HESI ADULT HEALTH EXAM NEWEST
ACTUAL EXAM (RATIONALES
AVAILABLE) WITH COMPLETE
QUESTIONS AND DETAILED
ANSWERS GRADED A | BRAND NEW!!!
A 32-year-old female client reports severe abdominal pain
each month before her menstrual period, painful
intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's
concerns?
Inability to get pregnant
Which description of pain is consistent with a diagnosis of
rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric
joints.
The nurse working on a telemetry unit finds a client
unconscious and in pulseless ventricular tachycardia (VT).
The client has an implanted automatic defibrillator. Which
action should the nurse implement?
Call a "code blue" and immediately begin CPR.
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. Which
recommendation should the nurse make that
is most beneficial in protecting the client's joints?
,Initiate a weight-reduction diet to achieve a healthy body
weight.
A male client who smokes two packs of cigarettes a day
states he understands that smoking cigarettes is
contributing to the difficulty that he and his wife are having
in getting pregnant and wants to know if other factors could
be contributing to their difficulty. Which information
is best for the nurse to provide? (Select all that apply.)
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Cessation of smoking improves general health and fertility.
Obesity has no effect on sperm production.
Cessation of smoking improves general health and fertility.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Healthcare workers must protect themselves against
becoming infected with HIV. The Centers for Disease Control
has issued guidelines for healthcare workers in relation to
protection from HIV. These guidelines include which
recommendation?
Wear gloves when coming in contact with the blood or body
fluids of any client.
The nurse is assessing a client with infective endocarditis.
Which assessment finding indicates the client may have
developed splinter hemorrhages?
Black longitudinal streaks in the nail beds.
In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test
,results to indicate a decreased serum level of which
substance?
Sodium
A 20-year-old female client calls the nurse to report a lump
she found in her breast. Which response is the best for the
nurse to provide?
"Most lumps are benign, but it is always best to come in for
an examination."
During an assessment of a client with amyotrophic lateral
sclerosis (ALS), which finding should the nurse identify
when planning care for this client?
Muscle weakness.
A 58-year-old client, who has no health problems asks the
nurse about the Pneumovax vaccine. The nurse's response to
the client should be based on which information?
The immunization is administered once to older adults or
persons with a history of chronic illness.
The nurse is planning care to prevent complications for a
client with multiple myeloma. Which intervention
is most important for the nurse to include?
Maintain a fluid intake of 3 to 4 L per day.
After the fourth dose of gentamicin sulfate IV, the nurse
plans to draw blood samples to determine peak and trough
levels. When are the best times to draw these samples?
5 minutes before and 30 minutes after the next dose.
A client is admitted to the hospital with a medical diagnosis
of pneumococcal pneumonia. The nurse knows the
prognosis for gram-negative pneumonias (such as E.
coli, Klebsiella, Pseudomonas, and Proteus) is very poor
because?
, Gram-negative organisms are more resistant to antibiotic
therapy.
An adult client who is hospitalized after surgery reports the
sudden onset of chest pain and dyspnea. The client appears
anxious, restless, and mildly cyanotic. The nurse should
further assess the client for which condition?
Pulmonary embolism.
A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because
her mother has the condition. Which information should the
nurse offer?
Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
What types of medications should the nurse expect to
administer to a client during an acute respiratory failure
episode?
Bronchodilators and steroids.
In preparing a discharge plan for a 22-year-old male client
diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important?
Smoking cessation program
In preparing to administer intravenous albumin to a client
following surgery, which is the priority nursing
intervention? (Select all that apply.)
Set the infusion pump to infuse the albumin within four
hours.
Compare the client's blood type with the label on the
albumin.
Assign a UAP to monitor blood pressure every 15 minutes.
ACTUAL EXAM (RATIONALES
AVAILABLE) WITH COMPLETE
QUESTIONS AND DETAILED
ANSWERS GRADED A | BRAND NEW!!!
A 32-year-old female client reports severe abdominal pain
each month before her menstrual period, painful
intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's
concerns?
Inability to get pregnant
Which description of pain is consistent with a diagnosis of
rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric
joints.
The nurse working on a telemetry unit finds a client
unconscious and in pulseless ventricular tachycardia (VT).
The client has an implanted automatic defibrillator. Which
action should the nurse implement?
Call a "code blue" and immediately begin CPR.
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. Which
recommendation should the nurse make that
is most beneficial in protecting the client's joints?
,Initiate a weight-reduction diet to achieve a healthy body
weight.
A male client who smokes two packs of cigarettes a day
states he understands that smoking cigarettes is
contributing to the difficulty that he and his wife are having
in getting pregnant and wants to know if other factors could
be contributing to their difficulty. Which information
is best for the nurse to provide? (Select all that apply.)
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Cessation of smoking improves general health and fertility.
Obesity has no effect on sperm production.
Cessation of smoking improves general health and fertility.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Healthcare workers must protect themselves against
becoming infected with HIV. The Centers for Disease Control
has issued guidelines for healthcare workers in relation to
protection from HIV. These guidelines include which
recommendation?
Wear gloves when coming in contact with the blood or body
fluids of any client.
The nurse is assessing a client with infective endocarditis.
Which assessment finding indicates the client may have
developed splinter hemorrhages?
Black longitudinal streaks in the nail beds.
In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test
,results to indicate a decreased serum level of which
substance?
Sodium
A 20-year-old female client calls the nurse to report a lump
she found in her breast. Which response is the best for the
nurse to provide?
"Most lumps are benign, but it is always best to come in for
an examination."
During an assessment of a client with amyotrophic lateral
sclerosis (ALS), which finding should the nurse identify
when planning care for this client?
Muscle weakness.
A 58-year-old client, who has no health problems asks the
nurse about the Pneumovax vaccine. The nurse's response to
the client should be based on which information?
The immunization is administered once to older adults or
persons with a history of chronic illness.
The nurse is planning care to prevent complications for a
client with multiple myeloma. Which intervention
is most important for the nurse to include?
Maintain a fluid intake of 3 to 4 L per day.
After the fourth dose of gentamicin sulfate IV, the nurse
plans to draw blood samples to determine peak and trough
levels. When are the best times to draw these samples?
5 minutes before and 30 minutes after the next dose.
A client is admitted to the hospital with a medical diagnosis
of pneumococcal pneumonia. The nurse knows the
prognosis for gram-negative pneumonias (such as E.
coli, Klebsiella, Pseudomonas, and Proteus) is very poor
because?
, Gram-negative organisms are more resistant to antibiotic
therapy.
An adult client who is hospitalized after surgery reports the
sudden onset of chest pain and dyspnea. The client appears
anxious, restless, and mildly cyanotic. The nurse should
further assess the client for which condition?
Pulmonary embolism.
A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because
her mother has the condition. Which information should the
nurse offer?
Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
What types of medications should the nurse expect to
administer to a client during an acute respiratory failure
episode?
Bronchodilators and steroids.
In preparing a discharge plan for a 22-year-old male client
diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important?
Smoking cessation program
In preparing to administer intravenous albumin to a client
following surgery, which is the priority nursing
intervention? (Select all that apply.)
Set the infusion pump to infuse the albumin within four
hours.
Compare the client's blood type with the label on the
albumin.
Assign a UAP to monitor blood pressure every 15 minutes.
