HESI LPN
Leadership and Management HESI Test Bank
1. Select the cranial nerve that is accurately paired with its name.
- A. The fourth cranial nerve: The trochlear nerve
- B. The twelfth cranial nerve: The hypoglossal nerve
- C. The tenth cranial nerve: The olfactory nerve
- D. The thirteenth cranial nerve: The auditory nerve
Correct answer: B
Rationale: The twelfth cranial nerve is the hypoglossal nerve, which controls the muscles of the tongue. The other choices are incorrect because the trochlear nerve is the fourth cranial nerve responsible for eye movement, the olfactory nerve is the first cranial nerve responsible for the sense of smell, and there are only twelve cranial nerves, so there is no thirteenth cranial nerve.
2. A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
- A. The client's health care provider
- B. A collaborative, user-edited website
- C. The facility's case manager
- D. An evidence-based nursing journal
Correct answer: D
Rationale: An evidence-based nursing journal is the correct choice for the nurse to obtain information about the prevalence of Tay-Sachs disease. These journals contain peer-reviewed research and studies conducted by experts in the field, providing accurate and reliable information. Choice A, the client's health care provider, may have general information but may not provide detailed prevalence data. Choice B, a collaborative, user-edited website, is not a reliable source as the information may be inaccurate or outdated. Choice C, the facility's case manager, is unlikely to have specific prevalence data on Tay-Sachs disease.
3. A nurse is reviewing laboratory results and notes that a client's serum sodium level is 150 mEq/L. The nurse reports the serum sodium level to the physician, and the physician prescribes dietary instructions based on the sodium level. Which food item should the nurse instruct the client to avoid?
- A. Peas
- B. Cauliflower
- C. Low-fat yogurt
- D. Processed oat cereals
Correct answer: D
Rationale: The correct answer is processed oat cereals. Processed oat cereals are often high in sodium content, which should be avoided in cases of hypernatremia. Peas, cauliflower, and low-fat yogurt are generally low in sodium and are not typically contraindicated in hypernatremia. Therefore, choices A, B, and C are incorrect.
4. Which of the following is the best way for a nurse to improve quality of care?
- A. Recognize that physicians are among the health-care professionals interested in improving quality of care.
- B. Work with patients and families to improve healthcare.
- C. Collaborate with other health-care professionals, patients, and their families.
- D. Recognize that physicians are among the numerous professionals in health care.
Correct answer: C
Rationale: The best way for a nurse to improve the quality of care is by collaborating with other health-care professionals, patients, and their families. By working together with the healthcare team, patients, and families, nurses can ensure a holistic approach to care delivery, leading to better outcomes. Choices A and D are incorrect as they focus solely on physicians, while choice B, though important, does not fully encompass the collaborative aspect necessary for comprehensive care.
5. Your patient has been diagnosed with orchiditis. What information about this disorder should you inform the patient about?
- A. This disorder often occurs as a result of streptococcus.
- B. This disorder can be symptomatically treated with ice.
- C. This disorder can be symptomatically treated with heat.
- D. This disorder is typically treated with surgery.
Correct answer: B
Rationale: Orchiditis can be symptomatically treated with ice to reduce inflammation. Choice A is incorrect because orchiditis is not typically caused by streptococcus. Choice C is incorrect as heat is not the recommended treatment for orchiditis. Choice D is also incorrect as surgery is not the first-line treatment for orchiditis.
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