HESI LPN
Leadership and Management HESI Test Bank
1. A client is preparing for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client's ring?
- A. Agree to keep the ring for the client until after surgery
- B. Place the ring in the bag with the client's clothing
- C. Tape the ring securely to the client's finger
- D. Place the client's ring in the facility safe
Correct answer: D
Rationale: In this scenario, placing the client's ring in the facility safe is the most appropriate procedure. This ensures the ring is kept secure and prevents any risk of loss or damage during the surgery. Agreeing to keep the ring for the client could raise concerns about accountability, while placing it in the bag with the client's clothing might lead to misplacement. Taping the ring securely to the client's finger is not recommended as it may hinder blood circulation or cause discomfort.
2. Which of the following is something a new model for health care in the future should include?
- A. Community-centered care
- B. Care that encourages a healthy environment
- C. Accessible care that is affordable for most
- D. A focus on local health concerns
Correct answer: B
Rationale: The correct answer is B because a new model for health care in the future should focus on promoting a healthy environment. This includes initiatives such as green buildings and reducing pollution to improve overall health outcomes. Choice A, community-centered care, is important but not the primary focus when considering the future of healthcare. Choice C, accessible and affordable care, is crucial but does not directly address the need for a healthy environment. Choice D, a focus on local health concerns, is relevant but not as comprehensive as promoting a healthy environment in shaping the future of healthcare.
3. What is the main purpose of quality improvement in healthcare?
- A. To increase healthcare costs
- B. To improve patient outcomes
- C. To decrease patient satisfaction
- D. To increase hospital stays
Correct answer: B
Rationale: The main purpose of quality improvement in healthcare is to improve patient outcomes by enhancing the quality and safety of healthcare services. Choice A is incorrect because the goal is not to increase healthcare costs but to optimize resources and provide cost-effective care. Choice C is incorrect as the aim is to increase patient satisfaction through better outcomes. Choice D is incorrect as the objective is to reduce hospital stays by improving care efficiency and effectiveness.
4. Your client has a doctor's order that reads 'advance diet as tolerated'. This client has returned from the recovery room after an appendectomy and he states, 'I am hungry'. What would you offer this client to consume?
- A. Cheese and crackers
- B. Apple sauce
- C. Chicken broth
- D. A peanut butter sandwich
Correct answer: C
Rationale: Chicken broth is a suitable option for a post-appendectomy patient beginning to tolerate oral intake. It is clear liquid and easily digestible, making it a gentle choice for someone who has just returned from surgery. Cheese and crackers, apple sauce, and a peanut butter sandwich are not ideal options for an individual who needs to start with a light and easily digestible diet.
5. Who is credited with the stages of cognitive development?
- A. Erikson
- B. Piaget
- C. Freud
- D. Lister
Correct answer: B
Rationale: Piaget is indeed credited with the stages of cognitive development. Jean Piaget, a renowned psychologist, proposed a theory of cognitive development that outlines distinct stages through which children develop intellectually. Erikson, Freud, and Lister are not associated with the stages of cognitive development. Erikson is known for his psychosocial stages, Freud for psychosexual stages, and Lister for contributions to the field of medicine.
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