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HESI Adult Health 2 Final Exam Study Guide 2025-
2026: A Comprehensive Bank of Actual Questions
with Verified, In-depth Answers.
A client who has partial-thickness burns on the chest, abdomen, and
right side arrives in the emergency department. Which action will the
nurse take first?
A. Remove the client's clothing.
B. Evaluate whether the client has inhaled smoke.
C. Insert a venous access device in an unaffected arm.
D. Determine the extent of the burns, using the rule of nines. -
ANSWER-B
A client is admitted to the hospital, and benazepril is prescribed for
hypertension. Which is an appropriate nursing action for clients taking
this medication?
A.Assess for dizziness.
B.Assess for dark, tarry stools.
C.Administer the medication after meals.
D.Monitor the electroencephalogram (EEG). - ANSWER-A
A construction worker sustains a puncture wound from a rusty nail and
the last immunization for tetanus in unknown. The primary health care
provider prescribes tetanus immune globulin. Which type of protection
does this immunization offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity - ANSWER-D
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A hospice client who has severe pain asks for another dose of
oxycodone. Which consideration is the nurse's primary concern when
responding to the client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain. - ANSWER-D
A nurse receives an order to administer cefazolin 2 g/100 mL NS IV
every 8 hours. Pharmacy suggests infusing the cefazolin over 30
minutes. How many milliliters per hour would the nurse set the IV
infusion device? - ANSWER-200 mL/hr
The nurse has administered sublingual nitroglycerin. Which outcome
would the nurse use to determine the effectiveness of sublingual
nitroglycerin?
A.Relief of anginal pain
B.Improved cardiac output.
C.Decreased blood pressure
D.Ease in respiratory effort - ANSWER-A
After a subtotal gastrectomy, a client demonstrates signs of dumping
syndrome. About 90 minutes after the initial attack, the client reports
feeling shaky. Which would the nurse determine is the cause of the latter
effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of chyme
D. An overproduction of insulin that occurs in response to the rise in
blood glucose. - ANSWER-D
Which type of immunity will clients acquire through immunizations
with live or killed vaccines?
A. Natural active immunity
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B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity - ANSWER-B
Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
A. Controlling the urge to eat candy because he or she knows it will
affect blood sugar levels.
B. Having a craving for fruit but not stealing it form the next client
because that client needs it more.
C. Urinating beside the bed instead of waiting for the nurse to assist him
or her.
D. Experiencing a stomachache but refraining from stealing medications
from a friend because it is illegal.
E. Feeling the urge to run away from the hospital but refraining from
doing so because the security guard is watching. - ANSWER-A B D
An older client is treated in the emergency department for soft tissue
injuries that the medical team suspect might be caused by physical
abuse. An adult child states that the client is confused and often falls. A
mini-mental examination indicates that the client is oriented to person,
place, and time. Which action would the nurse take next?
A.Interview the client without the presence of family members.
B.Suggest that the client call law enforcement officers if threatened by
family members.
C.Accept the adult child's explanation until more data can be collected.
D.Refer the client's clinical record to the hospital ethics committee for
review. - ANSWER-A
•A test dose of amphotericin is ordered. The order reads to infuse 1 mg
in 20 mL over 15 minutes. How many milliliters per hour would the
nurse set the IV infusion device? - ANSWER-80 ML/HR
Which important step would the nurse take to evaluate lifestyle change
in the client?
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A. Ask which barriers the client perceives with the planned lifestyle
change.
B. Instruct the client to include family members to support the lifestyle
change.
C. Advise the client to refrain from discussing the time spent in activity
or actual number of fruits and vegetables eaten.
D. Encourage the client to maintain an exercise and eating calendar to
track adherence and provide positive reinforcement. - ANSWER-D
Which discharge instruction would the nurse emphasize when preparing
a client with Addison disease for discharge?
A. "Limit physical activity."
B. "Restrict sodium in your diet."
C. "Continue steroid replacement therapy."
D. "Schedule frequent health care appointments." - ANSWER-C
Which action describes the process of artificial active immunity?
A. Antibodies are passed from one person to another.
B. Antibodies against an antigen are produced naturally in the body.
C. Antibodies are made after an antigen is injected into the body.
D. Antibodies produced by one body or animal are transferred to another
body or animal. - ANSWER-C
According to the nursing process, which would the nurse do after
administering pain medication to a postoperative client?
A. Administer nonpharmacological comfort measures.
B. Inform the health care provider of the nursing action.
C. Create a care plan that addresses the client's pain level.
D. Determine whether the pain medicine relieved the client's pain. -
ANSWER-D
Which characteristics are observed in clients who have cocaine
addiction? (Select all that apply)
A. Anxiety
B. Palpitations
HESI Adult Health 2 Final Exam Study Guide 2025-
2026: A Comprehensive Bank of Actual Questions
with Verified, In-depth Answers.
A client who has partial-thickness burns on the chest, abdomen, and
right side arrives in the emergency department. Which action will the
nurse take first?
A. Remove the client's clothing.
B. Evaluate whether the client has inhaled smoke.
C. Insert a venous access device in an unaffected arm.
D. Determine the extent of the burns, using the rule of nines. -
ANSWER-B
A client is admitted to the hospital, and benazepril is prescribed for
hypertension. Which is an appropriate nursing action for clients taking
this medication?
A.Assess for dizziness.
B.Assess for dark, tarry stools.
C.Administer the medication after meals.
D.Monitor the electroencephalogram (EEG). - ANSWER-A
A construction worker sustains a puncture wound from a rusty nail and
the last immunization for tetanus in unknown. The primary health care
provider prescribes tetanus immune globulin. Which type of protection
does this immunization offer?
A. Lifelong passive immunity
B. Long-lasting active protection
C. Stimulation of antibody production
D. Immediate passive short-term immunity - ANSWER-D
,2|Page
A hospice client who has severe pain asks for another dose of
oxycodone. Which consideration is the nurse's primary concern when
responding to the client's request?
A. Prevent addiction.
B. Determine why the medication is needed.
C. Provide alternative comfort measures.
D. Reduce the client's pain. - ANSWER-D
A nurse receives an order to administer cefazolin 2 g/100 mL NS IV
every 8 hours. Pharmacy suggests infusing the cefazolin over 30
minutes. How many milliliters per hour would the nurse set the IV
infusion device? - ANSWER-200 mL/hr
The nurse has administered sublingual nitroglycerin. Which outcome
would the nurse use to determine the effectiveness of sublingual
nitroglycerin?
A.Relief of anginal pain
B.Improved cardiac output.
C.Decreased blood pressure
D.Ease in respiratory effort - ANSWER-A
After a subtotal gastrectomy, a client demonstrates signs of dumping
syndrome. About 90 minutes after the initial attack, the client reports
feeling shaky. Which would the nurse determine is the cause of the latter
effect?
A. A second, more extensive rise in glucose
B. An overwhelmed insulin-adjusting mechanism
C. A distention of the duodenum from an excessive amount of chyme
D. An overproduction of insulin that occurs in response to the rise in
blood glucose. - ANSWER-D
Which type of immunity will clients acquire through immunizations
with live or killed vaccines?
A. Natural active immunity
,3|Page
B. Artificial active immunity
C. Natural passive immunity
D. Artificial passive immunity - ANSWER-B
Which situations accurately represent superego in a client, per Freud?
(Select all that apply)
A. Controlling the urge to eat candy because he or she knows it will
affect blood sugar levels.
B. Having a craving for fruit but not stealing it form the next client
because that client needs it more.
C. Urinating beside the bed instead of waiting for the nurse to assist him
or her.
D. Experiencing a stomachache but refraining from stealing medications
from a friend because it is illegal.
E. Feeling the urge to run away from the hospital but refraining from
doing so because the security guard is watching. - ANSWER-A B D
An older client is treated in the emergency department for soft tissue
injuries that the medical team suspect might be caused by physical
abuse. An adult child states that the client is confused and often falls. A
mini-mental examination indicates that the client is oriented to person,
place, and time. Which action would the nurse take next?
A.Interview the client without the presence of family members.
B.Suggest that the client call law enforcement officers if threatened by
family members.
C.Accept the adult child's explanation until more data can be collected.
D.Refer the client's clinical record to the hospital ethics committee for
review. - ANSWER-A
•A test dose of amphotericin is ordered. The order reads to infuse 1 mg
in 20 mL over 15 minutes. How many milliliters per hour would the
nurse set the IV infusion device? - ANSWER-80 ML/HR
Which important step would the nurse take to evaluate lifestyle change
in the client?
, 4|Page
A. Ask which barriers the client perceives with the planned lifestyle
change.
B. Instruct the client to include family members to support the lifestyle
change.
C. Advise the client to refrain from discussing the time spent in activity
or actual number of fruits and vegetables eaten.
D. Encourage the client to maintain an exercise and eating calendar to
track adherence and provide positive reinforcement. - ANSWER-D
Which discharge instruction would the nurse emphasize when preparing
a client with Addison disease for discharge?
A. "Limit physical activity."
B. "Restrict sodium in your diet."
C. "Continue steroid replacement therapy."
D. "Schedule frequent health care appointments." - ANSWER-C
Which action describes the process of artificial active immunity?
A. Antibodies are passed from one person to another.
B. Antibodies against an antigen are produced naturally in the body.
C. Antibodies are made after an antigen is injected into the body.
D. Antibodies produced by one body or animal are transferred to another
body or animal. - ANSWER-C
According to the nursing process, which would the nurse do after
administering pain medication to a postoperative client?
A. Administer nonpharmacological comfort measures.
B. Inform the health care provider of the nursing action.
C. Create a care plan that addresses the client's pain level.
D. Determine whether the pain medicine relieved the client's pain. -
ANSWER-D
Which characteristics are observed in clients who have cocaine
addiction? (Select all that apply)
A. Anxiety
B. Palpitations
