ADULT HESI CUMULATIVE QUESTIONS
AND ANSWER KEY FALL 2024/2025 ALL
150 Questions Multiple choice With Correct
Answers
B
LU
1. A nurse is admitting a client who has acute pancreatitis. Which of the following
provider prescriptions should the
YC
nurse anticipate?
A. Initiate a low-residue diet.
D
Rationale: One of the manifestations of acute pancreatitis is abdominal pain. The
TU
nurse should anticipate
the provider will prescribe withholding of foods and fluids. This serves to manage
the client's
ES
pain by limiting gastrointestinal activity and stimulation of the pancreas.
C
B. Pantoprazole 80 mg IV bolus twice daily
A
Rationale: The nurse should anticipate a provider's prescription for a proton pump
inhibitor to decrease
gastric acid production, which ultimately decrease pancreatic secretions.
C. Ambulate twice daily.
,Rationale: The nurse should anticipate a provider prescription for bed rest during
the acute stage of
pancreatitis. Bed rest decreases the metabolic rate and the secretion of pancreatic
enzymes.
D. Pancrelipase 500 units/kg PO three times daily with meals
B
Rationale: The nurse should identify that pancrelipase, an enzyme replacement
LU
medication, is used in the
treatment of clients who have chronic pancreatitis. It is not used in the treatment of
acute
YC
pancreatitis.
2. A nurse is admitting a client who has active tuberculosis to a room on a
D
medical-surgical unit. Which of the following
TU
room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
ES
Rationale:A room with air exhaust directly to the outside environment eliminates
contamination of other
C
client-care areas. This type of ventilation system is referred to as an airborne
infection isolation
A
room.
B. A room with another nonsurgical client
,Rationale:A two-bed room with another nonsurgical client exposes the other client
to tuberculosis. A client
who has tuberculosis should have a private room.
C. A room in the ICU
Rationale:A client who has active tuberculosis and no other comorbidities is not
B
critically ill.
LU
D. A room that is within view of the nurses' station
Rationale: The client's room should be well ventilated and private, but it is not
YC
necessary for it to be close to
the nurses' station.
D
3. A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of
the following should the nurse identify as an associated risk factor?
TU
A. Hypocalcemia
Rationale: Hypercalcemia is a risk factor associated with urolithiasis.
ES
B. BMI less than 25
Rationale: Obesity, or having a BMI that is greater than 29, has been found to be a
C
risk factor for the
A
development of urolithiasis.
C. Family history
Rationale: Family history is strongly correlated with the formation of urolithiasis.
A nurse should assess a
, client who has kidney stones for familial tendencies toward stone formation.
D. Diuretic use
Rationale: Medications such as antacids, vitamin D, laxatives, and aspirin have
been associated with the
formation of urolithiasis. However, there is no indication that the use of diuretics
B
place a client at
LU
an increased risk for stone formation.
4. A nurse is assessing a client who has fluid overload. Which of the following
YC
findings should the nurse expect?
(Select all that apply.)
D
A. Increased heart rate
TU
B. Increased blood pressure
C. Increased respiratory rate
ES
D. Increase hematocrit
E. Increased temperature
C
Rationale:Increased heart rate is correct. The nurse should expect the client who
has fluid volume excess
A
to have tachycardia and increased cardiac contractility in response to the excess
fluid.Increased
blood pressure is correct. The nurse should expect the client who has fluid volume
excess to
AND ANSWER KEY FALL 2024/2025 ALL
150 Questions Multiple choice With Correct
Answers
B
LU
1. A nurse is admitting a client who has acute pancreatitis. Which of the following
provider prescriptions should the
YC
nurse anticipate?
A. Initiate a low-residue diet.
D
Rationale: One of the manifestations of acute pancreatitis is abdominal pain. The
TU
nurse should anticipate
the provider will prescribe withholding of foods and fluids. This serves to manage
the client's
ES
pain by limiting gastrointestinal activity and stimulation of the pancreas.
C
B. Pantoprazole 80 mg IV bolus twice daily
A
Rationale: The nurse should anticipate a provider's prescription for a proton pump
inhibitor to decrease
gastric acid production, which ultimately decrease pancreatic secretions.
C. Ambulate twice daily.
,Rationale: The nurse should anticipate a provider prescription for bed rest during
the acute stage of
pancreatitis. Bed rest decreases the metabolic rate and the secretion of pancreatic
enzymes.
D. Pancrelipase 500 units/kg PO three times daily with meals
B
Rationale: The nurse should identify that pancrelipase, an enzyme replacement
LU
medication, is used in the
treatment of clients who have chronic pancreatitis. It is not used in the treatment of
acute
YC
pancreatitis.
2. A nurse is admitting a client who has active tuberculosis to a room on a
D
medical-surgical unit. Which of the following
TU
room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
ES
Rationale:A room with air exhaust directly to the outside environment eliminates
contamination of other
C
client-care areas. This type of ventilation system is referred to as an airborne
infection isolation
A
room.
B. A room with another nonsurgical client
,Rationale:A two-bed room with another nonsurgical client exposes the other client
to tuberculosis. A client
who has tuberculosis should have a private room.
C. A room in the ICU
Rationale:A client who has active tuberculosis and no other comorbidities is not
B
critically ill.
LU
D. A room that is within view of the nurses' station
Rationale: The client's room should be well ventilated and private, but it is not
YC
necessary for it to be close to
the nurses' station.
D
3. A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of
the following should the nurse identify as an associated risk factor?
TU
A. Hypocalcemia
Rationale: Hypercalcemia is a risk factor associated with urolithiasis.
ES
B. BMI less than 25
Rationale: Obesity, or having a BMI that is greater than 29, has been found to be a
C
risk factor for the
A
development of urolithiasis.
C. Family history
Rationale: Family history is strongly correlated with the formation of urolithiasis.
A nurse should assess a
, client who has kidney stones for familial tendencies toward stone formation.
D. Diuretic use
Rationale: Medications such as antacids, vitamin D, laxatives, and aspirin have
been associated with the
formation of urolithiasis. However, there is no indication that the use of diuretics
B
place a client at
LU
an increased risk for stone formation.
4. A nurse is assessing a client who has fluid overload. Which of the following
YC
findings should the nurse expect?
(Select all that apply.)
D
A. Increased heart rate
TU
B. Increased blood pressure
C. Increased respiratory rate
ES
D. Increase hematocrit
E. Increased temperature
C
Rationale:Increased heart rate is correct. The nurse should expect the client who
has fluid volume excess
A
to have tachycardia and increased cardiac contractility in response to the excess
fluid.Increased
blood pressure is correct. The nurse should expect the client who has fluid volume
excess to
