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Adult Health 2 HESI Exam: 50+ Questions with Detailed Verified Answers

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Pass the Adult Health 2 HESI exam with this comprehensive study guide featuring over 50 questions with detailed verified answers and rationales. This resource covers high-yield medical-surgical nursing topics including: diabetes insipidus (DI) - hypernatremia (serum sodium 185 mEq/L as priority intervention), peptic ulcer disease (PUD) - gnawing epigastric pain relieved by food/antacids, hyperthyroidism/Graves' disease - exophthalmos management with artificial tears, amyotrophic lateral sclerosis (ALS) - pulmonary interventions (chest physiotherapy, breathing exercises, incentive spirometer), heart failure (HF) - high Fowler's position to improve ventilation and reduce venous return, fractured femur with traction - neurovascular assessment (pain, pallor, paresthesia, paralysis, pressure) and Doppler pulse evaluation, pneumonia - sputum culture and sensitivity for targeted antibiotic therapy, asthma/bronchitis - increased oral fluid intake to liquefy secretions, diabetes mellitus - insulin injection technique (keep skin flat, not bunched), transurethral resection of prostate (TURP) - continuous bladder irrigation (CBI) management (increase flow for clots, monitor drainage), abdominal aortic aneurysm (AAA) repair - postoperative assessment of pedal pulses with Doppler, cerebrovascular accident (CVA) - expressive aphasia management with picture charts, myocardial infarction (MI) - ST elevation on ECG as critical finding, acute kidney injury (AKI) - hyperkalemia (K+ 6.7) treatment with sodium polystyrene sulfonate (Kayexalate), gout - colchicine and indomethacin with hydration (8 cups water daily), upper GI bleed - IV fluid resuscitation with normal saline, COPD with oxygen therapy - discharge teaching on oxygen use guidelines, osteomalacia - vitamin D and calcium from fortified milk and cereals, herpes zoster (shingles) - pain as cause of sleep disturbance, deep vein thrombosis (DVT) prophylaxis - pneumatic compression devices, ambulation, calf-pump exercises, anticoagulants, kidney stones - dietary risk factors (vegetarian diet high in oxalates and cheese), pyelonephritis - priority IV antibiotics, cholelithiasis with common bile duct obstruction - rigid abdomen as peritonitis sign, hemodialysis - hypotension management (lower head, elevate feet), chronic pancreatitis - pain management related to eating patterns, autonomic dysreflexia (C5 spinal cord injury) - profound diaphoresis and severe headache, meningitis - initiate isolation precautions first, petechiae/ecchymosis - review platelet count, COPD exacerbation - upright position to maximize lung expansion, prednisone adverse effects - rapid weight gain from fluid retention, diverticulosis - high-fiber diet with increased fluids, glaucoma - maintain prescribed eye drop regimen to prevent blindness, skin cancer risk - fair-skinned construction worker with cumulative sun exposure, cirrhosis - hypoalbuminemia leading to edema and ascites, type 2 diabetes complications - foot sensation, skin integrity, renal function (creatinine/BUN), visual acuity, radiation therapy skin care - protect portal site from sunlight, thoracotomy postoperative - apply oxygen via non-rebreather mask for hypoxia (tachycardia/tachypnea), restless leg syndrome (RLS) - monitor serum iron and ferritin levels, burn wound infection - elevated white blood cell count (WBC), cardiovascular disease with blurred vision - blood pressure goal 140/80 mmHg, HIV-associated neurocognitive disorder (AIDS dementia) - change in handwriting as key sign, peripheral arterial disease (PAD) - foot care teaching (use mirror to inspect bottoms of feet), migraine with bilateral weakness - gather additional assessment data, preoperative heparin management - notify healthcare provider of anticoagulant use, thoracentesis positioning - upright position optimizes breathing, type 2 diabetes peripheral neuropathy - family assistance with regular foot exams, malignant hyperthermia (succinylcholine reaction) - apply ice packs to axillary area, Cushing's syndrome postoperative - irregular apical pulse warrants immediate intervention, opioid overdose (multiple morphine patches) - remove all patches first, tuberculosis (TB) multi-drug regimen - adherence is imperative. Ideal for Adult Health 2 HESI, medical-surgical nursing exams, NCLEX-RN preparation, and nursing school final exams.

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Adult Health 2

Voorbeeld van de inhoud

Adult Health 2 HESI 2026- 2027 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A nurse is caring for a client with DI. Which data warrants the most

immediate intervention by the nurse? Rationale:The most immediate

concern is **serum sodium of 185** (option a). A sodium level this high

indicates severe hypernatremia, which can be life-threatening and

requires urgent treatment.

a. Serum sodium of 185

b. Dry skin with inelastic turgor

c. Apical rate of 110 beats per minute

d. Polyuria and excessive thirst

Ans: a. Serum sodium of 185



Quiz: The nurse is obtaining the admission history for a client with

suspected peptic ulcer disease (PUD). Which subjective data reported

by the client supports this medical diagnosis? Rationale:This type of

pain is characteristic of PUD, as it often occurs in the upper abdomen

and is described as gnawing, burning, or hunger-like, typically

worsened by an empty stomach and relieved by eating or antacids.

a. Frequent use of chewable and liquid antacids for indigestion

,b. severe abdominal cramps and diarrhea after eating spicy foods

c. upper mid-abdominal pain described as gnawing and burning.

d. Marked loss of weight and appetite over the last 3 or 4 months

Ans: c. upper mid-abdominal pain described as gnawing and burning.



Quiz: The nurse assess a client who is newly diagnosed with

hyperthyroidism and observes that the client's eyeballs are protuberant,

causing a wide-eyed appearance and eye discomfort. Based on this

finding, which action should the nurse include in this client's plan of

care? Rationale:The client's symptoms—protuberant eyeballs

(exophthalmos) and eye discomfort—are characteristic of Graves'

disease, a common cause of hyperthyroidism. Exophthalmos can lead

to dryness and irritation of the eyes, and artificial tear drops can help

relieve discomfort and protect the corneas from damage due to

decreased eyelid closure.

a. Assess for signs of increased intracranial pressure

b. Prepare to administer intravenous levothyroxine

c. Review the client's serum electrolyte values

d. Obtain a prescription for artificial tear drops

Ans: d. Obtain a prescription for artificial tear drops




Examstudy - US

,Quiz: To reduce the risk for pulmonary complication for a client with

Amyotrophic Lateral Sclerosis (ALS), which interventions should the

nurse implement? (Select all)

a. Perform chest physiotherapy

b. Teach the client breathing exercises

c. Initiate passive range of motion exercises

d. Establish a regular bladder routine

e. Encourage use of incentive spirometer

Ans: a. Perform chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer



Quiz: A client hospitalized with heart failure (HF). Which intervention

should the nurse implement to improve ventilation and reduce venous

return? Rationale:Placing the client in high Fowler position helps by

improving lung expansion, easing breathing, and reducing venous

return to the heart, which relieves symptoms like shortness of breath in

heart failure.

a. Perform passive range of motion exercises

b. Place the client in high fowler position

c. Administer oxygen per nasal canula

d. Increase the client's activity level

Ans: b. Place the client in high fowler position


Examstudy - Stuvia US

, Quiz: A client who was involved in a motor vehicle collision is admitted

with a fractured left femur which is immobilized using a fracture traction

splint in preparation for an open reduction internal fixation (ORIF). The

nurse determines that the client's distal pulses are diminished in the left

foot. Which interventions should the nurse implement? (select all)

a. Verify pedal pulses using a doppler pulse device

b. Evaluate the application of the splint to the left leg.

c. Offer ice chips and oral clear liquids.

d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure

3. Administer oral antispasmodics and narcotic analgesics

Ans: Verify pedal pulses using a Doppler pulse device,Evaluate the
application of the splint to the left leg,Monitor left leg for pain, pallor,
paresthesia, paralysis, pressure



Quiz: The healthcare provider prescribes diagnostic tests for a client

whose chest X-ray indicates pneumonia. Which diagnostic test should

the nurse review for implementation in the most therapeutic treatment

of the pneumonia? Rationale:test identifies the specific microorganism

causing the pneumonia and helps determine the most effective

antibiotic or antimicrobial treatment

a. Sputum culture and sensitivity

b. Blood cultures

Examstudy - US

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Adult Health 2

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