HESI LPN
HESI Leadership and Management Test Bank
1. Which of the following is a key benefit of interprofessional collaboration in healthcare?
- A. Increased professional isolation
- B. Improved patient outcomes
- C. Reduced need for communication
- D. Longer treatment times
Correct answer: B
Rationale: Improved patient outcomes are a key benefit of interprofessional collaboration in healthcare. Collaboration among healthcare professionals leads to better coordination of care, reduced medical errors, and improved overall patient satisfaction. The other choices are incorrect because interprofessional collaboration aims to decrease professional isolation, enhance communication among team members, and streamline treatment processes to reduce time spent on patient care.
2. Select a myth or falsehood relating to pain, pain management, and addiction.
- A. Addiction can be accurately predicted.
- B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
- C. Pain medications should be avoided in patients with a substance abuse history.
- D. Addiction is signaled by deception and stockpiling by the client.
Correct answer: A
Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.
3. A nurse enters the hallway and discovers a visitor looking at a client's medical information on a computer. Which of the following actions should the nurse take first?
- A. Inform the care nurse that a visitor viewed a client's protected health information.
- B. Close the documentation program on the computer.
- C. Inform the visitor that the client's records are confidential.
- D. Find out which staff member left the documentation program on the screen.
Correct answer: B
Rationale: The correct first action for the nurse to take is to close the documentation program on the computer to prevent further unauthorized access to the client's medical information. Choice A is incorrect because the immediate concern is to secure the information first. Choice C, while important, can be addressed after securing the information. Choice D, finding out which staff member left the program open, is not the immediate priority when patient confidentiality is at risk.
4. Who is credited with the stages of cognitive development?
- A. Erikson
- B. Piaget
- C. Freud
- D. Lister
Correct answer: B
Rationale: Piaget is indeed credited with the stages of cognitive development. Jean Piaget, a renowned psychologist, proposed a theory of cognitive development that outlines distinct stages through which children develop intellectually. Erikson, Freud, and Lister are not associated with the stages of cognitive development. Erikson is known for his psychosocial stages, Freud for psychosexual stages, and Lister for contributions to the field of medicine.
5. Your patient has a blood potassium level of 9.2 mEq/L. What intervention should you anticipate for this patient?
- A. Intravenous potassium supplementation
- B. Intravenous calcium supplementation
- C. Kidney dialysis
- D. Parenteral nutrition
Correct answer: C
Rationale: The correct answer is C: Kidney dialysis. A blood potassium level of 9.2 mEq/L indicates severe hyperkalemia, which can be life-threatening. Kidney dialysis is the most appropriate intervention to rapidly lower potassium levels in this situation. Choice A, intravenous potassium supplementation, would worsen the hyperkalemia. Choice B, intravenous calcium supplementation, is not the primary intervention for hyperkalemia. Choice D, parenteral nutrition, is unrelated to treating hyperkalemia and would not address the immediate concern.
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