HESI RN Nursing Leadership and Management Exam 5

HESI RN Nursing Leadership and Management Exam 5 Related

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A good relationship between a leader and a follower enables the follower to 'manage up.' Which of the following describes the best way for a follower to 'manage up'?

  • A. Provide feedback to the unit manager when the manager asks for it.
  • B. Assist your manager in capitalizing on his or her strengths and weaknesses.
  • C. When a follower works with a manager with poor leadership skills, it is best to transfer to a different unit.
  • D. Show respect and appreciation for the manager, even when speaking with coworkers.
Correct Answer: D

Rationale: Managing up involves building a positive relationship with one's manager by showing respect and appreciation. Choice A is not the best way to manage up as it only focuses on providing feedback when asked, rather than proactively showing respect. Choice B is incorrect as it suggests assisting the manager in capitalizing on their strengths and weaknesses, which is more about helping the manager rather than managing up. Choice C is not the best option as transferring to a different unit should not be the first step in managing up, as it does not address the relationship with the current manager. Therefore, the best way for a follower to manage up is by showing respect and appreciation for the manager, even in conversations with coworkers.

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A healthcare professional is preparing to care for a client with a potassium deficit. The healthcare professional reviews the client's record and determines that the client was at risk for developing the potassium deficit because the client:

  • A. Has renal failure.
  • B. Requires nasogastric suction.
  • C. Has a history of Addison's disease.
  • D. Is taking a potassium-sparing diuretic.
Correct Answer: B

Rationale: Nasogastric suction can lead to significant potassium loss due to the continuous drainage of gastric contents, increasing the risk of a potassium deficit. Choices A, C, and D do not directly result in the significant loss of potassium. Renal failure may lead to potassium retention rather than a deficit. Addison's disease is associated with adrenal insufficiency, not potassium depletion. Potassium-sparing diuretics, as the name suggests, typically help retain potassium rather than cause a deficit.

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?

  • A. Be sure to take glipizide 30 minutes before meals.
  • B. Glipizide may cause a low serum sodium level, so make sure you have your sodium level checked monthly.
  • C. You won't need to check your blood glucose level after you start taking glipizide.
  • D. Take glipizide after a meal to prevent heartburn.
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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?

  • A. Take the NPH insulin first, then the regular insulin.
  • B. Take the regular insulin first, then the NPH insulin.
  • C. It does not matter which insulin is drawn up first.
  • D. Contact the healthcare provider if the order for insulin is unclear.
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.

A client with hypothyroidism is receiving levothyroxine therapy. The healthcare provider should monitor for which of the following signs of medication overdose?

  • A. Bradycardia
  • B. Weight gain
  • C. Tachycardia
  • D. Cold intolerance
Correct Answer: C

Rationale: The correct answer is C: Tachycardia. Tachycardia is a sign of levothyroxine overdose, indicating that the dose may need to be adjusted. Bradycardia (Choice A) is a sign of hypothyroidism, not an overdose of levothyroxine. Weight gain (Choice B) and cold intolerance (Choice D) are also symptoms of hypothyroidism, not medication overdose.

A client with hypothyroidism is being treated with levothyroxine. Which of the following symptoms would indicate that the client may be receiving too much medication?

  • A. Bradycardia
  • B. Weight gain
  • C. Tachycardia
  • D. Cold intolerance
Correct Answer: C

Rationale: Tachycardia is a sign of excessive thyroid hormone replacement. Levothyroxine is used to treat hypothyroidism by supplementing thyroid hormone levels. If a client with hypothyroidism experiences symptoms of tachycardia, it suggests that they may be receiving an excessive amount of levothyroxine, causing hyperthyroidism. Bradycardia (Choice A) is more commonly associated with hypothyroidism, not excessive levothyroxine. Weight gain (Choice B) and cold intolerance (Choice D) are also typical symptoms of hypothyroidism and would not typically indicate overmedication.

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