HESI RN
Leadership HESI Quizlet
1. Albert, a 35-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:
- A. 1130 and 1330.
- B. 1330 and 1930.
- C. 1530 and 2130.
- D. 1730 and 2330.
Correct answer: C
Rationale: NPH insulin typically peaks 4-12 hours after administration, so a peak between 1530 and 2130 would be expected. Choice A (1130 and 1330) is too early for the peak effect of NPH insulin. Choice B (1330 and 1930) falls within the possible peak period but is not as accurate as choice C. Choice D (1730 and 2330) is too late for the peak effect of NPH insulin based on the typical peak timing.
2. A client with diabetes mellitus is scheduled for surgery. The nurse should prioritize which of the following preoperative actions?
- A. Administer a full dose of insulin before surgery
- B. Hold all oral hypoglycemic agents the day before surgery
- C. Monitor blood glucose levels closely before surgery
- D. Instruct the client to avoid all fluids the morning of surgery
Correct answer: C
Rationale: Monitoring blood glucose levels closely before surgery is the priority for a client with diabetes mellitus. This allows for early detection of any abnormalities and helps prevent hypo- or hyperglycemia complications that can arise during the perioperative period. Option A is incorrect because insulin dosing should be individualized based on the client's current blood glucose levels and the surgical plan. Option B is incorrect as abruptly holding oral hypoglycemic agents can lead to uncontrolled blood glucose levels. Option D is incorrect as adequate fluid intake is important for the client's hydration status and overall well-being before surgery.
3. When should a new nurse graduate consider applying for a position as a nurse manager?
- A. When she is comfortable in her current position
- B. When she begins mentoring other new nurses
- C. As soon as a position opens
- D. When she has developed leadership and clinical expertise
Correct answer: D
Rationale: A new nurse graduate should consider applying for a nurse manager position when they have developed both leadership and clinical expertise. This ensures that they are well-prepared for the responsibilities of the role. Choice A is incorrect because being comfortable in the current position does not necessarily equate to having the required skills for a nurse manager role. Choice B is incorrect as mentoring other new nurses, while valuable, may not directly align with the skills needed for a managerial position. Choice C is incorrect as applying for a nurse manager position solely because a position is available does not guarantee readiness for the role.
4. The client has been diagnosed with primary aldosteronism. Which of the following clinical findings would the nurse expect?
- A. Hyperkalemia
- B. Hypokalemia
- C. Hyponatremia
- D. Hypercalcemia
Correct answer: B
Rationale: Primary aldosteronism involves the overproduction of aldosterone by the adrenal glands. Aldosterone increases potassium excretion, leading to hypokalemia. Therefore, in primary aldosteronism, the nurse would expect to find hypokalemia, not hyperkalemia (choice A), hyponatremia (choice C), or hypercalcemia (choice D).
5. Which of the following best describes the role of a nurse manager in managing conflict on the unit?
- A. The nurse manager is responsible for identifying the sources of conflict and working with staff members to resolve them in a constructive manner.
- B. The nurse manager is responsible for mediating conflicts between staff members and ensuring that they are resolved in a fair and equitable manner.
- C. The nurse manager is responsible for facilitating communication between staff members and ensuring that conflicts are addressed in a timely manner.
- D. The nurse manager is responsible for providing training and support to staff members to help them develop the skills needed to manage conflict effectively.
Correct answer: A
Rationale: The nurse manager's role in managing conflict involves identifying the sources of conflict and working with staff members to resolve them in a constructive manner. This includes addressing conflicts at their root cause and guiding staff towards effective resolution. Choice B is incorrect as the nurse manager typically does not act as a mediator but rather empowers staff to resolve conflicts themselves. Choice C is incorrect as while facilitating communication is important, it is not the sole responsibility of the nurse manager. Choice D is incorrect as providing training and support for conflict management is part of the role, but the primary responsibility lies in addressing the sources of conflict directly.
Similar Questions
Access More Features
HESI RN Basic
$89/ 30 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $89
HESI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $149.99