Adult Health 2 HESI Exam 2025–2026 Accurate
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A client with chronic kidney disease is started on hemodialysis. During the first dialysis
treatment, the client's blood pressure drops from 150/90 mmHg to 80/30 mmHg. What action
should the nurse take first? Rationale:The first action is to *lower the head of the chair and
elevate the feet* to improve circulation and raise blood pressure. This position helps increase
venous return to the heart and can alleviate hypotension during hemodialysis.
a. Stop the dialysis treatment
b. administer 5% albumin IV
c. Monitor blood pressure q45 minutes
d. lower the head of the chair and elevate feet
lower the head of the chair and elevate feet.
The nurse is collecting information from a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage pain, which assessment data is
most important for the nurse to obtain? Rationale:The most important assessment is *eating
patterns and dietary intake*, as certain foods, especially high-fat meals, can worsen pain in
chronic pancreatitis due to impaired digestion and enzyme production.
a. presence and activity of bowel sounds
b. Color and consistency of feces
c. Eating patterns and dietary intake
d. level and amount of physical activity
Eating patterns and dietary intake
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department
with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment
finding should the nurse expect this client to exhibit? Rationale:Autonomic dysreflexia, common
in clients with spinal cord injuries above T6, is triggered by stimuli like a full bladder. Symptoms
include *profuse diaphoresis, severe headache, and elevated blood pressure*, due to an
abnormal sympathetic response.
,a. Complaints of chest pain and shortness of breath
b. Hypotension and venous pooling in the extremities
c. Profuse diaphoresis and severe, pounding headache
d. Pain and burning sensation upon urination and hematuria
Profuse diaphoresis and severe, pounding headache.
During spring break, a young adult presents to the urgent care clinic and reports a stiff neck, a
fever for the past 6 hours, and a headache. Which intervention is most important for the nurse
to implement first? Rationale:The combination of stiff neck, fever, and headache suggests
meningitis, which is highly contagious. The first priority is to *initiate isolation precautions* to
prevent the spread of infection to others while diagnostic tests are performed.
a. initiate isolation precautions
b. administer an antipyretic
c. draw blood cultures
d. prepare for a lumbar puncture
initiate isolation precautions
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs.
Which laboratory result should the nurse review? Rationale:Petechiae and ecchymosis are often
linked to bleeding disorders, typically caused by a low platelet count. Platelets are essential for
clotting, and a deficiency can lead to abnormal bleeding and bruising. Therefore, reviewing the
*platelet count* is essential.
a. red blood cell count
b. Platelet count
c. Hemoglobin levels
d. White blood cell count
Platelet count
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. The client is anxious and
is complaining of a dry mouth.Which intervention should the nurse implement? Rationale:For a
client with COPD and shortness of breath, placing them in an *upright or high Fowler's position*
maximizes lung expansion, improves breathing, and reduces the work of breathing, helping to
, alleviate anxiety and dyspnea.a. Assist the client to an upright position
b. Administer prescribed sedative
c. Apply a high-flow Venturi mask
d. Encourage the client to drink water
Assist the client to an upright position
The nurse is providing discharge instructions to a client who is receiving prednisone 5mg PO
daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client
to report to the healthcare provider? Rationale:Prednisone can cause *fluid retention, leading
to rapid weight gain, which may indicate Cushing's syndrome or a fluid imbalance*. This is a
concerning side effect and should be reported to the healthcare provider.
a. rapid weight gain
b. Abdominal striae
c. moon faces
d. gastric irritation
Rapid weight gain
When conducting discharge teaching for a client diagnosed with diverticulosis, which diet
instruction should the nurse include? Rationale:Diverticulosis involves small pouches in the
colon, and a *high-fiber diet helps prevent constipation and reduces pressure in the colon,
while increased fluid intake* softens stools and promotes regularity, preventing complications
like diverticulitis.
a. Have small frequent meals and sit up for at least two hours after meals
b. Eat a bland diet and avoid spicy foods
c. Eat a high-fiber diet and increase fluid intake
d. Eat a soft diet with increased intake of milk and milk products
Eat a high-fiber diet and increase fluid intake
An adult who was recently diagnosed with glaucoma tells the nurse, "it feels like I am driving
through a tunnel". The client expresses great concern about going blind. Which nursing
instruction is most important for the nurse to provide to this client? Rationale Glaucoma can
lead to vision loss due to increased intraocular pressure. The most important action to prevent
further damage and preserve vision is to consistently follow the *prescribed eye drop regimen*
Real Exam Questions and Verified Correct
Answers JUST RELEASED
A client with chronic kidney disease is started on hemodialysis. During the first dialysis
treatment, the client's blood pressure drops from 150/90 mmHg to 80/30 mmHg. What action
should the nurse take first? Rationale:The first action is to *lower the head of the chair and
elevate the feet* to improve circulation and raise blood pressure. This position helps increase
venous return to the heart and can alleviate hypotension during hemodialysis.
a. Stop the dialysis treatment
b. administer 5% albumin IV
c. Monitor blood pressure q45 minutes
d. lower the head of the chair and elevate feet
lower the head of the chair and elevate feet.
The nurse is collecting information from a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage pain, which assessment data is
most important for the nurse to obtain? Rationale:The most important assessment is *eating
patterns and dietary intake*, as certain foods, especially high-fat meals, can worsen pain in
chronic pancreatitis due to impaired digestion and enzyme production.
a. presence and activity of bowel sounds
b. Color and consistency of feces
c. Eating patterns and dietary intake
d. level and amount of physical activity
Eating patterns and dietary intake
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department
with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment
finding should the nurse expect this client to exhibit? Rationale:Autonomic dysreflexia, common
in clients with spinal cord injuries above T6, is triggered by stimuli like a full bladder. Symptoms
include *profuse diaphoresis, severe headache, and elevated blood pressure*, due to an
abnormal sympathetic response.
,a. Complaints of chest pain and shortness of breath
b. Hypotension and venous pooling in the extremities
c. Profuse diaphoresis and severe, pounding headache
d. Pain and burning sensation upon urination and hematuria
Profuse diaphoresis and severe, pounding headache.
During spring break, a young adult presents to the urgent care clinic and reports a stiff neck, a
fever for the past 6 hours, and a headache. Which intervention is most important for the nurse
to implement first? Rationale:The combination of stiff neck, fever, and headache suggests
meningitis, which is highly contagious. The first priority is to *initiate isolation precautions* to
prevent the spread of infection to others while diagnostic tests are performed.
a. initiate isolation precautions
b. administer an antipyretic
c. draw blood cultures
d. prepare for a lumbar puncture
initiate isolation precautions
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs.
Which laboratory result should the nurse review? Rationale:Petechiae and ecchymosis are often
linked to bleeding disorders, typically caused by a low platelet count. Platelets are essential for
clotting, and a deficiency can lead to abnormal bleeding and bruising. Therefore, reviewing the
*platelet count* is essential.
a. red blood cell count
b. Platelet count
c. Hemoglobin levels
d. White blood cell count
Platelet count
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. The client is anxious and
is complaining of a dry mouth.Which intervention should the nurse implement? Rationale:For a
client with COPD and shortness of breath, placing them in an *upright or high Fowler's position*
maximizes lung expansion, improves breathing, and reduces the work of breathing, helping to
, alleviate anxiety and dyspnea.a. Assist the client to an upright position
b. Administer prescribed sedative
c. Apply a high-flow Venturi mask
d. Encourage the client to drink water
Assist the client to an upright position
The nurse is providing discharge instructions to a client who is receiving prednisone 5mg PO
daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client
to report to the healthcare provider? Rationale:Prednisone can cause *fluid retention, leading
to rapid weight gain, which may indicate Cushing's syndrome or a fluid imbalance*. This is a
concerning side effect and should be reported to the healthcare provider.
a. rapid weight gain
b. Abdominal striae
c. moon faces
d. gastric irritation
Rapid weight gain
When conducting discharge teaching for a client diagnosed with diverticulosis, which diet
instruction should the nurse include? Rationale:Diverticulosis involves small pouches in the
colon, and a *high-fiber diet helps prevent constipation and reduces pressure in the colon,
while increased fluid intake* softens stools and promotes regularity, preventing complications
like diverticulitis.
a. Have small frequent meals and sit up for at least two hours after meals
b. Eat a bland diet and avoid spicy foods
c. Eat a high-fiber diet and increase fluid intake
d. Eat a soft diet with increased intake of milk and milk products
Eat a high-fiber diet and increase fluid intake
An adult who was recently diagnosed with glaucoma tells the nurse, "it feels like I am driving
through a tunnel". The client expresses great concern about going blind. Which nursing
instruction is most important for the nurse to provide to this client? Rationale Glaucoma can
lead to vision loss due to increased intraocular pressure. The most important action to prevent
further damage and preserve vision is to consistently follow the *prescribed eye drop regimen*
