HESI A2 - GRAMMAR (QUESTIONS) EXAM
2026 WITH 100% CORRECT ANSWERS
1. Why is the presence of red streaks tracking the vein considered a critical
finding during an IV site assessment?
ReEXd streaks are a sign of dehydration.
Red streaks suggest that the IV is functioning well.
Red streaks are normal and indicate proper IV placement.
Red streaks indicate possible phlebitis or infection, which
requires immediate intervention.
2. The nurse is caring for a patient experiencing dyspnea. Which position
would be most effective to support ventilation?
Supine
High Fowler's
Low Fowler's
Side-lying
3. The nurse employed in the ED is assigned to assist with the triage of
clients arriving to the ED. The nurse should assign priority to which
client?
A client with a minor laceration on the index finger sustained
while cutting an eggplant
A client who twisted her ankle when she fell in line skating
A client with chest pain who states that he just ate pizza that
was mad with a very spicy sauce
A client complaining of muscle aches, a headache, and malaise
,4. What is the primary nursing intervention for a client with flail chest due
, to rib fractures?
Insert nasal airway
Splint affected side
Coach through taking deep breaths
Apply a non-rebreather mask
5. What is the primary concern for a nurse when assessing a client who has
attempted suicide?
The drugs the client used for the suicide attempt
The client's previous hospitalizations
The client's family history of mental illness
The client's current living situation
6. Which nursing intervention should be approached with caution in a
client with COPD experiencing chest pain?
Administering narcotics for pain relief
Monitoring telemetry and cardiac rhythm
Increasing the client's fluid intake
Assisting client to cough and deep breath
7. ******When providing client care the nurse identifies a problem and
develops a related clinical question. Next, the nurse intends to gather
evidence so that the decision-making process in response to the
problem and clinical question is evidence-based. When gathering
evidence, which consideration is most important?
Related personal values
Frequency that the problem occurs
, Relevance to the situation
Past experience with similar problems
8. Which client is experiencing abdominal rigidity due to a volvulus?
The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
The client with an obstruction of the large intestine who is
experiencing abdominal distention
The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid
9. If a client with severe PAD experiences rest ischemia and reports severe
leg pain, what nursing intervention should be prioritized to alleviate the
pain?
Offer cold packs when the pain occurs.
Suggest dangling the legs when pain occurs.
Elevate the legs to assess for color changes.
Provide a heating pad for PRN use.
10. Why is it important for a nurse to withhold spironolactone when a
client's potassium level is 6.2 mEq/L?
Spironolactone has no effect on potassium levels.
Spironolactone can increase potassium levels, leading to
hyperkalemia.
Spironolactone is ineffective in treating hypertension.
Spironolactone is contraindicated for all patients with kidney
2026 WITH 100% CORRECT ANSWERS
1. Why is the presence of red streaks tracking the vein considered a critical
finding during an IV site assessment?
ReEXd streaks are a sign of dehydration.
Red streaks suggest that the IV is functioning well.
Red streaks are normal and indicate proper IV placement.
Red streaks indicate possible phlebitis or infection, which
requires immediate intervention.
2. The nurse is caring for a patient experiencing dyspnea. Which position
would be most effective to support ventilation?
Supine
High Fowler's
Low Fowler's
Side-lying
3. The nurse employed in the ED is assigned to assist with the triage of
clients arriving to the ED. The nurse should assign priority to which
client?
A client with a minor laceration on the index finger sustained
while cutting an eggplant
A client who twisted her ankle when she fell in line skating
A client with chest pain who states that he just ate pizza that
was mad with a very spicy sauce
A client complaining of muscle aches, a headache, and malaise
,4. What is the primary nursing intervention for a client with flail chest due
, to rib fractures?
Insert nasal airway
Splint affected side
Coach through taking deep breaths
Apply a non-rebreather mask
5. What is the primary concern for a nurse when assessing a client who has
attempted suicide?
The drugs the client used for the suicide attempt
The client's previous hospitalizations
The client's family history of mental illness
The client's current living situation
6. Which nursing intervention should be approached with caution in a
client with COPD experiencing chest pain?
Administering narcotics for pain relief
Monitoring telemetry and cardiac rhythm
Increasing the client's fluid intake
Assisting client to cough and deep breath
7. ******When providing client care the nurse identifies a problem and
develops a related clinical question. Next, the nurse intends to gather
evidence so that the decision-making process in response to the
problem and clinical question is evidence-based. When gathering
evidence, which consideration is most important?
Related personal values
Frequency that the problem occurs
, Relevance to the situation
Past experience with similar problems
8. Which client is experiencing abdominal rigidity due to a volvulus?
The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
The client with an obstruction of the large intestine who is
experiencing abdominal distention
The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid
9. If a client with severe PAD experiences rest ischemia and reports severe
leg pain, what nursing intervention should be prioritized to alleviate the
pain?
Offer cold packs when the pain occurs.
Suggest dangling the legs when pain occurs.
Elevate the legs to assess for color changes.
Provide a heating pad for PRN use.
10. Why is it important for a nurse to withhold spironolactone when a
client's potassium level is 6.2 mEq/L?
Spironolactone has no effect on potassium levels.
Spironolactone can increase potassium levels, leading to
hyperkalemia.
Spironolactone is ineffective in treating hypertension.
Spironolactone is contraindicated for all patients with kidney
