HESI RN
Leadership HESI Quizlet
1. A nurse manager in the emergency department considers policy changes in the organization and changes in the community, and tries to predict how these may impact the functioning of the unit. Which of the following decisional activities best describes this manager’s actions?
- A. Resource allocation
- B. Monitoring
- C. Job analysis and redesign
- D. Planning for the future
Correct answer: D
Rationale: The correct answer is D: Planning for the future. In this scenario, the nurse manager is engaging in decisional activities related to planning for the future. This involves analyzing potential impacts of policy changes and community shifts on the unit's functioning and making decisions based on predictions and foresight. Option A, resource allocation, focuses on distributing resources effectively. Option B, monitoring, involves observing and assessing current activities. Option C, job analysis and redesign, pertains to evaluating and restructuring roles and responsibilities within the unit, which is not the primary focus of the scenario provided.
2. A client is diagnosed with hyperthyroidism. The nurse anticipates which of the following medications to be ordered?
- A. Levothyroxine
- B. Propylthiouracil
- C. Lithium
- D. Metoprolol
Correct answer: B
Rationale: The correct answer is B: Propylthiouracil. Propylthiouracil is an antithyroid medication used to manage hyperthyroidism by inhibiting the synthesis of thyroid hormones. Levothyroxine (Choice A) is typically used to treat hypothyroidism, the opposite of hyperthyroidism. Lithium (Choice C) is not used to treat hyperthyroidism but is commonly used to manage bipolar disorder. Metoprolol (Choice D) is a beta-blocker that may be used to manage symptoms like tachycardia associated with hyperthyroidism, but it is not the primary treatment for the condition.
3. The healthcare provider is monitoring a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following interventions should the healthcare provider include in the care plan?
- A. Encourage oral fluids
- B. Restrict fluid intake
- C. Administer potassium supplements
- D. Increase sodium intake
Correct answer: B
Rationale: The correct intervention for a client with SIADH is to restrict fluid intake. SIADH leads to water retention and dilution of sodium levels in the body, resulting in hyponatremia. Restricting fluid intake helps prevent further dilutional hyponatremia. Encouraging oral fluids (Choice A) would exacerbate the condition by further increasing fluid retention. Administering potassium supplements (Choice C) is not directly related to managing SIADH. Increasing sodium intake (Choice D) is contraindicated because it can worsen hyponatremia in clients with SIADH.
4. Clinical manifestations associated with a diagnosis of type 1 DM include all of the following except:
- A. Hypoglycemia.
- B. Hyponatremia.
- C. Ketonuria.
- D. Polyphagia.
Correct answer: B
Rationale: Clinical manifestations of type 1 diabetes mellitus include hypoglycemia, ketonuria, and polyphagia. Hyponatremia is not typically associated with type 1 diabetes mellitus; it is more commonly linked with other conditions such as syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Therefore, the correct answer is B: Hyponatremia.
5. Which of the following ethical principles is demonstrated when a nurse provides truthful information to a patient?
- A. Veracity
- B. Autonomy
- C. Justice
- D. Nonmaleficence
Correct answer: A
Rationale: The correct answer is A: Veracity. Veracity is the ethical principle of truthfulness and honesty in communication. When a nurse provides truthful information to a patient, it demonstrates integrity and respect for the patient's right to know the truth about their health condition and treatment. Choice B, Autonomy, refers to respecting the patient's right to make their own decisions. Choice C, Justice, involves fairness and equality in healthcare decisions. Choice D, Nonmaleficence, relates to the obligation to do no harm and prevent harm to the patient.
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