HESI Adult Health 4801 EXAM
HESI ADULT HEALTH 4801 EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW!!
A 48-year-old client with endometrial cancer is being discharged after a total
hysterectomy and bilateral salpingo-oophorectomy. Which client statement
indicates that further teaching is needed?
A. "Well, I don't have to worry about getting pregnant anymore."
B. "I can't wait to go on the cruise that I have planned for this summer."
C. "I know I will miss having sexual intercourse with my husband."
D. "I have asked my daughter to stay with me next week after I am discharged."
C. "I know I will miss having sexual intercourse with my husband."
Rationale
Further teaching is needed in response to the client's misunderstanding of not
being able to have sexual intercourse after a hysterectomy, needs to be
addressed.
What is the primary nursing problem for a client with asymptomatic primary
syphilis?
A. Acute pain.
B. Risk for injury.
C. Sexual dysfunction.
D. Deficient knowledge.
D. Deficient knowledge.
Rationale
An asymptomatic client with primary syphilis is most likely unaware of this
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, HESI Adult Health 4801 EXAM
disease, so to prevent transmission to others and recurrence in the client, the
priority nursing diagnosis is deficient knowledge of the disease pathophysiology.
A client with osteoarthritis requests information from the nurse about what type
of exercise regimen would be most beneficial for him. The nurse should
communicate which information?
A. Low impact exercise, walking, swimming and water aerobics.
B. Repetitive strength-building exercises with weights or resistance bands.
C. Circuit training alternating with frequent rest periods.
D. High-impact aerobic exercise.
A. Low impact exercise, walking, swimming and water aerobics.
Rationale
Low impact exercises such as walking or swimming, that do not put additional
pressure and strain or cause further harm to damaged joints, are most beneficial
to clients with osteoarthritis. Strength-building exercises, circuit training, and
high-impact aerobics may cause too much stress on the joint areas and
subsequently increase inflammation and damage.
The nurse is providing instructions about log rolling to a client who returns to the
postoperative unit after a lumbar laminectomy. Which explanation should the
nurse give the client about this technique?
A. Helps to minimize pain and anxiety.
B. Maintains correct spinal alignment to protect the surgical area.
C. Prevents dizziness while stabilizing the spine.
D. Allows the nurse to move the client freely without assistance.
B. Maintains correct spinal alignment to protect the surgical area.
Rationale
Log-rolling technique maintains the spine in a straight superior-inferior plane
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, HESI Adult Health 4801 EXAM
that aligns the spine without movement while protecting the surgical area,
which is especially important when the procedure involves bone grafts that may
several weeks for the bone to fuse.
A client in the preoperative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement?
A. Give the drug and allow the client to read and sign the consent form.
B. Counter-sign the client's initials on the consent form after giving the drug.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
D. Call the healthcare provider to explain the surgical procedure before the client
signs the consent.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
Rationale
Midazolam, a benzodiazepine sedative, is commonly used for conscious-
sedation intraoperatively and interferes with the client's cognition and level of
consciousness, so the consent form should be signed before the drug is
administered.
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the
infection to other areas of the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
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, HESI Adult Health 4801 EXAM
D. Have intercourse or masturbate at least twice a week.
Rationale
The prostate is not easily penetrated by antibiotics and can serve as a reservoir
for microorganisms, which can infect other areas of the genitourinary tract.
Draining the prostate regularly through intercourse or masturbation decreases
the number of microorganisms present and reduces the risk for further infection
from stored contaminated seminal fluids.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? (Select all that apply.)
Select all that apply
A. Only marijuana cigarettes affect sperm count.
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
E. Sperm specimens should be collected in 2 subsequent days.
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
Rationale
The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker?
A. Ventricular irritability is prevented by the constant rate setting of pacemaker.
4|Page
HESI ADULT HEALTH 4801 EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW!!
A 48-year-old client with endometrial cancer is being discharged after a total
hysterectomy and bilateral salpingo-oophorectomy. Which client statement
indicates that further teaching is needed?
A. "Well, I don't have to worry about getting pregnant anymore."
B. "I can't wait to go on the cruise that I have planned for this summer."
C. "I know I will miss having sexual intercourse with my husband."
D. "I have asked my daughter to stay with me next week after I am discharged."
C. "I know I will miss having sexual intercourse with my husband."
Rationale
Further teaching is needed in response to the client's misunderstanding of not
being able to have sexual intercourse after a hysterectomy, needs to be
addressed.
What is the primary nursing problem for a client with asymptomatic primary
syphilis?
A. Acute pain.
B. Risk for injury.
C. Sexual dysfunction.
D. Deficient knowledge.
D. Deficient knowledge.
Rationale
An asymptomatic client with primary syphilis is most likely unaware of this
1|Page
, HESI Adult Health 4801 EXAM
disease, so to prevent transmission to others and recurrence in the client, the
priority nursing diagnosis is deficient knowledge of the disease pathophysiology.
A client with osteoarthritis requests information from the nurse about what type
of exercise regimen would be most beneficial for him. The nurse should
communicate which information?
A. Low impact exercise, walking, swimming and water aerobics.
B. Repetitive strength-building exercises with weights or resistance bands.
C. Circuit training alternating with frequent rest periods.
D. High-impact aerobic exercise.
A. Low impact exercise, walking, swimming and water aerobics.
Rationale
Low impact exercises such as walking or swimming, that do not put additional
pressure and strain or cause further harm to damaged joints, are most beneficial
to clients with osteoarthritis. Strength-building exercises, circuit training, and
high-impact aerobics may cause too much stress on the joint areas and
subsequently increase inflammation and damage.
The nurse is providing instructions about log rolling to a client who returns to the
postoperative unit after a lumbar laminectomy. Which explanation should the
nurse give the client about this technique?
A. Helps to minimize pain and anxiety.
B. Maintains correct spinal alignment to protect the surgical area.
C. Prevents dizziness while stabilizing the spine.
D. Allows the nurse to move the client freely without assistance.
B. Maintains correct spinal alignment to protect the surgical area.
Rationale
Log-rolling technique maintains the spine in a straight superior-inferior plane
2|Page
, HESI Adult Health 4801 EXAM
that aligns the spine without movement while protecting the surgical area,
which is especially important when the procedure involves bone grafts that may
several weeks for the bone to fuse.
A client in the preoperative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement?
A. Give the drug and allow the client to read and sign the consent form.
B. Counter-sign the client's initials on the consent form after giving the drug.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
D. Call the healthcare provider to explain the surgical procedure before the client
signs the consent.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
Rationale
Midazolam, a benzodiazepine sedative, is commonly used for conscious-
sedation intraoperatively and interferes with the client's cognition and level of
consciousness, so the consent form should be signed before the drug is
administered.
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the
infection to other areas of the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
3|Page
, HESI Adult Health 4801 EXAM
D. Have intercourse or masturbate at least twice a week.
Rationale
The prostate is not easily penetrated by antibiotics and can serve as a reservoir
for microorganisms, which can infect other areas of the genitourinary tract.
Draining the prostate regularly through intercourse or masturbation decreases
the number of microorganisms present and reduces the risk for further infection
from stored contaminated seminal fluids.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? (Select all that apply.)
Select all that apply
A. Only marijuana cigarettes affect sperm count.
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
E. Sperm specimens should be collected in 2 subsequent days.
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
Rationale
The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker?
A. Ventricular irritability is prevented by the constant rate setting of pacemaker.
4|Page
