HESI LPN
Leadership and Management HESI Test Bank
1. Which of the following actions can an individual nurse take to exert leadership in supporting the profession of nursing?
- A. Join a local professional organization.
- B. Talk about healthcare issues to everyone who will listen, including legislators.
- C. Register to vote.
- D. Learn about the healthcare system.
Correct answer: B
Rationale: Engaging in conversations about healthcare issues with a wide audience, including legislators, is a powerful way for a nurse to exert leadership and support the nursing profession. This action helps raise awareness, advocate for nursing-related matters, and contribute to positive changes in healthcare policies. Choice A, joining a local professional organization, is beneficial but may not have the same broad impact as engaging in public discourse. Choice C, registering to vote, is important for civic engagement but does not directly relate to exerting leadership in supporting the nursing profession. Choice D, learning about the healthcare system, is valuable for personal development but does not directly address exerting leadership in supporting the nursing profession.
2. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?
- A. Offer to provide care for his clients while he takes a break
- B. Advise him to complete less time-consuming tasks first
- C. Ask other staff members to take over some of his tasks
- D. Recommend that he take time to plan at the beginning of his shift
Correct answer: D
Rationale: The correct intervention is to recommend that the new nurse takes time to plan at the beginning of his shift. Planning ahead can help improve time management and focus. Option A is not ideal as it does not address the root cause of the issue and may not promote independence. Option B may not be effective if the nurse is struggling with time management in general. Option C involves shifting responsibilities to others without addressing the new nurse's need for improvement in managing his workload, which should be the priority.
3. What is the expected date of delivery for a woman whose last menstrual period was on April 20th?
- A. January 20th
- B. January 27th
- C. January 29th
- D. January 31st
Correct answer: B
Rationale: The expected date of delivery is calculated by adding 9 months and 7 days to the last menstrual period. For April 20th, the expected date is January 27th. Therefore, the correct answer is B. Choice A, January 20th, is incorrect as it does not account for the additional 7 days. Choice C, January 29th, and Choice D, January 31st, are also incorrect as they do not consider the standard calculation method for estimating the due date.
4. Which healthcare-associated infection poses the greatest risk for patients?
- A. Pneumonia
- B. Catheter-related infections
- C. Intravenous line infections
- D. C. difficile
Correct answer: B
Rationale: Catheter-related infections pose the greatest risk for patients in healthcare settings. Catheters are invasive devices that can introduce pathogens directly into the bloodstream, leading to severe infections. Pneumonia, intravenous line infections, and C. difficile infections are serious concerns as well, but catheter-related infections are particularly risky due to the direct access they provide for pathogens to enter the body.
5. 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.
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