ADULT HEALTH 2 HESI TEST BANK EXAM
NEWEST 2024-2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
C
Terms in this set (69)
A client who has partial-thickness burns on
B 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.
A client is admitted to the hospital, and A
benazepril is prescribed for hypertension.
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).
,A construction worker sustains a puncture
D 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 immunization offer?
A. Lifelong passive immunity
B.Long-lasting active protection
C. Stimulation of antibody production
D.Immediate passive short-term immunity
A hospice client who has severe pain asks
D 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.
A nurse receives an order to administer 200 mL/hr
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?
The nurse has administered sublingual A
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
After a subtotal gastrectomy, a client
D demonstrates signs of dumping syndrome.
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.
, Which type of immunity will clients acquire
B through immunizations with live or killed
vaccines?
A. Natural active immunity
B. Artificial active immunity
C. Natural passive immunity
D.Artificial passive immunity
Which situations accurately represent AB
D 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.
An older client is treated in the emergency A
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?
A. Interview the client without the
presence of family members.
B. Suggest that the client call law
enforcement officers if threatened by family
members.
C. Accept the adult child's explanation
until more data can be collected.
NEWEST 2024-2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
C
Terms in this set (69)
A client who has partial-thickness burns on
B 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.
A client is admitted to the hospital, and A
benazepril is prescribed for hypertension.
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).
,A construction worker sustains a puncture
D 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 immunization offer?
A. Lifelong passive immunity
B.Long-lasting active protection
C. Stimulation of antibody production
D.Immediate passive short-term immunity
A hospice client who has severe pain asks
D 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.
A nurse receives an order to administer 200 mL/hr
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?
The nurse has administered sublingual A
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
After a subtotal gastrectomy, a client
D demonstrates signs of dumping syndrome.
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.
, Which type of immunity will clients acquire
B through immunizations with live or killed
vaccines?
A. Natural active immunity
B. Artificial active immunity
C. Natural passive immunity
D.Artificial passive immunity
Which situations accurately represent AB
D 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.
An older client is treated in the emergency A
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?
A. Interview the client without the
presence of family members.
B. Suggest that the client call law
enforcement officers if threatened by family
members.
C. Accept the adult child's explanation
until more data can be collected.
