ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
1. 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.: B
2. 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).: A
3. A construction worker sustains a puncture wound from a rusty nail and
the last immunization for tetanus in unknown. The primary health care
provider prescribes tetanus immune globulin. Which type of protection does
this immunization offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity: D
,ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
4. A hospice client who has severe pain asks for another dose of oxycodone.
Which consideration is the nurse's primary concern when responding to the
client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain.: D
5. A nurse receives an order to administer cefazolin 2 g/100 mL NS IV every 8 hours.
Pharmacy suggests infusing the cefazolin over 30 minutes. How many milliliters per
hour would the nurse set the IV infusion device?: 200 mL/hr
6. The nurse has administered sublingual nitroglycerin. Which outcome
would the nurse use to determine the effectiveness of sublingual
nitroglycerin?
A.Relief of anginal pain
B.Improved cardiac output.
C.Decreased blood pressure
D.Ease in respiratory effort: A
7. After a subtotal gastrectomy, a client demonstrates signs of dumping
syndrome. About 90 minutes after the initial attack, the client reports feeling
shaky.
Which would the nurse determine is the cause of the latter effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of chyme
, ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
D. An overproduction of insulin that occurs in response to the rise in blood glucose.: D
8. Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
A. Natural active immunity
B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity: B
9. Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
A. Controlling the urge to eat candy because he or she knows it will affect blood sugar
levels.
B. Having a craving for fruit but not stealing it form the next client because that client
needs it more.
C. Urinating beside the bed instead of waiting for the nurse to assist him or her.
D. Experiencing a stomachache but refraining from stealing medications from a friend
because it is illegal.
E. Feeling the urge to run away from the hospital but refraining from doing so because
the security guard is watching.: A B D
10. An older client is treated in the emergency department for soft tissue
injuries that the medical team suspect might be caused by physical abuse. An
adult child states that the client is confused and often falls. A mini-mental
examination indicates that the client is oriented to person, place, and time.
Which action would the nurse take next?
A.Interview the client without the presence of family members.
B.Suggest that the client call law enforcement officers if threatened by family members.
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
1. 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.: B
2. 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).: A
3. A construction worker sustains a puncture wound from a rusty nail and
the last immunization for tetanus in unknown. The primary health care
provider prescribes tetanus immune globulin. Which type of protection does
this immunization offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity: D
,ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
4. A hospice client who has severe pain asks for another dose of oxycodone.
Which consideration is the nurse's primary concern when responding to the
client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain.: D
5. A nurse receives an order to administer cefazolin 2 g/100 mL NS IV every 8 hours.
Pharmacy suggests infusing the cefazolin over 30 minutes. How many milliliters per
hour would the nurse set the IV infusion device?: 200 mL/hr
6. The nurse has administered sublingual nitroglycerin. Which outcome
would the nurse use to determine the effectiveness of sublingual
nitroglycerin?
A.Relief of anginal pain
B.Improved cardiac output.
C.Decreased blood pressure
D.Ease in respiratory effort: A
7. After a subtotal gastrectomy, a client demonstrates signs of dumping
syndrome. About 90 minutes after the initial attack, the client reports feeling
shaky.
Which would the nurse determine is the cause of the latter effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of chyme
, ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED AN SWERS)
D. An overproduction of insulin that occurs in response to the rise in blood glucose.: D
8. Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
A. Natural active immunity
B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity: B
9. Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
A. Controlling the urge to eat candy because he or she knows it will affect blood sugar
levels.
B. Having a craving for fruit but not stealing it form the next client because that client
needs it more.
C. Urinating beside the bed instead of waiting for the nurse to assist him or her.
D. Experiencing a stomachache but refraining from stealing medications from a friend
because it is illegal.
E. Feeling the urge to run away from the hospital but refraining from doing so because
the security guard is watching.: A B D
10. An older client is treated in the emergency department for soft tissue
injuries that the medical team suspect might be caused by physical abuse. An
adult child states that the client is confused and often falls. A mini-mental
examination indicates that the client is oriented to person, place, and time.
Which action would the nurse take next?
A.Interview the client without the presence of family members.
B.Suggest that the client call law enforcement officers if threatened by family members.
