select the criteria that is accurately paired with its indication of birth weight or gestational age

HESI LPN

HESI Leadership and Management Quizlet

1. 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.

2. Which of the following chronic complications is associated with diabetes?

A. Dizziness, dyspnea on exertion, and coronary artery disease.
B. Retinopathy, neuropathy, and coronary artery disease.
C. Leg ulcers, cerebral ischemic events, and pulmonary infarcts.
D. Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias.

Correct answer: B

Rationale: The correct answer is B. Diabetes is associated with chronic complications such as retinopathy, neuropathy, and coronary artery disease. Choice A includes symptoms rather than chronic complications of diabetes. Choice C lists conditions not typically associated with diabetes. Choice D describes symptoms that may occur in various medical conditions but are not specific chronic complications of diabetes.

3. Who should document care?

A. The LPNs should document the care that they provided and the care that was given by unlicensed assistive staff.
B. The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
C. All staff members should document all of the care that they have provided.
D. All staff should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it.

Correct answer: C

Rationale: All staff members should document the care they provided as part of their accountability and to ensure accurate and comprehensive records. In healthcare settings, it is essential for all staff to document the care they deliver for continuity of care and legal purposes. The registered nurse may sign off on the documentation for oversight purposes, but the responsibility of documenting care extends to all staff involved in patient care. Choices A and B incorrectly limit the responsibility to specific roles, while choice D inaccurately suggests that only the registered nurse signs off on the documentation, overlooking the importance of comprehensive documentation by all staff members involved.

4. In developing a disaster management plan for a hospital, which resource should be the highest priority to have available in response to a bioterrorism event?

A. A mental health specialist on the response team
B. A sufficient supply of PPE
C. A system for tracking client information
D. A network for communication between staff members and families

Correct answer: B

Rationale: During a bioterrorism event, the highest priority resource to have available is a sufficient supply of personal protective equipment (PPE). PPE is crucial in protecting healthcare workers and other responders from exposure to biological agents. While mental health support, client information tracking systems, and communication networks are important components of disaster management, in the context of a bioterrorism event, ensuring the safety of staff through adequate PPE takes precedence over other resources.

5. A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

A. Transport the client to the operating room without verifying informed consent
B. Ask the anesthesiologist to sign the consent
C. Obtain telephone consent from the facility administrator before the surgery
D. Delay the surgery until the nurse can obtain informed consent

Correct answer: A

Rationale: In emergency situations where a client is unconscious and requires immediate surgery, implied consent applies. Implied consent allows healthcare providers, including nurses, to proceed with necessary treatment or surgery without formally verifying informed consent. Choice A is correct because the priority in this scenario is to ensure the client receives timely medical intervention to address life-threatening conditions. Choices B, C, and D are incorrect because in emergencies, waiting to obtain formal consent can delay critical treatment, risking the client's health and well-being.