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HESI ADULT HEALTH REVIEW EXAM LATEST
2026- ACTUAL QUESTIONS & VERIFIED
ANSWERS-GRADE A+
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 - correct-answer -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.
,2
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. - correct-answer -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
,3
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 - correct-answer -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.
, 4
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 - correct-answer -Answer- Sodium
Rationale- Monitoring serum sodium levels for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of option A, B,
or C are not typically associated with prolonged NG suctioning.
Urinary catheterization is prescribed for a postoperative female client who has
been unable to void for 8 hours. The nurse inserts the catheter, but no urine is
seen in the tubing. Which action will the nurse take next?
HESI ADULT HEALTH REVIEW EXAM LATEST
2026- ACTUAL QUESTIONS & VERIFIED
ANSWERS-GRADE A+
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 - correct-answer -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.
,2
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. - correct-answer -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
,3
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 - correct-answer -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.
, 4
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 - correct-answer -Answer- Sodium
Rationale- Monitoring serum sodium levels for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of option A, B,
or C are not typically associated with prolonged NG suctioning.
Urinary catheterization is prescribed for a postoperative female client who has
been unable to void for 8 hours. The nurse inserts the catheter, but no urine is
seen in the tubing. Which action will the nurse take next?
