HESI Leadership and Management Test Bank

HESI Leadership and Management Test Bank Related

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Serge, who has diabetes mellitus, is taking oral agents and is scheduled for a diagnostic test that requires him to be NPO. What is the best plan of action for the nurse regarding Serge's oral medications?

  • A. Administer the oral agents immediately after the test.
  • B. Notify the diagnostic department and request orders.
  • C. Notify the physician and request orders.
  • D. Administer the oral agents with a sip of water before the test.
Correct Answer: C

Rationale: The best plan of action for the nurse is to notify the physician and request orders regarding Serge's oral medications. By involving the physician, the nurse ensures that appropriate instructions are obtained, considering Serge's medical condition and the need for NPO status for the diagnostic test. Administering the medications without medical guidance (choice A) can be risky, as it may affect the test results. Notifying the diagnostic department (choice B) is not the most direct and appropriate action; the physician is the primary healthcare provider responsible for medication orders. Administering the medications with water before the test (choice D) is not advisable when the patient is supposed to be NPO, as it can interfere with the test requirements.

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While administering penicillin intravenously, you notice that the patient becomes hypotensive with a bounding, rapid pulse rate. What is the first action you should take?

  • A. Decrease the rate of the intravenous medication flow.
  • B. Increase the rate of the intravenous medication flow.
  • C. Call the doctor.
  • D. Stop the intravenous flow.
Correct Answer: D

Rationale: The correct action to take when a patient becomes hypotensive with a bounding, rapid pulse rate after administering penicillin intravenously is to stop the intravenous flow immediately. This can help prevent further complications by discontinuing the administration of the medication that might be causing the adverse effects. Decreasing or increasing the rate of medication flow may not address the underlying issue of the patient's adverse reaction. While it's important to involve the healthcare provider in such situations, the immediate priority is to halt the administration of the medication.

A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

  • A. If you have the procedure now, you won't have to deal with pain and disability later.
  • B. You'll be fine. You'll receive a prescription for pain medication.
  • C. Why didn't you discuss your concerns with your provider?
  • D. I understand and it's not too late to change your mind.
Correct Answer: D

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

Dr. Shrunk orders intravenous (IV) insulin for Rita, a client with a blood sugar of 563. Nurse AJ administers insulin lispro (Humalog) intravenously (IV). What does the best evaluation of the nurse reveal? Select one that does not apply.

  • A. The nurse could have given the insulin subcutaneously.
  • B. The nurse did not have to contact the physician.
  • C. The nurse should have used regular insulin (Humulin R).
  • D. The nurse used the correct insulin.
Correct Answer: C

Rationale: The best evaluation of the nurse reveals that she should have used regular insulin (Humulin R) for IV administration. Regular insulin is the only insulin approved for intravenous administration due to its pharmacokinetic properties. Insulin lispro (Humalog) is not suitable for IV use. Choice A is incorrect because giving insulin intravenously is necessary in this case of high blood sugar. Choice B is incorrect because administering a different insulin without consulting the physician is not appropriate. Choice D is incorrect because the nurse used the incorrect insulin, which could pose risks to the client's health.

A nurse is receiving a verbal prescription from the provider for a client who is experiencing increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?

  • A. Morphine sulfate 10 mg IV q 4 IV prn for pain
  • B. MS 10 mg IV every 4 8 prn for pain
  • C. MSO4 10 mg IVP q 4 8 prn for pain
  • D. Morphine sulfate 10.0 mg every 4 hours IV prn for pain
Correct Answer: A

Rationale: The correct transcription is 'Morphine sulfate 10 mg IV q 4 IV prn for pain.' In choice A, 'Morphine sulfate 10 mg IV q 4 IV prn for pain' correctly indicates the medication, route (IV), frequency (every 4 hours), and administration as needed for pain control. Choice B is incorrect as 'MS' is not a standard abbreviation for Morphine Sulfate, and the frequency 'every 4 8' is not a valid time interval. Choice C is incorrect as 'MSO4' is not the standard abbreviation for Morphine Sulfate, and 'IVP' is not the standard route abbreviation for intravenous. Choice D is incorrect as it lacks clarity with '10.0 mg' instead of '10 mg,' and the frequency is given as 'every 4 hours' without specifying the route of administration.

Which of the following best describes evidence-based practice?

  • A. Using outdated research
  • B. Relying on personal experience alone
  • C. Integrating clinical expertise with the best available evidence
  • D. Disregarding patient preferences
Correct Answer: C

Rationale: Evidence-based practice involves integrating clinical expertise with the best available evidence to make informed decisions about patient care. Choice A is incorrect as evidence-based practice relies on current and relevant research. Choice B is incorrect as it emphasizes the importance of not relying solely on personal experience. Choice D is incorrect as patient preferences play a significant role in evidence-based practice.

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