HESI ADULT HEALTH 2 (ALL 4 VERSION) EXAM
2024-2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|GUARANTEED PASS |LATEST UPDATE
which unique response is associated with DKA that is not exhibited with HHNS?
a. fluid loss
b. glycosuria
c. kussmaul respirations
d. increased blood glucose level
kussmaul respirations
when obtaining a clients health history, which factor would the nurse identify as predisposing the client
to type 2 diabetes?
a. having diabetes insipidus
b. eating low cholesterol foods
c. being 20 pounds overweight
d. drinking a daily alcoholic beverage
being 20 pounds overweight
with which condition would the nurse associate the response of diaphoresis, weakness and pallor at
3:30pm in a client with type 1 diabetes who receives 30 units of NPH insulin at 7am?
A. diabetic coma
b. HHNS
c. DKA
d. hypoglycemic reaction
hypoglycemic reaction
1|Page
,a clients fasting plasma glucose levels are being evaluated. the nurse identifies that the client is
considered to be diabetic if the results are within which range?
a. 2.2-3.3
b. 4.5-5.5
c. 5.6-6.9
d. 7-7.8
7-7.8
which rationale explains why IV potassium is prescribed in addition to regular insulin for clients in
diabetic ketosis?
a. potassium loss occurs rapidly from diaphoresis present during coma
b. potassium is carried with glucose to the kidneys to excreted in the urine in increased amounts
c. potassium is quickly used up during the rapid series of catabolic reactions stimulated by insulin and
glucose
d. serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the
intracellular fluid compartment
serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the
intracellular fluid compartment
an older adult is hospitalized for weight loss and dehydration due to nutritional deficit. which factor
would the nurse consider when planning care for this client?
a. financial resources usually are unrelated to nutritional status
b. an older adults daily fluid intake must be increased
c. the clients diet should be high in carbohydrates and low in proteins
d. the nutritional needs of an older adult are basically unchanged except for a decreased need for
calories
the nutritional needs of an older adult are basically unchanged except for a decreased need for calories
the nurse is completing the health history of a client admitted to the hospital with osteoarthritis. which
joint would the nurse expect the client to report as having been involved first? select all that apply
a. hips
b. knees
c. ankles
d. shoulders
e. metacarpals
hips, knees
which physiological change of the musculoskeletal system would the nurse associate with aging? select
all that apply.
a. slowed movement
b. cartilage degeneration
c. increased bone density
d. increased range of motion
e. increased bone prominence
2|Page
,slowed movement, cartilage degeneration, increased bone prominence
when a client with COPD reports a 5lb weight gain in 1 week, the nurse will assess for other signs and
symptoms of which complication?
a. polycythemia
b. cor pulmonale
c. compensated acidosis
d. left ventricular failure
cor pulmonale
which assessment finding indicates to the nurse that a client with COPD who is receiving oxygen is
retaining CO2? select all that apply
a. anxiety
b. drowsiness
c. irregular pulse
d. mental confusion
e. increased respirations
drowsiness, irregular pulse, mental confusion
which assessment findings would the nurse identify in a client with clinical manifestations of RA? select
all that apply
a. obesity and symmetric joint disease
b. development of antinuclear antibodies
c. inflammatory disease pattern
d. bilateral involvement of metacarpophalangeal joints
e. disease process involving the distal interphalangeal joints
f. disease in the weight bearing joints and hands
development of antinuclear antibodies, inflammatory disease pattern, bilateral involvement of
metacarpophalangeal joints
an older client who has been taking lorazepam for several years is scheduled for a procedure that
requires the client to be away for the duration. the client has a history of violence and hypotension.
which antipsychotic medication is approbate to administer the client during the procedure? select all
the apply.
a. loxapine
b. risperidone
c. haloperidol
d. perphenazine
e. olanzapine IM
f. cholopromazine
haloperidol, perphenazine
3|Page
, a client admitted with a history of emphysema and a diagnosis of acute respiratory failure with
respiratory acidosis has oxygen at 3L/min nasal cannula. four hours after admission, the client exhibits
increased restlessness and confusion followed by a decreased respiratory rate and lethargy. which
intervention would the nurse implement at this time?
a. question the client about the confusion
b. change the method of oxygen delivery
c. percuss and vibrate the clients chest wall
d. discontinue or decrease the oxygen flow rate
discontinue or decrease the oxygen flow rate
a client is hospitalized for an exacerbation of emphysema. the client is experiencing a fever, chills and
difficulty breathing on exertion. which is an important nursing action?
a. checking for capillary refill
b. encouraging increased fluid intake
c. suctioning secretions from the airway
d. administering a high concentration of oxygen
encouraging increased fluid intake
when teaching a client about their disease process, which term would the nurse use to describe bone
loss greater than normal but less than that caused by osteoporosis?
a. osteopenia
b. osteomyelitis
c. osteomalacia
d. osteoarthritis
osteopenia
which finding for an 85 year old client would be of concern to the nurse?
a. distant heart tones
b. irregularly irregular pulse
c. fatigue after walking in hallway
d. tortuous veins on lower legs
irregularly irregular pulse
which physiological change in the cardiovascular system is related to the aging process? select all that
apply
a. less sensitivity to B adrenergic drugs
b. tachycardia when change position
c. development of systolic murmurs
d. shortening of the PR, QRS and QT intervals
e. increase in systolic blood pressure
4|Page
2024-2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|GUARANTEED PASS |LATEST UPDATE
which unique response is associated with DKA that is not exhibited with HHNS?
a. fluid loss
b. glycosuria
c. kussmaul respirations
d. increased blood glucose level
kussmaul respirations
when obtaining a clients health history, which factor would the nurse identify as predisposing the client
to type 2 diabetes?
a. having diabetes insipidus
b. eating low cholesterol foods
c. being 20 pounds overweight
d. drinking a daily alcoholic beverage
being 20 pounds overweight
with which condition would the nurse associate the response of diaphoresis, weakness and pallor at
3:30pm in a client with type 1 diabetes who receives 30 units of NPH insulin at 7am?
A. diabetic coma
b. HHNS
c. DKA
d. hypoglycemic reaction
hypoglycemic reaction
1|Page
,a clients fasting plasma glucose levels are being evaluated. the nurse identifies that the client is
considered to be diabetic if the results are within which range?
a. 2.2-3.3
b. 4.5-5.5
c. 5.6-6.9
d. 7-7.8
7-7.8
which rationale explains why IV potassium is prescribed in addition to regular insulin for clients in
diabetic ketosis?
a. potassium loss occurs rapidly from diaphoresis present during coma
b. potassium is carried with glucose to the kidneys to excreted in the urine in increased amounts
c. potassium is quickly used up during the rapid series of catabolic reactions stimulated by insulin and
glucose
d. serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the
intracellular fluid compartment
serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the
intracellular fluid compartment
an older adult is hospitalized for weight loss and dehydration due to nutritional deficit. which factor
would the nurse consider when planning care for this client?
a. financial resources usually are unrelated to nutritional status
b. an older adults daily fluid intake must be increased
c. the clients diet should be high in carbohydrates and low in proteins
d. the nutritional needs of an older adult are basically unchanged except for a decreased need for
calories
the nutritional needs of an older adult are basically unchanged except for a decreased need for calories
the nurse is completing the health history of a client admitted to the hospital with osteoarthritis. which
joint would the nurse expect the client to report as having been involved first? select all that apply
a. hips
b. knees
c. ankles
d. shoulders
e. metacarpals
hips, knees
which physiological change of the musculoskeletal system would the nurse associate with aging? select
all that apply.
a. slowed movement
b. cartilage degeneration
c. increased bone density
d. increased range of motion
e. increased bone prominence
2|Page
,slowed movement, cartilage degeneration, increased bone prominence
when a client with COPD reports a 5lb weight gain in 1 week, the nurse will assess for other signs and
symptoms of which complication?
a. polycythemia
b. cor pulmonale
c. compensated acidosis
d. left ventricular failure
cor pulmonale
which assessment finding indicates to the nurse that a client with COPD who is receiving oxygen is
retaining CO2? select all that apply
a. anxiety
b. drowsiness
c. irregular pulse
d. mental confusion
e. increased respirations
drowsiness, irregular pulse, mental confusion
which assessment findings would the nurse identify in a client with clinical manifestations of RA? select
all that apply
a. obesity and symmetric joint disease
b. development of antinuclear antibodies
c. inflammatory disease pattern
d. bilateral involvement of metacarpophalangeal joints
e. disease process involving the distal interphalangeal joints
f. disease in the weight bearing joints and hands
development of antinuclear antibodies, inflammatory disease pattern, bilateral involvement of
metacarpophalangeal joints
an older client who has been taking lorazepam for several years is scheduled for a procedure that
requires the client to be away for the duration. the client has a history of violence and hypotension.
which antipsychotic medication is approbate to administer the client during the procedure? select all
the apply.
a. loxapine
b. risperidone
c. haloperidol
d. perphenazine
e. olanzapine IM
f. cholopromazine
haloperidol, perphenazine
3|Page
, a client admitted with a history of emphysema and a diagnosis of acute respiratory failure with
respiratory acidosis has oxygen at 3L/min nasal cannula. four hours after admission, the client exhibits
increased restlessness and confusion followed by a decreased respiratory rate and lethargy. which
intervention would the nurse implement at this time?
a. question the client about the confusion
b. change the method of oxygen delivery
c. percuss and vibrate the clients chest wall
d. discontinue or decrease the oxygen flow rate
discontinue or decrease the oxygen flow rate
a client is hospitalized for an exacerbation of emphysema. the client is experiencing a fever, chills and
difficulty breathing on exertion. which is an important nursing action?
a. checking for capillary refill
b. encouraging increased fluid intake
c. suctioning secretions from the airway
d. administering a high concentration of oxygen
encouraging increased fluid intake
when teaching a client about their disease process, which term would the nurse use to describe bone
loss greater than normal but less than that caused by osteoporosis?
a. osteopenia
b. osteomyelitis
c. osteomalacia
d. osteoarthritis
osteopenia
which finding for an 85 year old client would be of concern to the nurse?
a. distant heart tones
b. irregularly irregular pulse
c. fatigue after walking in hallway
d. tortuous veins on lower legs
irregularly irregular pulse
which physiological change in the cardiovascular system is related to the aging process? select all that
apply
a. less sensitivity to B adrenergic drugs
b. tachycardia when change position
c. development of systolic murmurs
d. shortening of the PR, QRS and QT intervals
e. increase in systolic blood pressure
4|Page
