HESI RN
HESI Leadership and Management Questions
Question 1 of 5
Which of the following is true about nursing ethics?
Correct Answer: B
Rationale: The correct answer is B. Nursing ethics primarily focus on the moral character of nurses, emphasizing principles, values, and virtues that guide their professional conduct.
Choice A is incorrect as nursing ethics are more about individual moral decision-making than organizational practices.
Choice C is incorrect because while nurses consider patients' experiences and needs, nursing ethics primarily revolve around the nurses themselves.
Choice D is incorrect as nursing ethics are centered on the moral obligations and responsibilities of nurses, not specifically on the ethical principles governing healthcare organizations.
Question 2 of 5
A nurse is preparing to administer NPH insulin to a client with DM. The nurse notes that the NPH insulin vial is cloudy. The nurse should:
Correct Answer: B
Rationale: The correct answer is to draw up the cloudy insulin as ordered. NPH insulin is inherently cloudy due to its suspension of insulin crystals. Shaking the vial vigorously can lead to denaturation of the insulin molecules, altering its efficacy. Warming NPH insulin is not necessary as it can cause breakdown of insulin molecules. The nurse should gently roll the vial between hands to mix it before drawing it up to ensure an even distribution of insulin in the suspension.
Question 3 of 5
When caring for a male client with diabetes insipidus, what does Nurse Juliet expect to administer?
Correct Answer: A
Rationale: The correct answer is A: Vasopressin (Pitressin Synthetic). Vasopressin is the treatment of choice for diabetes insipidus as it replaces the deficient antidiuretic hormone. Furosemide (Lasix) (choice
B) is a diuretic and would exacerbate fluid loss, making it inappropriate for diabetes insipidus. Regular insulin (choice
C) is used for diabetes mellitus, not diabetes insipidus, which involves water balance rather than glucose regulation. 10% dextrose (choice
D) is used to treat hypoglycemia, not diabetes insipidus.
Question 4 of 5
What is the nurse's responsibility when dealing with an impaired colleague?
Correct Answer: A
Rationale: When a nurse encounters an impaired colleague, the appropriate action is to report the behavior to a supervisor and follow the institution's policy for addressing impaired practice. This ensures patient safety and upholds professional standards.
Choice B is incorrect because confronting the colleague directly may not be appropriate or effective in addressing the issue, and the colleague may need more structured assistance.
Choice C is a principle of ethical practice but does not directly address the specific situation of dealing with an impaired colleague.
Choice D is incorrect because ignoring the colleague's behavior could potentially compromise patient safety and is not in line with professional responsibility.
Question 5 of 5
Which of the following best defines management?
Correct Answer: D
Rationale: The best definition of management encompasses the comprehensive process of planning, organizing, commanding, coordinating, and controlling work groups to achieve organizational goals.
Choice A is too limited, focusing only on ensuring work completion.
Choice B is overly restrictive as management involves more than mere control.
Choice C is more specific than the correct answer, which encompasses a broader range of managerial functions.