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UPDATED 2025 TEST BANK FOR THE ADULT HEALTH 2 HESI
EXAM, FEATURING ACCURATE AND COMPREHENSIVE QUESTIONS
WITH VERIFIED ANSWERS BASED ON CURRENT NURSING
PRACTICES AND HESI STANDARDS.
The nurse is planning care for an older adult client who experienced a cerebrovascular accident
several weeks ago. The client has expressive aphasia and often becomes frustrated with the
nursing staff, which intervention should the nurse implement?
a. Teach the client use of basic sign language
b. speak slowly to the client
c. Encourage client's use of picture charts
d. ask the client sample questions - ANSWER-c. Encourage client's use of picture charts
After three days of persistent epigastric pain, a female client presents to the clinic. She has been
taking oral antacids without relief. Her vital signs are heart rate 122 beats/minute, respirations
16 breaths/minute, oxygen saturation 96%, and blood pressure 116/70 mmHg. The nurse
obtains a 12-lead electrocardiogram (ECG). Which assessment finding is most critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - ANSWER-c. ST elevation in three leads
A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 is admitted to
the hospital. Which prescribed medication should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epoetin alfa, recombinant 2,500 units subcutaneously
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d. Sevelamer one tablet by mouth - ANSWER-b. Sodium polystyrene sulfonate 15 grams by
mouth
A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe.
The nurse observes the area of inflammation extends above the ankle area. The client receives
prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the
discharge teaching?
a. eat high protein foods to achieve ideal body weight
b. drink at least 8 cups of water per day
c. use electronic heating pad when pain is at its worse
d. encourage active range of motion to limit stiffness - ANSWER-b. drink at least 8 cups of water
per day
A client receives a prescription for 1 liter of lactated ringer's intravenously to be infused over 6
hours. How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER-167
A client with a history of peptic ulcer disease is admitted after vomiting bright red blood several
times over the course of 2 hours. In reviewing the laboratory results, the nurse finds the client's
hemoglobin is 12 and the hematocrit is 35%. Which action should the nurse prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL (1L) normal saline
c. Transfuse 2 units of platelets
d. Prepare the client for emergency surgery - ANSWER-b. Administer 1,000 mL (1L) normal
saline
An obese client with emphysema who smokes at least a pack of cigarettes daily is admitted after
experiencing a sudden increase in dyspnea and activity intolerance. Oxygen therapy is initiated
and it is determined that the client will be discharged with oxygen. Which information is most
important for the nurse to emphasize in the discharge teaching plan?
a. Methods for weight loss
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b. guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - ANSWER-b. guidelines for oxygen use
Which food is most important for the nurse to encourage a client with osteomalacia to include
in a daily diet?
a. fortified milk and cereals
b. citrus fruits and juices
c. green leafy vegetables
d. red meats and eggs - ANSWER-a. fortified milk and cereals
A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty sleeping.
Which is the probable etiology of this problem?
a. frequent cough
b. Pain
c. Nocturia
d. Dyspnea - ANSWER-b. Pain
A nurse is caring for a client with DI. Which data warrants the most immediate intervention by
the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - ANSWER-a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
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b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - ANSWER-c. upper mid-
abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the
client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based on
this finding, which action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - ANSWER-d. Obtain a prescription for artificial
tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis
(ALS), which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - ANSWER-a. Perform chest physiotherapy
A client hospitalized with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - ANSWER-b. Place the client in high fowler position
UPDATED 2025 TEST BANK FOR THE ADULT HEALTH 2 HESI
EXAM, FEATURING ACCURATE AND COMPREHENSIVE QUESTIONS
WITH VERIFIED ANSWERS BASED ON CURRENT NURSING
PRACTICES AND HESI STANDARDS.
The nurse is planning care for an older adult client who experienced a cerebrovascular accident
several weeks ago. The client has expressive aphasia and often becomes frustrated with the
nursing staff, which intervention should the nurse implement?
a. Teach the client use of basic sign language
b. speak slowly to the client
c. Encourage client's use of picture charts
d. ask the client sample questions - ANSWER-c. Encourage client's use of picture charts
After three days of persistent epigastric pain, a female client presents to the clinic. She has been
taking oral antacids without relief. Her vital signs are heart rate 122 beats/minute, respirations
16 breaths/minute, oxygen saturation 96%, and blood pressure 116/70 mmHg. The nurse
obtains a 12-lead electrocardiogram (ECG). Which assessment finding is most critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - ANSWER-c. ST elevation in three leads
A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 is admitted to
the hospital. Which prescribed medication should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epoetin alfa, recombinant 2,500 units subcutaneously
,2|Page
d. Sevelamer one tablet by mouth - ANSWER-b. Sodium polystyrene sulfonate 15 grams by
mouth
A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe.
The nurse observes the area of inflammation extends above the ankle area. The client receives
prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the
discharge teaching?
a. eat high protein foods to achieve ideal body weight
b. drink at least 8 cups of water per day
c. use electronic heating pad when pain is at its worse
d. encourage active range of motion to limit stiffness - ANSWER-b. drink at least 8 cups of water
per day
A client receives a prescription for 1 liter of lactated ringer's intravenously to be infused over 6
hours. How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER-167
A client with a history of peptic ulcer disease is admitted after vomiting bright red blood several
times over the course of 2 hours. In reviewing the laboratory results, the nurse finds the client's
hemoglobin is 12 and the hematocrit is 35%. Which action should the nurse prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL (1L) normal saline
c. Transfuse 2 units of platelets
d. Prepare the client for emergency surgery - ANSWER-b. Administer 1,000 mL (1L) normal
saline
An obese client with emphysema who smokes at least a pack of cigarettes daily is admitted after
experiencing a sudden increase in dyspnea and activity intolerance. Oxygen therapy is initiated
and it is determined that the client will be discharged with oxygen. Which information is most
important for the nurse to emphasize in the discharge teaching plan?
a. Methods for weight loss
,3|Page
b. guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - ANSWER-b. guidelines for oxygen use
Which food is most important for the nurse to encourage a client with osteomalacia to include
in a daily diet?
a. fortified milk and cereals
b. citrus fruits and juices
c. green leafy vegetables
d. red meats and eggs - ANSWER-a. fortified milk and cereals
A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty sleeping.
Which is the probable etiology of this problem?
a. frequent cough
b. Pain
c. Nocturia
d. Dyspnea - ANSWER-b. Pain
A nurse is caring for a client with DI. Which data warrants the most immediate intervention by
the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - ANSWER-a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
, 4|Page
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - ANSWER-c. upper mid-
abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the
client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based on
this finding, which action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - ANSWER-d. Obtain a prescription for artificial
tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis
(ALS), which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - ANSWER-a. Perform chest physiotherapy
A client hospitalized with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - ANSWER-b. Place the client in high fowler position
