HESI ADULT HEALTH EXAM 2
Questions and Answers
1.A nurse is caring for a client with DI. Which data warrants the
most immedi- ate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst
ANS a. Serum sodium of 185
2.The nurse is obtaining the admission history for a client with
suspected peptic ulcer disease (PUD). Which subjective data
reported by the client sup- ports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4
months
ANS c. upper mid-abdominal pain described as gnawing and
burning.
3.The nurse assess a client who is newly diagnosed with
hyperthyroidism and observes that the client's eyeballs are
,protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the
nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops
ANS d. Obtain a prescription for artificial tear drops
4.To reduce the risk for pulmonary complication for a client
with Amyotrophic Lateral Sclerosis (ALS), which interventions
should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer
ANS a. Perform chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spirometer
5.A client hospitalized with heart failure (HF). Which
intervention should the nurse implement to improve
ventilation and reduce venous return?
a. Perform passive range of motion exercises
, b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level
ANS b. Place the client in high fowler position
6.A client who was involved in a motor vehicle collision is
admitted with a fractured left femur which is immobilized
using a fracture traction splint in preparation for an open
reduction internal fixation (ORIF). The nurse deter- mines that
the client's distal pulses are diminished in the left foot. Which
interventions should the nurse implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis,
pressure
3. Administer oral antispasmodics and narcotic analgesics
ANS a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d.Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
7.The healthcare provider prescribes diagnostic tests for a client
whose chest X-ray indicates pneumonia. Which diagnostic test
should the nurse review for implementation in the most
therapeutic treatment of the pneumonia?
Questions and Answers
1.A nurse is caring for a client with DI. Which data warrants the
most immedi- ate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst
ANS a. Serum sodium of 185
2.The nurse is obtaining the admission history for a client with
suspected peptic ulcer disease (PUD). Which subjective data
reported by the client sup- ports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4
months
ANS c. upper mid-abdominal pain described as gnawing and
burning.
3.The nurse assess a client who is newly diagnosed with
hyperthyroidism and observes that the client's eyeballs are
,protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the
nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops
ANS d. Obtain a prescription for artificial tear drops
4.To reduce the risk for pulmonary complication for a client
with Amyotrophic Lateral Sclerosis (ALS), which interventions
should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer
ANS a. Perform chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spirometer
5.A client hospitalized with heart failure (HF). Which
intervention should the nurse implement to improve
ventilation and reduce venous return?
a. Perform passive range of motion exercises
, b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level
ANS b. Place the client in high fowler position
6.A client who was involved in a motor vehicle collision is
admitted with a fractured left femur which is immobilized
using a fracture traction splint in preparation for an open
reduction internal fixation (ORIF). The nurse deter- mines that
the client's distal pulses are diminished in the left foot. Which
interventions should the nurse implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis,
pressure
3. Administer oral antispasmodics and narcotic analgesics
ANS a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d.Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
7.The healthcare provider prescribes diagnostic tests for a client
whose chest X-ray indicates pneumonia. Which diagnostic test
should the nurse review for implementation in the most
therapeutic treatment of the pneumonia?
