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Adult Health HESI EXAM (2 VERSIONS) ALL
800 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
VERSION A
QUESTION: The nurse is caring for a client admitted with chronic obstructive pulmonary disease
(COPD). Which laboratory test would the nurse monitor for hypoxia?
A. Red blood cell count
B. Sputum culture
C. Arterial blood gas
D. Total hemoglobin - ANSWER-C
QUESTION: A client with colon cancer had surgery for resection of the tumor and creation of a
colostomy. During the 6-week postoperative checkup, the nurse teaches the client about
nutrition. Which response by the client indicates learning has taken place?
A. 'I should follow a diet that is rich in protein."
B. "I should follow a diet that is low in sodium content."
C. "I should follow a diet that is as close to normal as possible."
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D. "I should follow a diet that is higher is calories than before." - ANSWER-C
QUESTION: A healthcare provider prescribes transdermal fentanyl 25 mcg/h every 72 hours.
During the first 24 hours after starting the fentanyl, the nurse recognizes the need to take
which action?
A. Titrate the dose until pain is tolerable.
B. Manage pain with an analgesic by a different route.
C. Assess the client for anticholinergic side effects.
D. Instruct the client to take the medication with food. - ANSWER-B
QUESTION: A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed
morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the
client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
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C.Physical addiction
D.Psychological dependence - ANSWER-A
QUESTION: The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
A. Caring
B. Veracity
C. Advocacy
D. Confidentiality - ANSWER-C
QUESTION: Case 1
•A nurse is caring for a patient admitted 3 days ago following a motor vehicle accident. Vital
signs are T- 102, P- 112, RR- 24, BP- 86/48, SaO2- 93%. The morning complete blood cell (CBC)
count shows a hemoglobin of 7 g/dL.
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•With a sudden increase in temperature, sepsis is suspected. The patient has vancomycin 1.5
g/200 mL ordered to be infused IV twice daily over 2 hours. How many milliliters per hour will
the nurse program the IV infusion device? - ANSWER-100 ML/HR
QUESTION: The registered nurse is evaluating the plans of a nursing student for providing
preoperative care to a client who has compartment syndrome. Which item listed in the nursing
student's plan of care would the nurse need to revise? (Select all that apply)
A. Bivalving the cast
B. Applying cold compresses
C. Loosening the bandage applied
D. Evaluating the client's level of pain
E. Elevating the extremity above heart level - ANSWER-B E
Q;A client who has partial-thickness burns on the chest, abdomen, and right side arrives in the
emergency department. Which action will the nurse take first?
A. Remove the client's clothing.
B. Evaluate whether the client has inhaled smoke.
4
Adult Health HESI EXAM (2 VERSIONS) ALL
800 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
VERSION A
QUESTION: The nurse is caring for a client admitted with chronic obstructive pulmonary disease
(COPD). Which laboratory test would the nurse monitor for hypoxia?
A. Red blood cell count
B. Sputum culture
C. Arterial blood gas
D. Total hemoglobin - ANSWER-C
QUESTION: A client with colon cancer had surgery for resection of the tumor and creation of a
colostomy. During the 6-week postoperative checkup, the nurse teaches the client about
nutrition. Which response by the client indicates learning has taken place?
A. 'I should follow a diet that is rich in protein."
B. "I should follow a diet that is low in sodium content."
C. "I should follow a diet that is as close to normal as possible."
1
, Page 2 of 442
D. "I should follow a diet that is higher is calories than before." - ANSWER-C
QUESTION: A healthcare provider prescribes transdermal fentanyl 25 mcg/h every 72 hours.
During the first 24 hours after starting the fentanyl, the nurse recognizes the need to take
which action?
A. Titrate the dose until pain is tolerable.
B. Manage pain with an analgesic by a different route.
C. Assess the client for anticholinergic side effects.
D. Instruct the client to take the medication with food. - ANSWER-B
QUESTION: A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed
morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the
client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
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, Page 3 of 442
C.Physical addiction
D.Psychological dependence - ANSWER-A
QUESTION: The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
A. Caring
B. Veracity
C. Advocacy
D. Confidentiality - ANSWER-C
QUESTION: Case 1
•A nurse is caring for a patient admitted 3 days ago following a motor vehicle accident. Vital
signs are T- 102, P- 112, RR- 24, BP- 86/48, SaO2- 93%. The morning complete blood cell (CBC)
count shows a hemoglobin of 7 g/dL.
3
, Page 4 of 442
•With a sudden increase in temperature, sepsis is suspected. The patient has vancomycin 1.5
g/200 mL ordered to be infused IV twice daily over 2 hours. How many milliliters per hour will
the nurse program the IV infusion device? - ANSWER-100 ML/HR
QUESTION: The registered nurse is evaluating the plans of a nursing student for providing
preoperative care to a client who has compartment syndrome. Which item listed in the nursing
student's plan of care would the nurse need to revise? (Select all that apply)
A. Bivalving the cast
B. Applying cold compresses
C. Loosening the bandage applied
D. Evaluating the client's level of pain
E. Elevating the extremity above heart level - ANSWER-B E
Q;A client who has partial-thickness burns on the chest, abdomen, and right side arrives in the
emergency department. Which action will the nurse take first?
A. Remove the client's clothing.
B. Evaluate whether the client has inhaled smoke.
4
