ADULT HEALTH 2 HESI NEWEST
ACTUAL EXAM COMPLETE 300
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+
GRADE
An adult client is admitted with flank pain and is diagnosed
with acute pyelonephritis. What is the priority nursing
action?
a. monitor hemoglobin and hematocrit
b. encourage turning and deep breathing
c. administer IV antibiotics as prescribed
d. Auscultate for presence of bowel sounds Correct
Answer c. administer IV antibiotics as prescribed
A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most
important for the nurse to report to the healthcare
provider?
a. distended, hard, and rigid abdomen
b. clay-colored stool
c. radiating, sharp pain in right shoulder
d. bile-stained emesis Correct Answer a. distended, hard,
and rigid abdomen
A client with chronic kidney disease is started on
hemodialysis. During the first dialysis treatment, the
,client's blood pressure drops from 150/90 mmHg to 80/30
mmHg. What action should the nurse take first?
a. Stop the dialysis treatment
b. administer 5% albumin IV
c. Monitor blood pressure q45 minutes
d. lower the head of the chair and elevate feet Correct
Answer a. Stop the dialysis treatment
The nurse is collecting information from a client with
chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage pain, which
assessment data is most important for the nurse to
obtain?
a. presence and activity of bowel sounds
b. Color and consistency of feces
c. Eating patterns and dietary intake
d. level and amount of physical activity Correct Answer c.
Eating patterns and dietary intake
A client who had a C-5 spinal cord injury 2 years ago is
admitted to the emergency department with the diagnosis
of autonomic dysreflexia secondary to a full bladder.
Which assessment finding should the nurse expect this
client to exhibit?
a. Complaints of chest pain and shortness of breath
b. Hypotension and venous pooling in the extremities
c. Profuse diaphoresis and severe, pounding headache
d. Pain and burning sensation upon urination and
hematuria Correct Answer d. Pain and burning sensation
upon urination and hematuria
,During spring break, a young adult presents to the urgent
care clinic and reports a stiff neck, a fever for the past 6
hours, and a headache. Which intervention is most
important for the nurse to implement first?
a. initiate isolation precautions
b. administer an antipyretic
c. draw blood cultures
d. prepare for a lumbar puncture Correct Answer a. initiate
isolation precautions
The nurse assesses a client with petechiae and
ecchymosis scattered across the arms and legs. Which
laboratory result should the nurse review?
a. red blood cell count
b. Platelet count
c. Hemoglobin levels
d. White blood cell count Correct Answer b. Platelet count
An older adult client with a long history of chronic
obstructive pulmonary disease (COPD) is admitted with
progressive shortness of breath and a persistent cough.
The client is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement?
a. Assist the client to an upright position
b. Administer prescribed sedative
c. Apply a high-flow Venturi mask
d. Encourage the client to drink water Correct Answer a.
Assist the client to an upright position
The nurse is providing discharge instructions to a client
who is receiving prednisone 5mg PO daily for a rash due
, to contact with poison ivy. Which symptom should the
nurse tell the client to report to the healthcare provider?
a. rapid weight gain
b. Abdominal striae
c. moon faces
d. gastric irritation Correct Answer a. rapid weight gain
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should
the nurse include?
a. Have small frequent meals and sit up for at least two
hours after meals
b. Eat a bland diet and avoid spicy foods
c. Eat a high-fiber diet and increase fluid intake
d. Eat a soft diet with increased intake of milk and milk
products Correct Answer c. Eat a high-fiber diet and
increase fluid intake
An adult who was recently diagnosed with glaucoma tells
the nurse, "it feels like I am driving through a tunnel". The
client expresses great concern about going blind. Which
nursing instruction is most important for the nurse to
provide to this client?
a. Maintain prescribed eye drop regimen
b. Avoid frequent eye pressure measurements
c. Wear prescription glasses
d. Eat a diet high in carotene Correct Answer a. Maintain
prescribed eye drop regimen
Which client has the highest risk for developing skin
cancer?
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