HESI ADULT HEALTH 2 EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST VERSION, GUARANTEED PASS

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HESI ADULT HEALTH 2 EXAM 2025-2026 | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION, GUARANTEED PASS




1. Topic: Heart Failure
Question: A patient with chronic heart failure reports sudden weight gain of
5 pounds in 3 days. Which action should the nurse take first?
A. Instruct the patient to restrict fluid intake to 1 liter per day
B. Notify the health care provider of the weight gain
C. Administer the prescribed PRN diuretic
D. Reassess weight with a different scale

Correct Answer: C. Administer the prescribed PRN diuretic

Rationale: A sudden weight gain in a patient with heart failure indicates
fluid retention. The first nursing action should be to administer the
prescribed diuretic to reduce preload and prevent pulmonary complications.
While notifying the provider is appropriate, immediate action to relieve fluid
overload is the priority.

Reference: American Heart Association – Heart Failure Self-Care


2. Topic: Respiratory – Pneumonia
Question: A patient with pneumonia has a respiratory rate of 32/min, use of
accessory muscles, and O₂ saturation of 84% on room air. What is the
nurse’s first priority?
A. Notify the provider of the findings
B. Place the patient on oxygen via nasal cannula
C. Administer prescribed IV antibiotics
D. Obtain a sputum sample for culture

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Correct Answer: B. Place the patient on oxygen via nasal cannula

Rationale: Oxygen therapy is the priority intervention for hypoxemia.
Although antibiotics and cultures are important, airway and breathing must
be stabilized first.

Reference: CDC – Pneumonia Treatment


3. Topic: Endocrine – Hypoglycemia
Question: A diabetic patient becomes diaphoretic, tremulous, and confused
during morning rounds. The blood glucose is 42 mg/dL. Which intervention
should the nurse perform first?
A. Administer IV dextrose as prescribed
B. Provide orange juice if the patient can swallow
C. Notify the provider immediately
D. Recheck glucose in 15 minutes

Correct Answer: B. Provide orange juice if the patient can swallow

Rationale: Mild to moderate hypoglycemia in a conscious patient is treated
first with oral fast-acting carbohydrates. If the patient were unconscious or
unable to swallow safely, IV dextrose or IM glucagon would be appropriate.

Reference: American Diabetes Association – Hypoglycemia (Low Blood
Sugar)


4. Topic: Gastrointestinal – Peptic Ulcer Disease
Question: A patient with a history of peptic ulcer disease presents with
black, tarry stools. Which complication should the nurse suspect?
A. Upper gastrointestinal bleeding
B. Lower intestinal obstruction
C. Diverticulitis
D. Irritable bowel syndrome flare

Correct Answer: A. Upper gastrointestinal bleeding

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Rationale: Black, tarry stools (melena) are a classic sign of upper GI
bleeding, often caused by bleeding ulcers. Lower GI bleeding typically
produces bright red blood in the stool.

Reference: Mayo Clinic – Gastrointestinal Bleeding


5. Topic: Renal – Acute Kidney Injury
Question: A patient with acute kidney injury has urine output of 200 mL in
24 hours, potassium 6.5 mEq/L, and peaked T waves on ECG. Which
intervention is most urgent?
A. Administer IV furosemide
B. Restrict dietary potassium intake
C. Administer IV insulin and glucose
D. Prepare the patient for dialysis

Correct Answer: C. Administer IV insulin and glucose

Rationale: IV insulin with glucose rapidly shifts potassium into cells,
lowering serum potassium and reducing the immediate risk of lethal
arrhythmias. Dialysis may be required later, but the most urgent action is
correcting hyperkalemia.

Reference: National Kidney Foundation – Hyperkalemia Management


6. Topic: Neurological – Stroke
Question: A patient suddenly develops slurred speech, right-sided facial
droop, and weakness in the right arm. What is the nurse’s priority action?
A. Obtain vital signs
B. Notify the rapid response team
C. Prepare for administration of tPA
D. Check blood glucose

Correct Answer: B. Notify the rapid response team

Rationale: The sudden onset of neurological deficits indicates an acute
stroke. The priority is to activate emergency stroke protocols for immediate

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evaluation and possible thrombolytic therapy. Blood glucose should also be
checked quickly, but activating the stroke team is the first step.

Reference: American Stroke Association – Stroke Symptoms and
Emergency Action


7. Topic: Cardiovascular – Myocardial Infarction
Question: A patient with chest pain is placed on continuous ECG
monitoring. The rhythm shows ST-segment elevation in leads II, III, and
aVF. Which action should the nurse take first?
A. Obtain serum troponin level
B. Administer sublingual nitroglycerin
C. Prepare the patient for PCI
D. Place the patient on supplemental oxygen

Correct Answer: D. Place the patient on supplemental oxygen

Rationale: In acute MI, oxygen should be administered first to improve
oxygen delivery to ischemic myocardium. Nitroglycerin, troponin
measurement, and PCI preparation are appropriate but secondary to ensuring
adequate oxygenation.

Reference: American College of Cardiology – STEMI Guidelines


8. Topic: Hematology – Anemia
Question: A patient with iron deficiency anemia reports extreme fatigue.
Which dietary instruction should the nurse emphasize?
A. Increase intake of citrus fruits
B. Avoid dark leafy vegetables
C. Limit red meat
D. Avoid vitamin C supplements

Correct Answer: A. Increase intake of citrus fruits

Rationale: Vitamin C enhances the absorption of iron from the
gastrointestinal tract. Patients with iron deficiency anemia should be