a nurse is preparing a client for surgery the client has signed the consent form but tells the nurse that she has reconsidered because she is worried

HESI LPN

HESI Leadership and Management Test Bank

1. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

A. If you have the procedure now, you won't have to deal with pain and disability later.
B. You'll be fine. You'll receive a prescription for pain medication.
C. Why didn't you discuss your concerns with your provider?
D. I understand and it's not too late to change your mind.

Correct answer: D

Rationale: The appropriate response acknowledges the client's concern and confirms that they have the right to change their mind.

2. Low birth weight is defined as a newborn's weight of:

A. 2500 grams or less at birth, regardless of gestational age.
B. 1500 grams or less at birth, regardless of gestational age.
C. 2500 grams or less at birth, according to gestational age.
D. 1500 grams or less at birth, according to gestational age.

Correct answer: A

Rationale: Low birth weight is defined as 2500 grams or less at birth, regardless of gestational age. This means that any newborn weighing 2500 grams or less is considered to have a low birth weight, irrespective of how many weeks they were in the womb. Choices B, C, and D are incorrect because they specify a weight of 1500 grams or less, which is not the standard definition of low birth weight. The correct definition is 2500 grams or less, not influenced by gestational age.

3. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

A. Discuss time management strategies with the nurses
B. Provide coverage for the nurses' breaks
C. Determine the reasons the nurses are not taking scheduled breaks
D. Review policies for taking scheduled breaks

Correct answer: C

Rationale: The correct answer is to determine the reasons the nurses are not taking scheduled breaks. This action is crucial as it allows the charge nurse to understand the underlying causes for the behavior. By identifying the reasons, the nurse can then address the root of the issue effectively. Option A is incorrect because discussing time management strategies may not address the specific reasons for not taking breaks. Option B is incorrect as providing coverage for breaks does not address the underlying cause of the issue. Option D is also incorrect as reviewing policies should come after understanding the reasons for the behavior.

4. A nurse on a med-surg unit is caring for a group of clients with the assistance of an LPN and an AP. Which of the following tasks should the nurse assign to the LPN?

A. Reinforce dietary teaching with a client who has heart disease.
B. Obtaining a urine specimen from an older adult client
C. Providing postmortem care for a client who has just died.
D. Accompanying a client who just had a wound debridement to PT.

Correct answer: A

Rationale: The correct answer is to reinforce dietary teaching with a client who has heart disease. This task falls within the LPN's scope of practice as they can provide education and support related to nutrition. Obtaining a urine specimen (Choice B) is typically performed by nursing assistants. Providing postmortem care (Choice C) is a sensitive task usually performed by registered nurses. Accompanying a client to physical therapy (Choice D) is often done by nursing assistants or other supportive staff.

5. Select a myth or falsehood relating to pain, pain management, and addiction.

A. Addiction can be accurately predicted.
B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
C. Pain medications should be avoided in patients with a substance abuse history.
D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.