Questions 45

HESI RN

HESI RN Test Bank

HESI RN Nursing Leadership and Management Exam 5 Questions

Question 1 of 5

The client has hyperparathyroidism. Which of the following dietary instructions should the nurse provide?

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.

Question 2 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 3 of 5

Why have recent polls placed nursing as one of the most trusted professions?

Correct Answer: C

Rationale: Recent polls have identified nursing as one of the most trusted professions primarily because nurses possess the essential skills required to provide care to diverse populations. This includes cultural competence, empathy, effective communication, and clinical expertise.
Choice A, engaging in lifelong learning, is indeed an important aspect of nursing practice; however, it is not the primary reason for the high level of trust placed in nurses.
Choice B, abiding by a dress code, is a professional conduct issue and not directly linked to the trustworthiness of nurses.
Choice D, passing the NCLEX exam for licensure, is a regulatory requirement and does not directly contribute to the trust placed in nurses by the public.

Question 4 of 5

Dr. Kennedy prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a male client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?

Correct Answer: A

Rationale: Glipizide should be taken 30 minutes before meals to maximize its glucose-lowering effect.

Question 5 of 5

The client has received IV solutions for three (3) days through a 20-gauge IV catheter placed in the left cephalic vein. On morning rounds, the nurse notes the IV site is tender to palpation and a red streak has formed. Which action should the nurse implement first?

Correct Answer: B

Rationale: The first action should be to discontinue the intravenous line to prevent further complications such as infection or thrombophlebitis. Starting a new IV in the right hand is not the priority as addressing the current issue is important. Completing an incident record can be done after addressing the immediate concern of the IV site. Placing a warm washcloth over the site does not address the red streak and tenderness, which may indicate an infection that requires discontinuation of the IV line.

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