1|P a g e
HESI ADULT HEALTH EXAM|| ACTUAL TEST
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE UPDATE 2025 WITH EXPERT
VERIFIED SOLUTIONS|
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a
nonsteroidal anti-inflammatory drug (NSAID). Which effect is characteristic
of (NSAIDs) used for treating rheumatoid arthritis?
A. Production of replacement cartilage is stimulated.
B. Further destruction of the articular cartilage is prevented.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from
the associated pain.
We have an expert-written solution to this problem!
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A. Acute pain related to movement of the stone.
B. Impaired urinary elimination related to obstructed flow of urine.
C. Risk for infection related to urinary stasis.
D. Deficient knowledge related to need for prevention of recurrence of calculi.
,2|P a g e
A. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal
calculi's movement".
The nurse is caring for a client who is admitted with a hemorrhagic stroke.
Which nursing action should be included in the plan of care?
A. Perform active range of motion three times daily
B. Monitor for Battle's sign every four hours
C. Teach measures to avoid the Valsalva maneuver
D. Maintain the head of bed in a flat position
C. Teach measures to avoid the Valsalva maneuver
Rationale
The Valsalva maneuver, straining with bowel movements while holding one's
breath, increases intracerebral pressure (ICP) which may induce bleeding or
rupture of cerebral blood vessels.
Which preexisting diagnosis places a client at greatest risk of developing
superior vena cava syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
C. Metastatic cancer.
,3|P a g e
Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is
compressed by outside structures, such as a growing tumor that impedes the
return blood flow to the heart. Superior vena cava syndrome is likely to occur
with metastatic cancer from a primary tumor in the upper lobe of the right
lung that compresses the superior vena cava.
What assessment finding should the nurse identify that indicates a client with
an acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A. Wheezing becomes louder.
Rationale
In an acute asthma attack, air flow may be so significantly restricted that
breath sounds and wheezing is diminished. If the client is successfully
responding to bronchodilators and respiratory treatments, wheezing should
become louder as the air flow increases in the airways. As the airways open
and mucous is mobilized in response to treatment, the cough should become
more productive. Vesicular breath sounds are soft, low-pitched sounds
heard throughout the lungs. These are normal.
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? (Select all that apply.)
, 4|P a g e
Select all that apply
A. Empty surgical drains once a week using procedure gloves.
B. Report inflammation of the incision site or the affected arm.
C. Wear clothing with snug sleeves over the arm on the operative side.
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
B. Report inflammation of the incision site or the affected arm.
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
Rationale
Part of a client's s/p (status post) mastectomy teaching plan should include
reporting evidence of inflammation at the incision site or the affected arm,
and to avoid lifting or reaching above their head.
Which client is at highest risk for compromised psychological adjustment
after a hysterectomy?
A. A 46-year-old woman with three children and a recent promotion at work.
B. A 55-year-old woman with abnormal bleeding and pain for 3 years.
C. A 62-year-old widow who has three friends who had uncomplicated
hysterectomies.
D. A 29-year-old woman whose uterus ruptured after giving birth to her first
child.
D. A 29-year-old woman whose uterus ruptured after giving birth to her first
child.
Rationale
The client who is a primipara and is still in her childbearing years and is at
highest risk for unresolved conflicts about the end of her childbearing
opportunities.
HESI ADULT HEALTH EXAM|| ACTUAL TEST
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE UPDATE 2025 WITH EXPERT
VERIFIED SOLUTIONS|
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a
nonsteroidal anti-inflammatory drug (NSAID). Which effect is characteristic
of (NSAIDs) used for treating rheumatoid arthritis?
A. Production of replacement cartilage is stimulated.
B. Further destruction of the articular cartilage is prevented.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from
the associated pain.
We have an expert-written solution to this problem!
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A. Acute pain related to movement of the stone.
B. Impaired urinary elimination related to obstructed flow of urine.
C. Risk for infection related to urinary stasis.
D. Deficient knowledge related to need for prevention of recurrence of calculi.
,2|P a g e
A. Acute pain related to movement of the stone.
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal
calculi's movement".
The nurse is caring for a client who is admitted with a hemorrhagic stroke.
Which nursing action should be included in the plan of care?
A. Perform active range of motion three times daily
B. Monitor for Battle's sign every four hours
C. Teach measures to avoid the Valsalva maneuver
D. Maintain the head of bed in a flat position
C. Teach measures to avoid the Valsalva maneuver
Rationale
The Valsalva maneuver, straining with bowel movements while holding one's
breath, increases intracerebral pressure (ICP) which may induce bleeding or
rupture of cerebral blood vessels.
Which preexisting diagnosis places a client at greatest risk of developing
superior vena cava syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
C. Metastatic cancer.
,3|P a g e
Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is
compressed by outside structures, such as a growing tumor that impedes the
return blood flow to the heart. Superior vena cava syndrome is likely to occur
with metastatic cancer from a primary tumor in the upper lobe of the right
lung that compresses the superior vena cava.
What assessment finding should the nurse identify that indicates a client with
an acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A. Wheezing becomes louder.
Rationale
In an acute asthma attack, air flow may be so significantly restricted that
breath sounds and wheezing is diminished. If the client is successfully
responding to bronchodilators and respiratory treatments, wheezing should
become louder as the air flow increases in the airways. As the airways open
and mucous is mobilized in response to treatment, the cough should become
more productive. Vesicular breath sounds are soft, low-pitched sounds
heard throughout the lungs. These are normal.
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? (Select all that apply.)
, 4|P a g e
Select all that apply
A. Empty surgical drains once a week using procedure gloves.
B. Report inflammation of the incision site or the affected arm.
C. Wear clothing with snug sleeves over the arm on the operative side.
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
B. Report inflammation of the incision site or the affected arm.
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
Rationale
Part of a client's s/p (status post) mastectomy teaching plan should include
reporting evidence of inflammation at the incision site or the affected arm,
and to avoid lifting or reaching above their head.
Which client is at highest risk for compromised psychological adjustment
after a hysterectomy?
A. A 46-year-old woman with three children and a recent promotion at work.
B. A 55-year-old woman with abnormal bleeding and pain for 3 years.
C. A 62-year-old widow who has three friends who had uncomplicated
hysterectomies.
D. A 29-year-old woman whose uterus ruptured after giving birth to her first
child.
D. A 29-year-old woman whose uterus ruptured after giving birth to her first
child.
Rationale
The client who is a primipara and is still in her childbearing years and is at
highest risk for unresolved conflicts about the end of her childbearing
opportunities.
