HESI LPN
Leadership and Management HESI Test Bank
1. What are the fine, down-like hairs on the newborn's ears, shoulders, lower back, and/or forehead known as?
- A. Vernix.
- B. Lanugo.
- C. Milia.
- D. Vibrissae.
Correct answer: B
Rationale: Lanugo is the term used to describe the fine, down-like hairs found on a newborn's ears, shoulders, lower back, and/or forehead. These hairs are different from vernix, which is a waxy or cheese-like white substance covering the skin of newborns. Milia are small, white, or yellowish cysts that commonly appear on a newborn's face, while vibrissae are the thick, stiff hairs commonly found around the nose and other parts of the face.
2. What is a primary responsibility of a healthcare manager?
- A. Direct patient care
- B. Financial oversight
- C. Ignoring staff concerns
- D. Minimizing staff training
Correct answer: B
Rationale: Financial oversight is a primary responsibility of a healthcare manager. Healthcare managers are responsible for managing the financial aspects of healthcare facilities, including budgeting, financial planning, and ensuring financial sustainability. Direct patient care (choice A) is typically the responsibility of healthcare providers such as doctors and nurses, not managers. Ignoring staff concerns (choice C) is counterproductive and goes against effective management practices. Minimizing staff training (choice D) is also not a responsibility of a healthcare manager; on the contrary, they should ensure adequate training and development opportunities for their staff to improve patient care and overall performance.
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
- A. Social worker
- B. Pharmacist
- C. Respiratory therapist
- D. Child protective services
Correct answer: A
Rationale: The correct answer is A: Social worker. A social worker can assist the parent in finding resources to afford the nebulizer. While a pharmacist may provide information about medications and devices, they may not have direct resources to address financial concerns. A respiratory therapist focuses on respiratory care but may not specialize in financial assistance. Referring to child protective services is not appropriate in this scenario as the parent's inability to afford a nebulizer does not indicate neglect or abuse.
4. What is the main purpose of quality improvement in healthcare?
- A. To increase healthcare costs
- B. To improve patient outcomes
- C. To decrease patient satisfaction
- D. To increase hospital stays
Correct answer: B
Rationale: The main purpose of quality improvement in healthcare is to improve patient outcomes by enhancing the quality and safety of healthcare services. Choice A is incorrect because the goal is not to increase healthcare costs but to optimize resources and provide cost-effective care. Choice C is incorrect as the aim is to increase patient satisfaction through better outcomes. Choice D is incorrect as the objective is to reduce hospital stays by improving care efficiency and effectiveness.
5. What is the role of a nurse in patient education?
- A. Providing patients with necessary information to manage their health
- B. Limiting information to prevent confusion
- C. Using complex medical terminology
- D. Discouraging questions from patients
Correct answer: A
Rationale: The correct answer is A: Providing patients with necessary information to manage their health. Nurses play a crucial role in patient education by offering essential information to help patients understand and manage their health conditions. This empowers patients to make informed decisions about their health and improve their overall well-being. Choices B, C, and D are incorrect. Limiting information would hinder patient understanding and decision-making, using complex medical terminology can confuse patients, and discouraging questions goes against the essence of patient education.
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