2023 ADULT HEALTH HESI TEST BANK V1-V5 /HESI ADULT
HEALTH 2023 TEST BANK ACTUAL EXAM 450 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+(SCORE 1300)
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. – ANSWER- B
The primary nurse, leaving the unit for lunch, provides a verbal report for the
covering nurse. The report included one client’s prescription for morphine: 2 mg
intravenously (IV) every 3 hours for abdominal pain secondary to major abdominal
surgery that morning. During the primary nurse’s lunch, the client complains of
pain at a level 8 out of 10 on the pain scale. Which action would the covering nurse
perform first?
A.Determine the documented time of the last administration of pain medication.
B.Verify that the written prescription matches the administration record.
C.Encourage nonpharmacological measures initially to relieve the pain.
D.Explain that the primary nurse will be back from lunch in a few minutes. –
ANSWER- B
Which entity outlines the principles of delegation for registered nurses (RNs)?
A. Nurse Practice Act
B. Multilevel nursing model
C. American Nurses Association (ANA)
D. National Council of State Boards of Nursing (NCSBN) – ANSWER- C
The nurse determined a client’s arterial blood gases reflected a compensated
respiratory acidosis. The pH was 7.34; which additional laboratory value did the
nurse consider?
A. The partial pressure of oxygen (PO2) value is 80 mm Hg
B. Th partial pressure of carbon dioxide (PCOs) value is 60 mm Hg
C. The bicarbonate (HCO3) value is 50 mEq/L
D. Serum potassium value is 4 mEq/L – ANSWER- C
An older client’s colonoscopy reveals the presence of extensive diverticulosis.
Which type of diet would the nurse encourage the client follow?
A. Low fat
B. High fiber
C. High protein
D. Low carbohydrate – ANSWER- B
A client with Parkinson disease reports problems with bowel elimination. Which
instruction should the nurse provide for the client?
A. Eat a banana daily.
B. Decrease fluid intake.
C. Take cathartics regularly.
D. Increase residue in the diet. – ANSWER- D
After a painful exacerbation of rheumatoid arthritis, a client is scheduled to begin a
walking and exercise program. Which statements describes an expected outcome
for this client?
A. When pain free, begin exercising in a formal activity program.
B. Avoid exercising when there is a moderate amount of discomfort.
C. Exercise and be active unless the discomfort become too great.
D. Walk and exercise even when the pain is severe. – ANSWER- C
Which would the nurse consider to be the center of decision-making when
providing client care?
A. Ethics
B. Nursing skills
C. Analytical skills
D. Research-based practice – ANSWER- A
•A continuous infusion of diltiazem at 15 mg/h is received for a patient with atrial
fibrillation. Pharmacy delivers diltiazem with a 100 mg/100 mL concentration.
How many mL/h will the nurse administer the medication? – ANSWER- 15
ML/HR
A client is admitted after blunt abdominal injury. Which assessment finding
requires immediate action by the nurse?
A. Radiating abdominal pain with left lower quadrant palpation.
B. Grimacing after palpation of the right hypochondriac region.
C. Rebound tenderness with abdominal palpation.
D. Bluish periumbilical skin discoloration. – ANSWER- D
Which finding should the nurse identify as an indication of carbon monoxide
poisoning in a client who experienced a burn injury during a house fire?
A Pulse oximetry reading of 80%.
B Expiratory stridor and nasal flaring.
C Cherry red color to the mucous membranes.
D Presence of carbonaceous particles in sputum. – ANSWER- C
A male client with sickle cell anemia, who has been hospitalized for another health
problem, tells the nurse he has had an erection for over 4 hours. What action
should the nurse implement first?
A Notify the client’s healthcare provider.
B Document the finding in the client record.
C Prepare a warm enema solution for rectal instillation.
D Obtain a large bore needle for aspiration of the corpora cavernosa. – ANSWERA
The PET (positron emission tomography) scan is commonly used with oncology
clients to provide for which diagnostic information?
A A description of inflammation, infection, and tumors.
B Continuous visualization of intracranial neoplasms.
C Imaging of tumors without exposure to radiation.
D An image that describes metastatic sites of cancer. – ANSWER- D