Adult Health 2 HESI Questions and
Answers A+ Graded (2025)
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 .- .CORRECT .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 .
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 .- .CORRECT
.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 .- .CORRECT .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 .- .CORRECT .ANSWER-a. .Perform .chest
.physiotherapy .
, b. .Teach .the .client .breathing .exercises
e. .Encourage .use .of .incentive .spriometer
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 .- .CORRECT .ANSWER-b. .Place .the .client .in
.high .fowler .position
A .client .who .was .involved .in .a .motor .vehicle .collision .is .admitted .with .a
.fractured .left .femur .which .is .immobilized .using .a .fracture .traction .splint .in
.preparation .for .an .open .reduction .internal .fixation .(ORIF). .The .nurse .determines
.that .the .client's .distal .pulses .are .diminished .in .the .left .foot. .Which .interventions
.should .the .nurse .implement? .(select .all) .
a. .Verify .pedal .pulses .using .a .doppler .pulse .device
b. .Evaluate .the .application .of .the .splint .to .the .left .leg. .
c. .Offer .ice .chips .and .oral .clear .liquids. .
d. .Monitor .left .leg .for .pain, .pallor, .paresthesia, .paralysis, .pressure
3. .Administer .oral .antispasmodics .and .narcotic .analgesics .- .CORRECT
.ANSWER-a. .Verify .pedal .pulses .using .a .doppler .pulse .device
b. .Evaluate .the .application .of .the .splint .to .the .left .leg .
d. .Monitor .left .leg .for .pain, .pallor, .paresthesia, .paralysis, .pressure
The .healthcare .provider .prescribes .diagnostic .tests .for .a .client .whose .chest .X-
ray .indicates .pneumonia. .Which .diagnostic .test .should .the .nurse .review .for
.implementation .in .the .most .therapeutic .treatment .of .the .pneumonia? .
a. .Sputum .culture .and .sensitivity .
b. .Blood .cultures .
c. .Arterial .blood .gases .(ABG)
d. .Computerized .tomography .(CT) .of .the .chest .- .CORRECT .ANSWER-a. .Sputum
.culture .and .sensitivity
A .client .with .a .history .of .asthma .and .bronchitis .arrives .a .the .clinic .with
.shortness .of .breath, .productive .cough .with .thickened, .tenacious .mucous, .and
.the .inability .to .walk .up .a .flight .of .stairs .without .experiencing .breathlessness.
.Which .is . most .important .for .the .nurses .to .instruct .the .client .about .self-care? .
a. .Call .the .clinic .if .undesirable .side .effects .of .medications .occur
b. .Avoid .crowded .enclosed .areas .to .reduce .pathogen .exposure
c. .Increase .the .daily .intake .of .oral .fluids .to .liquefy .secretions
d. .Teach .anxiety .reduction .methods .for .feelings .of .suffocation .- .CORRECT
.ANSWER-c. . Increase .the .daily .intake .of .oral .fluids .to .liquefy .secretions
The .home .health .nurse .provides .teaching .about .insulin .self .injection .to .a .client
.who .was .recently .diagnosed .with .diabetes .mellitus. .When .the .client .begins .to
.perform .a .return .demonstration .of .an .insulin .injection .into .the .abdomen .as .seen
.in .the . video, .which .instruction .should .the .nurse .provide? .
a. .select .a .different .injection .site
Answers A+ Graded (2025)
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 .- .CORRECT .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 .
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 .- .CORRECT
.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 .- .CORRECT .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 .- .CORRECT .ANSWER-a. .Perform .chest
.physiotherapy .
, b. .Teach .the .client .breathing .exercises
e. .Encourage .use .of .incentive .spriometer
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 .- .CORRECT .ANSWER-b. .Place .the .client .in
.high .fowler .position
A .client .who .was .involved .in .a .motor .vehicle .collision .is .admitted .with .a
.fractured .left .femur .which .is .immobilized .using .a .fracture .traction .splint .in
.preparation .for .an .open .reduction .internal .fixation .(ORIF). .The .nurse .determines
.that .the .client's .distal .pulses .are .diminished .in .the .left .foot. .Which .interventions
.should .the .nurse .implement? .(select .all) .
a. .Verify .pedal .pulses .using .a .doppler .pulse .device
b. .Evaluate .the .application .of .the .splint .to .the .left .leg. .
c. .Offer .ice .chips .and .oral .clear .liquids. .
d. .Monitor .left .leg .for .pain, .pallor, .paresthesia, .paralysis, .pressure
3. .Administer .oral .antispasmodics .and .narcotic .analgesics .- .CORRECT
.ANSWER-a. .Verify .pedal .pulses .using .a .doppler .pulse .device
b. .Evaluate .the .application .of .the .splint .to .the .left .leg .
d. .Monitor .left .leg .for .pain, .pallor, .paresthesia, .paralysis, .pressure
The .healthcare .provider .prescribes .diagnostic .tests .for .a .client .whose .chest .X-
ray .indicates .pneumonia. .Which .diagnostic .test .should .the .nurse .review .for
.implementation .in .the .most .therapeutic .treatment .of .the .pneumonia? .
a. .Sputum .culture .and .sensitivity .
b. .Blood .cultures .
c. .Arterial .blood .gases .(ABG)
d. .Computerized .tomography .(CT) .of .the .chest .- .CORRECT .ANSWER-a. .Sputum
.culture .and .sensitivity
A .client .with .a .history .of .asthma .and .bronchitis .arrives .a .the .clinic .with
.shortness .of .breath, .productive .cough .with .thickened, .tenacious .mucous, .and
.the .inability .to .walk .up .a .flight .of .stairs .without .experiencing .breathlessness.
.Which .is . most .important .for .the .nurses .to .instruct .the .client .about .self-care? .
a. .Call .the .clinic .if .undesirable .side .effects .of .medications .occur
b. .Avoid .crowded .enclosed .areas .to .reduce .pathogen .exposure
c. .Increase .the .daily .intake .of .oral .fluids .to .liquefy .secretions
d. .Teach .anxiety .reduction .methods .for .feelings .of .suffocation .- .CORRECT
.ANSWER-c. . Increase .the .daily .intake .of .oral .fluids .to .liquefy .secretions
The .home .health .nurse .provides .teaching .about .insulin .self .injection .to .a .client
.who .was .recently .diagnosed .with .diabetes .mellitus. .When .the .client .begins .to
.perform .a .return .demonstration .of .an .insulin .injection .into .the .abdomen .as .seen
.in .the . video, .which .instruction .should .the .nurse .provide? .
a. .select .a .different .injection .site
