HESI RN
HESI RN Nursing Leadership and Management Exam 6 Questions
Question 1 of 5
A nurse manager in the emergency department considers policy changes in the organization and changes in the community, and tries to predict how these may impact the functioning of the unit. Which of the following decisional activities best describes this manager's actions?
Correct Answer: D
Rationale: The correct answer is 'Planning for the future.' In this scenario, the nurse manager is engaging in strategic planning by considering policy changes and community dynamics to forecast potential impacts on the unit's functioning. This decisional activity involves anticipating future changes, challenges, and opportunities, and preparing the unit to adapt accordingly.
Choice A, 'Resource allocation,' involves distributing resources effectively to support daily operations, which is not the primary focus of the nurse manager's actions described.
Choice B, 'Monitoring,' typically involves overseeing current activities and performance to ensure adherence to standards and goals, rather than proactively planning for future changes as the nurse manager is doing.
Choice C, 'Job analysis and redesign,' pertains to evaluating and modifying job roles and responsibilities within the unit, which is not directly related to the strategic forecasting and planning involved in anticipating organizational and community impacts.
Question 2 of 5
Albert refuses his bedtime snack. This should alert the healthcare provider to assess for:
Correct Answer: B
Rationale: When a patient like Albert refuses his bedtime snack, it can lead to hypoglycemia, especially if they are on medication such as insulin. Hypoglycemia can occur earlier than expected due to the lack of carbohydrate intake before bedtime. This situation warrants the healthcare provider to monitor for signs and symptoms of hypoglycemia.
Choice A is incorrect because the given scenario is more indicative of hypoglycemia than metabolic alkalosis.
Choice C is incorrect as NPH insulin peak time is not directly related to skipping a bedtime snack.
Choice D is incorrect as sugar in the urine typically indicates hyperglycemia, not hypoglycemia.
Question 3 of 5
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following clinical findings should the nurse expect?
Correct Answer: A
Rationale: In SIADH, there is excessive release of antidiuretic hormone (ADH), leading to water retention and dilutional hyponatremia. Hyponatremia is a hallmark finding in SIADH due to the imbalance between water and sodium levels. Hyperkalemia (
Choice
B) is not typically associated with SIADH. Hypercalcemia (
Choice
C) involves elevated calcium levels, which are not directly related to SIADH. Hypernatremia (
Choice
D) is the opposite of what occurs in SIADH, where sodium levels are usually diluted due to water retention.
Question 4 of 5
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
Correct Answer: C
Rationale: Wet-to-dry dressings are utilized in this case to debride the wound by removing dead tissue and promoting healing by secondary intention.
Choice A is incorrect as wet-to-dry dressings do not provide a moist wound environment; instead, they promote drying to aid in debridement.
Choice B is incorrect because their primary purpose is not to protect the wound but to remove dead tissue.
Choice D is incorrect as the main function of wet-to-dry dressings is not to prevent the entrance of microorganisms or minimize wound discomfort.
Question 5 of 5
In a client with hypoparathyroidism, the nurse should expect which laboratory result?
Correct Answer: C
Rationale: In hypoparathyroidism, there is a deficiency of parathyroid hormone, leading to decreased calcium levels and increased phosphorus levels.
Therefore, the correct answer is 'Increased phosphorus levels' (
Choice
C).
Choice A, 'Increased calcium levels,' is incorrect because hypoparathyroidism is associated with low calcium levels.
Choice B, 'Decreased phosphorus levels,' is incorrect as phosphorus levels are typically elevated in hypoparathyroidism.
Choice D, 'Increased potassium levels,' is not directly related to hypoparathyroidism and is not an expected laboratory result in this condition.