HESI RN
Leadership HESI
1. A psychological contract exists between staff members and nurse managers. Which of the following best describes this relationship?
- A. Nurse managers provide positive evaluations, and in turn, staff members do what managers ask of them.
- B. Nurse managers coordinate multiple departments and supervise multiple staff members.
- C. Staff members do what managers ask of them and, in turn, are rewarded through assignments, promotions, and evaluations.
- D. Nurse managers advocate for staff and support nursing roles and ethical practice.
Correct answer: C
Rationale: The correct answer is C. In a psychological contract between staff members and nurse managers, staff members are expected to fulfill the requests of managers, and in return, they are rewarded with assignments, promotions, and evaluations. This reciprocal relationship forms the basis of the psychological contract. Choices A, B, and D are incorrect because they do not accurately capture the essence of the psychological contract. While nurse managers may provide positive evaluations, coordinate departments, supervise staff, advocate for staff, and support nursing roles, these actions alone do not define the specific reciprocal nature of the psychological contract outlined in choice C.
2. Which of the following clinical findings would be most concerning in a client with hypothyroidism?
- A. Bradycardia
- B. Dry skin
- C. Constipation
- D. Depression
Correct answer: A
Rationale: Bradycardia in a client with hypothyroidism is the most concerning finding as it may indicate severe hypothyroidism, leading to decreased heart rate. Bradycardia can be a sign of myxedema coma, a life-threatening condition that requires immediate medical attention. Dry skin, constipation, and depression are common symptoms associated with hypothyroidism but are not as acutely concerning as bradycardia.
3. The nurse is preparing to administer NPH insulin to a client. The nurse should administer the insulin at which site for the best absorption?
- A. The deltoid muscle
- B. The anterior thigh
- C. The abdomen
- D. The gluteal muscle
Correct answer: C
Rationale: The abdomen is the preferred site for insulin injection due to its consistent absorption rate. Insulin injected into the abdomen is absorbed more consistently and predictably than in other sites. The deltoid muscle and the anterior thigh are not recommended for insulin injections due to inconsistent absorption rates. The gluteal muscle is avoided for insulin injections due to the risk of hitting the sciatic nerve or causing discomfort to the client.
4. A client with hyperthyroidism is prescribed methimazole. The nurse should instruct the client that the purpose of this medication is to:
- A. Decrease thyroid hormone production
- B. Increase thyroid hormone production
- C. Suppress the immune system
- D. Prevent thyroid storm
Correct answer: A
Rationale: The correct answer is A: Decrease thyroid hormone production. Methimazole works by inhibiting the synthesis of thyroid hormones, specifically by blocking the enzyme responsible for this process. By reducing the production of thyroid hormones, methimazole helps to normalize the elevated levels seen in hyperthyroidism. Choices B, C, and D are incorrect. Choice B, 'Increase thyroid hormone production,' is inaccurate as methimazole actually decreases thyroid hormone production. Choice C, 'Suppress the immune system,' is unrelated to the mechanism of action of methimazole. Choice D, 'Prevent thyroid storm,' is not the primary purpose of methimazole; while it may help prevent worsening of hyperthyroidism, its main action is to reduce thyroid hormone levels.
5. The nurse is caring for a client with hyperaldosteronism. Which of the following laboratory results would the nurse expect?
- A. Hypokalemia
- B. Hypernatremia
- C. Hyperkalemia
- D. Hypocalcemia
Correct answer: A
Rationale: In hyperaldosteronism, there is an excess of aldosterone production, leading to increased sodium retention and potassium excretion by the kidneys. This results in hypokalemia (low potassium levels). Therefore, the correct answer is hypokalemia (Choice A). Hypernatremia (Choice B) is an incorrect choice as hyperaldosteronism primarily affects potassium and not sodium levels. Hyperkalemia (Choice C) is also incorrect because hyperaldosteronism causes potassium excretion, leading to low levels. Hypocalcemia (Choice D) is not typically associated with hyperaldosteronism; instead, it is more related to conditions affecting calcium regulation.
Similar Questions
Access More Features
HESI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $69.99
HESI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $149.99