HESI LPN
Leadership and Management HESI Test Bank
1. Jansen is receiving metformin (Glucophage). What will be the best plan of the nurse with regard to patient education with this drug? Select one that does not apply.
- A. It stimulates the pancreas to produce more insulin.
- B. It must be taken after meals.
- C. It decreases sugar production in the liver.
- D. It inhibits absorption of carbohydrates.
Correct answer: A
Rationale: The correct choice that does not apply is A. Metformin does not stimulate the pancreas to produce more insulin; instead, it works by decreasing sugar production in the liver, inhibiting carbohydrate absorption, and reducing insulin resistance. It is recommended to take metformin with meals to reduce gastrointestinal side effects. Option B is incorrect as metformin is usually taken with meals. Option D is also incorrect as metformin does not inhibit the absorption of carbohydrates.
2. 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.
3. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?
- A. I will ask your mother's primary care provider to speak with you
- B. What would you like to know about your mother's treatment?
- C. I cannot provide this information to you without your mother's consent
- D. You will have to speak directly to your mother about her treatment
Correct answer: C
Rationale: The nurse should not provide treatment information without the client's consent.
4. A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the service?
- A. A nurse can disclose information to a family member with the client's permission
- B. A nurse can apply restraints on an as-needed basis
- C. A nurse can administer medications without consent to a client as part of a research study
- D. A nurse is responsible for informing clients about treatment options
Correct answer: A
Rationale: The correct statement to include in the in-service about client rights is that a nurse can disclose information to a family member with the client's permission. This respects the client's autonomy and privacy. Choice B is incorrect because restraints should only be applied based on a specific assessment and order, not on an as-needed basis. Choice C is incorrect as administering medications without consent is a violation of ethical principles and legal standards. Choice D is incorrect because while nurses should educate clients about treatment options, the ultimate decision lies with the client after being informed.
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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