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Adult Health 2 Hesi Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client with COPD who becomes increasingly short of breath. What is the best initial nursing action?
- Increase the client’s oxygen to 6 L/min by nasal cannula
- Call the provider immediately
- Administer a sedative to help calm the client
✔✔C. Position the client in high Fowler’s and encourage pursed-lip breathing
A client with heart failure reports a sudden weight gain of 5 pounds in 2 days. What is the nurse’s priority action?
- Document the finding in the chart
- Place the client on bedrest
- Increase the client’s oral fluid intake
✔✔B. Notify the healthcare provider of possible fluid retention
A nurse is preparing to administer digoxin to a client. Which assessment finding requires the nurse to hold the medication? 1 / 3
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✔✔A. Apical heart rate of 52 bpm
- Respiratory rate of 20 per minute
- Blood pressure of 110/70 mmHg
- Oxygen saturation of 95%
A client with a history of deep vein thrombosis (DVT) suddenly develops chest pain and shortness of breath. What should the nurse do first?✔✔A. Administer oxygen via mask
- Notify the provider immediately
- Place the client in Trendelenburg position
- Start chest compressions
A client with type 2 diabetes reports feeling shaky, sweaty, and dizzy. The nurse checks blood glucose and it is 52 mg/dL. What is the best nursing action?
- Call the rapid response team
- Administer insulin
- Give a protein-rich meal 2 / 3
✔✔B. Provide 4 ounces of orange juice
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A client recovering from abdominal surgery reports feeling something “pop” at the incision site.The nurse observes wound evisceration. What is the priority action?
- Notify the surgeon immediately
- Place the client in high Fowler’s position
- Apply an abdominal binder
✔✔C. Cover the wound with sterile saline-soaked gauze
A nurse is caring for a client with cirrhosis who has ascites. Which intervention should the nurse anticipate?✔✔A. Paracentesis to relieve pressure
- High sodium diet
- Bedrest with Trendelenburg position
- Daily laxatives
A client with pneumonia has an oxygen saturation of 86% on room air. What is the nurse’s priority intervention?
- Encourage coughing and deep breathing
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✔✔B. Apply oxygen as prescribed