HESI LPN
Leadership and Management HESI Quizlet
1. Which of the following changes was enacted by the Patient Protection and Affordable Care Act?
- A. Creation of national health insurance exchanges for affordable insurance coverage
- B. Expansion of school-based health centers
- C. Free preventative services for all
- D. Medically managed clinics eligible for federal funding
Correct answer: B
Rationale: The correct answer is B. The Patient Protection and Affordable Care Act expanded school-based health centers to provide additional healthcare services to students. Choice A is incorrect because the creation of national health insurance exchanges was a key provision of the Affordable Care Act, but it was not the only change enacted by the legislation. Choice C is incorrect as while the Affordable Care Act did include provisions for free preventative services for certain groups, it was not applicable to all individuals. Choice D is incorrect as the Act did not specifically address medically managed clinics eligible for federal funding.
2. When documenting information in a client's medical record, what should the nurse do?
- A. Cross out errors with a single line and initial them
- B. Use a black ink pen
- C. Leave one line blank before each new entry
- D. End each entry with the nurse's signature and title
Correct answer: D
Rationale: When documenting information in a client's medical record, the nurse should end each entry with their signature and title. This practice is crucial for legal and professional standards compliance as it ensures that the documentation is attributable to the responsible individual. Choices A, B, and C are incorrect because while crossing out errors, using a black ink pen, and leaving a blank line before each entry are good practices, they are not as critical as ensuring each entry is signed and titled by the nurse for accountability and traceability.
3. A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.
- A. habit
- B. social interaction
- C. emotional turmoil
- D. negative association
Correct answer: D
Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.
4. The caregiver is teaching parents about accidental poisoning in children. Which point should be emphasized?
- A. Call the Poison Control Center as soon as the situation is identified
- B. Empty the child's mouth in any case of possible poisoning
- C. Have the child move minimally if a toxic substance was inhaled
- D. Do not induce vomiting if the poison is a hydrocarbon
Correct answer: B
Rationale: The correct answer is to emphasize emptying the child's mouth in any case of possible poisoning. This action is crucial to prevent further ingestion of the poisonous substance. Choice A is incorrect because calling the Poison Control Center should be one of the first steps, not waiting until the situation is identified. Choice C is incorrect as moving the child may spread or exacerbate the effects of the toxic substance. Choice D is incorrect because inducing vomiting can be harmful if the poison is a hydrocarbon, as it may lead to aspiration.
5. A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to:
- A. A social worker from the local hospital
- B. An occupational therapist from the community center
- C. A physical therapist from the rehabilitation agency
- D. Another client with diabetes mellitus who takes insulin
Correct answer: B
Rationale: An occupational therapist is the most appropriate professional to refer the client to in this situation. Occupational therapists can provide assistance with techniques and tools to help the client manage insulin administration despite arthritis. Referring the client to a social worker (Choice A) may not directly address the client's difficulty with insulin. While physical therapists (Choice C) focus on mobility and strength, they may not specialize in techniques for insulin administration. Referring the client to another client with diabetes (Choice D) is not a professional or appropriate solution to address the client's difficulty.