ACTUALIZED ADULT HEALTH (HESI) FINAL EXAM 2025. ACTUAL
EXAM QUESTIONS AND ANSWERS.
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The patient and family
have expressed concern about the drug. What is the nurse's responsibility in this particular situation? - ANS -
provide information so that the patient can decide whether to accept or refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing. The daughter wants
to enroll in a program that is of short duration and makes her eligible to take the nursing license
examination. Which educational program would the nurse recommend to this student? - ANS -associates
degree program in nursing
The community health nurse is conducting a program on health and fitness awareness for medically
underserved people. Who would be categorized as medically underserved? - ANS - people of a poor
socioeconomic status
The nursing mentor observes that a nursing student is deficient in communication skills but is good at
understanding nursing theories. How would the mentor intervene with respect to this student? - ANS -help
the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements. Which action would the remaining
nurses take? Select all that apply. One, some, or all responses may be correct. - ANS --use the patient
contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks
and benefits of the surgery to the family and discusses the patient's wishes with the family.
Which role is the nurse playing for the patient? - ANS -advocate
,Nurses are responsible for the quality of care provided to patients. Which will help nurses practice safe
nursing? Select all that apply. One, some, or all responses may be correct. - ANS -- acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action would the nurse take to ensure
individual patient satisfaction? select all that apply. One, some, or all responses may be correct. - ANS --
provide quality care to each patient
-ensure that patients leave with a positive image of nursing
-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the patient, the nurse learns that he has
a twin brother. Which nursing action is appropriate for the patient's brother? select all that apply.
One, some, or all responses may be correct. - ANS --educate the patient's brother on reasons to get a
colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school. Which responsibilities fall under the role
of the nurse educator? - ANS -provide student with practical and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree in nursing about next steps in
advanced nursing education. Which educational option would be included? Select all that apply. One, some,
or all responses may be correct. - ANS --bachelor of science in nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the leg elevated and applies cold
compresses on the affected ankle. Which standard of practice is the nurse performing? - ANS -
implementation
, The health care provider asks the certified registered nurse anesthetist (CRNA) to provide spinal anesthesia
to a patient who is scheduled for a hernia operation. What is the CRNA's next step? - ANS -provide the
anesthesia under the supervision of a health care provider with knowledge of surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer subcutaneous insulin. Which key
element would the nurse keep in mind before teaching the patient about health care principles? - ANS -
match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice registered nurses? - ANS -function
independently
Which teaching about Quality and Safety Education for nurses (QSEN) competencies, the nurse states, "This
competency uses tools such as flowcharts and diagrams to make the process of care explicit".
Which QSEN competency is the nurse referring to? - ANS -quality improvement
A patient has been advised to have a total knee replacement because of osteoarthritis. The patient is not
willing to undergo the surgery, but family members want to get the surgery done to relieve the disability.
The nurse explains the details of the surgery and the risks associated with it, and also discusses the patient's
wishes with the family. Which nursing role is the nurse playing here? - ANS -advocate
A patient in the emergency department has developed wheezing and shortness of breath. The nurse give
the prescribed medicated nebulizer treatment now and in 4 hours. Which standard practice is performed? -
ANS -implementation
A patient in labor has been brought to the certified nurse midwife (CNM). Which intervention would the
CNM undertake in this situation? Select all that apply. One, some, or all responses may be correct. - ANS --
conduct the labor
-provide care for the newborn
EXAM QUESTIONS AND ANSWERS.
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The patient and family
have expressed concern about the drug. What is the nurse's responsibility in this particular situation? - ANS -
provide information so that the patient can decide whether to accept or refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing. The daughter wants
to enroll in a program that is of short duration and makes her eligible to take the nursing license
examination. Which educational program would the nurse recommend to this student? - ANS -associates
degree program in nursing
The community health nurse is conducting a program on health and fitness awareness for medically
underserved people. Who would be categorized as medically underserved? - ANS - people of a poor
socioeconomic status
The nursing mentor observes that a nursing student is deficient in communication skills but is good at
understanding nursing theories. How would the mentor intervene with respect to this student? - ANS -help
the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements. Which action would the remaining
nurses take? Select all that apply. One, some, or all responses may be correct. - ANS --use the patient
contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks
and benefits of the surgery to the family and discusses the patient's wishes with the family.
Which role is the nurse playing for the patient? - ANS -advocate
,Nurses are responsible for the quality of care provided to patients. Which will help nurses practice safe
nursing? Select all that apply. One, some, or all responses may be correct. - ANS -- acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action would the nurse take to ensure
individual patient satisfaction? select all that apply. One, some, or all responses may be correct. - ANS --
provide quality care to each patient
-ensure that patients leave with a positive image of nursing
-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the patient, the nurse learns that he has
a twin brother. Which nursing action is appropriate for the patient's brother? select all that apply.
One, some, or all responses may be correct. - ANS --educate the patient's brother on reasons to get a
colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school. Which responsibilities fall under the role
of the nurse educator? - ANS -provide student with practical and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree in nursing about next steps in
advanced nursing education. Which educational option would be included? Select all that apply. One, some,
or all responses may be correct. - ANS --bachelor of science in nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the leg elevated and applies cold
compresses on the affected ankle. Which standard of practice is the nurse performing? - ANS -
implementation
, The health care provider asks the certified registered nurse anesthetist (CRNA) to provide spinal anesthesia
to a patient who is scheduled for a hernia operation. What is the CRNA's next step? - ANS -provide the
anesthesia under the supervision of a health care provider with knowledge of surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer subcutaneous insulin. Which key
element would the nurse keep in mind before teaching the patient about health care principles? - ANS -
match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice registered nurses? - ANS -function
independently
Which teaching about Quality and Safety Education for nurses (QSEN) competencies, the nurse states, "This
competency uses tools such as flowcharts and diagrams to make the process of care explicit".
Which QSEN competency is the nurse referring to? - ANS -quality improvement
A patient has been advised to have a total knee replacement because of osteoarthritis. The patient is not
willing to undergo the surgery, but family members want to get the surgery done to relieve the disability.
The nurse explains the details of the surgery and the risks associated with it, and also discusses the patient's
wishes with the family. Which nursing role is the nurse playing here? - ANS -advocate
A patient in the emergency department has developed wheezing and shortness of breath. The nurse give
the prescribed medicated nebulizer treatment now and in 4 hours. Which standard practice is performed? -
ANS -implementation
A patient in labor has been brought to the certified nurse midwife (CNM). Which intervention would the
CNM undertake in this situation? Select all that apply. One, some, or all responses may be correct. - ANS --
conduct the labor
-provide care for the newborn
