ADULT HEALTH 2 HESI TEST BANK ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) LATEST UPDATE 2026-2027
Six hours after major abdominal surgery, a client reports severe abdominal pain
and faintness. The nurse identifies a thready, rapid pulse. The nurse checks the
medication administration record (MAR) and determines that the client can receive
another injection of pain medication in an hour. Which action would the nurse
take?
A.Notify the health care provider about the client's symptoms.
B.Explain to the client that it is too early to have an injection for pain.
C.Reposition the client for greater comfort and turn on the television as a
distraction.
Prepare the injection to administer it to the client early because of the severe pain -
ANS... -A
Which statements about culturally congruent care by the student nurse are correct?
(Select all that apply)
A."It is the main goal of transcultural nursing.
B."It is provided through cultural competence."
C."It is provided in accordance with set criteria."
D."It is bound to the professional health care system."
E."It depends on the patterns and needs of an individual." - ANS... -A B E
Which client situation will the nurse address first on priority basis of Maslow's
hierarchy of needs?
A. Feels that he or she leads a completely worthless life.
B. Shows signs of lack of interest in carrying out social interaction.
C. Conveys to the nurse that he or she is estranged from all family members.
D. Has multiple fainting episodes due to lack of proper nutrition. - ANS... -D
A client with Crohn disease is admitted to the hospital with a history of chronic,
bloody diarrhea, weight loss, and signs of general malnutrition. The client has
anemia, a low serum albumin level, and signs of negative nitrogen balance. The
nurse concludes that the client's health status is related to which major deficiency?
A. Ferrous sulfate
,B. Protein
C. Ascorbic acid
D. Linoleic acid - ANS... -B
The nurse is obtaining a health history from the newly admitted client who has
chronic pain in the right knee. Which would the nurse include in the pain
assessment? (Select all that apply).
A. Pain history, including location, intensity, and quality of pain.
B. Client's purposeful body movement in arranging the papers on the bedside table.
C. Pain pattern, including precipitating and alleviating factors.
D. Vital signs, such as increased blood pressure and heart rate.
E. The client's family statement about increases in pain with ambulation. - ANS... -
AC
Which Quality and Safety Education for Nurses (QSEN) competency is involved
in the situation where the nurse coordinates care with a dietician and a certified
diabetes educator (CDE)?
A. Safety
B. Patient-centered care
C. Evidence-based practice
D. Teamwork and collaboration - ANS... -D
According to Quality and Safety Education for Nurses (QSEN), which defines
patient-centered care?
A.Understanding that the client is the source of control when providing care.
B.Functioning effectively within nursing and interprofessional teams to deliver
quality care.
C.Using data to evaluate outcomes of care processes and designing methods to
improve health care.
D.Minimizing the risk for harm to clients and health care workers through
improved professional performance. - ANS... -A
Case 2
A nurse is caring for a patient admitted following a surgical wound infection. The
vital signs are T- 103, P- 106, RR- 22, BP-182/90, SaO2- 93%. Pertinent labs
include a serum magnesium of 1.2 mg/dL and a serum potassium level of 3.2
mEq/dL.
,•Acetaminophen 650 mg by mouth is ordered for the temperature of 103"° F. The
acetaminophen is available in 325 mg tablets. How many tablets would the nurse
administer with each dose? - ANS... -2
A client with a history of multiple chronic illnesses comes to the emergency
department (ED) reporting a slight progressive weight loss over the past month in
addition to frequent urination and felling lethargic, hungry, and thirsty all the time.
The client's vital signs are blood pressure (BP) 118/78 mm Hg, oral temperature
99.6°F (37.6°C), and regular pulse of 72 beats per minute with irregular
respirations of 22 breaths per minute. Which condition dies the nurse suspect that
this client is experiencing?
A.Hypervolemia
B.Hyperglycemia
C.Infectious process
D.Respiratory distress - ANS... -B
When a client with pneumonia is experiencing dyspnea because of difficulty
expectorating thick respiratory secretions, which action by the nurse will be most
helpful?
A. Administer continuous oxygen.
B. Offer fluids at frequent intervals.
C. Place the client in a high-Fowler position.
D. Administer prescribed steroid inhaler. - ANS... -B
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. - ANS... -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). - ANS... -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 - ANS... -D
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. - ANS... -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? - ANS... -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 - ANS... -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. - ANS... -D
Which type of immunity will clients acquire through immunizations with live or
killed vaccines?
A. Natural active immunity
B. Artificial active immunity
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) LATEST UPDATE 2026-2027
Six hours after major abdominal surgery, a client reports severe abdominal pain
and faintness. The nurse identifies a thready, rapid pulse. The nurse checks the
medication administration record (MAR) and determines that the client can receive
another injection of pain medication in an hour. Which action would the nurse
take?
A.Notify the health care provider about the client's symptoms.
B.Explain to the client that it is too early to have an injection for pain.
C.Reposition the client for greater comfort and turn on the television as a
distraction.
Prepare the injection to administer it to the client early because of the severe pain -
ANS... -A
Which statements about culturally congruent care by the student nurse are correct?
(Select all that apply)
A."It is the main goal of transcultural nursing.
B."It is provided through cultural competence."
C."It is provided in accordance with set criteria."
D."It is bound to the professional health care system."
E."It depends on the patterns and needs of an individual." - ANS... -A B E
Which client situation will the nurse address first on priority basis of Maslow's
hierarchy of needs?
A. Feels that he or she leads a completely worthless life.
B. Shows signs of lack of interest in carrying out social interaction.
C. Conveys to the nurse that he or she is estranged from all family members.
D. Has multiple fainting episodes due to lack of proper nutrition. - ANS... -D
A client with Crohn disease is admitted to the hospital with a history of chronic,
bloody diarrhea, weight loss, and signs of general malnutrition. The client has
anemia, a low serum albumin level, and signs of negative nitrogen balance. The
nurse concludes that the client's health status is related to which major deficiency?
A. Ferrous sulfate
,B. Protein
C. Ascorbic acid
D. Linoleic acid - ANS... -B
The nurse is obtaining a health history from the newly admitted client who has
chronic pain in the right knee. Which would the nurse include in the pain
assessment? (Select all that apply).
A. Pain history, including location, intensity, and quality of pain.
B. Client's purposeful body movement in arranging the papers on the bedside table.
C. Pain pattern, including precipitating and alleviating factors.
D. Vital signs, such as increased blood pressure and heart rate.
E. The client's family statement about increases in pain with ambulation. - ANS... -
AC
Which Quality and Safety Education for Nurses (QSEN) competency is involved
in the situation where the nurse coordinates care with a dietician and a certified
diabetes educator (CDE)?
A. Safety
B. Patient-centered care
C. Evidence-based practice
D. Teamwork and collaboration - ANS... -D
According to Quality and Safety Education for Nurses (QSEN), which defines
patient-centered care?
A.Understanding that the client is the source of control when providing care.
B.Functioning effectively within nursing and interprofessional teams to deliver
quality care.
C.Using data to evaluate outcomes of care processes and designing methods to
improve health care.
D.Minimizing the risk for harm to clients and health care workers through
improved professional performance. - ANS... -A
Case 2
A nurse is caring for a patient admitted following a surgical wound infection. The
vital signs are T- 103, P- 106, RR- 22, BP-182/90, SaO2- 93%. Pertinent labs
include a serum magnesium of 1.2 mg/dL and a serum potassium level of 3.2
mEq/dL.
,•Acetaminophen 650 mg by mouth is ordered for the temperature of 103"° F. The
acetaminophen is available in 325 mg tablets. How many tablets would the nurse
administer with each dose? - ANS... -2
A client with a history of multiple chronic illnesses comes to the emergency
department (ED) reporting a slight progressive weight loss over the past month in
addition to frequent urination and felling lethargic, hungry, and thirsty all the time.
The client's vital signs are blood pressure (BP) 118/78 mm Hg, oral temperature
99.6°F (37.6°C), and regular pulse of 72 beats per minute with irregular
respirations of 22 breaths per minute. Which condition dies the nurse suspect that
this client is experiencing?
A.Hypervolemia
B.Hyperglycemia
C.Infectious process
D.Respiratory distress - ANS... -B
When a client with pneumonia is experiencing dyspnea because of difficulty
expectorating thick respiratory secretions, which action by the nurse will be most
helpful?
A. Administer continuous oxygen.
B. Offer fluids at frequent intervals.
C. Place the client in a high-Fowler position.
D. Administer prescribed steroid inhaler. - ANS... -B
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. - ANS... -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). - ANS... -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 - ANS... -D
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. - ANS... -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? - ANS... -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 - ANS... -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. - ANS... -D
Which type of immunity will clients acquire through immunizations with live or
killed vaccines?
A. Natural active immunity
B. Artificial active immunity
