Questions 47

HESI RN

HESI RN Test Bank

Leadership HESI Quizlet Questions

Question 1 of 5

A client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN's teaching to the client?

Correct Answer: C

Rationale: A DNR order is typically written after the healthcare provider has discussed the implications with the patient and their family. This ensures that the patient and family are fully informed before making such a critical decision.
Choice A is incorrect because pronouncing clinical death is a medical determination, not directly related to DNR orders.
Choice B is incorrect because while physicians commonly write DNR orders, the discussion with the patient and family is crucial.
Choice D is incorrect because a DNR order does not require a court decision; it is a decision made in collaboration with the healthcare team and the patient or family.

Question 2 of 5

When teaching a male client diagnosed with type 1 diabetes mellitus how diet and exercise affect insulin requirements, Nurse Joy should include which guideline?

Correct Answer: B

Rationale: When a person with type 1 diabetes exercises, it typically lowers blood glucose levels. As a result, insulin needs are reduced when exercise or food intake is decreased.
Choice A is incorrect because more insulin is not typically needed when exercise or food intake is increased.
Choice C is incorrect because increasing food intake would generally require more insulin to cover the additional glucose from the food.
Choice D is incorrect as decreasing food intake usually leads to a lower need for insulin.

Question 3 of 5

A client with hyperthyroidism is receiving radioactive iodine therapy. The nurse should monitor for which of the following side effects?

Correct Answer: A

Rationale: The correct answer is A: Hypothyroidism. Radioactive iodine therapy is used to treat hyperthyroidism by destroying thyroid tissue and reducing hormone production. This can lead to an underactive thyroid, resulting in hypothyroidism. Hyperkalemia (choice
B) is an elevated potassium level, usually not associated with radioactive iodine therapy. Hyponatremia (choice
C) is a low sodium level, which is also not a common side effect of this therapy. Hypercalcemia (choice
D) is an elevated calcium level, unrelated to radioactive iodine therapy for hyperthyroidism.

Question 4 of 5

A healthcare professional is focusing on improving the ability to multitask without losing focus and to turn problems into opportunities. Which of the following leadership theories describes the professional's focus?

Correct Answer: B

Rationale: Motivation theory explains that individuals act based on what they want to achieve, focusing on goals and desires. In this scenario, the healthcare professional's emphasis on improving multitasking skills and problem-solving aligns with the essence of motivation theory. Emotional intelligence primarily pertains to understanding and managing emotions, not specifically related to multitasking and problem-solving. Situational leadership theory emphasizes adapting leadership styles based on the situation and followers, not directly related to individual focus improvement. Transformational leadership theory focuses on inspiring and motivating followers to achieve common goals rather than individual task management and problem-solving skills.

Question 5 of 5

The client with DM who is taking insulin develops a fever and becomes confused. Which action should the nurse take first?

Correct Answer: A

Rationale: In a client with diabetes mellitus (DM) taking insulin, the development of fever and confusion may indicate hyperglycemia or diabetic ketoacidosis. Checking the blood glucose level is the priority action in this situation. This will help determine if the symptoms are related to high blood sugar levels, guiding further interventions. Administering a fever-reducing medication (choice
B) addresses only the symptom of fever and does not address the underlying cause. Providing fluids to drink (choice
C) is important but should come after addressing the potential hyperglycemia or diabetic ketoacidosis. Notifying the health care provider (choice
D) can be important, but immediate action to evaluate and manage the client's condition should precede contacting the provider.

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