ADULT HEALTH 2 HESI TEST BANK EXAM NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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Course
ADULT HEALTH
Institution
ADULT HEALTH
ADULT HEALTH 2 HESI TEST BANK
EXAM NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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 ...
ADULT HEALTH 2 HESI TEST BANK
EXAM NEWEST 2024-2025 ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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. - answer✔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). - answer✔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?
D. Immediate passive short-term immunity - answer✔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. - answer✔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? - answer✔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 - answer✔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. - answer✔D
Which type of immunity will clients acquire through immunizations with live or killed vaccines?
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. - answer✔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. - answer✔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? - answer✔80 ML/HR
Which important step would the nurse take to evaluate lifestyle change in the client?
A. Ask which barriers the client perceives with the planned lifestyle change.
B. Instruct the client to include family members to support the lifestyle change.
C. Advise the client to refrain from discussing the time spent in activity or actual number of fruits and
vegetables eaten.
D. Encourage the client to maintain an exercise and eating calendar to track adherence and provide
positive reinforcement. - answer✔D
Which discharge instruction would the nurse emphasize when preparing a client with Addison disease
for discharge?
A. "Limit physical activity."
B. "Restrict sodium in your diet."
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