HESI LPN
HESI Leadership and Management Test Bank
1. 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.
2. Which patient is exercising their right to autonomy in the context of patient rights?
- A. An 86-year-old female who remains independent in terms of the activities of daily living.
- B. An unemancipated 16-year-old who chooses to not have an intravenous line.
- C. A 32-year-old who does not need the help of the nurse to bathe and groom themselves.
- D. A 99-year-old who wants CPR despite the fact that the nurse and doctor do not think that it would be successful.
Correct answer: D
Rationale: The correct answer is D. A 99-year-old exercising their right to autonomy in the context of patient rights by choosing CPR. Autonomy in healthcare refers to the patient's right to make their own decisions about their care, even if healthcare providers may disagree. In this scenario, the 99-year-old patient is exercising autonomy by making an informed choice about their medical treatment, despite healthcare professionals having a different opinion. Choices A, B, and C do not directly demonstrate the exercise of autonomy in decision-making regarding medical treatment, making them incorrect.
3. Which of the following is an example of a chronic disease?
- A. Common cold
- B. Influenza
- C. Diabetes
- D. Food poisoning
Correct answer: C
Rationale: Diabetes is classified as a chronic disease because it is a long-term condition that requires ongoing management. Choices A, B, and D, which are the common cold, influenza, and food poisoning, are acute illnesses that typically resolve on their own without long-lasting implications.
4. Which of the following joints normally allows 360-degree circumflexion?
- A. The knee
- B. The shoulder
- C. The elbow
- D. The fingertips
Correct answer: B
Rationale: The correct answer is B: The shoulder. The shoulder joint is a ball-and-socket joint that allows for a wide range of motion, including 360-degree circumflexion. This joint provides flexibility and mobility in various directions. Choice A, the knee joint, primarily allows flexion and extension but does not have a 360-degree circumflexion. Choice C, the elbow joint, is a hinge joint that permits flexion and extension but not circumflexion. Choice D, the fingertips, do not form a specific joint that allows circumflexion; rather, they have joints that enable bending and straightening movements.
5. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is:
- A. 8 to 12 months of age.
- B. 20 to 24 months of age.
- C. 16 to 20 months of age.
- D. 12 to 16 months of age.
Correct answer: A
Rationale: The correct answer is A: 8 to 12 months of age. Surgical correction for a cleft palate is typically performed around this age to optimize speech development and prevent feeding difficulties. Options B, C, and D suggest later ages for surgery, which may lead to speech and feeding issues due to the delay in correction.
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