Prepare for the HESI Adult Health exam with this Practice HESI Exam for 2025, featuring 150 expert-verified questions and a comprehensive study guide with detailed answers. Designed for nursing students aiming for success in 2025, this resource covers key adult health topics, including pathophysiology, pharmacology, patient care, and nursing interventions, aligned with the latest HESI standards. Each of the 150 questions is crafted to mirror the real exam format, with detailed answers providing in-depth explanations to enhance understanding and critical thinking. This study guide is your essential tool to master the HESI Adult Health exam and excel in your nursing career.
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The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet
PO PRN, for a client with chronic kidney disease (CKD) who is complaining of indigestion.
What intervention should the nurse implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider’s prescription. – – correct ans- -d. Question the
healthcare provider’s prescription.
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of
hypermagnesemia, so this prescription should be questioned by the nurse.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
Sodium.
Antidiuretic hormone.
Potassium.
Glucose. – – correct ans- -Potassium
Rationale
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of
potassium (hypokalemia). Hypertension, along with the hypokalemia are the most
prominent and universal signs for this condition. If both of these findings are present, there
is 50% likelihood the client to be diagnosed with hyperaldosteronism.
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux
during sleep. Which recommendation by the nurse is most effective to assist the client?
Losing weight.
Decreasing caffeine intake.
Avoiding large meals.
Raising the head of the bed on blocks. – – correct ans- -Raising the head of the bed on
blocks.
Rationale
Raising the head of the bed on blocks (reverse Trendelenburg position) to reduce reflux and
subsequent aspiration is the most non-pharmacological effective recommendation for a
client experiencing severe gastroesophageal reflux during sleep.
PO PRN, for a client with chronic kidney disease (CKD) who is complaining of indigestion.
What intervention should the nurse implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider’s prescription. – – correct ans- -d. Question the
healthcare provider’s prescription.
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of
hypermagnesemia, so this prescription should be questioned by the nurse.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
Sodium.
Antidiuretic hormone.
Potassium.
Glucose. – – correct ans- -Potassium
Rationale
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of
potassium (hypokalemia). Hypertension, along with the hypokalemia are the most
prominent and universal signs for this condition. If both of these findings are present, there
is 50% likelihood the client to be diagnosed with hyperaldosteronism.
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux
during sleep. Which recommendation by the nurse is most effective to assist the client?
Losing weight.
Decreasing caffeine intake.
Avoiding large meals.
Raising the head of the bed on blocks. – – correct ans- -Raising the head of the bed on
blocks.
Rationale
Raising the head of the bed on blocks (reverse Trendelenburg position) to reduce reflux and
subsequent aspiration is the most non-pharmacological effective recommendation for a
client experiencing severe gastroesophageal reflux during sleep.
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