Adult Health 2 HESI Test Bank
Adult Health 2 HESI Test Bank Questions
Real Exam Questions real exam questions
with verified correct answers for the Certified
Medical-Surgical Registered Nurse
A nurse is caring for a client with DI. Which data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - Correct Answera. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months -
Correct Answerc. upper mid-abdominal pain described as gnawing and
burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-
eyed appearance and eye discomfort. Based on this finding, which
action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
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, Adult Health 2 HESI Test Bank
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - Correct Answerd.
Obtain a prescription for artificial tear drops
A client hospitalized with heart failure (HF). Which intervention should
the nurse implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - Correct Answerb. Place the client
in high fowler position
A client who is receiving an angiotensin-converting enzyme (ACE)
inhibitor for hypertension calls the clinic and reports the recent onset of
a cough to the nurse. Which action should the nurse implement?
A. Advise the client to come to the clinic immediately for further
assessment.
B. Instruct the client to discontinue use of the drug and to make an
appointment at the clinic.
C. Suggest that the client learn to accept the cough as a side effect to a
necessary prescription.
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, Adult Health 2 HESI Test Bank
D. Encourage the client to keep taking the drug until seen by the health
care provider. - Correct AnswerAnswer- D
Rationale- Coughing is a common side effect of ACE inhibitors and is not
an indication to discontinue the medication. Immediate evaluation is
not needed. Antihypertensive medications should not be stopped
abruptly because rebound hypertension may occur. Option C is
demeaning because the cough may be very disruptive to the client, and
other antihypertensive medications may produce the desired effect
without the adverse effect.
The nurse on a medical-surgical unit is receiving a client from the
postanesthesia care unit (PACU) with a Penrose drain. Before choosing a
room for this client, which information is most important for the nurse
to obtain?
A. If suctioning will be needed for drainage of the wound
B. If the family would prefer a private or semiprivate room
C. If the client also has a Hemovac in place
D. If the client's wound is infected - Correct AnswerAnswer- D
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, Adult Health 2 HESI Test Bank
Rationale- The fact that the client has a Penrose drain should alert the
nurse to the possibility that the surgical wound is infected. Penrose
drains provide a sinus tract or opening and are often used to provide
drainage of an abscess. To avoid contamination of another
postoperative client, it is most important to place any client with an
infected wound in a private room. A Penrose drain does not require
option A. Although option B is helpful information, it does not have the
priority of option D. A Hemovac is used to drain fluid from a dead space
and is not a determinant for the room assignment.
Which consideration is most important when the nurse is assigning a
room for a client being admitted with progressive systemic sclerosis
(scleroderma)?
A.
Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
D. Select a room that is visible from the nurses' desk. - Correct
AnswerAnswer- A
Page 4 of 55
Adult Health 2 HESI Test Bank Questions
Real Exam Questions real exam questions
with verified correct answers for the Certified
Medical-Surgical Registered Nurse
A nurse is caring for a client with DI. Which data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - Correct Answera. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months -
Correct Answerc. upper mid-abdominal pain described as gnawing and
burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-
eyed appearance and eye discomfort. Based on this finding, which
action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
Page 1 of 55
, Adult Health 2 HESI Test Bank
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - Correct Answerd.
Obtain a prescription for artificial tear drops
A client hospitalized with heart failure (HF). Which intervention should
the nurse implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - Correct Answerb. Place the client
in high fowler position
A client who is receiving an angiotensin-converting enzyme (ACE)
inhibitor for hypertension calls the clinic and reports the recent onset of
a cough to the nurse. Which action should the nurse implement?
A. Advise the client to come to the clinic immediately for further
assessment.
B. Instruct the client to discontinue use of the drug and to make an
appointment at the clinic.
C. Suggest that the client learn to accept the cough as a side effect to a
necessary prescription.
Page 2 of 55
, Adult Health 2 HESI Test Bank
D. Encourage the client to keep taking the drug until seen by the health
care provider. - Correct AnswerAnswer- D
Rationale- Coughing is a common side effect of ACE inhibitors and is not
an indication to discontinue the medication. Immediate evaluation is
not needed. Antihypertensive medications should not be stopped
abruptly because rebound hypertension may occur. Option C is
demeaning because the cough may be very disruptive to the client, and
other antihypertensive medications may produce the desired effect
without the adverse effect.
The nurse on a medical-surgical unit is receiving a client from the
postanesthesia care unit (PACU) with a Penrose drain. Before choosing a
room for this client, which information is most important for the nurse
to obtain?
A. If suctioning will be needed for drainage of the wound
B. If the family would prefer a private or semiprivate room
C. If the client also has a Hemovac in place
D. If the client's wound is infected - Correct AnswerAnswer- D
Page 3 of 55
, Adult Health 2 HESI Test Bank
Rationale- The fact that the client has a Penrose drain should alert the
nurse to the possibility that the surgical wound is infected. Penrose
drains provide a sinus tract or opening and are often used to provide
drainage of an abscess. To avoid contamination of another
postoperative client, it is most important to place any client with an
infected wound in a private room. A Penrose drain does not require
option A. Although option B is helpful information, it does not have the
priority of option D. A Hemovac is used to drain fluid from a dead space
and is not a determinant for the room assignment.
Which consideration is most important when the nurse is assigning a
room for a client being admitted with progressive systemic sclerosis
(scleroderma)?
A.
Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
D. Select a room that is visible from the nurses' desk. - Correct
AnswerAnswer- A
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