which patient is most at risk for osgood schlatter disease

HESI LPN

Leadership and Management HESI Test Bank

1. Which individual is most at risk for Osgood-Schlatter disease?

A. An elderly female who is hospitalized with a hip fracture and on bed rest
B. A middle-aged male patient who has been exposed to asbestos in the shipping industry
C. An adolescent who is physically active and the captain of their soccer team
D. An infant of low birth weight and a gestational age of 28 weeks

Correct answer: C

Rationale: Osgood-Schlatter disease is a condition that commonly affects adolescents who are physically active, especially during growth spurts. It is caused by overuse of the knee, leading to inflammation of the patellar ligament at the tibial tuberosity. The repetitive stress on the growth plate during activities like running and jumping can trigger this condition. Therefore, an adolescent who is physically active and the captain of their soccer team is most at risk for Osgood-Schlatter disease. Choices A, B, and D are not at high risk for this condition as it is primarily seen in active adolescents.

2. What is the role of a nurse in patient education?

A. Providing patients with necessary information to manage their health
B. Limiting information to prevent confusion
C. Using complex medical terminology
D. Discouraging questions from patients

Correct answer: A

Rationale: The correct answer is A: Providing patients with necessary information to manage their health. Nurses play a crucial role in patient education by offering essential information to help patients understand and manage their health conditions. This empowers patients to make informed decisions about their health and improve their overall well-being. Choices B, C, and D are incorrect. Limiting information would hinder patient understanding and decision-making, using complex medical terminology can confuse patients, and discouraging questions goes against the essence of patient education.

3. Which of the following best describes cultural competence in healthcare?

A. Ignoring cultural differences
B. Understanding and respecting cultural differences
C. Enforcing cultural norms
D. Focusing solely on medical knowledge

Correct answer: B

Rationale: Cultural competence in healthcare involves understanding and respecting cultural differences to provide effective and respectful care to patients from diverse backgrounds. Choice A is incorrect as ignoring cultural differences goes against the principles of cultural competence. Choice C is wrong because enforcing cultural norms can be culturally insensitive and may not align with the patient's beliefs. Choice D is also incorrect as cultural competence encompasses more than just medical knowledge, including communication, empathy, and awareness of cultural factors.

4. Nurse Andy has finished teaching a client with diabetes mellitus how to administer insulin. He evaluates the learning has occurred when the client makes which statement?

A. I should check my blood sugar immediately prior to the administration.
B. I should provide direct pressure over the site following the injection.
C. I should use the abdominal area only for insulin injections.
D. I should only use a calibrated insulin syringe for the injections.

Correct answer: D

Rationale: The correct answer is D because using a calibrated insulin syringe is crucial for accurate dosing when administering insulin. Choice A is incorrect because checking blood sugar before administration is essential but not the specific evaluation of learning in this context. Choice B is incorrect as applying direct pressure over the injection site is not a key indicator of learning about insulin administration. Choice C is incorrect as insulin injections can also be administered in other sites like the thigh or arm; it is not limited to the abdominal area.

5. A client is preparing for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client's ring?

A. Agree to keep the ring for the client until after surgery
B. Place the ring in the bag with the client's clothing
C. Tape the ring securely to the client's finger
D. Place the client's ring in the facility safe

Correct answer: D

Rationale: In this scenario, placing the client's ring in the facility safe is the most appropriate procedure. This ensures the ring is kept secure and prevents any risk of loss or damage during the surgery. Agreeing to keep the ring for the client could raise concerns about accountability, while placing it in the bag with the client's clothing might lead to misplacement. Taping the ring securely to the client's finger is not recommended as it may hinder blood circulation or cause discomfort.