HESI ADULT HEALTH EXAM
Questions and Answers
1.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.
C. Insert a venous access device in an unaffected arm.
D. Determine the extent of the burns, using the rule of nines.
ANS B
2.A client is admitted to the hospital, and benazepril is
prescribed for hy- pertension. Which is an appropriate
nursing action for clients taking this medication?
A. Assess for dizziness.
B. Assess for dark, tarry stools.
C.Administer the medication after
meals.
D.Monitor the electroencephalogram (EEG).
ANS A
3.A construction worker sustains a puncture wound from a
,rusty nail and the last immunization for tetanus in unknown.
The primary health care provider prescribes tetanus immune
globulin. Which type of protection does this im- munization
offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity
ANS D
4.A hospice client who has severe pain asks for another dose of
oxycodone. Which consideration is the nurse's primary concern
when responding to the client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain.
ANS D
5.A nurse receives an order to administer cefazolin 2 g/100 mL
NS IV every 8 hours. Pharmacy suggests infusing the cefazolin
over 30 minutes. How many milliliters per hour would the nurse
set the IV infusion device?
ANS 200 mL/hr
,6.The nurse has administered sublingual nitroglycerin. Which
outcome would the nurse use to determine the effectiveness of
sublingual nitroglycerin?
A. Relief of anginal pain
B. Improved cardiac
output. C. Decreased
blood pressure D. Ease
in respiratory effort
ANS A
7.After a subtotal gastrectomy, a client demonstrates signs of
dumping syn- drome. About 90 minutes after the initial attack,
the client reports feeling shaky. Which would the nurse
determine is the cause of the latter effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of
chyme
D. An overproduction of insulin that occurs in response to the
rise in blood glucose.
ANS D
8.Which type of immunity will clients acquire through
immunizations with live or killed vaccines?
A. Natural active immunity
, B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity
ANS B
9.Which situations accurately represent superego in a
client, per Freud? (Select all that apply)
A. Controlling the urge to eat candy because he or she knows
it will affect blood sugar levels.
B. Having a craving for fruit but not stealing it form the next
client because that client needs it more.
C. Urinating beside the bed instead of waiting for the nurse to
assist him or her.
D. Experiencing a stomachache but refraining from stealing
medications from a friend because it is illegal.
E. Feeling the urge to run away from the hospital but refraining
from doing so because the security guard is watching.
ANS A B D
10.An older client is treated in the emergency department for
soft tissue injuries that the medical team suspect might be
caused by physical abuse. An adult child states that the client
is confused and often falls. A mini-mental examination indicates
that the client is oriented to person, place, and time. Which
action would the nurse take next?
Questions and Answers
1.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.
C. Insert a venous access device in an unaffected arm.
D. Determine the extent of the burns, using the rule of nines.
ANS B
2.A client is admitted to the hospital, and benazepril is
prescribed for hy- pertension. Which is an appropriate
nursing action for clients taking this medication?
A. Assess for dizziness.
B. Assess for dark, tarry stools.
C.Administer the medication after
meals.
D.Monitor the electroencephalogram (EEG).
ANS A
3.A construction worker sustains a puncture wound from a
,rusty nail and the last immunization for tetanus in unknown.
The primary health care provider prescribes tetanus immune
globulin. Which type of protection does this im- munization
offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity
ANS D
4.A hospice client who has severe pain asks for another dose of
oxycodone. Which consideration is the nurse's primary concern
when responding to the client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain.
ANS D
5.A nurse receives an order to administer cefazolin 2 g/100 mL
NS IV every 8 hours. Pharmacy suggests infusing the cefazolin
over 30 minutes. How many milliliters per hour would the nurse
set the IV infusion device?
ANS 200 mL/hr
,6.The nurse has administered sublingual nitroglycerin. Which
outcome would the nurse use to determine the effectiveness of
sublingual nitroglycerin?
A. Relief of anginal pain
B. Improved cardiac
output. C. Decreased
blood pressure D. Ease
in respiratory effort
ANS A
7.After a subtotal gastrectomy, a client demonstrates signs of
dumping syn- drome. About 90 minutes after the initial attack,
the client reports feeling shaky. Which would the nurse
determine is the cause of the latter effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of
chyme
D. An overproduction of insulin that occurs in response to the
rise in blood glucose.
ANS D
8.Which type of immunity will clients acquire through
immunizations with live or killed vaccines?
A. Natural active immunity
, B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity
ANS B
9.Which situations accurately represent superego in a
client, per Freud? (Select all that apply)
A. Controlling the urge to eat candy because he or she knows
it will affect blood sugar levels.
B. Having a craving for fruit but not stealing it form the next
client because that client needs it more.
C. Urinating beside the bed instead of waiting for the nurse to
assist him or her.
D. Experiencing a stomachache but refraining from stealing
medications from a friend because it is illegal.
E. Feeling the urge to run away from the hospital but refraining
from doing so because the security guard is watching.
ANS A B D
10.An older client is treated in the emergency department for
soft tissue injuries that the medical team suspect might be
caused by physical abuse. An adult child states that the client
is confused and often falls. A mini-mental examination indicates
that the client is oriented to person, place, and time. Which
action would the nurse take next?
