HESI Adult Health 2 Questions and Answers 100% Pass
Low GFR and low cardiac output = - client's plan of care?
ANSWER -Elevated BUN 1. Encourage the client to bank his sperm.
2. Discuss completing an advance directive.
3. Explain follow-up chemotherapy and
COPD intervention - ANSWER -Chantix radiation.
4. Allow the client to express his feelings
regarding having cancer. - ANSWER -1
Severe hearing deficit and anxious = - With a remaining testicle, the client will be
ANSWER -provide sensory stimulation able to maintain sexual potency, but
radiation and chemotherapy may cause the
client to become sterile. Therefore, banking
Macular degeneration patho and tx - his sperm will allow him to father a child later
ANSWER -loss of central vision in in life.
retina
OT
The client in the long-term care facility has
severe osteoarthritis. Which nursing task
Normal suction level for adult - should the nurse delegate to the unlicensed
assistive personnel (UAP)?
ANSWER --20cm
1. Feed the client the breakfast meal.
2. Give the client Maalox, an antacid.
3. Monitor the client's INR results.
RA intervention - ANSWER -OT 4. Assist the client to the shower room. -
ANSWER -4
intermittent claudication tx -
The nurse should encourage the client to
ANSWER -sit with legs dependent maintain independent functioning, and
delegating
the UAP to feed the client would be
duodenal ulcer - ANSWER -pain 2-3 encouraging dependence.
hrs after eating and night, better with food 2. Although this is an over-the-counter
right sided medication,
melena a UAP cannot administer any medication
to a client.
3. The UAP cannot assess or evaluate any of
Low or high fiber for UC? - ANSWER - the client's diagnostic information.
low 4. The UAP could assist the client to
ambulate to the shower room and
assist with morning care.
The 28-year-old client diagnosed with
testicular cancer is scheduled for a
unilateral orchiectomy. Which The primary nurse is applying antiembolism
intervention should have priority in the
, HESI Adult Health 2 Questions and Answers 100% Pass
hose to the client who had a total hip 4. Cellulitis. - ANSWER -2
replacement. Which situation warrants
immediate intervention by the charge nurse?
1. Two fingers can be placed under the top of The client with a closed head injury is
the band. admitted to the neurointensive care unit
2. The peripheral capillary refill time is 3 following a motor-vehicle accident. Which
seconds. goal is an appropriate short-term goal
3. There are wrinkles in the hose behind the for the client?
knees. 1. The client will maintain optimal level of
4. The nurse does not place a hose on the functioning.
foot with a venous ulcer. - ANSWER -3 2. The client will not develop extremity
contractures.
3. There should be no wrinkles in the 3. The client's intracranial pressure will not
hose after application. Wrinkles could be 15 mm Hg.
cause constriction in the area, resulting 4. The client will be able to verbalize feelings
in clot formation or skin breakdown; of anger. - ANSWER -3
therefore, this would warrant immediate
intervention by the charge nurse.
4. Antiembolism hose should not be put over The client is being evaluated to rule out
a wound; they would restrict the circulation Parkinson's disease. Which diagnostic test
to the wound and cause a decrease in confirms this diagnosis?
wound healing. 1. A positive magnetic resonance imaging
(MRI) scan.
2. A biopsy of the substantia nigra.
The nurse identifies the problem "high risk 3. A stereotactic pallidotomy.
for complications" for the client with a 4. There is no test that confirms this
right total hip replacement who is being diagnosis. - ANSWER -4
discharged from the hospital. Which
problem would have the highest priority?
1. Self-care deficit. 3 clinical manifestations of parkinsons -
2. Impaired skin integrity. ANSWER -tremors, rigidity, and
3. Abnormal bleeding. bradykinesia
4. Prosthetic infection. - ANSWER -4
The client diagnosed with a transient
The nurse is planning the care for the client ischemic attack (TIA) is being discharged
with multiple stage IV pressure ulcers. from
Which complication results from these the hospital. Which medication should the
pressure ulcers? nurse expect the HCP to prescribe?
1. Wasting syndrome. 1. The oral anticoagulant warfarin
2. Osteomyelitis. (Coumadin).
3. Renal calculi. 2. The antiplatelet medication, a baby
Low GFR and low cardiac output = - client's plan of care?
ANSWER -Elevated BUN 1. Encourage the client to bank his sperm.
2. Discuss completing an advance directive.
3. Explain follow-up chemotherapy and
COPD intervention - ANSWER -Chantix radiation.
4. Allow the client to express his feelings
regarding having cancer. - ANSWER -1
Severe hearing deficit and anxious = - With a remaining testicle, the client will be
ANSWER -provide sensory stimulation able to maintain sexual potency, but
radiation and chemotherapy may cause the
client to become sterile. Therefore, banking
Macular degeneration patho and tx - his sperm will allow him to father a child later
ANSWER -loss of central vision in in life.
retina
OT
The client in the long-term care facility has
severe osteoarthritis. Which nursing task
Normal suction level for adult - should the nurse delegate to the unlicensed
assistive personnel (UAP)?
ANSWER --20cm
1. Feed the client the breakfast meal.
2. Give the client Maalox, an antacid.
3. Monitor the client's INR results.
RA intervention - ANSWER -OT 4. Assist the client to the shower room. -
ANSWER -4
intermittent claudication tx -
The nurse should encourage the client to
ANSWER -sit with legs dependent maintain independent functioning, and
delegating
the UAP to feed the client would be
duodenal ulcer - ANSWER -pain 2-3 encouraging dependence.
hrs after eating and night, better with food 2. Although this is an over-the-counter
right sided medication,
melena a UAP cannot administer any medication
to a client.
3. The UAP cannot assess or evaluate any of
Low or high fiber for UC? - ANSWER - the client's diagnostic information.
low 4. The UAP could assist the client to
ambulate to the shower room and
assist with morning care.
The 28-year-old client diagnosed with
testicular cancer is scheduled for a
unilateral orchiectomy. Which The primary nurse is applying antiembolism
intervention should have priority in the
, HESI Adult Health 2 Questions and Answers 100% Pass
hose to the client who had a total hip 4. Cellulitis. - ANSWER -2
replacement. Which situation warrants
immediate intervention by the charge nurse?
1. Two fingers can be placed under the top of The client with a closed head injury is
the band. admitted to the neurointensive care unit
2. The peripheral capillary refill time is 3 following a motor-vehicle accident. Which
seconds. goal is an appropriate short-term goal
3. There are wrinkles in the hose behind the for the client?
knees. 1. The client will maintain optimal level of
4. The nurse does not place a hose on the functioning.
foot with a venous ulcer. - ANSWER -3 2. The client will not develop extremity
contractures.
3. There should be no wrinkles in the 3. The client's intracranial pressure will not
hose after application. Wrinkles could be 15 mm Hg.
cause constriction in the area, resulting 4. The client will be able to verbalize feelings
in clot formation or skin breakdown; of anger. - ANSWER -3
therefore, this would warrant immediate
intervention by the charge nurse.
4. Antiembolism hose should not be put over The client is being evaluated to rule out
a wound; they would restrict the circulation Parkinson's disease. Which diagnostic test
to the wound and cause a decrease in confirms this diagnosis?
wound healing. 1. A positive magnetic resonance imaging
(MRI) scan.
2. A biopsy of the substantia nigra.
The nurse identifies the problem "high risk 3. A stereotactic pallidotomy.
for complications" for the client with a 4. There is no test that confirms this
right total hip replacement who is being diagnosis. - ANSWER -4
discharged from the hospital. Which
problem would have the highest priority?
1. Self-care deficit. 3 clinical manifestations of parkinsons -
2. Impaired skin integrity. ANSWER -tremors, rigidity, and
3. Abnormal bleeding. bradykinesia
4. Prosthetic infection. - ANSWER -4
The client diagnosed with a transient
The nurse is planning the care for the client ischemic attack (TIA) is being discharged
with multiple stage IV pressure ulcers. from
Which complication results from these the hospital. Which medication should the
pressure ulcers? nurse expect the HCP to prescribe?
1. Wasting syndrome. 1. The oral anticoagulant warfarin
2. Osteomyelitis. (Coumadin).
3. Renal calculi. 2. The antiplatelet medication, a baby
