ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST 2025/2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)/NEWEST UPDATE
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. - (Correct Answer)-B
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). - (Correct Answer)-A
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 - (Correct Answer)-D
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.
, 2
D. Reduce the client's pain. - (Correct Answer)-D
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? - (Correct Answer)-200 mL/hr
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 - (Correct Answer)-A
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
D. An overproduction of insulin that occurs in response to the rise in blood glucose. - (Correct
Answer)-D
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 - (Correct Answer)-B
, 3
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. - (Correct Answer)-A B D
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.
C.Accept the adult child's explanation until more data can be collected.
D.Refer the client's clinical record to the hospital ethics committee for review. - (Correct
Answer)-A
•A test dose of amphotericin is ordered. The order reads to infuse 1 mg in 20 mL over 15
minutes. How many milliliters per hour would the nurse set the IV infusion device? - (Correct
Answer)-80 ML/HR
Which important step would the nurse take to evaluate lifestyle change in the client?
A. Ask which barriers the client perceives with the planned lifestyle change.
B. Instruct the client to include family members to support the lifestyle change.
C. Advise the client to refrain from discussing the time spent in activity or actual number of
fruits and vegetables eaten.
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)/NEWEST UPDATE
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. - (Correct Answer)-B
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). - (Correct Answer)-A
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 - (Correct Answer)-D
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.
, 2
D. Reduce the client's pain. - (Correct Answer)-D
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? - (Correct Answer)-200 mL/hr
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 - (Correct Answer)-A
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
D. An overproduction of insulin that occurs in response to the rise in blood glucose. - (Correct
Answer)-D
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 - (Correct Answer)-B
, 3
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. - (Correct Answer)-A B D
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.
C.Accept the adult child's explanation until more data can be collected.
D.Refer the client's clinical record to the hospital ethics committee for review. - (Correct
Answer)-A
•A test dose of amphotericin is ordered. The order reads to infuse 1 mg in 20 mL over 15
minutes. How many milliliters per hour would the nurse set the IV infusion device? - (Correct
Answer)-80 ML/HR
Which important step would the nurse take to evaluate lifestyle change in the client?
A. Ask which barriers the client perceives with the planned lifestyle change.
B. Instruct the client to include family members to support the lifestyle change.
C. Advise the client to refrain from discussing the time spent in activity or actual number of
fruits and vegetables eaten.
