HESI Adult Health
A client who has partial-thickness burns on 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. Correct
answers B
A client is admitted to the hospital, and 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).
Correct answers A
A construction worker sustains a puncture 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 Correct answers D
A hospice client who has severe pain asks 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. Correct answers D
A nurse receives an order to administer 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?
Correct answers 200 mL/hr
The nurse has administered sublingual 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
, After a subtotal gastrectomy, a client 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. Correct answers D
Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
E. Natural active immunity
F. Artificial active immunity
G. Natural passive immunity
H. Artificial passive immunity Correct answers B
Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
I.Controlling the urge to eat candy because he or she knows it will affect
blood sugar levels.
J.Having a craving for fruit but not stealing it form the next client
because that client needs it more.
K. Urinating beside the bed instead of waiting for the nurse to assist him
or her.
L.Experiencing a stomachache but refraining from stealing medications
from a friend because it is illegal.
M.Feeling the urge to run away from the hospital but refraining from doing
so because
the security guard is watching. Correct answers A B D
An older client is treated in the emergency 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?
N.Interview the client without the presence of family members.
O.Suggest that the client call law enforcement officers if threatened by
family members.
P. Accept the adult child's explanation until more data can be collected.
Q.Refer the client's clinical record to the hospital ethics committee for
review. Correct answers A
• A test dose of amphotericin is ordered. The order reads to infuse 1 mg in
20 mL over 15 minutes. How many milliliters per hour would the nurse set
the IV infusion device? Correct answers 80 ML/HR
Which important step would the nurse take to evaluate lifestyle change in
the client?
R. Ask which barriers the client perceives with the planned lifestyle
change.
S. Instruct the client to include family members to support the lifestyle
change.
A client who has partial-thickness burns on 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. Correct
answers B
A client is admitted to the hospital, and 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).
Correct answers A
A construction worker sustains a puncture 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 Correct answers D
A hospice client who has severe pain asks 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. Correct answers D
A nurse receives an order to administer 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?
Correct answers 200 mL/hr
The nurse has administered sublingual 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
, After a subtotal gastrectomy, a client 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. Correct answers D
Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
E. Natural active immunity
F. Artificial active immunity
G. Natural passive immunity
H. Artificial passive immunity Correct answers B
Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
I.Controlling the urge to eat candy because he or she knows it will affect
blood sugar levels.
J.Having a craving for fruit but not stealing it form the next client
because that client needs it more.
K. Urinating beside the bed instead of waiting for the nurse to assist him
or her.
L.Experiencing a stomachache but refraining from stealing medications
from a friend because it is illegal.
M.Feeling the urge to run away from the hospital but refraining from doing
so because
the security guard is watching. Correct answers A B D
An older client is treated in the emergency 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?
N.Interview the client without the presence of family members.
O.Suggest that the client call law enforcement officers if threatened by
family members.
P. Accept the adult child's explanation until more data can be collected.
Q.Refer the client's clinical record to the hospital ethics committee for
review. Correct answers A
• A test dose of amphotericin is ordered. The order reads to infuse 1 mg in
20 mL over 15 minutes. How many milliliters per hour would the nurse set
the IV infusion device? Correct answers 80 ML/HR
Which important step would the nurse take to evaluate lifestyle change in
the client?
R. Ask which barriers the client perceives with the planned lifestyle
change.
S. Instruct the client to include family members to support the lifestyle
change.
