ADULT HEALTH HESI TEST BANK V3 HESI ADULT HEALTH 2025
TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+ 2025 LATEST
UPDATED
1. In the past three to four decades, nursing has moved into the forefront in providing care for the
dying. Which phenomenon has most contributed to this increased focus of care of the dying?
A) Increased incidence of infections and acute illnesses
B) Increased focus of health care providers on disease prevention
C) Larger numbers of people dying in hospital settings
D) Demographic changes in the population - (answers)D
2. A nurse who works in the specialty of palliative care frequently encounters issues and
situations that constitute ethical dilemmas. What issue has most often presented challenging
ethical issues, especially in the context of palliative care? A) The increase in cultural diversity in
the United States B) Staffing shortages in health care and questions concerning quality of care C)
Increased costs of health care coupled with inequalities in access D) Ability of technology to
prolong life beyond meaningful quality of life - (answers)D
The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic
cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the
most likely psychosocial purpose of this patients strategy? A) The patient may be trying to
protect loved ones from the emotional effects of the illness. B) The patient is being noncompliant
in order to assert power over caregivers. C) The patient may be skeptical of the benefits of the
Western biomedical model of health. D) The patient thinks that treatment does not provide him
comfort. - (answers)A
4. A nurse who sits on the hospitals ethics committee is reviewing a complex case that has many
of the hallmarks of assisted suicide. Which of the following would be an example of assisted
suicide? A) Administering a lethal dose of medication to a patient whose death is imminent B)
Administering a morphine infusion without assessing for respiratory depression C) Granting a
,patients request not to initiate enteral feeding when the patient is unable to eat D) Neglecting to
resuscitate a patient with a do not resuscitate order - (answers)A
5. A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic
obstructive pulmonary disease (COPD). What is the primary goal of this nurses care? A) To
improve the patients and familys quality of life Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 320 B) To support aggressive and innovative
treatments for cure C) To provide physical support for the patient D) To help the patient develop
a separate plan with each discipline of the health care team - (answers)A
After contributing to the care of several patients who died in the hospital, the nurse has identified
some lapses in the care that many of these patients received toward the end of their lives. What
have research studies identified as a potential deficiency in the care of the dying in hospital
settings? A) Families needs for information and support often go unmet. B) Patients are too
sedated to achieve adequate pain control. C) Patients are not given opportunities to communicate
with caregivers. D) Patients are ignored by the care team toward the end of life. - (answers)A
An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has
asked the nurse about the possibility of hospice care. Which principle is central to a hospice
setting? A) The patient and family should be viewed as a single unit of care. B) Persistent
symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary
team should develop an individual plan of care. Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 321 D) Terminally ill patients should die in the
hospital whenever possible. - (answers)A
A clinic nurse is providing patient education prior to a patients scheduled palliative radiotherapy
to her spine. At the completion of the patient teaching, the patient continues to ask the same
questions that the nurse has already addressed. What is the plausible conclusion that the nurse
should draw from this? A) The patient is not listening effectively. B) The patient is noncompliant
with the plan of care. C) The patient may have a low intelligence quotient or a cognitive deficit.
D) The patient has not achieved the desired learning outcomes. - (answers)D
The nurse is part of the health care team at an oncology center. A patient has been diagnosed with
leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the
bad news best be conveyed to the patient? A) Family should be given the prognosis first. B) The
, prognosis should be delivered with the patient at eye level. C) The physician should deliver the
news to the patient alone. D) The appointment should be scheduled at the end of the day -
(answers)B
A patient has just been told that her illness is terminal. The patient tearfully states, I cant believe
I am going to die. Why me? What is your best response? A) I know how you are feeling. B) You
have lived a long life. C) This must be very difficult for you. D) Life can be so unfair. -
(answers)C
The nurse has observed that an older adult patient with a diagnosis of end-stage renal failure
seems to prefer to have his eldest son make all of his health care decisions. While the family is
visiting, the patient explains to you that this is a cultural practice and very important to him. How
should you respond? A) Privately ask the son to allow the patient to make his own health care
decisions. B) Explain to the patient that he is responsible for his own decisions. C) Work with the
team to negotiate informed consent. D) Avoid divulging information to the eldest son -
(answers)C
One aspect of the nurses comprehensive assessment when caring for the terminally ill is the
assessment of hope. The nurse is assessing a patient with liver failure for the presence of hope.
What would the nurse identify as a hope-fostering category? A) Uplifting memories B) Ignoring
negative outcomes C) Envisioning one specific outcome D) Avoiding an actual or potential threat
- (answers)A
A medical nurse is providing end-of-life care for a patient with metastatic bone cancer. The nurse
notes that the patient has been receiving oral analgesics for her pain with adequate effect, but is
now having difficulty swallowing the medication. What should the nurse do? A) Request the
physician to order analgesics by an alternative route. B) Crush the medication in order to aid
swallowing and absorption. C) Administer the patients medication with the meal tray. D)
Administer the medication rectally - (answers)A
A 66-year-old patient is in a hospice receiving palliative care for lung cancer which has
metastasized to the patients liver and bones. For the past several hours, the patient has been
experiencing dyspnea. What nursing action is most appropriate to help to relive the dyspnea the
patient is experiencing? Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical
Nursing 14e (Hinkle 2017) 324 A) Administer a bolus of normal saline, as ordered. B) Initiate
TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+ 2025 LATEST
UPDATED
1. In the past three to four decades, nursing has moved into the forefront in providing care for the
dying. Which phenomenon has most contributed to this increased focus of care of the dying?
A) Increased incidence of infections and acute illnesses
B) Increased focus of health care providers on disease prevention
C) Larger numbers of people dying in hospital settings
D) Demographic changes in the population - (answers)D
2. A nurse who works in the specialty of palliative care frequently encounters issues and
situations that constitute ethical dilemmas. What issue has most often presented challenging
ethical issues, especially in the context of palliative care? A) The increase in cultural diversity in
the United States B) Staffing shortages in health care and questions concerning quality of care C)
Increased costs of health care coupled with inequalities in access D) Ability of technology to
prolong life beyond meaningful quality of life - (answers)D
The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic
cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the
most likely psychosocial purpose of this patients strategy? A) The patient may be trying to
protect loved ones from the emotional effects of the illness. B) The patient is being noncompliant
in order to assert power over caregivers. C) The patient may be skeptical of the benefits of the
Western biomedical model of health. D) The patient thinks that treatment does not provide him
comfort. - (answers)A
4. A nurse who sits on the hospitals ethics committee is reviewing a complex case that has many
of the hallmarks of assisted suicide. Which of the following would be an example of assisted
suicide? A) Administering a lethal dose of medication to a patient whose death is imminent B)
Administering a morphine infusion without assessing for respiratory depression C) Granting a
,patients request not to initiate enteral feeding when the patient is unable to eat D) Neglecting to
resuscitate a patient with a do not resuscitate order - (answers)A
5. A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic
obstructive pulmonary disease (COPD). What is the primary goal of this nurses care? A) To
improve the patients and familys quality of life Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 320 B) To support aggressive and innovative
treatments for cure C) To provide physical support for the patient D) To help the patient develop
a separate plan with each discipline of the health care team - (answers)A
After contributing to the care of several patients who died in the hospital, the nurse has identified
some lapses in the care that many of these patients received toward the end of their lives. What
have research studies identified as a potential deficiency in the care of the dying in hospital
settings? A) Families needs for information and support often go unmet. B) Patients are too
sedated to achieve adequate pain control. C) Patients are not given opportunities to communicate
with caregivers. D) Patients are ignored by the care team toward the end of life. - (answers)A
An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has
asked the nurse about the possibility of hospice care. Which principle is central to a hospice
setting? A) The patient and family should be viewed as a single unit of care. B) Persistent
symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary
team should develop an individual plan of care. Test Bank - Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 14e (Hinkle 2017) 321 D) Terminally ill patients should die in the
hospital whenever possible. - (answers)A
A clinic nurse is providing patient education prior to a patients scheduled palliative radiotherapy
to her spine. At the completion of the patient teaching, the patient continues to ask the same
questions that the nurse has already addressed. What is the plausible conclusion that the nurse
should draw from this? A) The patient is not listening effectively. B) The patient is noncompliant
with the plan of care. C) The patient may have a low intelligence quotient or a cognitive deficit.
D) The patient has not achieved the desired learning outcomes. - (answers)D
The nurse is part of the health care team at an oncology center. A patient has been diagnosed with
leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the
bad news best be conveyed to the patient? A) Family should be given the prognosis first. B) The
, prognosis should be delivered with the patient at eye level. C) The physician should deliver the
news to the patient alone. D) The appointment should be scheduled at the end of the day -
(answers)B
A patient has just been told that her illness is terminal. The patient tearfully states, I cant believe
I am going to die. Why me? What is your best response? A) I know how you are feeling. B) You
have lived a long life. C) This must be very difficult for you. D) Life can be so unfair. -
(answers)C
The nurse has observed that an older adult patient with a diagnosis of end-stage renal failure
seems to prefer to have his eldest son make all of his health care decisions. While the family is
visiting, the patient explains to you that this is a cultural practice and very important to him. How
should you respond? A) Privately ask the son to allow the patient to make his own health care
decisions. B) Explain to the patient that he is responsible for his own decisions. C) Work with the
team to negotiate informed consent. D) Avoid divulging information to the eldest son -
(answers)C
One aspect of the nurses comprehensive assessment when caring for the terminally ill is the
assessment of hope. The nurse is assessing a patient with liver failure for the presence of hope.
What would the nurse identify as a hope-fostering category? A) Uplifting memories B) Ignoring
negative outcomes C) Envisioning one specific outcome D) Avoiding an actual or potential threat
- (answers)A
A medical nurse is providing end-of-life care for a patient with metastatic bone cancer. The nurse
notes that the patient has been receiving oral analgesics for her pain with adequate effect, but is
now having difficulty swallowing the medication. What should the nurse do? A) Request the
physician to order analgesics by an alternative route. B) Crush the medication in order to aid
swallowing and absorption. C) Administer the patients medication with the meal tray. D)
Administer the medication rectally - (answers)A
A 66-year-old patient is in a hospice receiving palliative care for lung cancer which has
metastasized to the patients liver and bones. For the past several hours, the patient has been
experiencing dyspnea. What nursing action is most appropriate to help to relive the dyspnea the
patient is experiencing? Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical
Nursing 14e (Hinkle 2017) 324 A) Administer a bolus of normal saline, as ordered. B) Initiate
