HESI RN
Leadership HESI
1. Which of the following statements is true regarding followership and leadership?
- A. Effective leadership is more important than followership.
- B. Good leaders do not need to be good followers.
- C. A good follower is not just skilled but also self-directed.
- D. Critical thinking is only required for effective leadership.
Correct answer: C
Rationale: The correct answer is C: 'A good follower is not just skilled but also self-directed.' This statement is true as being self-directed complements effective leadership. Good followers possess the ability to take initiative, work independently, and contribute positively to a team without constant supervision. Option A is incorrect because followership is equally important as leadership in achieving group success. Option B is incorrect as good leaders often demonstrate qualities of good followership, such as being able to listen, collaborate, and support others. Option D is incorrect because critical thinking is essential for both effective leadership and followership, not exclusively for leadership roles.
2. A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
- A. 2-4 hours after administration
- B. 6-14 hours after administration
- C. 16-18 hours after administration
- D. 18-24 hours after administration
Correct answer: B
Rationale: The correct answer is B: 6-14 hours after administration. NPH insulin has an onset of action within 1-2 hours, a peak action at 6-14 hours, and a duration of action of 16-24 hours. The peak action period, which is when the risk of hypoglycemia is highest, falls between 6-14 hours after administration. Choices A, C, and D are incorrect because they do not align with the typical action profile of NPH insulin.
3. A client with DM asks a nurse why it is necessary to rotate injection sites when using an insulin pen. The nurse's best response would be:
- A. To prevent scar tissue from forming under the skin.
- B. To make the injections less painful.
- C. To help the insulin absorb better.
- D. To keep the skin looking healthy.
Correct answer: C
Rationale: The correct answer is C: "To help the insulin absorb better." Rotating injection sites is important as it helps to ensure better insulin absorption and reduces the risk of developing lipodystrophy. Option A is incorrect as rotating sites primarily aims to optimize insulin absorption, not prevent scar tissue. Option B is inaccurate because rotating injection sites does not necessarily make the injections less painful. Option D is incorrect as the primary reason for rotating injection sites is not related to the aesthetics of the skin but rather to enhance insulin absorption and prevent complications.
4. A new unit manager works hard to get to know each of the staff members on the unit and determine what each staff member needs in order to effectively do their job. What type of management best describes this manager?
- A. Servant leader-style manager
- B. Networking manager
- C. Coaching manager
- D. Monitoring manager
Correct answer: A
Rationale: A Servant leader-style manager focuses on understanding and meeting the needs of staff members to help them grow and perform at their best. This type of manager prioritizes serving the team and facilitating their development. Networking managers focus on building connections and relationships outside the team. Coaching managers provide guidance, support, and feedback to help employees improve. Monitoring managers primarily oversee and supervise tasks without a strong emphasis on individual needs or growth.
5. A client with hypothyroidism is at risk for which of the following complications?
- A. Thyroid storm
- B. Myxedema coma
- C. Cushing's syndrome
- D. Diabetic ketoacidosis
Correct answer: B
Rationale: Myxedema coma is a severe, life-threatening complication that can occur in individuals with untreated or inadequately treated hypothyroidism. It is characterized by extreme hypothyroidism leading to decreased mental status, hypothermia, bradycardia, and respiratory depression. Thyroid storm (Choice A) is a severe complication of hyperthyroidism, not hypothyroidism. Cushing's syndrome (Choice C) results from prolonged exposure to high levels of cortisol, not related to hypothyroidism. Diabetic ketoacidosis (Choice D) is a complication of uncontrolled diabetes, not directly associated with hypothyroidism.
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