HESI Adult Health Review Exam Latest 2026 || Most
Recent Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
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The nurse is caring for a client with a chest tube to water seal
drainage that was
inserted 10 days ago because of a ruptured bullae and
pneumothorax. Which
finding should the nurse report to the health care provider
before the chest tube
is
removed?
A. Tidaling of water in water seal chamber
B. Bilateral muffled breath sounds at bases
C. Temperature of 101° F
,D. Absence of chest tube drainage for 2 days - ANSWER-
Answer- A
Rationale- Tidaling (rising and falling of water with respirations)
in the water seal chamber should be reported to the health care
provider before the chest tube is removed to rule out an
unresolved pneumothorax or persistent air leak, which is
characteristic of a ruptured bullae caused by abnormally wide
changes in negative intrathoracic pressure. Option B may
indicate hypoventilation from chest tube discomfort and
usually improves when the chest tube is removed. Option C
usually indicates an infection, which may not be related to the
chest tube. Option D is an expected finding.
A hospitalized client is receiving nasogastric tube feedings via
a small-bore tube and a continuous pump infusion. He begins
to cough and produces a moderate amount of white sputum.
Which action should the nurse take first?
A. Auscultate the client's breath sounds.
B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
,D. Measure the amount of residual feeding. - ANSWER-Answer-
B
Rationale- A productive cough may indicate that the feeding
has been aspirated. The nurse should first stop the feeding to
prevent further aspiration. Options A, C, and D should all be
performed before restarting the tube feeding if no evidence of
aspiration is present and the tube is in place.
The nurse is caring for a client with a fractured right elbow.
Which assessment
finding has the highest priority and requires immediate
intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER-
Answer- B
Rationale- Compartment syndrome is a condition involving
increased pressure and constriction of the nerves and vessels
within an anatomic compartment, causing pain uncontrolled by
, opioids and neurovascular compromise. Option A is an
expected finding. Option C related to compartment syndrome
cannot be seen, and any visible edema is an expected finding
related to the injury. Option D is an expected finding.
A 43-year-old homeless, malnourished female client with a
history of alcoholism is transferred to the ICU. She is placed on
telemetry, and the rhythm strip shown is obtained. The nurse
palpates a heart rate of 160 beats/min, and the client's blood
pressure is 90/54 mm Hg. Based on these findings, which IV
medication should the nurse administer?
A. Amiodarone (Cordarone)
B. Magnesium sulfate
C. Lidocaine (Xylocaine)
D. Procainamide (Pronestyl) - ANSWER-Answer- B
Rationale- Because the client has chronic alcoholism, she is
likely to have hypomagnesemia. Option B is the recommended
drug for torsades de pointes, which is a form of polymorphic
ventricular tachycardia (VT) usually associated with a
prolonged QT interval that occurs with hypomagnesemia.
Options A and D increase the QT interval, which can cause the
Recent Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!!
The nurse is caring for a client with a chest tube to water seal
drainage that was
inserted 10 days ago because of a ruptured bullae and
pneumothorax. Which
finding should the nurse report to the health care provider
before the chest tube
is
removed?
A. Tidaling of water in water seal chamber
B. Bilateral muffled breath sounds at bases
C. Temperature of 101° F
,D. Absence of chest tube drainage for 2 days - ANSWER-
Answer- A
Rationale- Tidaling (rising and falling of water with respirations)
in the water seal chamber should be reported to the health care
provider before the chest tube is removed to rule out an
unresolved pneumothorax or persistent air leak, which is
characteristic of a ruptured bullae caused by abnormally wide
changes in negative intrathoracic pressure. Option B may
indicate hypoventilation from chest tube discomfort and
usually improves when the chest tube is removed. Option C
usually indicates an infection, which may not be related to the
chest tube. Option D is an expected finding.
A hospitalized client is receiving nasogastric tube feedings via
a small-bore tube and a continuous pump infusion. He begins
to cough and produces a moderate amount of white sputum.
Which action should the nurse take first?
A. Auscultate the client's breath sounds.
B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
,D. Measure the amount of residual feeding. - ANSWER-Answer-
B
Rationale- A productive cough may indicate that the feeding
has been aspirated. The nurse should first stop the feeding to
prevent further aspiration. Options A, C, and D should all be
performed before restarting the tube feeding if no evidence of
aspiration is present and the tube is in place.
The nurse is caring for a client with a fractured right elbow.
Which assessment
finding has the highest priority and requires immediate
intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER-
Answer- B
Rationale- Compartment syndrome is a condition involving
increased pressure and constriction of the nerves and vessels
within an anatomic compartment, causing pain uncontrolled by
, opioids and neurovascular compromise. Option A is an
expected finding. Option C related to compartment syndrome
cannot be seen, and any visible edema is an expected finding
related to the injury. Option D is an expected finding.
A 43-year-old homeless, malnourished female client with a
history of alcoholism is transferred to the ICU. She is placed on
telemetry, and the rhythm strip shown is obtained. The nurse
palpates a heart rate of 160 beats/min, and the client's blood
pressure is 90/54 mm Hg. Based on these findings, which IV
medication should the nurse administer?
A. Amiodarone (Cordarone)
B. Magnesium sulfate
C. Lidocaine (Xylocaine)
D. Procainamide (Pronestyl) - ANSWER-Answer- B
Rationale- Because the client has chronic alcoholism, she is
likely to have hypomagnesemia. Option B is the recommended
drug for torsades de pointes, which is a form of polymorphic
ventricular tachycardia (VT) usually associated with a
prolonged QT interval that occurs with hypomagnesemia.
Options A and D increase the QT interval, which can cause the
