HESI ADULT HEALTH 2 EXAM (ACTUAL
EXAM) WITH CORRECT QUESTIONS AND
WELL ANSWERED ANSWERS LATEST WELL
GRADED A+ 2025 – 2026
What is the goal of pharmacologic therapy in treating
Parkinson's disease?
A. Increase the amount of acetylcholine at the presynaptic
neurons.
B. Decrease the amount of dopamine available in the
substantia nigra.
C. Balance cholinergic and dopaminergic activity in the
brain.
D. Block dopamine receptors in both presynaptic and
postsynaptic neurons. - ANSWERS-c. Parkinson's disease
results from a decrease in dopaminergic (inhibitory) activity,
,leaving an imbalance with too much cholinergic (excitatory)
activity. By increasing dopamine, the neurotransmitter
activity becomes more balanced and symptoms become
controlled.
The patient asks the nurse to explain the difference
between carbidopa-levodopa (Sinemet) and ropinirole
(Requip). The nurse's response is based on knowledge that
A. ropinirole is a dopamine agonist that has fewer side
effects than carbidopa-levodopa.
B. carbidopa-levodopa is less effective than ropinirole in
treating the symptoms of Parkinson's disease.
C. both drugs have the same pharmacodynamic and side
effect profiles.
D. carbidopa-levodopa acts as a dopamine agonist, whereas
ropinirole directly replaces dopamine. - ANSWERS-a.
Ropinirole is a newer antiparkinson drug that directly
stimulates specific dopamine receptors. It is more specific
for the receptors associated with parkinsonian symptoms,
the D2 family. This in turn may have more specific
antiparkinsonian effects, with fewer adverse effects
associated with generalized dopaminergic stimulation.
,The nurse is caring for a patient with Parkinson's disease.
The patient has been taking entacapone (Comtan) for the
past week to treat an on-off phenomenon. The patient
expresses concern over brownish-orange urine. The nurse's
response is based on the knowledge that
A. the patient may be developing renal failure.
B. the patient may be developing hepatic failure.
C. brownish-orange urine signifies a lack of fluid intake.
D. this is a normal occurrence related to entacapone
(Comtan). - ANSWERS-d. Patients should be instructed that
entacapone (Comtan) can turn urine a brownish orange so
that the patient will not be alarmed when this side effect
occurs.
The nurse is caring for a patient admitted 1 week ago with
an acute spinal cord injury. Which of the following
assessment findings would alert the nurse to the presence
of autonomic dysreflexia?
A. Tachycardia
B. Hypotension
C. Hot, dry skin
, D. Throbbing headache - ANSWERS-d. Autonomic
dysreflexia is related to reflex stimulation of the
sympathetic nervous system reflected by hypertension,
bradycardia, throbbing headache, and diaphoresis.
When planning care for a patient with a C5 spinal cord
injury, which nursing diagnosis is the highest priority?
A. Risk for impairment of tissue integrity caused by paralysis
B. Altered patterns of urinary elimination caused by
quadriplegia
C. Altered family and individual coping caused by the extent
of trauma
D. Ineffective airway clearance caused by high cervical spinal
cord injury - ANSWERS-d. Maintaining a patent airway is the
most important goal for a patient with a high cervical
fracture. Although all of these are appropriate nursing
diagnoses for a patient with a spinal cord injury, respiratory
needs are always the highest priority. Remember the ABCs.
The nurse is providing care for a patient who has been
diagnosed with Guillain-Barré syndrome. Which of the
following assessments should the nurse prioritize?
EXAM) WITH CORRECT QUESTIONS AND
WELL ANSWERED ANSWERS LATEST WELL
GRADED A+ 2025 – 2026
What is the goal of pharmacologic therapy in treating
Parkinson's disease?
A. Increase the amount of acetylcholine at the presynaptic
neurons.
B. Decrease the amount of dopamine available in the
substantia nigra.
C. Balance cholinergic and dopaminergic activity in the
brain.
D. Block dopamine receptors in both presynaptic and
postsynaptic neurons. - ANSWERS-c. Parkinson's disease
results from a decrease in dopaminergic (inhibitory) activity,
,leaving an imbalance with too much cholinergic (excitatory)
activity. By increasing dopamine, the neurotransmitter
activity becomes more balanced and symptoms become
controlled.
The patient asks the nurse to explain the difference
between carbidopa-levodopa (Sinemet) and ropinirole
(Requip). The nurse's response is based on knowledge that
A. ropinirole is a dopamine agonist that has fewer side
effects than carbidopa-levodopa.
B. carbidopa-levodopa is less effective than ropinirole in
treating the symptoms of Parkinson's disease.
C. both drugs have the same pharmacodynamic and side
effect profiles.
D. carbidopa-levodopa acts as a dopamine agonist, whereas
ropinirole directly replaces dopamine. - ANSWERS-a.
Ropinirole is a newer antiparkinson drug that directly
stimulates specific dopamine receptors. It is more specific
for the receptors associated with parkinsonian symptoms,
the D2 family. This in turn may have more specific
antiparkinsonian effects, with fewer adverse effects
associated with generalized dopaminergic stimulation.
,The nurse is caring for a patient with Parkinson's disease.
The patient has been taking entacapone (Comtan) for the
past week to treat an on-off phenomenon. The patient
expresses concern over brownish-orange urine. The nurse's
response is based on the knowledge that
A. the patient may be developing renal failure.
B. the patient may be developing hepatic failure.
C. brownish-orange urine signifies a lack of fluid intake.
D. this is a normal occurrence related to entacapone
(Comtan). - ANSWERS-d. Patients should be instructed that
entacapone (Comtan) can turn urine a brownish orange so
that the patient will not be alarmed when this side effect
occurs.
The nurse is caring for a patient admitted 1 week ago with
an acute spinal cord injury. Which of the following
assessment findings would alert the nurse to the presence
of autonomic dysreflexia?
A. Tachycardia
B. Hypotension
C. Hot, dry skin
, D. Throbbing headache - ANSWERS-d. Autonomic
dysreflexia is related to reflex stimulation of the
sympathetic nervous system reflected by hypertension,
bradycardia, throbbing headache, and diaphoresis.
When planning care for a patient with a C5 spinal cord
injury, which nursing diagnosis is the highest priority?
A. Risk for impairment of tissue integrity caused by paralysis
B. Altered patterns of urinary elimination caused by
quadriplegia
C. Altered family and individual coping caused by the extent
of trauma
D. Ineffective airway clearance caused by high cervical spinal
cord injury - ANSWERS-d. Maintaining a patent airway is the
most important goal for a patient with a high cervical
fracture. Although all of these are appropriate nursing
diagnoses for a patient with a spinal cord injury, respiratory
needs are always the highest priority. Remember the ABCs.
The nurse is providing care for a patient who has been
diagnosed with Guillain-Barré syndrome. Which of the
following assessments should the nurse prioritize?
