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Exam (elaborations)

Adult Health I HESI Practice Questions & Answers 2026 | Latest Study Guide | Complete Nursing Exam Prep

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Prepare for the Adult Health I HESI Exam with this comprehensive 2026 Latest Study Guide featuring high-yield practice questions and detailed answers. This resource covers the foundational medical-surgical nursing concepts commonly assessed on Adult Health I HESI examinations. Topics include health assessment, nursing process, infection prevention and control, patient safety, fluid and electrolyte balance, acid-base regulation, cardiovascular disorders, respiratory conditions, gastrointestinal disorders, endocrine disorders, renal and urinary disorders, musculoskeletal conditions, pharmacology, medication administration, pain management, perioperative nursing care, patient education, clinical judgment, prioritization, delegation, and Next Generation NCLEX (NGN)-style application questions. Designed to reinforce adult health nursing knowledge, strengthen critical thinking and clinical reasoning skills, and support effective preparation for HESI examinations, this study guide is an excellent review resource for nursing students preparing for Adult Health I assessments.

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Adult Health I HESI Practice Questions | Actual Exam
Questions & 100% Correct Answers | Latest Update 2026
| Nursing Exam Prep
1. Why is it important for the nurse to hold the insulin glargine and notify the
provider for a patient who will be NPO after midnight?

Insulin glargine is not effective when the patient is NPO.

Insulin administration may lead to hypoglycemia since the patient
will not be eating.

The patient should always receive their full dose regardless of NPO
status.

Surgery requires that all medications be given as scheduled.

2. Describe how corticosteroids can lead to joint pain in patients after a kidney
transplant.

Corticosteroids only affect the skin and not the joints.

Corticosteroids can cause joint pain due to their effects on
metabolism and inflammation, leading to conditions such as
avascular necrosis.

Corticosteroids improve joint health by reducing inflammation.

Corticosteroids have no effect on joint health.

3. If a patient exhibits signs of depression and anger following a left-sided
stroke, what nursing intervention would be most appropriate?

Encourage the patient to engage in physical therapy immediately.

Ignore emotional symptoms as they are common after any stroke.

Provide emotional support and refer to a mental health

, professional.
Focus solely on speech therapy exercises.

4. Client with AIDS develops pneumocystis pneumonia. The nurse would most
likely expect to include administration of which agent in the client's plan of
care?

Azithromycin

Clindamycin

TMP-SMZ

Aerosolized pentamidine

5. The nurse is caring for a client with signs and symptoms of a stroke. Which
diagnostic test does the nurse anticipate as priority for the client?

Cerebral angiography

CT of the brain

MRI of the brain

Echocardiogram

6. Which of the following symptoms is commonly associated with a left-sided
stroke?

Right-sided weakness

Impulsivity

Visual field loss

Aphasia (difficulty speaking)

7. What is the first intervention a nurse should implement when a client has a
large black tarry stool?

, Test the stool for occult blood
Review history for GI bleeding

Obtain consent for a blood transfusion

Notify the rapid response team


8. A patient with COPD is experiencing unintentional weight loss. Which dietary
intervention should the nurse suggest to help manage this issue?

Reduce overall calorie intake to promote weight loss.

Implement a vegetarian diet to increase fiber.

Switch to a high protein, low fat diet.

Increase calorie intake with a high calorie, low carb diet.

9. What is the critical serum potassium level that indicates the need for
immediate intervention in a patient with DKA?

2.5 mEq/L

5.0 mEq/L

4.0 mEq/L

3.5 mEq/L

10. A patient with a C3 spinal cord injury presents with bradycardia and
hypotension. As a nurse, what immediate interventions should be prioritized
to manage neurogenic shock?

Provide a warm blanket to prevent hypothermia.

Administer IV fluids and monitor vital signs closely.

Increase the patient's oral intake of fluids.

Encourage the patient to ambulate to stimulate circulation.

, 11. Why is it important for the nurse to explain the specific reason for urgent
notification when using the SBAR process?

It helps in documenting the nurse's actions for future reference.

It allows the nurse to provide a detailed history of the client.

It provides an opportunity for the nurse to educate the client.

It ensures that the healthcare provider understands the urgency of
the situation.

12. A nurse working on a medical surgical unit would implement which of these
nursing interventions to prevent DVT in a client after surgery?

encourage the client to elevate the head of the bed

promote early ambulation

maintain client on bed rest for as long as possible

educate the client about correct use of incentive spirometer

13. A nurse performing an examination of a male client's genitalia notes the
presence of a foul-smelling white discharge from the urethral meatus. Which
action is the most appropriate response to this finding?

Asking the client about the possibility of the presence of an STI

Informing the client that his sexual partners will need examinations

Informing the client that the discharge is normal

Obtaining a culture of the discharge

14. Why is a high calorie, low carb diet recommended for patients with COPD?

It increases the intake of fiber and vitamins.

It aids in weight loss and muscle gain.

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