HESI Adult Health Questions and Answers 100% Verified

HESI Adult Health Questions and

Answers 100% Verified

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. ✔✔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). ✔✔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 ✔✔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. ✔✔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? ✔✔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 ✔✔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. ✔✔D

Which type of immunity will clients acquire through immunizations with live or killed vaccines?

A. Natural active immunity

B. Artificial active immunity

C. Natural passive immunity

D. Artificial passive immunity ✔✔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. ✔✔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. ✔✔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? ✔✔80

ML/HR