HESI Adult Health Review Exam Latest 2026
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Terms in this set (50)
,A central venous catheter has been Answer, D
inserted via a jugular vein, and a
radiograph has confirmed Rationale- Medication can be administered via a
placement of the catheter. A central line without additional IV fluids. The line
prescription has been received for should first be flushed with a normal saline
a medication STAT, but IV fluids solution to ensure patency. Insufficient evidence
have not yet been started. Which exists on the effectiveness of flushing catheters
action should the nurse take prior with heparin. Option A will not affect the decision
to administering the prescribed to administer the medication and is not a priority.
medication? Administration of the medication STAT is of
greater priority than option B.
A. Assess for signs of jugular
venous distention.
B. Obtain the needed intravenous
solution.
C. Flush the line with heparinized
solution.
D. Flush the line with normal saline.
,A client is ready for discharge Answer- C
following the creation of an
ileostomy. Which instruction should Rationale- A seal must be maintained to prevent
the nurse include in discharge leakage of irritating liquid stool onto the skin.
teaching? Option A is excessive and can cause skin irritation
A. Replace the stoma appliance and breakdown. Ileostomies produce liquid fecal
every day. drainage, so option B is not necessary. Option D
is not needed.
B. Use warm tap water to irrigate
the ileostomy.
C. Change the bag when the seal is
broken.
D. Measure and record the
ileostomy output.
, An older male client comes to the Answer- B
outpatient clinic complaining of
pain in his left calf. The nurse Rationale- All these techniques provide useful
notices a reddened area on the calf assessment data. The most important is to
of his right leg that is warm to the auscultate the client's breath sounds because the
touch, and the nurse suspects that client may have a pulmonary embolus secondary
the client may have to the thrombophlebitis. Option A may provide
thrombophlebitis. Which additional data that support the nurse's suspicion of
assessment is most important for thrombophlebitis. Option C is the least helpful
the nurse to perform? assessment because bruising is not a typical
finding associated with thrombophlebitis. Option
A. Measure the client's calf D is always useful in evaluating the client's
circumference. response to a problem but is of less immediate
priority than breath sound auscultation.
B. Auscultate the client's breath
sounds.
C. Observe for ecchymosis and
petechiae.
D. Obtain the client's blood
pressure.
Actual Questions & Verified Answers (Latest
Update) A+ Grade 100% Guarantee
Verified by Experts
Save
Terms in this set (50)
,A central venous catheter has been Answer, D
inserted via a jugular vein, and a
radiograph has confirmed Rationale- Medication can be administered via a
placement of the catheter. A central line without additional IV fluids. The line
prescription has been received for should first be flushed with a normal saline
a medication STAT, but IV fluids solution to ensure patency. Insufficient evidence
have not yet been started. Which exists on the effectiveness of flushing catheters
action should the nurse take prior with heparin. Option A will not affect the decision
to administering the prescribed to administer the medication and is not a priority.
medication? Administration of the medication STAT is of
greater priority than option B.
A. Assess for signs of jugular
venous distention.
B. Obtain the needed intravenous
solution.
C. Flush the line with heparinized
solution.
D. Flush the line with normal saline.
,A client is ready for discharge Answer- C
following the creation of an
ileostomy. Which instruction should Rationale- A seal must be maintained to prevent
the nurse include in discharge leakage of irritating liquid stool onto the skin.
teaching? Option A is excessive and can cause skin irritation
A. Replace the stoma appliance and breakdown. Ileostomies produce liquid fecal
every day. drainage, so option B is not necessary. Option D
is not needed.
B. Use warm tap water to irrigate
the ileostomy.
C. Change the bag when the seal is
broken.
D. Measure and record the
ileostomy output.
, An older male client comes to the Answer- B
outpatient clinic complaining of
pain in his left calf. The nurse Rationale- All these techniques provide useful
notices a reddened area on the calf assessment data. The most important is to
of his right leg that is warm to the auscultate the client's breath sounds because the
touch, and the nurse suspects that client may have a pulmonary embolus secondary
the client may have to the thrombophlebitis. Option A may provide
thrombophlebitis. Which additional data that support the nurse's suspicion of
assessment is most important for thrombophlebitis. Option C is the least helpful
the nurse to perform? assessment because bruising is not a typical
finding associated with thrombophlebitis. Option
A. Measure the client's calf D is always useful in evaluating the client's
circumference. response to a problem but is of less immediate
priority than breath sound auscultation.
B. Auscultate the client's breath
sounds.
C. Observe for ecchymosis and
petechiae.
D. Obtain the client's blood
pressure.
