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ADULT HEALTH 2 HESI EXAM / HESI ADULT HEALTH 2 LATEST COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED PASS A+$20.49
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ADULT HEALTH 2 HESI EXAM / HESI ADULT HEALTH 2 LATEST COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED PASS A+
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ADULT HEALTH 2 HESI
Institution
ADULT HEALTH 2 HESI
ADULT HEALTH 2 HESI EXAM / HESI ADULT HEALTH 2 LATEST COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED PASS A+
ADULT HEALTH 2 HESI EXAM / HESI ADULT HEALTH 2
LATEST 2024-2025 COMPLETE REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS
(CORRECT VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS A+
A female patient's complex symptomatology over the past year has
culminated in a diagnosis of systemic lupus erythematosus (SLE). Which
of the patient's following statements demonstrates the need for further
teaching about the disease?
A. "I'll try my best to stay out of the sun this summer."
B. "I know that I probably have a high chance of getting arthritis."
C. "I'm hoping that surgery will be an option for me in the future."
D. "I understand that I'm going to be vulnerable to getting infections." -
Answer-c. SLE carries an increased risk of infection, sun damage, and
arthritis. Surgery is not a key treatment modality for SLE.
Midazolam (Versed) has been ordered for a patient to be administered
by injection 30 minutes prior to a colonoscopy. The nurse informs the
patient that one of the most common side effects of this medication is
which effect?
A. Decreased heart rate
B. Amnesia
C. Constipation
,D. Dry mouth - Answer-b. Versed is known to cause amnesia and
anxiolysis as well as sedation and is therefore commonly used prior to
certain procedures.
The nurse is caring for a patient admitted with a spinal cord injury
following a motor vehicle accident. The patient exhibits a complete loss
of motor, sensory, and reflex activity below the injury level. The nurse
recognizes this condition as which of the following?
A. Central cord syndrome
B. Spinal shock syndrome
C. Anterior cord syndrome
D. Brown-Séquard syndrome - Answer-b. About 50% of people with
acute spinal cord injury experience a temporary loss of reflexes,
sensation, and motor activity that is known as spinal shock. Central
cord syndrome is manifested by motor and sensory loss greater in the
upper extremities than the lower extremities. Anterior cord syndrome
results in motor and sensory loss but not reflexes. Brown-Séquard
syndrome is characterized by ipsilateral loss of motor function and
contralateral loss of sensory function.
Which of the following clinical manifestations would the nurse interpret
as representing neurogenic shock in a patient with acute spinal cord
injury?
A. Bradycardia
,B. Hypertension
C. Neurogenic spasticity
D. Bounding pedal pulses - Answer-a. Neurogenic shock is due to the
loss of vasomotor tone caused by injury and is characterized by
hypotension and bradycardia. Loss of sympathetic innervation causes
peripheral vasodilation, venous pooling, and a decreased cardiac
output.
The nurse is caring for a patient admitted 1 week ago with an acute
spinal cord injury. Which of the following assessment findings would
alert the nurse to the presence of autonomic dysreflexia?
A. Tachycardia
B. Hypotension
C. Hot, dry skin
D. Throbbing headache - Answer-d. Autonomic dysreflexia is related to
reflex stimulation of the sympathetic nervous system reflected by
hypertension, bradycardia, throbbing headache, and diaphoresis.
When planning care for a patient with a C5 spinal cord injury, which
nursing diagnosis is the highest priority?
A. Risk for impairment of tissue integrity caused by paralysis
B. Altered patterns of urinary elimination caused by quadriplegia
C. Altered family and individual coping caused by the extent of trauma
, D. Ineffective airway clearance caused by high cervical spinal cord injury
- Answer-d. Maintaining a patent airway is the most important goal for
a patient with a high cervical fracture. Although all of these are
appropriate nursing diagnoses for a patient with a spinal cord injury,
respiratory needs are always the highest priority. Remember the ABCs.
The nurse is providing care for a patient who has been diagnosed with
Guillain-Barré syndrome. Which of the following assessments should
the nurse prioritize?
A. Pain assessment
B. Glasgow Coma Scale
C. Respiratory assessment
D. Musculoskeletal assessment - Answer-c. Although all of the
assessments are necessary in the care of patients with Guillain-Barré
syndrome, the acute risk of respiratory failure necessitates vigilant
monitoring of the patient's respiratory status.
Which of the following signs and symptoms in a patient with a T4 spinal
cord injury should alert the nurse to the possibility of autonomic
dysreflexia?
A. Headache and rising blood pressure
B. Irregular respirations and shortness of breath
C. Decreased level of consciousness or hallucinations
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