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Hesi RN Adult Health I WGU~D444 Exam I

RN Nursing Exam(s) 59 Questions 🔒 Premium Content

Exam evaluates a nursing student's knowledge and clinical judgment related to adult medical-surgical nursing. It covers body system disorders, nursing care of adults with acute and chronic conditions, and prioritization of patient needs. Topics include cardiovascular, respiratory, gastrointestinal, endocrine, renal, neurologic, musculoskeletal, and integumentary disorders, as well as fluid/electrolyte imbalances and emergency care.

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Q1: Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

A. Use salt tablets after strenuous exercise.
B. Drink plenty of water whenever thirsty.
C. Monitor daily urine output volume.
D. Review food labels for sodium content.
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Q2: A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?

A. Hyperventilation is eliminating carbon dioxide rapidly.
B. High levels of carbon dioxide have accumulated in the blood.
C. Carbon dioxide is converted in the kidneys for elimination.
D. Blood oxygen levels are stimulating the respiratory rate.
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Q3: A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

A. Determine the client's last dose of corticosteroids.
B. Determine neurological baseline prior to the fall.
C. Administer a PRN IV antiemetic as prescribed.
D. Complete head-to-toe neurological assessment.
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Q4: A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

A. Reduction in number of liquid stools.
B. Improved mental status.
C. Increase in urine output.
D. Ability to ambulate independently.
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Q5: Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

A. Provide step-by-step verbal directions.
B. Escort the client to the cafeteria.
C. Use the hospital map to show the client where the cafeteria is located.
D. Orient the client to the color-coding system used for locating hospital services.
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Exam Details
Total Questions: 59 practice questions
Category: RN Nursing Exam(s)
Subcategory: HESI Exam(s)
Domain: Hesi Adult Health
Last Updated: Dec 09, 2025
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