Page 1 of 49
ADULT HEALTH HESI PREP EXAM|| ACTUAL
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS || LATEST AND COMPLETE UPDATE
2025 WITH VERIFIED SOLUTIONS||
GUARANTEED A+
S/x of dehydration
poor skin turgor
dry oral mucosa
hypovolemia
hypovolemia
low BP
Tachy
What do you do first if hypovolemic
replace fluid volume
how do you replace fluid volume?
Isotonic (Normal saline/lactated ringers)
,Page 2 of 49
Fluid volume normal but dehydrated
give hypotonic fluids (D5W)
what is hypotonic fluid contraindicated in
people with cerebral edema
What to give for Hypervolemia
hypertonic fluid and diuretic (3% NS)
Sodium levels off
brain > seizures
Potassium levels off
heart > dysrhythmia
What to give for hyperkalemia
calcium gluconate to prevent cardiac dysrhythmias
Insulin
Check glucose
,Page 3 of 49
Hypocalcemia
muscle spasms
trousseaus and Chvosteks
Gallbladder problem
RUQ pain, n/v, radiating pain to shoulder, jaundice, clay colored stool
TX gallbladder
removal, choliectomy
Diabetes S/Sx
polyuria, polydipsia, polyphagia
Type I
own body attacks pancreas
lack of beta cells > no insulin
Type I complication
, Page 4 of 49
DKA
DKA presentation
high blood glucose
change in LOC, abdominal cramping, Kussmaul respirations, fruity breath, ketones
in urine, hematuria
TX DKA
hydrate, give insulin, look at potassium levels
DKA potassium <3.5
replace K before giving insulin
Type II DM
pancreas not making enough insulin and cell receptors not working effectively
Why is Type 2 associated with obesity
fat cells are resistant to insulin
Complication type 2
ADULT HEALTH HESI PREP EXAM|| ACTUAL
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS || LATEST AND COMPLETE UPDATE
2025 WITH VERIFIED SOLUTIONS||
GUARANTEED A+
S/x of dehydration
poor skin turgor
dry oral mucosa
hypovolemia
hypovolemia
low BP
Tachy
What do you do first if hypovolemic
replace fluid volume
how do you replace fluid volume?
Isotonic (Normal saline/lactated ringers)
,Page 2 of 49
Fluid volume normal but dehydrated
give hypotonic fluids (D5W)
what is hypotonic fluid contraindicated in
people with cerebral edema
What to give for Hypervolemia
hypertonic fluid and diuretic (3% NS)
Sodium levels off
brain > seizures
Potassium levels off
heart > dysrhythmia
What to give for hyperkalemia
calcium gluconate to prevent cardiac dysrhythmias
Insulin
Check glucose
,Page 3 of 49
Hypocalcemia
muscle spasms
trousseaus and Chvosteks
Gallbladder problem
RUQ pain, n/v, radiating pain to shoulder, jaundice, clay colored stool
TX gallbladder
removal, choliectomy
Diabetes S/Sx
polyuria, polydipsia, polyphagia
Type I
own body attacks pancreas
lack of beta cells > no insulin
Type I complication
, Page 4 of 49
DKA
DKA presentation
high blood glucose
change in LOC, abdominal cramping, Kussmaul respirations, fruity breath, ketones
in urine, hematuria
TX DKA
hydrate, give insulin, look at potassium levels
DKA potassium <3.5
replace K before giving insulin
Type II DM
pancreas not making enough insulin and cell receptors not working effectively
Why is Type 2 associated with obesity
fat cells are resistant to insulin
Complication type 2
