HESI LPN
Leadership and Management HESI Quizlet
1. A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take?
- A. Make a copy of the incident report for personal records
- B. Identify the medication name and dosage administered to the client in the report
- C. Obtain an order from the client's provider to complete the report
- D. Include the time the medication error occurred in the report
Correct answer: B
Rationale: The correct answer is to identify the medication name and dosage administered to the client in the incident report. This information is crucial for accurate documentation and investigation of the medication error. Choice A is incorrect because incident reports are usually kept confidential and not for personal keeping. Choice C is incorrect as obtaining an order from the client's provider is not necessary to complete an incident report. Choice D, while important, is not the only essential information needed for the incident report.
2. Select the criteria that is accurately paired with its indication of birth weight or gestational age.
- A. Low birth weight: The neonate's weight is less than 1,500 g at the time of delivery.
- B. Appropriate for gestational age: The neonate's weight ranges from the 10th to the 90th percentile.
- C. Large for gestational age: The neonate's weight is above the 99th percentile.
- D. Small for gestational age: The neonate's weight is below the 20th percentile.
Correct answer: B
Rationale: Appropriate for gestational age (AGA) indicates a neonate's weight ranging from the 10th to the 90th percentile. This range signifies that the baby's weight is within the normal range for their gestational age. Choices A, C, and D provide inaccurate information about the criteria and do not correctly correspond to the indicated birth weight or gestational age. Low birth weight typically refers to a weight below 2,500 g, large for gestational age above the 90th percentile, and small for gestational age below the 10th percentile.
3. You are performing a neurological assessment of your adolescent patient. The patient has the Moro reflex. How should you interpret this neurological assessment finding?
- A. It is normal among adolescents.
- B. It indicates that the patient has an intact peripheral nervous system.
- C. It indicates that the patient has an intact central nervous system.
- D. It is not a normal finding.
Correct answer: D
Rationale: The Moro reflex, also known as the startle reflex, is typically present in infants up to around 4-6 months of age and is characterized by the infant's response to a sudden loss of support or loud noise. It is not a normal finding in adolescents or older individuals. Therefore, if an adolescent patient exhibits the Moro reflex during a neurological assessment, it is considered abnormal and warrants further evaluation. Choices A, B, and C are incorrect because the Moro reflex is not expected or normal among adolescents and does not specifically indicate the status of either the peripheral or central nervous system in this age group.
4. Which of the following is an important aspect of healthcare leadership?
- A. Authoritarian decision-making
- B. Collaborative teamwork
- C. Limiting staff input
- D. Focusing only on financial outcomes
Correct answer: B
Rationale: Collaborative teamwork is indeed an important aspect of healthcare leadership. In the healthcare field, effective leadership often involves working collaboratively with a team of diverse professionals to provide the best possible care for patients. This approach encourages communication, shared decision-making, and leveraging the expertise of each team member to achieve optimal outcomes. Choices A, C, and D are not ideal aspects of healthcare leadership. Authoritarian decision-making can hinder team morale and creativity, limiting staff input diminishes the value of diverse perspectives, and focusing only on financial outcomes may compromise patient care and staff well-being.
5. What is the primary focus of primary healthcare?
- A. Emergency care
- B. Preventive care
- C. Specialized treatment
- D. Hospital-based services
Correct answer: B
Rationale: The correct answer is B: Preventive care. Primary healthcare emphasizes preventive care, which includes promoting overall health, preventing diseases, and providing early intervention to avoid the progression of illnesses. Emergency care (choice A) is focused on immediate medical attention for urgent health situations but is not the primary focus of primary healthcare. Specialized treatment (choice C) refers to care provided by specialists for specific health conditions, which is not the main focus of primary healthcare. Hospital-based services (choice D) involve inpatient care provided in a hospital setting, which is not the primary focus of primary healthcare that aims to provide comprehensive and accessible care at the community level.
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