2025 test bank for the Adult Health 2 HESI
Exam
2025 test bank for the Adult Health 2 HESI
Exam, featuring accurate and comprehensive
questions with verified answers based on
current nursing practices and HESI standards
ALREADY GRADED A+ GUARANTEED PASS 3
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
Suprapublic pain and distention.
Bounding pulse at 100 beats/minute.
Fingerstick glucose of 300 mg/dl.
Small vesicular perineal lesions.
Fingerstick glucose of 300 mg/dl.
rationale:
Elevated fingerstick glucose levels needs to be reported tot he healthcare provider, so a plan of
care can be adjusted to treat the elevated glucose level. Also elevated glucose levels, spills into
the urine and provide a medium for bacterial growth.
The nurse is caring for a client with end stage liver disease who is being assessed for the
presence of asterixis. To assess the client for asterixis, what position should the nurse ask the
client to demonstrate?
Extend the left arm laterally with the left palm upward.
Extend the arm, dorsiflex the wrist, and extend the fingers.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
Extend the arms and hold this position for 30 seconds.
Extend arms with both legs adducted to shoulder width.
Extend the arm, dorsiflex the wrist, and extend the fingers.
rationale:
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in
hepatic encephalopathy. The tremor is induced by extending the arm and dorsiflexing the wrist
causing rapid, non-rhythmic extension and flexion of the wrist while attempting to hold
position.
A client who has just tested positive for human immunodeficiency virus (HIV) does not appear
to hear what the nurse is saying during post-test counseling. Which information should the
nurse offer to facilitate the client's adjustment to HIV infection?
Discuss retesting to verify the results, which will ensure continuing contact.
rationale:
Encouraging retesting supports hope and gives the client time to cope with the diagnosis.
Although post-test counseling should include education, retesting encourages the client to
maintain medical follow-up and management.
When planning care for a client with right renal calculi, which nursing diagnosis has the highest
priority?
Acute pain related to movement of the stone.
Impaired urinary elimination related to obstructed flow of urine.
Risk for infection related to urinary stasis.
Deficient knowledge related to need for prevention of recurrence of calculi.
Acute pain related to movement of the stone.
rationale:
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
The nursing diagnosis of the highest priority is "Acute pain related the the renal calculi's
movement".
.!
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize
its therapeutic effect?
Rub a liberal amount of cream into the skin thoroughly.
Cover the skin with a gauze dressing after applying the cream.
Leave the cream on the skin for 1 to 2 hours before the procedure.
Use the smallest amount of cream necessary to numb the skin surface.
Leave the cream on the skin for 1 to 2 hours before the procedure.
rationale:
Topical anesthetic creams, such as EMLA, should be applied to the puncture site at least 60
minutes to 2 hours before the insertion of an IV catheter.
The nurse is caring for a client who returns to the unit following a colonoscopy. Which finding
should the nurse report to the healthcare provider immediately?
Large amounts of expelled flatus with mucus.
Tympanic abdomen and hyperactive bowel sounds.
Increased abdominal pain with rebound tenderness.
Complaint of feeling weak with watery diarrheal stools.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
Increased abdominal pain with rebound tenderness.
rationale:
Positive rebound tenderness following a colonoscopy may be an indication of a perforation and
the development of peritonitis and requires follow-up immediately.
An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
Palpate the pedal pulse volume.
Count the brachial pulse rate.
Measure the blood pressure.
Assess for a carotid bruit.
Measure the blood pressure.
rationale:
Elderly clients who take antihypertensive medications often experience side effects, such as
hypotension, which causes tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be measured.
A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
Exam
2025 test bank for the Adult Health 2 HESI
Exam, featuring accurate and comprehensive
questions with verified answers based on
current nursing practices and HESI standards
ALREADY GRADED A+ GUARANTEED PASS 3
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
Suprapublic pain and distention.
Bounding pulse at 100 beats/minute.
Fingerstick glucose of 300 mg/dl.
Small vesicular perineal lesions.
Fingerstick glucose of 300 mg/dl.
rationale:
Elevated fingerstick glucose levels needs to be reported tot he healthcare provider, so a plan of
care can be adjusted to treat the elevated glucose level. Also elevated glucose levels, spills into
the urine and provide a medium for bacterial growth.
The nurse is caring for a client with end stage liver disease who is being assessed for the
presence of asterixis. To assess the client for asterixis, what position should the nurse ask the
client to demonstrate?
Extend the left arm laterally with the left palm upward.
Extend the arm, dorsiflex the wrist, and extend the fingers.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
Extend the arms and hold this position for 30 seconds.
Extend arms with both legs adducted to shoulder width.
Extend the arm, dorsiflex the wrist, and extend the fingers.
rationale:
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in
hepatic encephalopathy. The tremor is induced by extending the arm and dorsiflexing the wrist
causing rapid, non-rhythmic extension and flexion of the wrist while attempting to hold
position.
A client who has just tested positive for human immunodeficiency virus (HIV) does not appear
to hear what the nurse is saying during post-test counseling. Which information should the
nurse offer to facilitate the client's adjustment to HIV infection?
Discuss retesting to verify the results, which will ensure continuing contact.
rationale:
Encouraging retesting supports hope and gives the client time to cope with the diagnosis.
Although post-test counseling should include education, retesting encourages the client to
maintain medical follow-up and management.
When planning care for a client with right renal calculi, which nursing diagnosis has the highest
priority?
Acute pain related to movement of the stone.
Impaired urinary elimination related to obstructed flow of urine.
Risk for infection related to urinary stasis.
Deficient knowledge related to need for prevention of recurrence of calculi.
Acute pain related to movement of the stone.
rationale:
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
The nursing diagnosis of the highest priority is "Acute pain related the the renal calculi's
movement".
.!
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize
its therapeutic effect?
Rub a liberal amount of cream into the skin thoroughly.
Cover the skin with a gauze dressing after applying the cream.
Leave the cream on the skin for 1 to 2 hours before the procedure.
Use the smallest amount of cream necessary to numb the skin surface.
Leave the cream on the skin for 1 to 2 hours before the procedure.
rationale:
Topical anesthetic creams, such as EMLA, should be applied to the puncture site at least 60
minutes to 2 hours before the insertion of an IV catheter.
The nurse is caring for a client who returns to the unit following a colonoscopy. Which finding
should the nurse report to the healthcare provider immediately?
Large amounts of expelled flatus with mucus.
Tympanic abdomen and hyperactive bowel sounds.
Increased abdominal pain with rebound tenderness.
Complaint of feeling weak with watery diarrheal stools.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
, 2025 test bank for the Adult Health 2 HESI
Exam
Increased abdominal pain with rebound tenderness.
rationale:
Positive rebound tenderness following a colonoscopy may be an indication of a perforation and
the development of peritonitis and requires follow-up immediately.
An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
Palpate the pedal pulse volume.
Count the brachial pulse rate.
Measure the blood pressure.
Assess for a carotid bruit.
Measure the blood pressure.
rationale:
Elderly clients who take antihypertensive medications often experience side effects, such as
hypotension, which causes tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be measured.
A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day.
2025 test bank for the Adult Health 2 HESI Exam, ADMIN
