ADULT HEALTH 2 HESI EXAM QUESTIONS A
ANSWERS
A cnurse cis ccaring cfor ca cclient cwith cDI. cWhich cdata cwarrants cthe cmost cimmediate cintervention
a. cSerum csodium cof c185 c
b. cDry cskin cwith cinelastic cturgor c
c. cApical crate cof c110 cbeats cper cminute
d. cPolyuria cand cexcessive cthirst c- cCORRECT cANS✔✔a. cSerum csodium cof c185
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthis cmedical cdiagnosis? c
a. cFrequent cuse cof cchewable cand cliquid cantacids cfor cindigestion c
b. csevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods
c. cupper cmid-abdominal cpain cdescribed cas cgnawing cand cburning.
d. cMarked closs cof cweight cand cappetite cover cthe clast c3 cor c4 cmonths c- cCORRECT cANS✔✔c. c
cdescribed cas cgnawing cand cburning.
The cnurse cassess ca cclient cwho cis cnewly cdiagnosed cwith chyperthyroidism cand cobserves cthat ct
cprotuberant, ccausing ca cwide-eyed cappearance cand ceye cdiscomfort. cBased con cthis cfinding, cwh
cinclude cin cthis cclient's cplan cof ccare? c
a. cAssess cfor csigns cof cincreased cintracranial cpressure
b. cPrepare cto cadminister cintravenous clevothyroxine
c. cReview cthe cclient's cserum celectrolyte cvalues
d. cObtain ca cprescription cfor cartificial ctear cdrops c- cCORRECT cANS✔✔d. cObtain ca cprescription
To creduce cthe crisk cfor cpulmonary ccomplication cfor ca cclient cwith cAmyotrophic cLateral cSclerosis
cshould cthe cnurse cimplement? c(Select call) c
a. cPerform cchest cphysiotherapy c
b. cTeach cthe cclient cbreathing cexercises
c. cInitiate cpassive crange cof cmotion cexercises c
d. cEstablish ca cregular cbladder croutine
e. cEncourage cuse cof cincentive cspriometer c- cCORRECT cANS✔✔a. cPerform cchest cphysiotherap
b. cTeach cthe cclient cbreathing cexercises
e. cEncourage cuse cof cincentive cspriometer
, The chealthcare cprovider cprescribes cdiagnostic ctests cfor ca cclient cwhose cchest cX-ray cindicates c
ctest cshould cthe cnurse creview cfor cimplementation cin cthe cmost ctherapeutic ctreatment cof cthe cpn
a. cSputum cculture cand csensitivity c
b. cBlood ccultures c
c. cArterial cblood cgases c(ABG)
d. cComputerized ctomography c(CT) cof cthe cchest c- cCORRECT cANS✔✔a. cSputum cculture cand c
A cclient cwith ca chistory cof casthma cand cbronchitis carrives ca cthe cclinic cwith cshortness cof cbreath
cthickened, ctenacious cmucous, cand cthe cinability cto cwalk cup ca cflight cof cstairs cwithout cexperienc
cmost cimportant cfor cthe cnurses cto cinstruct cthe cclient cabout cself-care? c
a. cCall cthe cclinic cif cundesirable cside ceffects cof cmedications coccur
b. cAvoid ccrowded cenclosed careas cto creduce cpathogen cexposure
c. cIncrease cthe cdaily cintake cof coral cfluids cto cliquefy csecretions
d. cTeach canxiety creduction cmethods cfor cfeelings cof csuffocation c- cCORRECT cANS✔✔c. cIncrea
cfluids cto cliquefy csecretions
The chome chealth cnurse cprovides cteaching cabout cinsulin cself cinjection cto ca cclient cwho cwas cre
cmellitus. cWhen cthe cclient cbegins cto cperform ca creturn cdemonstration cof can cinsulin cinjection cint
cthe cvideo, cwhich cinstruction cshould cthe cnurse cprovide? c
a. cselect ca cdifferent cinjection csite
b. cContinue cwith cthe cinsulin cinjection c
c. ckeep cthe cskin cflat crather cthan cbunched c
d. cLie cdown cflat cfor cbetter cskin cexposure c- cCORRECT cANS✔✔b. cContinue cwith cthe cinsulin cin
The cnurse cobserves can cincreased cnumber cof cblood cclots cin cthe cdrainage ctubing cof ca cclient cw
cirrigation cfollowing ca ctrans-urethral cresection cof cthe cprostate c(TURP). cWhat cis cthe cbest cinitial
a. cProvide cadditional coral cfluid cintake c
b. cMeasure cthe cclient's cintake cand coutput
c. cIncrease cthe cflow cof cthe cbladder cirrigation c
d. cAdminister ca cPRN cdose cof can cantispasmodic cagent c- cCORRECT cANS✔✔c. cIncrease cthe cf
Four cdays cfollowing can cabdominal caortic caneurysm crepair, cthe cclient cis cexhibiting cedema cof cb
cpedal cpulses care cnot cpalpable. cWhich caction cshould cthe cnurse cimplement cfirst?
a. celevate cextremities con cpillows c
b. cevaluate cedema cfor cpitting
c. cassess cpulses cwith ca cvascular cdoppler c
d. cwrap cthe cfeet cwith cwarmed cblankets c- cCORRECT cANS✔✔c. cassess cpulses cwith ca cvascula
A cclient carrives cto cthe cmedical csurgical cunit c4 chours cafter ca ctransurethral cresection cof cthe cpro
cfor ccontinuous cbladder cirrigation cwith cnormal csaline cis cinfusing cand cthe cnurse cobserves cdark,
cblood cclots cin cthe ctubing cand ccollection cbag. cWhich caction cshould cthe cnurse ctake? c
a. cMonitoring ccatheter cdrainage c
b. cdecreasing cthe cflow crate
c. cirrigating cthe ccatheter cmanually c
d. cdiscontinuing cinfusing csolution c- cCORRECT cANS✔✔a. cMonitoring ccatheter cdrainage
The cnurse cis cplanning ccare cfor can colder cadult cclient cwho cexperienced ca ccerebrovascular cacci
cclient chas cexpressive caphasia cand coften cbecomes cfrustrated cwith cthe cnursing cstaff, cwhich cint
cimplement? c
a. cTeach cthe cclient cuse cof cbasic csign clanguage
b. cspeak cslowly cto cthe cclient
c. cEncourage cclient's cuse cof cpicture ccharts c
d. cask cthe cclient csample cquestions c- cCORRECT cANS✔✔c. cEncourage cclient's cuse cof cpicture
After cthree cdays cof cpersistent cepigastric cpain, ca cfemale cclient cpresents cto cthe cclinic. cShe chas
ANSWERS
A cnurse cis ccaring cfor ca cclient cwith cDI. cWhich cdata cwarrants cthe cmost cimmediate cintervention
a. cSerum csodium cof c185 c
b. cDry cskin cwith cinelastic cturgor c
c. cApical crate cof c110 cbeats cper cminute
d. cPolyuria cand cexcessive cthirst c- cCORRECT cANS✔✔a. cSerum csodium cof c185
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthis cmedical cdiagnosis? c
a. cFrequent cuse cof cchewable cand cliquid cantacids cfor cindigestion c
b. csevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods
c. cupper cmid-abdominal cpain cdescribed cas cgnawing cand cburning.
d. cMarked closs cof cweight cand cappetite cover cthe clast c3 cor c4 cmonths c- cCORRECT cANS✔✔c. c
cdescribed cas cgnawing cand cburning.
The cnurse cassess ca cclient cwho cis cnewly cdiagnosed cwith chyperthyroidism cand cobserves cthat ct
cprotuberant, ccausing ca cwide-eyed cappearance cand ceye cdiscomfort. cBased con cthis cfinding, cwh
cinclude cin cthis cclient's cplan cof ccare? c
a. cAssess cfor csigns cof cincreased cintracranial cpressure
b. cPrepare cto cadminister cintravenous clevothyroxine
c. cReview cthe cclient's cserum celectrolyte cvalues
d. cObtain ca cprescription cfor cartificial ctear cdrops c- cCORRECT cANS✔✔d. cObtain ca cprescription
To creduce cthe crisk cfor cpulmonary ccomplication cfor ca cclient cwith cAmyotrophic cLateral cSclerosis
cshould cthe cnurse cimplement? c(Select call) c
a. cPerform cchest cphysiotherapy c
b. cTeach cthe cclient cbreathing cexercises
c. cInitiate cpassive crange cof cmotion cexercises c
d. cEstablish ca cregular cbladder croutine
e. cEncourage cuse cof cincentive cspriometer c- cCORRECT cANS✔✔a. cPerform cchest cphysiotherap
b. cTeach cthe cclient cbreathing cexercises
e. cEncourage cuse cof cincentive cspriometer
, The chealthcare cprovider cprescribes cdiagnostic ctests cfor ca cclient cwhose cchest cX-ray cindicates c
ctest cshould cthe cnurse creview cfor cimplementation cin cthe cmost ctherapeutic ctreatment cof cthe cpn
a. cSputum cculture cand csensitivity c
b. cBlood ccultures c
c. cArterial cblood cgases c(ABG)
d. cComputerized ctomography c(CT) cof cthe cchest c- cCORRECT cANS✔✔a. cSputum cculture cand c
A cclient cwith ca chistory cof casthma cand cbronchitis carrives ca cthe cclinic cwith cshortness cof cbreath
cthickened, ctenacious cmucous, cand cthe cinability cto cwalk cup ca cflight cof cstairs cwithout cexperienc
cmost cimportant cfor cthe cnurses cto cinstruct cthe cclient cabout cself-care? c
a. cCall cthe cclinic cif cundesirable cside ceffects cof cmedications coccur
b. cAvoid ccrowded cenclosed careas cto creduce cpathogen cexposure
c. cIncrease cthe cdaily cintake cof coral cfluids cto cliquefy csecretions
d. cTeach canxiety creduction cmethods cfor cfeelings cof csuffocation c- cCORRECT cANS✔✔c. cIncrea
cfluids cto cliquefy csecretions
The chome chealth cnurse cprovides cteaching cabout cinsulin cself cinjection cto ca cclient cwho cwas cre
cmellitus. cWhen cthe cclient cbegins cto cperform ca creturn cdemonstration cof can cinsulin cinjection cint
cthe cvideo, cwhich cinstruction cshould cthe cnurse cprovide? c
a. cselect ca cdifferent cinjection csite
b. cContinue cwith cthe cinsulin cinjection c
c. ckeep cthe cskin cflat crather cthan cbunched c
d. cLie cdown cflat cfor cbetter cskin cexposure c- cCORRECT cANS✔✔b. cContinue cwith cthe cinsulin cin
The cnurse cobserves can cincreased cnumber cof cblood cclots cin cthe cdrainage ctubing cof ca cclient cw
cirrigation cfollowing ca ctrans-urethral cresection cof cthe cprostate c(TURP). cWhat cis cthe cbest cinitial
a. cProvide cadditional coral cfluid cintake c
b. cMeasure cthe cclient's cintake cand coutput
c. cIncrease cthe cflow cof cthe cbladder cirrigation c
d. cAdminister ca cPRN cdose cof can cantispasmodic cagent c- cCORRECT cANS✔✔c. cIncrease cthe cf
Four cdays cfollowing can cabdominal caortic caneurysm crepair, cthe cclient cis cexhibiting cedema cof cb
cpedal cpulses care cnot cpalpable. cWhich caction cshould cthe cnurse cimplement cfirst?
a. celevate cextremities con cpillows c
b. cevaluate cedema cfor cpitting
c. cassess cpulses cwith ca cvascular cdoppler c
d. cwrap cthe cfeet cwith cwarmed cblankets c- cCORRECT cANS✔✔c. cassess cpulses cwith ca cvascula
A cclient carrives cto cthe cmedical csurgical cunit c4 chours cafter ca ctransurethral cresection cof cthe cpro
cfor ccontinuous cbladder cirrigation cwith cnormal csaline cis cinfusing cand cthe cnurse cobserves cdark,
cblood cclots cin cthe ctubing cand ccollection cbag. cWhich caction cshould cthe cnurse ctake? c
a. cMonitoring ccatheter cdrainage c
b. cdecreasing cthe cflow crate
c. cirrigating cthe ccatheter cmanually c
d. cdiscontinuing cinfusing csolution c- cCORRECT cANS✔✔a. cMonitoring ccatheter cdrainage
The cnurse cis cplanning ccare cfor can colder cadult cclient cwho cexperienced ca ccerebrovascular cacci
cclient chas cexpressive caphasia cand coften cbecomes cfrustrated cwith cthe cnursing cstaff, cwhich cint
cimplement? c
a. cTeach cthe cclient cuse cof cbasic csign clanguage
b. cspeak cslowly cto cthe cclient
c. cEncourage cclient's cuse cof cpicture ccharts c
d. cask cthe cclient csample cquestions c- cCORRECT cANS✔✔c. cEncourage cclient's cuse cof cpicture
After cthree cdays cof cpersistent cepigastric cpain, ca cfemale cclient cpresents cto cthe cclinic. cShe chas
