ADULT HEALTH 2 HESI TEST BANK
EXAM NEWEST 2024-2025 ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Amclientmwhomhasmpartial-
thicknessmburnsmonmthemchest,mabdomen,mandmrightmsidemarrivesminmthememergencymdepartment.
mWhichmactionmwillmthemnursemtakemfirst?
A.mRemovemthemclient'smclothing.
B.mEvaluatemwhethermthemclientmhasminhaledmsmoke.
C.mInsertmamvenousmaccessmdeviceminmanmunaffectedmarm.
D.mDeterminemthemextentmofmthemburns,musingmthemrulemofmnines.m-mCORRECTmANSWERmB
Amclientmismadmittedmtomthemhospital,mandmbenazeprilmismprescribedmformhypertension.mWhichmisma
nmappropriatemnursingmactionmformclientsmtakingmthismmedication?
A.Assessmformdizziness.
B.Assessmformdark,mtarrymstools.
C.Administermthemmedicationmaftermmeals.
D.Monitormthemelectroencephalogramm(EEG).m-mCORRECTmANSWERmA
Amconstructionmworkermsustainsmampuncturemwoundmfrommamrustymnailmandmthemlastmimmunizatio
nmformtetanusminmunknown.mThemprimarymhealthmcaremprovidermprescribesmtetanusmimmunemglob
ulin.mWhichmtypemofmprotectionmdoesmthismimmunizationmoffer?
A.mLifelongmpassivemimmunity
B.mLong-lastingmactivemprotection
C.mStimulationmofmantibodymproduction
D.mImmediatempassivemshort-termmimmunitym-mCORRECTmANSWERmD
,Amhospicemclientmwhomhasmseverempainmasksmformanothermdosemofmoxycodone.mWhichmconsiderati
onmismthemnurse'smprimarymconcernmwhenmrespondingmtomthemclient'smrequest?
A.mPreventmaddiction.
B.mDeterminemwhymthemmedicationmismneeded.
C.mProvidemalternativemcomfortmmeasures.
D.mReducemthemclient'smpain.m-mCORRECTmANSWERmD
Amnursemreceivesmanmordermtomadministermcefazolinm2mg/100mmLmNSmIVmeverym8mhours.mPharmacy
msuggestsminfusingmthemcefazolinmoverm30mminutes.mHowmmanymmillilitersmpermhourmwouldmthemnu
rsemsetmthemIVminfusionmdevice?m-mCORRECTmANSWERm200mmL/hr
Themnursemhasmadministeredmsublingualmnitroglycerin.mWhichmoutcomemwouldmthemnursemusemtom
determinemthemeffectivenessmofmsublingualmnitroglycerin?
A.Reliefmofmanginalmpain
B.Improvedmcardiacmoutput.
C.Decreasedmbloodmpressure
D.Easeminmrespiratorymeffortm-mCORRECTmANSWERmA
Aftermamsubtotalmgastrectomy,mamclientmdemonstratesmsignsmofmdumpingmsyndrome.mAboutm90mmi
nutesmaftermtheminitialmattack,mthemclientmreportsmfeelingmshaky.mWhichmwouldmthemnursemdetermi
nemismthemcausemofmthemlattermeffect?
A.mAmsecond,mmoremextensivemriseminmglucose
B.mAnmoverwhelmedminsulin-adjustingmmechanism
C.mAmdistentionmofmthemduodenummfrommanmexcessivemamountmofmchyme
D.mAnmoverproductionmofminsulinmthatmoccursminmresponsemtomthemriseminmbloodmglucose.m-
mCORRECTmANSWERmD
, Whichmtypemofmimmunitymwillmclientsmacquiremthroughmimmunizationsmwithmlivemormkilledmvaccine
s?
A.mNaturalmactivemimmunity
B.mArtificialmactivemimmunity
C.mNaturalmpassivemimmunity
D.mArtificialmpassivemimmunitym-mCORRECTmANSWERmB
Whichmsituationsmaccuratelymrepresentmsuperegominmamclient,mpermFreud?m(Selectmallmthatmapply)
A.mControllingmthemurgemtomeatmcandymbecausemhemormshemknowsmitmwillmaffectmbloodmsugarmlevels
.
B.mHavingmamcravingmformfruitmbutmnotmstealingmitmformmthemnextmclientmbecausemthatmclientmneeds
mitmmore.
C.mUrinatingmbesidemthembedminsteadmofmwaitingmformthemnursemtomassistmhimmormher.
D.mExperiencingmamstomachachembutmrefrainingmfrommstealingmmedicationsmfrommamfriendmbecaus
emitmismillegal.
E.mFeelingmthemurgemtomrunmawaymfrommthemhospitalmbutmrefrainingmfrommdoingmsombecausemthems
ecuritymguardmismwatching.m-mCORRECTmANSWERmAmBmD
Anmoldermclientmismtreatedminmthememergencymdepartmentmformsoftmtissueminjuriesmthatmthemmedi
calmteammsuspectmmightmbemcausedmbymphysicalmabuse.mAnmadultmchildmstatesmthatmthemclientmismc
onfusedmandmoftenmfalls.mAmmini-
mentalmexaminationmindicatesmthatmthemclientmismorientedmtomperson,mplace,mandmtime.mWhichmac
tionmwouldmthemnursemtakemnext?
A.Interviewmthemclientmwithoutmthempresencemofmfamilymmembers.
B.Suggestmthatmthemclientmcallmlawmenforcementmofficersmifmthreatenedmbymfamilymmembers.
C.Acceptmthemadultmchild'smexplanationmuntilmmoremdatamcanmbemcollected.
D.Refermthemclient'smclinicalmrecordmtomthemhospitalmethicsmcommitteemformreview.m-
mCORRECTmANSWERmA
EXAM NEWEST 2024-2025 ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Amclientmwhomhasmpartial-
thicknessmburnsmonmthemchest,mabdomen,mandmrightmsidemarrivesminmthememergencymdepartment.
mWhichmactionmwillmthemnursemtakemfirst?
A.mRemovemthemclient'smclothing.
B.mEvaluatemwhethermthemclientmhasminhaledmsmoke.
C.mInsertmamvenousmaccessmdeviceminmanmunaffectedmarm.
D.mDeterminemthemextentmofmthemburns,musingmthemrulemofmnines.m-mCORRECTmANSWERmB
Amclientmismadmittedmtomthemhospital,mandmbenazeprilmismprescribedmformhypertension.mWhichmisma
nmappropriatemnursingmactionmformclientsmtakingmthismmedication?
A.Assessmformdizziness.
B.Assessmformdark,mtarrymstools.
C.Administermthemmedicationmaftermmeals.
D.Monitormthemelectroencephalogramm(EEG).m-mCORRECTmANSWERmA
Amconstructionmworkermsustainsmampuncturemwoundmfrommamrustymnailmandmthemlastmimmunizatio
nmformtetanusminmunknown.mThemprimarymhealthmcaremprovidermprescribesmtetanusmimmunemglob
ulin.mWhichmtypemofmprotectionmdoesmthismimmunizationmoffer?
A.mLifelongmpassivemimmunity
B.mLong-lastingmactivemprotection
C.mStimulationmofmantibodymproduction
D.mImmediatempassivemshort-termmimmunitym-mCORRECTmANSWERmD
,Amhospicemclientmwhomhasmseverempainmasksmformanothermdosemofmoxycodone.mWhichmconsiderati
onmismthemnurse'smprimarymconcernmwhenmrespondingmtomthemclient'smrequest?
A.mPreventmaddiction.
B.mDeterminemwhymthemmedicationmismneeded.
C.mProvidemalternativemcomfortmmeasures.
D.mReducemthemclient'smpain.m-mCORRECTmANSWERmD
Amnursemreceivesmanmordermtomadministermcefazolinm2mg/100mmLmNSmIVmeverym8mhours.mPharmacy
msuggestsminfusingmthemcefazolinmoverm30mminutes.mHowmmanymmillilitersmpermhourmwouldmthemnu
rsemsetmthemIVminfusionmdevice?m-mCORRECTmANSWERm200mmL/hr
Themnursemhasmadministeredmsublingualmnitroglycerin.mWhichmoutcomemwouldmthemnursemusemtom
determinemthemeffectivenessmofmsublingualmnitroglycerin?
A.Reliefmofmanginalmpain
B.Improvedmcardiacmoutput.
C.Decreasedmbloodmpressure
D.Easeminmrespiratorymeffortm-mCORRECTmANSWERmA
Aftermamsubtotalmgastrectomy,mamclientmdemonstratesmsignsmofmdumpingmsyndrome.mAboutm90mmi
nutesmaftermtheminitialmattack,mthemclientmreportsmfeelingmshaky.mWhichmwouldmthemnursemdetermi
nemismthemcausemofmthemlattermeffect?
A.mAmsecond,mmoremextensivemriseminmglucose
B.mAnmoverwhelmedminsulin-adjustingmmechanism
C.mAmdistentionmofmthemduodenummfrommanmexcessivemamountmofmchyme
D.mAnmoverproductionmofminsulinmthatmoccursminmresponsemtomthemriseminmbloodmglucose.m-
mCORRECTmANSWERmD
, Whichmtypemofmimmunitymwillmclientsmacquiremthroughmimmunizationsmwithmlivemormkilledmvaccine
s?
A.mNaturalmactivemimmunity
B.mArtificialmactivemimmunity
C.mNaturalmpassivemimmunity
D.mArtificialmpassivemimmunitym-mCORRECTmANSWERmB
Whichmsituationsmaccuratelymrepresentmsuperegominmamclient,mpermFreud?m(Selectmallmthatmapply)
A.mControllingmthemurgemtomeatmcandymbecausemhemormshemknowsmitmwillmaffectmbloodmsugarmlevels
.
B.mHavingmamcravingmformfruitmbutmnotmstealingmitmformmthemnextmclientmbecausemthatmclientmneeds
mitmmore.
C.mUrinatingmbesidemthembedminsteadmofmwaitingmformthemnursemtomassistmhimmormher.
D.mExperiencingmamstomachachembutmrefrainingmfrommstealingmmedicationsmfrommamfriendmbecaus
emitmismillegal.
E.mFeelingmthemurgemtomrunmawaymfrommthemhospitalmbutmrefrainingmfrommdoingmsombecausemthems
ecuritymguardmismwatching.m-mCORRECTmANSWERmAmBmD
Anmoldermclientmismtreatedminmthememergencymdepartmentmformsoftmtissueminjuriesmthatmthemmedi
calmteammsuspectmmightmbemcausedmbymphysicalmabuse.mAnmadultmchildmstatesmthatmthemclientmismc
onfusedmandmoftenmfalls.mAmmini-
mentalmexaminationmindicatesmthatmthemclientmismorientedmtomperson,mplace,mandmtime.mWhichmac
tionmwouldmthemnursemtakemnext?
A.Interviewmthemclientmwithoutmthempresencemofmfamilymmembers.
B.Suggestmthatmthemclientmcallmlawmenforcementmofficersmifmthreatenedmbymfamilymmembers.
C.Acceptmthemadultmchild'smexplanationmuntilmmoremdatamcanmbemcollected.
D.Refermthemclient'smclinicalmrecordmtomthemhospitalmethicsmcommitteemformreview.m-
mCORRECTmANSWERmA
