ADULT HEALTH HESI
ACTUAL EXAM QUESTIONS
WITH DETAILED VERIFIED
ANSWERS \A+ STUDY
MATERIAL \VERIFIED BY
EXPERT
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge nurse to
assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess
Answer- B
Rationale- The most stable client is option B. Options A, C, and D are all at high risk for increased
intracranial pressure and require the expertise of the RN for assessment and management of care.
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH insulin. Which
action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
,C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Answer- D
Rationale- Only regular insulin is administered by the IV route, so the TPN solution containing NPH
insulin should be returned to the pharmacy. Options A, B, and C are not indicated because the solution
should not be administered.
The nurse is reviewing routine medications taken by a client with chronic angle-closure glaucoma.
Which medication prescription should the nurse question?
A. Antianginal with a therapeutic effect of vasodilation
B. Anticholinergic with a side effect of pupillary dilation
C. Antihistamine with a side effect of sedation
D. Corticosteroid with a side effect of hyperglycemia
Answer- B
Rationale- Clients with angle-closure glaucoma should not take medications that dilate the pupil
because this can precipitate acute and severely increased intraocular pressure. Options A, C, and D do
not cause increased intracranial pressure, which is the primary concern with angle-closure glaucoma.
When developing a discharge teaching plan for a client after the insertion of a permanent pacemaker,
the nurse writes a goal of "The client will verbalize symptoms of pacemaker failure." Which behavior
indicates that the goal has been met?
A. The client demonstrates the procedures to change the rate of the pacemaker using a magnet.
B. The client carries a card in his wallet stating the type and serial number of the pacemaker.
C. The client tells the nurse that it is important to report redness and tenderness at the insertion site.
D. The client states that changes in the pulse and feelings of dizziness are significant changes.
, Answer- D
Rationale- Changes in pulse rate and/or rhythm may indicate pacer failure. Feelings of dizziness may be
caused by a decreased heart rate, leading to decreased cardiac output. The rate of a pacemaker is not
changed by a client, although the client may be familiar with this procedure as explained by his health
care provider. Option B is an important step in preparing the client for discharge but does not
demonstrate knowledge of the symptoms of pacer failure. Option C indicates symptoms of possible
incisional infection or irritation but does not indicate pacer failure.
The nurse is planning care for a client with diabetes mellitus who has gangrene of the toes to the
midfoot. Which goal should be included in this client's plan of care?
A. Restore skin integrity.
B. Prevent infection.
C. Promote healing.
D. Improve nutrition
Answer- B
Rationale- The prevention of infection is a priority goal for this client. Gangrene is the result of necrosis
(tissue death). If infection develops, there is insufficient circulation to fight the infection and the
infection can result in osteomyelitis or sepsis. Because tissue death has already occurred, options A and
C are unattainable goals. Option D is important but of less priority than option B.
Which serum laboratory value should the nurse monitor carefully for a client who has a nasogastric
(NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
Answer- Sodium
ACTUAL EXAM QUESTIONS
WITH DETAILED VERIFIED
ANSWERS \A+ STUDY
MATERIAL \VERIFIED BY
EXPERT
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge nurse to
assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess
Answer- B
Rationale- The most stable client is option B. Options A, C, and D are all at high risk for increased
intracranial pressure and require the expertise of the RN for assessment and management of care.
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH insulin. Which
action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
,C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Answer- D
Rationale- Only regular insulin is administered by the IV route, so the TPN solution containing NPH
insulin should be returned to the pharmacy. Options A, B, and C are not indicated because the solution
should not be administered.
The nurse is reviewing routine medications taken by a client with chronic angle-closure glaucoma.
Which medication prescription should the nurse question?
A. Antianginal with a therapeutic effect of vasodilation
B. Anticholinergic with a side effect of pupillary dilation
C. Antihistamine with a side effect of sedation
D. Corticosteroid with a side effect of hyperglycemia
Answer- B
Rationale- Clients with angle-closure glaucoma should not take medications that dilate the pupil
because this can precipitate acute and severely increased intraocular pressure. Options A, C, and D do
not cause increased intracranial pressure, which is the primary concern with angle-closure glaucoma.
When developing a discharge teaching plan for a client after the insertion of a permanent pacemaker,
the nurse writes a goal of "The client will verbalize symptoms of pacemaker failure." Which behavior
indicates that the goal has been met?
A. The client demonstrates the procedures to change the rate of the pacemaker using a magnet.
B. The client carries a card in his wallet stating the type and serial number of the pacemaker.
C. The client tells the nurse that it is important to report redness and tenderness at the insertion site.
D. The client states that changes in the pulse and feelings of dizziness are significant changes.
, Answer- D
Rationale- Changes in pulse rate and/or rhythm may indicate pacer failure. Feelings of dizziness may be
caused by a decreased heart rate, leading to decreased cardiac output. The rate of a pacemaker is not
changed by a client, although the client may be familiar with this procedure as explained by his health
care provider. Option B is an important step in preparing the client for discharge but does not
demonstrate knowledge of the symptoms of pacer failure. Option C indicates symptoms of possible
incisional infection or irritation but does not indicate pacer failure.
The nurse is planning care for a client with diabetes mellitus who has gangrene of the toes to the
midfoot. Which goal should be included in this client's plan of care?
A. Restore skin integrity.
B. Prevent infection.
C. Promote healing.
D. Improve nutrition
Answer- B
Rationale- The prevention of infection is a priority goal for this client. Gangrene is the result of necrosis
(tissue death). If infection develops, there is insufficient circulation to fight the infection and the
infection can result in osteomyelitis or sepsis. Because tissue death has already occurred, options A and
C are unattainable goals. Option D is important but of less priority than option B.
Which serum laboratory value should the nurse monitor carefully for a client who has a nasogastric
(NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
Answer- Sodium
