HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
1.-A-client-who-has-been-in-active-labor-for-12-hours-suddenly-tells-the-nurse-that-she-
has-a-strong-urge-to-have-a-bowel-movement.-What-action-should-the-nurse-take?
A.-Allow-the-client-to-use-a-bedpan.
B.-Explain-the-fetal-head-is-descending.
C.-Perform-a-sterile-vaginal-exam.-
D.-Assist-the-client-to-the-bathroom---ANSC.-Perform-a-sterile-vaginal-exam.
2.-The-nurse-assesses-a-78-year-old-male-client-who-has-left-sided-heart-failure.-Which-
symptoms-would-the-nurse-expect-this-client-to-exhibit?
A.-Dyspnea,-cough-and-fatigue.-
B.-Hepatomegaly-and-distended-neck-veins.
C.-Pain-over-the-pericardium-and-friction-rub.
D.-Narrowing-pulse-pressure-and-distant-heart-sounds.---ANSA.-Dyspnea,-cough-and-
fatigue.
3.-A-female-client-comes-to-the-clinic-complaining-of-fatigue-and-inability-to-sleep-
because-she-is-the-full-time-caretaker-for-a-22-year-old-son-who-was-paralyzed-by-a-
motor-vehicle-collision.-She-adds-that-her-husband-left-her-because-he-says-he-can't-
take-her-behavior-anymore-since-all-she-does-is-care-for-their-son.-What-intervention-
should-the-nurse-implement?
A.-Teach-the-client-to-problem-solve-for-herself-and-establish-her-own-priorities.
B.-Schedule-a-home-visit-in-the-afternoon-to-assess-the-son-and-client's-role-as-
caregiver.
C.-Provide-feedback-to-the-client-about-her-atonement-for-guilt-about-her-son's-
impairment.
D.-Acknowledge-the-client's-stress-and-suggest-that-she-consider-respite-care.---ANSD.-
Acknowledge-the-client's-stress-and-suggest-that-she-consider-respite-care.
4.-The-nurse-plans-to-administer-a-scheduled-dose-of-metoprolol-(Toprol-SR)-at-0900-to-
a-client-with-hypertension.-At-0800,-the-nurse-notes-that-the-client's-telemetry-pattern-
shows-a-second-degree-heart-block-with-a-ventricular-rate-of-50.-What-action-should-
the-nurse-take?
A.-Administer-the-Toprol-immediately-and-monitor-the-client-carefully-until-the-heart-rate-
increases.
B.-Provide-the-dose-of-Toprol-as-scheduled-and-assign-a-UAP-to-monitor-the-client's-BP-
q30-minutes.
C.-Hold-the-scheduled-dose-of-Toprol-and-notify-the-healthcare-provider-of-the-
telemetry-pattern.-
D.-Give-the-Toprol-as-scheduled-if-the-client's-systolic-blood-pressure-reading-is-greater-
than-180.---ANSC.-Hold-the-scheduled-dose-of-Toprol-and-notify-the-healthcare-
provider-of-the-telemetry-pattern.
5.-A-client-who-developed-Syndrome-of-Inappropriate-Antidiuretic-Hormone-(SIADH)-
associated-with-small-cell-carcinoma-of-the-lung-is-preparing-for-discharge.-When-
,HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
teaching-the-client-about-self-management-with-demeclocycline-(Declomycin),-the-
nurse-should-instruct-the-client-to-report-which-condition-to-the-healthcare-provider?
A.-Anxiety.
B.-Insomnia.
C.-Muscle-cramping.-
D.-Increased-appetite---ANSC.-Muscle-cramping.
6.-In-determining-the-client-position-for-insertion-of-an-indwelling-urinary-catheter,-it-is-
most-important-for-the-nurse-to-recognize-which-client-condition?
A.-High-urinary-pH.
B.-Fever.
C.-Abdominal-ascites.
D.-Orthopnea.---ANSD.-Orthopnea.
7.-The-nurse-is-reviewing-a-client's-electrocardiogram-and-determines-that-the-PR-
interval-(PRI)-is-prolonged.-What-does-this-finding-indicate?
A.-Inability-of-the-SA-node-to-initiate-an-impulse-at-the-normal-rate.
B.-Initiation-of-the-impulse-from-a-location-outside-the-SA-node.
C.-Increased-conduction-time-from-the-SA-node-to-the-AV-junction.-
D.-Interference-with-the-conduction-through-one-or-both-ventricles.---ANSC.-Increased-
conduction-time-from-the-SA-node-to-the-AV-junction.
8.-The-nurse-is-teaching-a-male-client-with-multiple-sclerosis-how-to-empty-his-bladder-
using-the-Crede-Method.-When-performing-a-return-demonstration,-the-client-applies-
pressure-to-the-umbilical-area-of-his-abdomen.-What-instruction-should-the-nurse-
provide?
A.-Stroke-the-inner-thigh-below-the-perineum-to-initiate-urinary-flow.
B.-Pour-warm-water-over-the-external-sphincter-at-the-distal-glans.
C.-Apply-downward-manual-pressure-at-the-suprapubic-region.-
D.-Contract,-hold,-and-then-relax-the-pubococcygeal-muscle.---ANSC.-Apply-downward-
manual-pressure-at-the-suprapubic-region.
9.-A-35-year-old-female-client-has-just-been-admitted-to-the-postanesthesia-recovery-
unit-following-a-partial-thyroidectomy.-Which-statement-reflects-the-nurse's-accurate-
understanding-of-the-expected-outcome-for-the-client-following-this-surgery?
A.-Supplemental-hormonal-therapy-will-probably-be-unnecessary.-
B.-The-thyroid-will-regenerate-to-a-normal-size-within-a-few-years.
C.-The-client-will-be-restricted-from-eating-seafood.
D.-The-remainder-of-the-thyroid-will-be-removed-at-a-later-date.---ANSA.-Supplemental-
hormonal-therapy-will-probably-be-unnecessary.
10.-A-client-with-gestational-diabetes,-at-39-weeks-gestation,-is-in-the-second-stage-of-
labor.-After-delivery-of-the-fetal-head,-the-nurse-recognizes-that-shoulder-dystocia-is-
occurring.-What-intervention-should-the-nurse-implement-first?
,HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
A.-Lower-the-head-of-the-bed-and-apply-suprapubic-pressure.
B.-Encourage-the-client-to-move-to-a-hands-and-knees-position.
C.-Prepare-the-client-for-an-emergency-cesarean-birth.
D.-Assist-the-client-to-sharply-flex-her-thighs-up-against-the-abdomen.---ANSD.-Assist-
the-client-to-sharply-flex-her-thighs-up-against-the-abdomen.
11.-The-nurse-should-observe-most-closely-for-drug-toxicity-when-a-client-receives-a-
medication-that-has-which-characteristic?
A.-Rapid-onset-of-action.
B.-Low-bioavailability.
.C-Narrow-therapeutic-index.-
D.-Short-half-life.---ANSC-Narrow-therapeutic-index.
12.-Following-insertion-of-a-LeVeen-shunt-in-a-client-with-cirrhosis-of-the-liver,-which-
assessment-finding-indicates-to-the-nurse-that-the-shunt-is-effective?
A.-Decreased-abdominal-girth.-
B.-Increased-blood-pressure.
C.-Clear-breath-sounds.
D.-Decreased-serum-albumin.---ANSA.-Decreased-abdominal-girth.
13.-When-finding-a-client-sitting-on-the-floor,-the-nurse-calls-for-help-from-the-
unlicensed-assistive-personnel-(UAP).-Which-task-should-the-nurse-ask-the-UAP-to-do?
A.-Check-for-any-abrasions-or-bruises.
B.-Help-the-client-to-stand.
C.-Get-a-blood-pressure-cuff.-
D.-Report-the-fall-to-the-nurse-manager.---ANSC.-Get-a-blood-pressure-cuff.
14.-During-the-initial-newborn-assessment,-the-nurse-finds-that-a-newborn's-heart-rate-
is-irregular.-Which-intervention-should-the-nurse-implement?
A.-Notify-the-pediatrician-immediately.
B.-Teach-the-parents-about-congenital-heart-defects.
C.-Document-the-finding-in-the-infant's-record.-
D.-Apply-oxygen-per-nasal-cannula-at-3-L/min.---ANSC.-Document-the-finding-in-the-
infant's-record.
15.-A-client-is-diagnosed-with-a-frontal-lobe-glioma,-which-is-a-benign-brain-tumor.-
When-teaching-the-client-about-the-tumor,-which-information-should-the-nurse-consider?
A.-Surgery-is-not-indicated-unless-the-tumor-becomes-malignant.
B.-Vision-and-hearing-will-be-affected-in-the-future.
C.-If-the-tumor-metastasizes,-surgical-intervention-is-necessary.
D.-Personality-changes-or-expressive-aphasia-are-likely.---ANSD.-Personality-changes-
or-expressive-aphasia-are-likely.
, HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
16.-A-client-who-has-suffered-3rd-degree-burns-over-60%-of-the-body-is-admitted-to-the-
emergency-department.-The-healthcare-provider-writes-a-prescription-for-"IV-Lactated-
Ringer's-350-ml/hr".-Which-intervention-should-the-nurse-implement?
A.-Administer-the-Lactated-Ringer's-at-350-ml/hr-via-gravity-infusion.
B.-Collaborate-with-the-pharmacist-to-recalculate-the-infusion-rate.
C.-Obtain-an-intravenous-infusion-pump-prior-to-administering-the-IV.-
D.-Call-the-healthcare-provider-and-question-the-prescription---ANSC.-Obtain-an-
intravenous-infusion-pump-prior-to-administering-the-IV.
17.-A-male-client-with-HIV,-who-is-being-admitted-to-a-healthcare-facility,-tells-the-nurse-
that-he-is-concerned-about-his-right-to-have-access-to-his-records-and-explanations-
regarding-his-treatment-and-the-cost-of-such-treatment.-Which-resource-should-guide-
the-nurse's-response-to-this-client?
A.-The-Patient's-Bill-of-Rights.-
B.-The-hospital-policy-and-procedure-manual.
C.-The-Nurse-Practice-Act.
D.-The-client's-Durable-Power-of-Attorney.---ANSA.-The-Patient's-Bill-of-Rights.
18.-When-assessing-the-oral-temperature-of-an-adult-client-at-6:00-pm,-the-nurse-notes-
that-the-client's-temperature-at-6:00-am-was-97.2,-and-is-now-98.8.-Which-intervention-
should-the-nurse-implement?
A.-Document-this-intermittent-fever-in-the-nurse's-notes.
B.-Administer-a-PRN-dose-of-medication-to-reduce-the-fever.
C.-Document-this-temperature-variation-on-the-graphic-sheet.-
D.-Notify-the-healthcare-provider-of-the-increase-in-temperature.---ANSC.-Document-
this-temperature-variation-on-the-graphic-sheet.
19.-It-would-be-of-greatest-benefit-for-the-client-with-which-problem-related-to-diabetes-
mellitus-to-change-from-the-use-of-insulin-syringes-to-using-an-insulin-pen-for-
medication-administration?
A.-Lipodystrophy-from-continuous-use-of-one-injection-site.
B.-Hyperglycemia-due-to-noncompliance-with-diet.
C.-Diminished-dexterity-due-to-finger-paresthesias.-
D.-Blindness-secondary-to-diabetic-retinopathy---ANSC.-Diminished-dexterity-due-to-
finger-paresthesias.
20.-A-one-year-old-child-with-neuroblastoma-is-crying-continuously-and-is-curled-into-a-
fetal-position.-What-action-is-most-important-for-the-nurse-to-implement?
A.-Give-a-prescribed-analgesic.-
B.-Reduce-light-and-noise-in-the-room.
C.-Offer-the-child-a-favorite-toy-to-clutch.
D.-Ask-the-parent-to-rock-the-child.---ANSA.-Give-a-prescribed-analgesic.
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
1.-A-client-who-has-been-in-active-labor-for-12-hours-suddenly-tells-the-nurse-that-she-
has-a-strong-urge-to-have-a-bowel-movement.-What-action-should-the-nurse-take?
A.-Allow-the-client-to-use-a-bedpan.
B.-Explain-the-fetal-head-is-descending.
C.-Perform-a-sterile-vaginal-exam.-
D.-Assist-the-client-to-the-bathroom---ANSC.-Perform-a-sterile-vaginal-exam.
2.-The-nurse-assesses-a-78-year-old-male-client-who-has-left-sided-heart-failure.-Which-
symptoms-would-the-nurse-expect-this-client-to-exhibit?
A.-Dyspnea,-cough-and-fatigue.-
B.-Hepatomegaly-and-distended-neck-veins.
C.-Pain-over-the-pericardium-and-friction-rub.
D.-Narrowing-pulse-pressure-and-distant-heart-sounds.---ANSA.-Dyspnea,-cough-and-
fatigue.
3.-A-female-client-comes-to-the-clinic-complaining-of-fatigue-and-inability-to-sleep-
because-she-is-the-full-time-caretaker-for-a-22-year-old-son-who-was-paralyzed-by-a-
motor-vehicle-collision.-She-adds-that-her-husband-left-her-because-he-says-he-can't-
take-her-behavior-anymore-since-all-she-does-is-care-for-their-son.-What-intervention-
should-the-nurse-implement?
A.-Teach-the-client-to-problem-solve-for-herself-and-establish-her-own-priorities.
B.-Schedule-a-home-visit-in-the-afternoon-to-assess-the-son-and-client's-role-as-
caregiver.
C.-Provide-feedback-to-the-client-about-her-atonement-for-guilt-about-her-son's-
impairment.
D.-Acknowledge-the-client's-stress-and-suggest-that-she-consider-respite-care.---ANSD.-
Acknowledge-the-client's-stress-and-suggest-that-she-consider-respite-care.
4.-The-nurse-plans-to-administer-a-scheduled-dose-of-metoprolol-(Toprol-SR)-at-0900-to-
a-client-with-hypertension.-At-0800,-the-nurse-notes-that-the-client's-telemetry-pattern-
shows-a-second-degree-heart-block-with-a-ventricular-rate-of-50.-What-action-should-
the-nurse-take?
A.-Administer-the-Toprol-immediately-and-monitor-the-client-carefully-until-the-heart-rate-
increases.
B.-Provide-the-dose-of-Toprol-as-scheduled-and-assign-a-UAP-to-monitor-the-client's-BP-
q30-minutes.
C.-Hold-the-scheduled-dose-of-Toprol-and-notify-the-healthcare-provider-of-the-
telemetry-pattern.-
D.-Give-the-Toprol-as-scheduled-if-the-client's-systolic-blood-pressure-reading-is-greater-
than-180.---ANSC.-Hold-the-scheduled-dose-of-Toprol-and-notify-the-healthcare-
provider-of-the-telemetry-pattern.
5.-A-client-who-developed-Syndrome-of-Inappropriate-Antidiuretic-Hormone-(SIADH)-
associated-with-small-cell-carcinoma-of-the-lung-is-preparing-for-discharge.-When-
,HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
teaching-the-client-about-self-management-with-demeclocycline-(Declomycin),-the-
nurse-should-instruct-the-client-to-report-which-condition-to-the-healthcare-provider?
A.-Anxiety.
B.-Insomnia.
C.-Muscle-cramping.-
D.-Increased-appetite---ANSC.-Muscle-cramping.
6.-In-determining-the-client-position-for-insertion-of-an-indwelling-urinary-catheter,-it-is-
most-important-for-the-nurse-to-recognize-which-client-condition?
A.-High-urinary-pH.
B.-Fever.
C.-Abdominal-ascites.
D.-Orthopnea.---ANSD.-Orthopnea.
7.-The-nurse-is-reviewing-a-client's-electrocardiogram-and-determines-that-the-PR-
interval-(PRI)-is-prolonged.-What-does-this-finding-indicate?
A.-Inability-of-the-SA-node-to-initiate-an-impulse-at-the-normal-rate.
B.-Initiation-of-the-impulse-from-a-location-outside-the-SA-node.
C.-Increased-conduction-time-from-the-SA-node-to-the-AV-junction.-
D.-Interference-with-the-conduction-through-one-or-both-ventricles.---ANSC.-Increased-
conduction-time-from-the-SA-node-to-the-AV-junction.
8.-The-nurse-is-teaching-a-male-client-with-multiple-sclerosis-how-to-empty-his-bladder-
using-the-Crede-Method.-When-performing-a-return-demonstration,-the-client-applies-
pressure-to-the-umbilical-area-of-his-abdomen.-What-instruction-should-the-nurse-
provide?
A.-Stroke-the-inner-thigh-below-the-perineum-to-initiate-urinary-flow.
B.-Pour-warm-water-over-the-external-sphincter-at-the-distal-glans.
C.-Apply-downward-manual-pressure-at-the-suprapubic-region.-
D.-Contract,-hold,-and-then-relax-the-pubococcygeal-muscle.---ANSC.-Apply-downward-
manual-pressure-at-the-suprapubic-region.
9.-A-35-year-old-female-client-has-just-been-admitted-to-the-postanesthesia-recovery-
unit-following-a-partial-thyroidectomy.-Which-statement-reflects-the-nurse's-accurate-
understanding-of-the-expected-outcome-for-the-client-following-this-surgery?
A.-Supplemental-hormonal-therapy-will-probably-be-unnecessary.-
B.-The-thyroid-will-regenerate-to-a-normal-size-within-a-few-years.
C.-The-client-will-be-restricted-from-eating-seafood.
D.-The-remainder-of-the-thyroid-will-be-removed-at-a-later-date.---ANSA.-Supplemental-
hormonal-therapy-will-probably-be-unnecessary.
10.-A-client-with-gestational-diabetes,-at-39-weeks-gestation,-is-in-the-second-stage-of-
labor.-After-delivery-of-the-fetal-head,-the-nurse-recognizes-that-shoulder-dystocia-is-
occurring.-What-intervention-should-the-nurse-implement-first?
,HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
A.-Lower-the-head-of-the-bed-and-apply-suprapubic-pressure.
B.-Encourage-the-client-to-move-to-a-hands-and-knees-position.
C.-Prepare-the-client-for-an-emergency-cesarean-birth.
D.-Assist-the-client-to-sharply-flex-her-thighs-up-against-the-abdomen.---ANSD.-Assist-
the-client-to-sharply-flex-her-thighs-up-against-the-abdomen.
11.-The-nurse-should-observe-most-closely-for-drug-toxicity-when-a-client-receives-a-
medication-that-has-which-characteristic?
A.-Rapid-onset-of-action.
B.-Low-bioavailability.
.C-Narrow-therapeutic-index.-
D.-Short-half-life.---ANSC-Narrow-therapeutic-index.
12.-Following-insertion-of-a-LeVeen-shunt-in-a-client-with-cirrhosis-of-the-liver,-which-
assessment-finding-indicates-to-the-nurse-that-the-shunt-is-effective?
A.-Decreased-abdominal-girth.-
B.-Increased-blood-pressure.
C.-Clear-breath-sounds.
D.-Decreased-serum-albumin.---ANSA.-Decreased-abdominal-girth.
13.-When-finding-a-client-sitting-on-the-floor,-the-nurse-calls-for-help-from-the-
unlicensed-assistive-personnel-(UAP).-Which-task-should-the-nurse-ask-the-UAP-to-do?
A.-Check-for-any-abrasions-or-bruises.
B.-Help-the-client-to-stand.
C.-Get-a-blood-pressure-cuff.-
D.-Report-the-fall-to-the-nurse-manager.---ANSC.-Get-a-blood-pressure-cuff.
14.-During-the-initial-newborn-assessment,-the-nurse-finds-that-a-newborn's-heart-rate-
is-irregular.-Which-intervention-should-the-nurse-implement?
A.-Notify-the-pediatrician-immediately.
B.-Teach-the-parents-about-congenital-heart-defects.
C.-Document-the-finding-in-the-infant's-record.-
D.-Apply-oxygen-per-nasal-cannula-at-3-L/min.---ANSC.-Document-the-finding-in-the-
infant's-record.
15.-A-client-is-diagnosed-with-a-frontal-lobe-glioma,-which-is-a-benign-brain-tumor.-
When-teaching-the-client-about-the-tumor,-which-information-should-the-nurse-consider?
A.-Surgery-is-not-indicated-unless-the-tumor-becomes-malignant.
B.-Vision-and-hearing-will-be-affected-in-the-future.
C.-If-the-tumor-metastasizes,-surgical-intervention-is-necessary.
D.-Personality-changes-or-expressive-aphasia-are-likely.---ANSD.-Personality-changes-
or-expressive-aphasia-are-likely.
, HESI A2 Version 3 Complete Exam – Grammar, Math,
Reading, Biology, Vocabulary, Chemistry & Anatomy |
Questions & Answers
16.-A-client-who-has-suffered-3rd-degree-burns-over-60%-of-the-body-is-admitted-to-the-
emergency-department.-The-healthcare-provider-writes-a-prescription-for-"IV-Lactated-
Ringer's-350-ml/hr".-Which-intervention-should-the-nurse-implement?
A.-Administer-the-Lactated-Ringer's-at-350-ml/hr-via-gravity-infusion.
B.-Collaborate-with-the-pharmacist-to-recalculate-the-infusion-rate.
C.-Obtain-an-intravenous-infusion-pump-prior-to-administering-the-IV.-
D.-Call-the-healthcare-provider-and-question-the-prescription---ANSC.-Obtain-an-
intravenous-infusion-pump-prior-to-administering-the-IV.
17.-A-male-client-with-HIV,-who-is-being-admitted-to-a-healthcare-facility,-tells-the-nurse-
that-he-is-concerned-about-his-right-to-have-access-to-his-records-and-explanations-
regarding-his-treatment-and-the-cost-of-such-treatment.-Which-resource-should-guide-
the-nurse's-response-to-this-client?
A.-The-Patient's-Bill-of-Rights.-
B.-The-hospital-policy-and-procedure-manual.
C.-The-Nurse-Practice-Act.
D.-The-client's-Durable-Power-of-Attorney.---ANSA.-The-Patient's-Bill-of-Rights.
18.-When-assessing-the-oral-temperature-of-an-adult-client-at-6:00-pm,-the-nurse-notes-
that-the-client's-temperature-at-6:00-am-was-97.2,-and-is-now-98.8.-Which-intervention-
should-the-nurse-implement?
A.-Document-this-intermittent-fever-in-the-nurse's-notes.
B.-Administer-a-PRN-dose-of-medication-to-reduce-the-fever.
C.-Document-this-temperature-variation-on-the-graphic-sheet.-
D.-Notify-the-healthcare-provider-of-the-increase-in-temperature.---ANSC.-Document-
this-temperature-variation-on-the-graphic-sheet.
19.-It-would-be-of-greatest-benefit-for-the-client-with-which-problem-related-to-diabetes-
mellitus-to-change-from-the-use-of-insulin-syringes-to-using-an-insulin-pen-for-
medication-administration?
A.-Lipodystrophy-from-continuous-use-of-one-injection-site.
B.-Hyperglycemia-due-to-noncompliance-with-diet.
C.-Diminished-dexterity-due-to-finger-paresthesias.-
D.-Blindness-secondary-to-diabetic-retinopathy---ANSC.-Diminished-dexterity-due-to-
finger-paresthesias.
20.-A-one-year-old-child-with-neuroblastoma-is-crying-continuously-and-is-curled-into-a-
fetal-position.-What-action-is-most-important-for-the-nurse-to-implement?
A.-Give-a-prescribed-analgesic.-
B.-Reduce-light-and-noise-in-the-room.
C.-Offer-the-child-a-favorite-toy-to-clutch.
D.-Ask-the-parent-to-rock-the-child.---ANSA.-Give-a-prescribed-analgesic.
