ADULT HEALTH EXAM 1 HESI WITH COMPLETE
SOLUTIONS 2025
Acute tubular necrosis (ATN) - correct-answer-Most common cause of intrarenal
acute renal failure
Continuous Renal Replacement Therapy - correct-answer-It is replacing
intermittent hemodialysis (IHD) or peritoneal dialysis, particularly for critically ill
individuals.
Hyperkalemia - correct-answer-Careful monitoring ECG for peaked T waves.
Most rapid method of treating cardiac effects of hyperkalemia - correct-answer-IV
Calcium
IV Calcium - correct-answer-Calcium decreases the threshold potential and
reduces the membrane excitability caused by hyperkalemia (see Chapter 3).
Calcium should be used only in emergencies, however, because hypercalcemia
also may cause cardiac arrest.
,Septic Shock - correct-answer-Antibiotics are an important and early component
of therapy
Septic Shock - correct-answer-Frequent monitoring of glucose levels of all patients
in septic shock is necessary.
Septic Shock - correct-answer-Patients in septic shock require large amounts of
fluid replacement, sometimes as much as 6 to 10 L of isotonic crystalloids and 2 to
4 L of colloids.
Septic Shock - correct-answer-goal of fluid resuscitation is to restore perfusion
Asthma - correct-answer-Because asthma is clearly not a one-drug disease, the
patient must be familiar with a variety of treatment regimens. Combination
therapy is generally the rule rather than the exception.
, Asthma - correct-answer-Advise patients with asthma to carry medical alert
identification that identifies their need for supplemental systemic corticosteroids
during stressful periods or a severe attack
Asthma - correct-answer-Advise patients to use the bronchodilator drug before
the corticosteroid to enhance penetration of the corticosteroid into the bronchial
tree.
Asthma: - correct-answer-Rinsing the mouth and gargling after inhaled
corticosteroid use is advised to reduce the frequent but mild candidiasis that may
occur.
Drug Therapy
Cardiac Arrest - correct-answer-
Major functions of the kidneys - correct-answer-Filtering out wastes to be
excreted in the urine, regulating blood pressure via both urinary excretion of
wastes and initiating the renin-angiotensin hormone regulatory system, regulating
an acid-base balance via the bicarbonate system, and stimulating red blood cell
production via the release of the hormone erythropoietin.
SOLUTIONS 2025
Acute tubular necrosis (ATN) - correct-answer-Most common cause of intrarenal
acute renal failure
Continuous Renal Replacement Therapy - correct-answer-It is replacing
intermittent hemodialysis (IHD) or peritoneal dialysis, particularly for critically ill
individuals.
Hyperkalemia - correct-answer-Careful monitoring ECG for peaked T waves.
Most rapid method of treating cardiac effects of hyperkalemia - correct-answer-IV
Calcium
IV Calcium - correct-answer-Calcium decreases the threshold potential and
reduces the membrane excitability caused by hyperkalemia (see Chapter 3).
Calcium should be used only in emergencies, however, because hypercalcemia
also may cause cardiac arrest.
,Septic Shock - correct-answer-Antibiotics are an important and early component
of therapy
Septic Shock - correct-answer-Frequent monitoring of glucose levels of all patients
in septic shock is necessary.
Septic Shock - correct-answer-Patients in septic shock require large amounts of
fluid replacement, sometimes as much as 6 to 10 L of isotonic crystalloids and 2 to
4 L of colloids.
Septic Shock - correct-answer-goal of fluid resuscitation is to restore perfusion
Asthma - correct-answer-Because asthma is clearly not a one-drug disease, the
patient must be familiar with a variety of treatment regimens. Combination
therapy is generally the rule rather than the exception.
, Asthma - correct-answer-Advise patients with asthma to carry medical alert
identification that identifies their need for supplemental systemic corticosteroids
during stressful periods or a severe attack
Asthma - correct-answer-Advise patients to use the bronchodilator drug before
the corticosteroid to enhance penetration of the corticosteroid into the bronchial
tree.
Asthma: - correct-answer-Rinsing the mouth and gargling after inhaled
corticosteroid use is advised to reduce the frequent but mild candidiasis that may
occur.
Drug Therapy
Cardiac Arrest - correct-answer-
Major functions of the kidneys - correct-answer-Filtering out wastes to be
excreted in the urine, regulating blood pressure via both urinary excretion of
wastes and initiating the renin-angiotensin hormone regulatory system, regulating
an acid-base balance via the bicarbonate system, and stimulating red blood cell
production via the release of the hormone erythropoietin.
