ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST 2024-2025
ACTUAL EXAM QUESTIONS WITH ACCURATE ANSWER
•A continuous infusion of diltiazem at 15 mg/h is received for a patient with atrial
fibrillation. Pharmacy delivers diltiazem with a 100 mg/100 mL concentration.
How many mL/h will the nurse administer the medication? correct answer 15
ML/HR
•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 answer 80 ML/HR
A client is admitted after blunt abdominal injury. Which assessment finding
requires immediate action by the nurse?
A. Radiating abdominal pain with left lower quadrant palpation.
B. Grimacing after palpation of the right hypochondriac region.
C. Rebound tenderness with abdominal palpation.
D. Bluish periumbilical skin discoloration. correct answer D
A client is admitted to the hospital with a traumatic brain injury after his head
violently struck a brick wall during a gang fight. Which finding is most important
for the nurse to assess further?
A A scalp laceration oozing blood.
B Serosanguineous nasal drainage.
C Headache rated "10" on a 0-10 scale.
D Dizziness, nausea and transient confusion correct answer 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 answer A
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 answer B
A client who is admitted to the emergency department with a possible tension
pneumothorax after a motor vehicle collision is having multiple diagnostic tests.
Which finding requires immediate action by the nurse?
A Serum amylase of 132 units/L.
B Serum sodium of 134 mEq/L.
C Chest x-ray indicating a mediastinal shift.
D Abdominal x-ray air throughout intestines. correct answer C
A client with a history of hypertension, myocardial infarction, and heart failure is
admitted to the surgical intensive care unit after coronary artery bypass surgery
, graft (CABG). The nurse determines the client's serum potassium level is 4.5
mEq/L. What action should the nurse implement?
A Notify the healthcare provider.
B Decrease the IV solution flow rate.
C Document the finding as the only action.
D Administer potassium replacement as prescribed. correct answer C
A client with a history of multiple chronic illnesses comes to the emergency
department (ED) reporting a slight progressive weight loss over the past month in
addition to frequent urination and felling lethargic, hungry, and thirsty all the
time. The client's vital signs are blood pressure (BP) 118/78 mm Hg, oral
temperature 99.6°F (37.6°C), and regular pulse of 72 beats per minute with
irregular respirations of 22 breaths per minute. Which condition dies the nurse
suspect that this client is experiencing?
A.Hypervolemia
B.Hyperglycemia
C.Infectious process
D.Respiratory distress correct answer B
A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the
prescribed morphine injections. The nurse realizes that the failure to achieve pain
relief indicates that the client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
ACTUAL EXAM QUESTIONS WITH ACCURATE ANSWER
•A continuous infusion of diltiazem at 15 mg/h is received for a patient with atrial
fibrillation. Pharmacy delivers diltiazem with a 100 mg/100 mL concentration.
How many mL/h will the nurse administer the medication? correct answer 15
ML/HR
•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 answer 80 ML/HR
A client is admitted after blunt abdominal injury. Which assessment finding
requires immediate action by the nurse?
A. Radiating abdominal pain with left lower quadrant palpation.
B. Grimacing after palpation of the right hypochondriac region.
C. Rebound tenderness with abdominal palpation.
D. Bluish periumbilical skin discoloration. correct answer D
A client is admitted to the hospital with a traumatic brain injury after his head
violently struck a brick wall during a gang fight. Which finding is most important
for the nurse to assess further?
A A scalp laceration oozing blood.
B Serosanguineous nasal drainage.
C Headache rated "10" on a 0-10 scale.
D Dizziness, nausea and transient confusion correct answer 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 answer A
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 answer B
A client who is admitted to the emergency department with a possible tension
pneumothorax after a motor vehicle collision is having multiple diagnostic tests.
Which finding requires immediate action by the nurse?
A Serum amylase of 132 units/L.
B Serum sodium of 134 mEq/L.
C Chest x-ray indicating a mediastinal shift.
D Abdominal x-ray air throughout intestines. correct answer C
A client with a history of hypertension, myocardial infarction, and heart failure is
admitted to the surgical intensive care unit after coronary artery bypass surgery
, graft (CABG). The nurse determines the client's serum potassium level is 4.5
mEq/L. What action should the nurse implement?
A Notify the healthcare provider.
B Decrease the IV solution flow rate.
C Document the finding as the only action.
D Administer potassium replacement as prescribed. correct answer C
A client with a history of multiple chronic illnesses comes to the emergency
department (ED) reporting a slight progressive weight loss over the past month in
addition to frequent urination and felling lethargic, hungry, and thirsty all the
time. The client's vital signs are blood pressure (BP) 118/78 mm Hg, oral
temperature 99.6°F (37.6°C), and regular pulse of 72 beats per minute with
irregular respirations of 22 breaths per minute. Which condition dies the nurse
suspect that this client is experiencing?
A.Hypervolemia
B.Hyperglycemia
C.Infectious process
D.Respiratory distress correct answer B
A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the
prescribed morphine injections. The nurse realizes that the failure to achieve pain
relief indicates that the client is probably experiencing which phenomenon?
A.Tolerance
B.Habituation
