HESI RN
HESI RN Nursing Leadership and Management Exam 5 Questions
Question 1 of 5
Nurse Noemi administers glucagon to her diabetic client and then monitors the client for adverse drug reactions and interactions. Which type of drug interacts adversely with glucagon?
Correct Answer: A
Rationale: The correct answer is A: Oral anticoagulants. Glucagon may enhance the anticoagulant effect of oral anticoagulants, increasing the risk of bleeding. This interaction can be dangerous for the patient, leading to serious complications.
Choices B, C, and D are incorrect because anabolic steroids, beta-adrenergic blockers, and thiazide diuretics do not typically interact adversely with glucagon. It is crucial for healthcare providers to be aware of potential drug interactions to ensure patient safety and optimal outcomes.
Question 2 of 5
When caring for a female client with a history of hypoglycemia, Nurse Ruby should avoid administering a drug that may potentiate hypoglycemia. Which drug fits this description?
Correct Answer: A
Rationale: The correct answer is A, Sulfisoxazole (Gantrisin). Sulfisoxazole is known to potentiate hypoglycemia, making it unsafe for clients with a history of hypoglycemia.
Choice B, Mexiletine, is a medication used to treat certain heart rhythm problems and is not associated with hypoglycemia.
Choice C, Prednisone, is a corticosteroid and does not potentiate hypoglycemia.
Choice D, Lithium carbonate, is commonly used to treat bipolar disorder and does not typically potentiate hypoglycemia.
Therefore, the drug that Nurse Ruby should avoid in this case is Sulfisoxazole (Gantrisin) to prevent worsening the client's hypoglycemic condition.
Question 3 of 5
A client with hyperparathyroidism is being assessed. Which of the following symptoms is the nurse likely to find?
Correct Answer: C
Rationale: In hyperparathyroidism, there is excessive production of parathyroid hormone, leading to increased calcium resorption from the bones. This process causes bone pain, making choice C the correct answer. Tetany (choice
A) is associated with hypocalcemia, not hyperparathyroidism. Hypocalcemia (choice
B) is the opposite condition of hyperparathyroidism, where blood calcium levels are elevated. Hypotension (choice
D) is not a typical symptom of hyperparathyroidism.
Question 4 of 5
A nurse is preparing a plan of care for a client with DM who has hyperglycemia. The priority nursing diagnosis would be:
Correct Answer: A
Rationale: The priority nursing diagnosis for a client with diabetes mellitus (DM) experiencing hyperglycemia would be 'High risk for deficient fluid volume.' Hyperglycemia can lead to osmotic diuresis, causing significant fluid loss and an increased risk of deficient fluid volume. This nursing diagnosis addresses the immediate physiological concern related to fluid balance.\n\n
Choice B, 'Deficient knowledge: disease process and treatment,' focuses on the client's understanding of DM, which is important but not the priority when the client is at risk of fluid volume deficit.\n\n
Choice C, 'Imbalanced nutrition: less than body requirements,' pertains to inadequate intake of nutrients, which is not the priority concern when fluid volume deficit poses a more immediate threat.\n\n
Choice D, 'Disabled family coping: compromised,' addresses a psychosocial aspect and is not the priority over the critical physiological issue of fluid volume deficit in a client with hyperglycemia.
Question 5 of 5
A healthcare provider is educating a client with DM on recognizing symptoms of hypoglycemia. Which symptom should the healthcare provider mention?
Correct Answer: C
Rationale: The correct symptom to mention when educating a client with diabetes mellitus (DM) on hypoglycemia is sweating. Sweating is a common symptom of hypoglycemia as it occurs due to the activation of the sympathetic nervous system in response to low blood sugar levels. Increased thirst (
Choice
A) and frequent urination (
Choice
B) are more indicative of hyperglycemia (high blood sugar) rather than hypoglycemia. Weight loss (
Choice
D) is not a typical symptom associated with hypoglycemia.