ADULT HEALTH HESI EXAM QUESTIONS WITH ANSWERS
GRADED A+
✔✔Which discharge instruction would the nurse emphasize when preparing a client with
Addison disease for discharge?
A. "Limit physical activity."
B. "Restrict sodium in your diet."
C. "Continue steroid replacement therapy."
D. "Schedule frequent health care appointments." - ✔✔C
✔✔Which action describes the process of artificial active immunity?
A. Antibodies are passed from one person to another.
B. Antibodies against an antigen are produced naturally in the body.
C. Antibodies are made after an antigen is injected into the body.
D. Antibodies produced by one body or animal are transferred to another body or
animal. - ✔✔C
✔✔According to the nursing process, which would the nurse do after administering pain
medication to a postoperative client?
A. Administer nonpharmacological comfort measures.
B. Inform the health care provider of the nursing action.
C. Create a care plan that addresses the client's pain level.
D. Determine whether the pain medicine relieved the client's pain. - ✔✔D
✔✔Which characteristics are observed in clients who have cocaine addiction? (Select
all that apply)
A. Anxiety
B. Palpitations
C. Weight loss
D. Sedentary habits
E. Difficulties with speech - ✔✔A B C
✔✔The nurse is caring for a client admitted with chronic obstructive pulmonary disease
(COPD). Which laboratory test would the nurse monitor for hypoxia?
A. Red blood cell count
B. Sputum culture
C. Arterial blood gas
D. Total hemoglobin - ✔✔C
✔✔A client with colon cancer had surgery for resection of the tumor and creation of a
colostomy. During the 6-week postoperative checkup, the nurse teaches the client
about nutrition. Which response by the client indicates learning has taken place?
A. 'I should follow a diet that is rich in protein."
B. "I should follow a diet that is low in sodium content."
C. "I should follow a diet that is as close to normal as possible."
, D. "I should follow a diet that is higher is calories than before." - ✔✔C
✔✔A healthcare provider prescribes transdermal fentanyl 25 mcg/h every 72 hours.
During the first 24 hours after starting the fentanyl, the nurse recognizes the need to
take which action?
A. Titrate the dose until pain is tolerable.
B. Manage pain with an analgesic by a different route.
C. Assess the client for anticholinergic side effects.
D. Instruct the client to take the medication with food. - ✔✔B
✔✔A client with a known history of opioid addiction has a surgical repair of multiple stab
wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed
morphine injections. The nurse realizes that the failure to achieve pain relief indicates
that the client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
C.Physical addiction
D.Psychological dependence - ✔✔A
✔✔The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
A. Caring
B. Veracity
C. Advocacy
D. Confidentiality - ✔✔C
✔✔Case 1
•A nurse is caring for a patient admitted 3 days ago following a motor vehicle accident.
Vital signs are T- 102, P- 112, RR- 24, BP- 86/48, SaO2- 93%. The morning complete
blood cell (CBC) count shows a hemoglobin of 7 g/dL.
•With a sudden increase in temperature, sepsis is suspected. The patient has
vancomycin 1.5 g/200 mL ordered to be infused IV twice daily over 2 hours. How many
milliliters per hour will the nurse program the IV infusion device? - ✔✔100 ML/HR
✔✔The registered nurse is evaluating the plans of a nursing student for providing
preoperative care to a client who has compartment syndrome. Which item listed in the
nursing student's plan of care would the nurse need to revise? (Select all that apply)
A. Bivalving the cast
B. Applying cold compresses
C. Loosening the bandage applied
D. Evaluating the client's level of pain
E. Elevating the extremity above heart level - ✔✔B E
GRADED A+
✔✔Which discharge instruction would the nurse emphasize when preparing a client with
Addison disease for discharge?
A. "Limit physical activity."
B. "Restrict sodium in your diet."
C. "Continue steroid replacement therapy."
D. "Schedule frequent health care appointments." - ✔✔C
✔✔Which action describes the process of artificial active immunity?
A. Antibodies are passed from one person to another.
B. Antibodies against an antigen are produced naturally in the body.
C. Antibodies are made after an antigen is injected into the body.
D. Antibodies produced by one body or animal are transferred to another body or
animal. - ✔✔C
✔✔According to the nursing process, which would the nurse do after administering pain
medication to a postoperative client?
A. Administer nonpharmacological comfort measures.
B. Inform the health care provider of the nursing action.
C. Create a care plan that addresses the client's pain level.
D. Determine whether the pain medicine relieved the client's pain. - ✔✔D
✔✔Which characteristics are observed in clients who have cocaine addiction? (Select
all that apply)
A. Anxiety
B. Palpitations
C. Weight loss
D. Sedentary habits
E. Difficulties with speech - ✔✔A B C
✔✔The nurse is caring for a client admitted with chronic obstructive pulmonary disease
(COPD). Which laboratory test would the nurse monitor for hypoxia?
A. Red blood cell count
B. Sputum culture
C. Arterial blood gas
D. Total hemoglobin - ✔✔C
✔✔A client with colon cancer had surgery for resection of the tumor and creation of a
colostomy. During the 6-week postoperative checkup, the nurse teaches the client
about nutrition. Which response by the client indicates learning has taken place?
A. 'I should follow a diet that is rich in protein."
B. "I should follow a diet that is low in sodium content."
C. "I should follow a diet that is as close to normal as possible."
, D. "I should follow a diet that is higher is calories than before." - ✔✔C
✔✔A healthcare provider prescribes transdermal fentanyl 25 mcg/h every 72 hours.
During the first 24 hours after starting the fentanyl, the nurse recognizes the need to
take which action?
A. Titrate the dose until pain is tolerable.
B. Manage pain with an analgesic by a different route.
C. Assess the client for anticholinergic side effects.
D. Instruct the client to take the medication with food. - ✔✔B
✔✔A client with a known history of opioid addiction has a surgical repair of multiple stab
wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed
morphine injections. The nurse realizes that the failure to achieve pain relief indicates
that the client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
C.Physical addiction
D.Psychological dependence - ✔✔A
✔✔The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
A. Caring
B. Veracity
C. Advocacy
D. Confidentiality - ✔✔C
✔✔Case 1
•A nurse is caring for a patient admitted 3 days ago following a motor vehicle accident.
Vital signs are T- 102, P- 112, RR- 24, BP- 86/48, SaO2- 93%. The morning complete
blood cell (CBC) count shows a hemoglobin of 7 g/dL.
•With a sudden increase in temperature, sepsis is suspected. The patient has
vancomycin 1.5 g/200 mL ordered to be infused IV twice daily over 2 hours. How many
milliliters per hour will the nurse program the IV infusion device? - ✔✔100 ML/HR
✔✔The registered nurse is evaluating the plans of a nursing student for providing
preoperative care to a client who has compartment syndrome. Which item listed in the
nursing student's plan of care would the nurse need to revise? (Select all that apply)
A. Bivalving the cast
B. Applying cold compresses
C. Loosening the bandage applied
D. Evaluating the client's level of pain
E. Elevating the extremity above heart level - ✔✔B E
