ADULT HEALTH 1 HESI TEST BANK EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client
weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many
drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - ANSWERS-(D) is the correct calculation: Convert
lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage for this client: 5
mcg × 82.73 = 413.65 mcg/min. Determine how many mcg are
contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to
receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is
to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then
60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis:
,gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5
mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.Correct Answer: D
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be
infused over 8 hours. The infusion set delivers 10 drops per
milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25 - ANSWERS-The accepted formula for figuring drops per
minute is: amount to be infused in one hour × drop factor/time for
infusion (min)= drops per minute. Using this formula: 1,000/8 hours
= 125 ml/ hour 125 × 10 (drip factor) = 1,250 drops in one hour.
1,250/ 60 (number of minutes in one hour) = 20.8 or 21 gtt/min
(C).Correct Answer: C
3.The nurse observes edema in a patient who has venous
congestion from right heart failure. Which type of
pressure facilitated the formation of the patient's edema?
a. Osmotic
b. Oncotic
c. Hydrostatic
d. Concentration - ANSWERS-ANS: C
Venous congestion increases capillary hydrostatic pressure.
Increased hydrostatic pressure causes edema by
,causing increased movement of Ԩuid into the interstitial area.
Osmotic and oncotic pressures involve the
concentrations of solutes and can contribute to edema in other
situations, such as inԨammation or
malnutrition. Concentration pressure is not a nursing term.
5.A nurse is preparing to start peripheral intravenous (IV) therapy.
In which order will the nurse perform the
steps starting with the Ԩrst one?
1. Clean site.
2. Select vein.
3. Apply tourniquet.
4. Release tourniquet.
5. Reapply tourniquet.
6. Advance and secure.
7. Insert vascular access device.
a. 1, 3, 2, 7, 5, 4, 6
b. 1, 3, 2, 5, 7, 6, 4
c. 3, 2, 1, 5, 7, 6, 4
d. 3, 2, 4, 1, 5, 7, 6 - ANSWERS-ANS: D
The steps for inserting an intravenous catheter are as follows: Apply
tourniquet; select vein; release tourniquet;
clean site; reapply tourniquet; insert vascular access device; and
advance and secure.
, An older male client comes to the outpatient clinic complaining of
pain in his left calf. The nurse notices a reddened area on the calf of
his right leg that is warm to the touch, and the nurse suspects that
the client may have thrombophlebitis. Which additional assessment
is most important for the nurse to perform?
A. Measure the client's calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. - ANSWERS-Answer- B
Rationale- All these techniques provide useful assessment data. The
most important is to auscultate the client's breath sounds because
the client may have a pulmonary embolus secondary to the
thrombophlebitis. Option A may provide data that support the
nurse's suspicion of thrombophlebitis. Option C is the least helpful
assessment because bruising is not a typical finding associated with
thrombophlebitis. Option D is always useful in evaluating the
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client
weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many
drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - ANSWERS-(D) is the correct calculation: Convert
lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage for this client: 5
mcg × 82.73 = 413.65 mcg/min. Determine how many mcg are
contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to
receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is
to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then
60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis:
,gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5
mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.Correct Answer: D
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be
infused over 8 hours. The infusion set delivers 10 drops per
milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25 - ANSWERS-The accepted formula for figuring drops per
minute is: amount to be infused in one hour × drop factor/time for
infusion (min)= drops per minute. Using this formula: 1,000/8 hours
= 125 ml/ hour 125 × 10 (drip factor) = 1,250 drops in one hour.
1,250/ 60 (number of minutes in one hour) = 20.8 or 21 gtt/min
(C).Correct Answer: C
3.The nurse observes edema in a patient who has venous
congestion from right heart failure. Which type of
pressure facilitated the formation of the patient's edema?
a. Osmotic
b. Oncotic
c. Hydrostatic
d. Concentration - ANSWERS-ANS: C
Venous congestion increases capillary hydrostatic pressure.
Increased hydrostatic pressure causes edema by
,causing increased movement of Ԩuid into the interstitial area.
Osmotic and oncotic pressures involve the
concentrations of solutes and can contribute to edema in other
situations, such as inԨammation or
malnutrition. Concentration pressure is not a nursing term.
5.A nurse is preparing to start peripheral intravenous (IV) therapy.
In which order will the nurse perform the
steps starting with the Ԩrst one?
1. Clean site.
2. Select vein.
3. Apply tourniquet.
4. Release tourniquet.
5. Reapply tourniquet.
6. Advance and secure.
7. Insert vascular access device.
a. 1, 3, 2, 7, 5, 4, 6
b. 1, 3, 2, 5, 7, 6, 4
c. 3, 2, 1, 5, 7, 6, 4
d. 3, 2, 4, 1, 5, 7, 6 - ANSWERS-ANS: D
The steps for inserting an intravenous catheter are as follows: Apply
tourniquet; select vein; release tourniquet;
clean site; reapply tourniquet; insert vascular access device; and
advance and secure.
, An older male client comes to the outpatient clinic complaining of
pain in his left calf. The nurse notices a reddened area on the calf of
his right leg that is warm to the touch, and the nurse suspects that
the client may have thrombophlebitis. Which additional assessment
is most important for the nurse to perform?
A. Measure the client's calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. - ANSWERS-Answer- B
Rationale- All these techniques provide useful assessment data. The
most important is to auscultate the client's breath sounds because
the client may have a pulmonary embolus secondary to the
thrombophlebitis. Option A may provide data that support the
nurse's suspicion of thrombophlebitis. Option C is the least helpful
assessment because bruising is not a typical finding associated with
thrombophlebitis. Option D is always useful in evaluating the
