Adult Health 2 HESI EXAM
ADULT HEALTH 2 HESI EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
The nurse is assessing a male client with acute pancreatitis. Which finding requires
the most immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal level.
B. While the nurse is taking the client's blood pressure, he has a carpal spasm.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
D. The client states that he will continue to drink alcohol after going home.
Answer- B
Rationale- A positive Trousseau sign indicates hypocalcemia and always requires
further assessment and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia, which can have serious,
systemic effects). A key diagnostic finding of pancreatitis is serum amylase and
lipase levels that are two to five times higher than the normal value. Severe
boring pain is an expected symptom for this diagnosis, but dealing with the
hypocalcemia is a priority over administering an analgesic. Long-term planning
and teaching do not have the same immediate importance as a positive
Trousseau sign.
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, Adult Health 2 HESI EXAM
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A. Immediately after feeding
B. Just prior to tube feeding
C. Continuous inflation is required
D. Inflation is not required
Answer- B
Rationale- The cuff should be inflated before the feeding to block the trachea
and prevent food from entering if oral feedings are started while a cuffed
tracheostomy tube is in place. It should remain inflated throughout the feeding
to prevent aspiration of food into the respiratory system. Options A and D place
the client at risk for aspiration. Option C places the client at risk for tracheal wall
necrosis.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of altered
neurologic function?
A. Change in level of consciousness
B. Increasing muscular weakness
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, Adult Health 2 HESI EXAM
C. Changes in pupil size bilaterally
D. Progressive nuchal rigidity
Answer- A
Rationale- A decrease or change in the level of consciousness is usually the first
indication of neurologic deterioration. Options B and C may also occur but are
much less likely to be the first sign of neurologic compromise. Option D is often
a sign of meningitis.
Based on the clinical manifestations of Cushing syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with
Cushing syndrome?
A. Monitor blood glucose levels daily.
B. Increase intake of fluids high in potassium.
C. Encourage adequate rest between activities.
D. Offer the client a sodium-enriched menu.
Answer- A
Rationale- ushing syndrome results from a hypersecretion of glucocorticoids in
the adrenal cortex. Clients with Cushing syndrome often develop diabetes
mellitus. Monitoring of serum glucose levels assesses for increased blood
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, Adult Health 2 HESI EXAM
glucose levels so that treatment can begin early. A common finding in Cushing
syndrome is generalized edema. Although potassium is needed, it is generally
obtained from food intake, not by offering potassium-enhanced fluids. Fatigue is
usually not an overwhelming factor in Cushing syndrome, so an emphasis on the
need for rest is not indicated A low-calorie, low-carbohydrate, low-sodium diet
is not recommended.
What can insulin do?
Increase serum potassium level (and blood glucose of course)
The nurse is observing an unlicensed assistive personnel (UAP) performing
morning care for a bedridden client with Huntington disease. Which care measure
is most important for the nurse to supervise?
A. Oral Care
B. Bathing
C. Foot Care
D. catheter care
Answer- A
Rationale- The client with Huntington disease experiences problems with motor
skills such as swallowing and is at high risk for aspiration, so the highest priority
for the nurse to observe is the UAP's ability to perform oral care safely. Options
B, C, and D do not necessarily require registered nurse (RN) supervision because
they do not ordinarily pose life-threatening consequences.
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The
client is very restless and has scant urine output. Oxygen is being administered at
2 L/min, and a saline lock is in place. Which intervention should the nurse
implement first?
A. Measure the urine specific gravity.
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ADULT HEALTH 2 HESI EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
The nurse is assessing a male client with acute pancreatitis. Which finding requires
the most immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal level.
B. While the nurse is taking the client's blood pressure, he has a carpal spasm.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
D. The client states that he will continue to drink alcohol after going home.
Answer- B
Rationale- A positive Trousseau sign indicates hypocalcemia and always requires
further assessment and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia, which can have serious,
systemic effects). A key diagnostic finding of pancreatitis is serum amylase and
lipase levels that are two to five times higher than the normal value. Severe
boring pain is an expected symptom for this diagnosis, but dealing with the
hypocalcemia is a priority over administering an analgesic. Long-term planning
and teaching do not have the same immediate importance as a positive
Trousseau sign.
1|Page
, Adult Health 2 HESI EXAM
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A. Immediately after feeding
B. Just prior to tube feeding
C. Continuous inflation is required
D. Inflation is not required
Answer- B
Rationale- The cuff should be inflated before the feeding to block the trachea
and prevent food from entering if oral feedings are started while a cuffed
tracheostomy tube is in place. It should remain inflated throughout the feeding
to prevent aspiration of food into the respiratory system. Options A and D place
the client at risk for aspiration. Option C places the client at risk for tracheal wall
necrosis.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of altered
neurologic function?
A. Change in level of consciousness
B. Increasing muscular weakness
2|Page
, Adult Health 2 HESI EXAM
C. Changes in pupil size bilaterally
D. Progressive nuchal rigidity
Answer- A
Rationale- A decrease or change in the level of consciousness is usually the first
indication of neurologic deterioration. Options B and C may also occur but are
much less likely to be the first sign of neurologic compromise. Option D is often
a sign of meningitis.
Based on the clinical manifestations of Cushing syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with
Cushing syndrome?
A. Monitor blood glucose levels daily.
B. Increase intake of fluids high in potassium.
C. Encourage adequate rest between activities.
D. Offer the client a sodium-enriched menu.
Answer- A
Rationale- ushing syndrome results from a hypersecretion of glucocorticoids in
the adrenal cortex. Clients with Cushing syndrome often develop diabetes
mellitus. Monitoring of serum glucose levels assesses for increased blood
3|Page
, Adult Health 2 HESI EXAM
glucose levels so that treatment can begin early. A common finding in Cushing
syndrome is generalized edema. Although potassium is needed, it is generally
obtained from food intake, not by offering potassium-enhanced fluids. Fatigue is
usually not an overwhelming factor in Cushing syndrome, so an emphasis on the
need for rest is not indicated A low-calorie, low-carbohydrate, low-sodium diet
is not recommended.
What can insulin do?
Increase serum potassium level (and blood glucose of course)
The nurse is observing an unlicensed assistive personnel (UAP) performing
morning care for a bedridden client with Huntington disease. Which care measure
is most important for the nurse to supervise?
A. Oral Care
B. Bathing
C. Foot Care
D. catheter care
Answer- A
Rationale- The client with Huntington disease experiences problems with motor
skills such as swallowing and is at high risk for aspiration, so the highest priority
for the nurse to observe is the UAP's ability to perform oral care safely. Options
B, C, and D do not necessarily require registered nurse (RN) supervision because
they do not ordinarily pose life-threatening consequences.
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The
client is very restless and has scant urine output. Oxygen is being administered at
2 L/min, and a saline lock is in place. Which intervention should the nurse
implement first?
A. Measure the urine specific gravity.
4|Page
