ADULT HEALTH HESI V1 QUESTIONS WITH ACCURATE
ANSWERS
A 24-year-old female client diagnosed with a human papillomavirus infection
(HPV) is angry at her ex-boyfriend and says she is not going to tell him that he is
infected. What response is best for the nurse to provide?
A. "Because there is no cure for this disease, telling him is of no benefit to him or
you"
B. "Even though you are angry, he should be told, so he can take precaution to
prevent the spread of infection"
C. "You do not have to tell him because this is not a reportable disease"
D. "You should tell him, so he can feel as guilty and miserable as you do now,
knowing that you have this disease" correct answer B. "Even though you are
angry, he should be told, so he can take precaution to prevent the spread of
infection"
Anger is a common emotional reaction when confronted with the diagnosis of an
STI, and often lay blame and project this anger at the sexual partner. Although
HPV is not a reportable disease in many states, all contacts should be informed of
the infection, treatment, transmission, and precautions to minimize infecting
others.
A 48-year-old client with endometrial cancer is being discharged after a total
hysterectomy and bilateral salpingo-oophorectomy. Which client statement
indicates that further teaching is needed?
A. "I have asked my daughter to stay with me next week after I am discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
,D. "I can't wait to go on the cruise that I have planned for this summer" correct
answer C
further teaching is needed in response to the client's misunderstanding of
sexuality after a hysterectomy that is reflected in the statement. the client's
knowledge about reproduction, a positive outlook with plans for the future, and
her anticipated need for assistance and support during recovery indicate she
understands the present status of her recovery.
A client in the pre-operative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement?
A. give the drug and allow the client to read and sign the consent form
B. withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form
C. counter-sign the client's initials on the consent form after giving the drug
D. call the healthcare provider to explain the surgical procedure before the client
signs the consent correct answer B
Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation
intraoperatively and interferes with the client's cognition and level of
consciousness, so the consent form should be signed before the drug is
administered. The validity of legal documents will be in question if a client signs
them while under the influence of any central nervous system depressant drug.
A client is admitted for complaints of chest pain and aching for the past 4 days.
the results for serum creatine kinase-MB (CK-MB) and troponin are obtained.
What rationale should the nurse use to evaluate the laboratory findings?
A. serum myoglobin levels are needed to confirm myocardial damage
,B. myocardial damage that occurred several days earlier is best validated by
serum troponin levels
C. the most reliable indicator of myocardial necrosis is serum CK-MB
D. serum cardiac markers are inconclusive in determining myocardial injury after
waiting several days correct answer B. myocardial damage that occurred several
days earlier is best validated by serum troponin levels
Serum CK-MB and troponin are the two most important serum cardiac markers
for confirming myocardial infarction. CK-MB begins to rise in the first 3 to 12
hours after the myocardial infarction, peaks in 24 hours, and returns to normal in
2 to 3 days. the troponin level rises as quickly but remains elevated for 2 weeks.
A client is admitted to the emergency department after being lost for four days
while hiking in a national forest. Upon review of the laboratory results, the nurse
determines the client's serum level for thyroid-stimulating hormone (TSH) is
elevated. Which additional assessment should the nurse make?
A. exposure to cold environmental temperature
B. body mass index
C. skin elasticity and turgor
D. though processes and speech correct answer A
TSH influences the amount of thyroxine secretion which increases the rate of
metabolism to maintain body temperature near normal. Prolonged exposure to
cold environmental temperature stimulate the hypothalamus to secrete
thyrotropin-releasing hormone, which increases anterior pituitary serum release
of TSH.
A client who had abdominal surgery two days ago has prescriptions for
intravenous morphine sulfate 4 mg every 2 hours and a clear liquid diet. the client
, complains of feeling distended and has sharp, cramping gas pains. What nursing
intervention should be implemented?
A. assist the client to ambulate in the hall
B. obtain a prescription for a laxative
C. administer the prescribed morphine sulfate
D. withhold all oral fluid and food correct answer a. assist the client to ambulate
in the hall
Post-operative abdominal distention is caused by decreased peristalsis as a result
of handling the intestine during surgery, limited dietary intake before and after
surgery, and anesthetic and analgesic agents. Peristalsis is stimulated and
distention minimized by implementing early and frequent ambulation. Based on
the client's status, laxatives or withholding dietary progression are not indicated
at this time. although pain management should be implemented, another
analgesic prescription may be needed because morphine reduces intestinal
motility and contributes to the client's gas pains.
a client who has a chronic cough with blood-tinged sputum returns to the unit
after a bronchoscopy. What nursing interventions should be implemented in the
immediate post-procedural period?
A. check vital signs every 15 minutes for 2 hours
B. allow the client nothing by mouth until the gag reflex returns
C. encourage fluid intake to promote elimination of the contrast media
D. keep the client on bed rest for 8 hours correct answer B. allow the client
nothing by mouth until the gag reflex returns
the nasal pharynx and oral pharynx are anesthetized with local anesthetic spray
prior to bronchoscopy, and the bronchoscope is coated with lidocaine gel to
inhibit the gag reflex and prevent laryngeal spasm during insertion. The client
ANSWERS
A 24-year-old female client diagnosed with a human papillomavirus infection
(HPV) is angry at her ex-boyfriend and says she is not going to tell him that he is
infected. What response is best for the nurse to provide?
A. "Because there is no cure for this disease, telling him is of no benefit to him or
you"
B. "Even though you are angry, he should be told, so he can take precaution to
prevent the spread of infection"
C. "You do not have to tell him because this is not a reportable disease"
D. "You should tell him, so he can feel as guilty and miserable as you do now,
knowing that you have this disease" correct answer B. "Even though you are
angry, he should be told, so he can take precaution to prevent the spread of
infection"
Anger is a common emotional reaction when confronted with the diagnosis of an
STI, and often lay blame and project this anger at the sexual partner. Although
HPV is not a reportable disease in many states, all contacts should be informed of
the infection, treatment, transmission, and precautions to minimize infecting
others.
A 48-year-old client with endometrial cancer is being discharged after a total
hysterectomy and bilateral salpingo-oophorectomy. Which client statement
indicates that further teaching is needed?
A. "I have asked my daughter to stay with me next week after I am discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
,D. "I can't wait to go on the cruise that I have planned for this summer" correct
answer C
further teaching is needed in response to the client's misunderstanding of
sexuality after a hysterectomy that is reflected in the statement. the client's
knowledge about reproduction, a positive outlook with plans for the future, and
her anticipated need for assistance and support during recovery indicate she
understands the present status of her recovery.
A client in the pre-operative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement?
A. give the drug and allow the client to read and sign the consent form
B. withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form
C. counter-sign the client's initials on the consent form after giving the drug
D. call the healthcare provider to explain the surgical procedure before the client
signs the consent correct answer B
Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation
intraoperatively and interferes with the client's cognition and level of
consciousness, so the consent form should be signed before the drug is
administered. The validity of legal documents will be in question if a client signs
them while under the influence of any central nervous system depressant drug.
A client is admitted for complaints of chest pain and aching for the past 4 days.
the results for serum creatine kinase-MB (CK-MB) and troponin are obtained.
What rationale should the nurse use to evaluate the laboratory findings?
A. serum myoglobin levels are needed to confirm myocardial damage
,B. myocardial damage that occurred several days earlier is best validated by
serum troponin levels
C. the most reliable indicator of myocardial necrosis is serum CK-MB
D. serum cardiac markers are inconclusive in determining myocardial injury after
waiting several days correct answer B. myocardial damage that occurred several
days earlier is best validated by serum troponin levels
Serum CK-MB and troponin are the two most important serum cardiac markers
for confirming myocardial infarction. CK-MB begins to rise in the first 3 to 12
hours after the myocardial infarction, peaks in 24 hours, and returns to normal in
2 to 3 days. the troponin level rises as quickly but remains elevated for 2 weeks.
A client is admitted to the emergency department after being lost for four days
while hiking in a national forest. Upon review of the laboratory results, the nurse
determines the client's serum level for thyroid-stimulating hormone (TSH) is
elevated. Which additional assessment should the nurse make?
A. exposure to cold environmental temperature
B. body mass index
C. skin elasticity and turgor
D. though processes and speech correct answer A
TSH influences the amount of thyroxine secretion which increases the rate of
metabolism to maintain body temperature near normal. Prolonged exposure to
cold environmental temperature stimulate the hypothalamus to secrete
thyrotropin-releasing hormone, which increases anterior pituitary serum release
of TSH.
A client who had abdominal surgery two days ago has prescriptions for
intravenous morphine sulfate 4 mg every 2 hours and a clear liquid diet. the client
, complains of feeling distended and has sharp, cramping gas pains. What nursing
intervention should be implemented?
A. assist the client to ambulate in the hall
B. obtain a prescription for a laxative
C. administer the prescribed morphine sulfate
D. withhold all oral fluid and food correct answer a. assist the client to ambulate
in the hall
Post-operative abdominal distention is caused by decreased peristalsis as a result
of handling the intestine during surgery, limited dietary intake before and after
surgery, and anesthetic and analgesic agents. Peristalsis is stimulated and
distention minimized by implementing early and frequent ambulation. Based on
the client's status, laxatives or withholding dietary progression are not indicated
at this time. although pain management should be implemented, another
analgesic prescription may be needed because morphine reduces intestinal
motility and contributes to the client's gas pains.
a client who has a chronic cough with blood-tinged sputum returns to the unit
after a bronchoscopy. What nursing interventions should be implemented in the
immediate post-procedural period?
A. check vital signs every 15 minutes for 2 hours
B. allow the client nothing by mouth until the gag reflex returns
C. encourage fluid intake to promote elimination of the contrast media
D. keep the client on bed rest for 8 hours correct answer B. allow the client
nothing by mouth until the gag reflex returns
the nasal pharynx and oral pharynx are anesthetized with local anesthetic spray
prior to bronchoscopy, and the bronchoscope is coated with lidocaine gel to
inhibit the gag reflex and prevent laryngeal spasm during insertion. The client
