HESI RN
HESI RN Nursing Leadership and Management Exam 5 Questions
Question 1 of 5
A new nurse is working on becoming a better follower. Which of the following recommendations should she implement?
Correct Answer: C
Rationale: Listening and reflecting on the manager's feedback is crucial for a new nurse aiming to become a better follower. It allows the nurse to understand expectations, identify areas for improvement, and show respect for the manager's guidance.
Choice A is incorrect as it focuses on resolving disagreements rather than improving followership skills.
Choice B is incorrect as knowledge sharing should not be limited to specific groups.
Choice D is incorrect as it addresses time management and learning about the specialty, which are important but not directly related to followership development.
Question 2 of 5
A client with diabetes mellitus is receiving an oral antidiabetic medication. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Hypoglycemia. When a client with diabetes mellitus is taking oral antidiabetic medication, the nurse should closely monitor for hypoglycemia, which is a common adverse effect. Hypoglycemia occurs when the blood sugar levels drop below normal range, leading to symptoms like confusion, shakiness, and sweating. Weight gain (
Choice
A) is not a typical adverse effect of oral antidiabetic medications. Hyperglycemia (
Choice
C) is the opposite of the desired effect of antidiabetic medications, which aim to lower blood sugar levels. Bradycardia (
Choice
D) is not directly associated with oral antidiabetic medications; it refers to a slow heart rate.
Question 3 of 5
A client with hyperthyroidism is prescribed radioactive iodine therapy. The nurse should monitor for which of the following potential side effects?
Correct Answer: A
Rationale: When a client with hyperthyroidism undergoes radioactive iodine therapy, the treatment aims to reduce thyroid hormone production by destroying thyroid tissue. As a result, there is a high likelihood of developing hypothyroidism as a side effect. Monitoring for hypothyroidism is crucial post-treatment.
Choices B, C, and D are incorrect because the therapeutic goal is to address hyperthyroidism by inducing hypothyroidism through the treatment.
Question 4 of 5
A client with type 1 DM is taught to take NPH and regular insulin every morning. The nurse should provide which instructions to the client?
Correct Answer: B
Rationale: The correct answer is to take the regular insulin first, then the NPH insulin. Regular insulin should be drawn up before NPH insulin to prevent contamination of the regular insulin vial with the longer-acting insulin.
Choice A is incorrect as it suggests taking the NPH insulin first, which is not the recommended practice.
Choice C is incorrect because the order of drawing up insulin does matter to prevent contamination.
Choice D is not the most appropriate action in this scenario, as the nurse should provide clear instructions to the client based on best practices.
Question 5 of 5
The client with newly diagnosed diabetes mellitus is receiving education from the nurse on managing blood glucose levels. Which statement indicates a need for further teaching?
Correct Answer: B
Rationale:
Choice B indicates a need for further teaching because it suggests that the client can eat whatever they want as long as they take their medication, which is incorrect. Clients with diabetes mellitus need to follow a healthy and balanced diet in addition to taking their medication to effectively manage blood glucose levels.
Choices A, C, and D are correct statements for managing diabetes. Monitoring blood glucose levels regularly, engaging in regular exercise to help control blood sugar, and rotating injection sites to avoid tissue damage are all important aspects of diabetes management.