a nurse is caring for a client who has cancer the clients adult child asks the nurse for information about the clients treatment plan which of the fol
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Nursing Elites

HESI LPN

Leadership and Management HESI Test Bank

1. 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?

Correct answer: C

Rationale: The nurse should not provide treatment information without the client's consent.

2. A patient's serum potassium level is 2.2 mEq/L. Which nursing action is the highest priority for this patient?

Correct answer: B

Rationale: The correct answer is to initiate cardiac monitoring. Severe hypokalemia can lead to life-threatening arrhythmias, making cardiac monitoring the priority to detect and manage any cardiac complications. Starting oxygen, seizure precautions, or bed rest are not the immediate priority actions for severe hypokalemia.

3. Steven John has type 1 diabetes mellitus and receives insulin. Which laboratory test will the nurse assess?

Correct answer: A

Rationale: The correct answer is A: Potassium. Patients with type 1 diabetes receiving insulin are at risk of developing hypokalemia due to insulin's effects on potassium levels. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias. Choices B, C, and D are incorrect because AST, serum amylase, and sodium levels are not directly impacted by insulin therapy in type 1 diabetes and are not the primary concern that needs monitoring in this scenario.

4. Which of the following actions can an individual nurse take to exert leadership in supporting the profession of nursing?

Correct answer: B

Rationale: Engaging in conversations about healthcare issues with a wide audience, including legislators, is a powerful way for a nurse to exert leadership and support the nursing profession. This action helps raise awareness, advocate for nursing-related matters, and contribute to positive changes in healthcare policies. Choice A, joining a local professional organization, is beneficial but may not have the same broad impact as engaging in public discourse. Choice C, registering to vote, is important for civic engagement but does not directly relate to exerting leadership in supporting the nursing profession. Choice D, learning about the healthcare system, is valuable for personal development but does not directly address exerting leadership in supporting the nursing profession.

5. Select the type of skeletal fracture that is correctly paired with its description.

Correct answer: D

Rationale: The correct answer is D. An avulsion fracture occurs when a part of the bone is pulled away by a tendon or ligament. Choice A is incorrect because it describes an open fracture where the bone penetrates the skin. Choice B is incorrect as a pathological fracture results from an underlying disease weakening the bone, not physical trauma. Choice C is incorrect as a greenstick fracture involves the bone bending but not completely breaking.

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