HESI RN
HESI RN Nursing Leadership and Management Exam 6
1. Effective leaders must communicate a vision for the future. Which of the following is the best method for communicating a vision for the future?
- A. Involve others in creating the vision and connect daily work tasks to the vision.
- B. Encourage staff nurses to openly discuss practice and possible improvements.
- C. Critically analyze and discuss advances in practice with other nurses on staff.
- D. Actively listen to the recommendations of others.
Correct answer: A
Rationale: The best method for communicating a vision for the future is to involve others in creating the vision and connect daily work tasks to the vision. This approach fosters ownership and commitment among team members, as they feel part of the vision-building process and understand how their daily tasks contribute to achieving that vision. Choice B, encouraging staff nurses to openly discuss practice and possible improvements, is important for fostering communication but doesn't directly address creating and communicating a vision. Choice C, critically analyzing and discussing advances in practice with other nurses, focuses on professional development and knowledge sharing rather than specifically communicating a future vision. Choice D, actively listening to recommendations, is valuable for gathering input but may not be sufficient on its own for effectively communicating a future vision.
2. A patient asks the nurse about taking calcium supplements to avoid hypocalcemia. The nurse will suggest that the patient follow which instruction?
- A. Take a calcium and vitamin D combination supplement.
- B. Take calcium along with phosphorus to improve absorption.
- C. Take calcium with antacids to reduce stomach upset.
- D. Use aspirin instead of acetaminophen when taking calcium.
Correct answer: A
Rationale: The correct answer is to take a calcium and vitamin D combination supplement. Vitamin D enhances the absorption of calcium in the body, making it an essential component for calcium utilization. Choice B is incorrect because calcium and phosphorus have an inverse relationship, where an increased level of one mineral decreases the level of the other, so taking them together may not be beneficial. Choice C is incorrect because antacids often contain magnesium, which can promote calcium loss instead of absorption. Choice D is incorrect because aspirin can alter vitamin D levels and interfere with calcium absorption, so it is not recommended when taking calcium supplements.
3. A community health nurse is developing a program to increase physical activity among adults in the community. Which intervention is most likely to be successful?
- A. distributing flyers about the benefits of exercise
- B. organizing free community exercise classes
- C. partnering with local gyms to offer discounts
- D. hosting a health fair with information booths
Correct answer: B
Rationale: Organizing free community exercise classes is the most likely successful intervention as it provides a structured and accessible opportunity for adults to engage in physical activity. This choice directly offers a practical solution by providing a regular and organized setting for individuals to participate in physical activity. Distributing flyers about the benefits of exercise, while informative, may not lead to actual participation. Partnering with local gyms to offer discounts relies on individuals taking the initiative to sign up for gym memberships, which may not be feasible for everyone. Hosting a health fair with information booths is informative but may not directly address the need for increased physical activity among adults in the community.
4. The client has hyperparathyroidism. Which of the following dietary instructions should the nurse provide?
- A. Increase calcium intake
- B. Limit phosphorus intake
- C. Increase fluid intake
- D. Limit vitamin D intake
Correct answer: C
Rationale: The correct answer is to 'Increase fluid intake.' This is because increasing fluid intake helps prevent kidney stones, a common complication of hyperparathyroidism. While calcium is involved in the condition, increasing calcium intake is not recommended as it can exacerbate hypercalcemia, which is commonly present in hyperparathyroidism. Limiting phosphorus intake is not directly related to managing hyperparathyroidism. Limiting vitamin D intake is also not typically necessary in managing hyperparathyroidism, as it is usually a calcium and PTH-related issue.
5. Which two items react during cellular respiration?
- A. Glucose and water
- B. Carbon dioxide and water
- C. Carbon dioxide and oxygen
- D. Glucose and oxygen
Correct answer: D
Rationale: The correct answer is D: Glucose and oxygen. During cellular respiration, glucose and oxygen react in the presence of enzymes to produce carbon dioxide, water, and energy in the form of ATP. Choice A (Glucose and water) is incorrect because water is a product of cellular respiration, not a reactant. Choice B (Carbon dioxide and water) is incorrect as carbon dioxide is produced during cellular respiration, not a reactant. Choice C (Carbon dioxide and oxygen) is incorrect because oxygen is a reactant in cellular respiration, not a product.