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HESI RN · HESI Leadership and Management · HESI RN Nursing Leadership and Management Exam 5

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

When implementing a new policy on the unit, what process should a nurse manager follow?

A. The nurse manager should involve staff members in the decision-making process, gather input, and communicate the reasons for the policy change to ensure buy-in from the team.

B. The nurse manager should implement the policy change immediately and monitor staff compliance to ensure that the new policy is being followed.

C. The nurse manager should delegate the implementation of the policy change to a staff member and provide support as needed to ensure that the change is successful.

D. The nurse manager should communicate the policy change to staff members, provide training as needed, and monitor the implementation process to ensure that the change is effective.

Expert Explanatory Rationale

Correct Answer: The nurse manager should involve staff members in the decision-making process, gather input, and communicate the reasons for the policy change to ensure buy-in from the team.

Question 2 of 5

A nurse is preparing to administer insulin to a client with DM. The nurse understands that the peak time for rapid-acting insulin, such as lispro (Humalog), is:

A. 30 minutes to 1 hour after administration.

B. 1 to 2 hours after administration.

C. 2 to 4 hours after administration.

D. 3 to 5 hours after administration.

Expert Explanatory Rationale

Correct Answer: 30 minutes to 1 hour after administration.

Question 3 of 5

A client with hypoparathyroidism is at risk for which of the following complications?

A. Hypercalcemia

B. Hypocalcemia

C. Hyperkalemia

D. Hypernatremia

Expert Explanatory Rationale

Correct Answer: Hypocalcemia

Question 4 of 5

A nurse is preparing a plan of care for a client with DM who has hyperglycemia. The priority nursing diagnosis would be:

A. High risk for deficient fluid volume

B. Deficient knowledge: disease process and treatment

C. Imbalanced nutrition: less than body requirements

D. Disabled family coping: compromised

Expert Explanatory Rationale

Correct Answer: High risk for deficient fluid volume

Question 5 of 5

In a 29-year-old female client who is being successfully treated for Cushing's syndrome, nurse Lyzette would expect a decline in:

A. Serum glucose level.

B. Hair loss.

C. Bone mineralization.

D. Menstrual flow.

Expert Explanatory Rationale

Correct Answer: Serum glucose level.

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