HESI LPN
Leadership and Management HESI Test Bank
1. Which of the following is a nursing issue of concern today?
- A. Safe staffing
- B. Low workloads
- C. Increasing professional autonomy
- D. Improving salaries
Correct answer: A
Rationale: The correct answer is A: Safe staffing. Safe staffing is a critical issue in nursing today due to its impact on patient outcomes and nurse well-being. While low workloads (choice B) may seem beneficial, they can also indicate understaffing, leading to burnout and compromising patient care. Increasing professional autonomy (choice C) is generally viewed positively as it empowers nurses, and improving salaries (choice D) is important but may not directly address patient safety concerns related to staffing levels.
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. Which of the following strategies can help improve patient adherence to treatment plans?
- A. Providing clear and understandable instructions
- B. Using medical jargon
- C. Limiting patient education
- D. Ignoring patient feedback
Correct answer: A
Rationale: Providing clear and understandable instructions can help improve patient adherence to treatment plans. Clear instructions help patients better understand their treatment plans, leading to increased compliance. Choices B, C, and D are incorrect. Using medical jargon can confuse patients and reduce adherence. Limiting patient education deprives patients of essential information needed for adherence. Ignoring patient feedback can lead to misunderstandings and hinder the patient's commitment to the treatment plan.
4. 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.
5. 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.
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