take pills instead. What is the best response by the nurse?
- A. Insulin must be injected because it needs to work quickly.
- B. Insulin can't be in a pill because it is destroyed in stomach acid.
- C. Have you talked to your doctor about taking pills instead?
- D. I know it is tough, but you will get used to the shots soon.
Correct answer: B
Rationale: The correct answer is B because insulin cannot be taken orally as it gets destroyed by stomach acid. Choice A is incorrect as the speed of action is not the reason why insulin can't be in pill form. Choice C is incorrect as it doesn't address the nature of insulin. Choice D is incorrect as it doesn't provide a factual reason why insulin can't be in pill form.
4. Your patient has been diagnosed with giant cell arthritis. What medication will this patient most likely be given?
- A. High doses of aspirin
- B. High doses of prednisone
- C. Methotrexate
- D. Albuterol
Correct answer: B
Rationale: High doses of prednisone are commonly prescribed for giant cell arthritis to reduce inflammation. Aspirin is not typically used for this condition. Methotrexate is more commonly used for conditions like rheumatoid arthritis, not giant cell arthritis. Albuterol is a bronchodilator used for respiratory conditions, not for giant cell arthritis.
5. What is a primary responsibility of a healthcare manager?
- A. Direct patient care
- B. Financial oversight
- C. Ignoring staff concerns
- D. Minimizing staff training
Correct answer: B
Rationale: Financial oversight is a primary responsibility of a healthcare manager. Healthcare managers are responsible for managing the financial aspects of healthcare facilities, including budgeting, financial planning, and ensuring financial sustainability. Direct patient care (choice A) is typically the responsibility of healthcare providers such as doctors and nurses, not managers. Ignoring staff concerns (choice C) is counterproductive and goes against effective management practices. Minimizing staff training (choice D) is also not a responsibility of a healthcare manager; on the contrary, they should ensure adequate training and development opportunities for their staff to improve patient care and overall performance.
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