HESI LPN
HESI Leadership and Management Test Bank
1. How many calories per kilogram does an average full-term infant require when the infant is around 1-2 months old?
- A. 140 calories per kilogram per day
- B. 120 calories per kilogram per day
- C. 100 calories per kilogram per day
- D. 160 calories per kilogram per day
Correct answer: B
Rationale: An average full-term infant requires about 120 calories per kilogram per day at 1-2 months old. This amount is essential for their growth and development during this critical stage. Choices A, C, and D are incorrect as they provide calorie amounts that are either too high or too low for an average full-term infant at 1-2 months old, which could potentially lead to health issues or inadequate nutrition.
2. Which of the following is the best argument for lower patient-to-nurse ratio?
- A. The more patients a nurse has, the better the nurse will be at catching early warning signs.
- B. Greater patient-to-nurse ratios decrease patient mortality.
- C. Adequate nurse levels do not impact the prevalence of urinary tract infections.
- D. Community nursing ratios do not impact Methicillin-resistant Staphylococcus aureus (MRSA) rates.
Correct answer: B
Rationale: The best argument for lower patient-to-nurse ratios is that they decrease patient mortality. Choice A is incorrect because having more patients can lead to increased workload and decreased attention per patient. Choice C is incorrect as adequate nurse levels can indeed impact the prevalence of infections. Choice D is incorrect as community nursing ratios can impact MRSA rates due to potential transmission risks in healthcare settings.
3. Your pediatric patient weighs 15.8 kg. How many pounds does this child weigh?
- A. 36 pounds
- B. 33.6 pounds
- C. 35 pounds
- D. 34.8 pounds
Correct answer: D
Rationale: To convert 15.8 kg to pounds, you multiply by the conversion factor of 2.20462. So, 15.8 kg * 2.20462 = 34.8 pounds. Therefore, the child weighs 34.8 pounds. Choice A is incorrect as it is higher than the correct answer. Choice B is incorrect as it is lower than the correct answer. Choice C is incorrect as it rounds down the conversion result, leading to an inaccurate weight measurement.
4. Which of the following is true regarding the Affordable Care Act?
- A. The Affordable Care Act addressed issues of interest to nursing without controversy.
- B. The Affordable Care Act addressed issues of mandatory overtime, incivility, and high workloads for nurses.
- C. The Affordable Care Act provided a new patient-centered model for health care.
- D. The Affordable Care Act attempted to address many of the issues of interest to nursing, but came with much controversy.
Correct answer: D
Rationale: The correct answer is D. The Affordable Care Act attempted to address many issues relevant to nursing, such as mandatory overtime, incivility, and high workloads, but it faced significant controversy. Choice A is incorrect as the act did not address nursing issues without controversy. Choice B is incorrect as it inaccurately lists the issues the act addressed. Choice C is incorrect as it does not fully capture the controversy surrounding the Affordable Care Act.
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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