HESI ADULT HEALTH 2 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+| LATEST UPDATE
A nurse is caring for a client with DI. Which data warrants the most immediate
intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - (answers)a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - (answers)c.
upper mid-abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and
observes that the client's eyeballs are protuberant, causing a wide-eyed
appearance and eye discomfort. Based on this finding, which action should the
nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
,c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - (answers)d. Obtain a prescription
for artificial tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), which interventions should the nurse implement? (Select
all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - (answers)a. Perform chest
physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should the nurse
implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - (answers)b. Place the client in high fowler
position
, A client who was involved in a motor vehicle collision is admitted with a fractured
left femur which is immobilized using a fracture traction splint in preparation for
an open reduction internal fixation (ORIF). The nurse determines that the client's
distal pulses are diminished in the left foot. Which interventions should the nurse
implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics - (answers)a. Verify
pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest X-ray
indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the most therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest - (answers)a. Sputum culture and
sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with shortness
of breath, productive cough with thickened, tenacious mucous, and the inability
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+| LATEST UPDATE
A nurse is caring for a client with DI. Which data warrants the most immediate
intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - (answers)a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - (answers)c.
upper mid-abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and
observes that the client's eyeballs are protuberant, causing a wide-eyed
appearance and eye discomfort. Based on this finding, which action should the
nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
,c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - (answers)d. Obtain a prescription
for artificial tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), which interventions should the nurse implement? (Select
all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - (answers)a. Perform chest
physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should the nurse
implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - (answers)b. Place the client in high fowler
position
, A client who was involved in a motor vehicle collision is admitted with a fractured
left femur which is immobilized using a fracture traction splint in preparation for
an open reduction internal fixation (ORIF). The nurse determines that the client's
distal pulses are diminished in the left foot. Which interventions should the nurse
implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics - (answers)a. Verify
pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest X-ray
indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the most therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest - (answers)a. Sputum culture and
sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with shortness
of breath, productive cough with thickened, tenacious mucous, and the inability
