HESI A2 Practice Exam Questions & Answers update

HESI A2 ACTUAL EXAM QUESTIONS WITH
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update

◉ V


A nurse has just received a medication order which is not legible. Wh
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ich statement best reflects assertive communication?
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A) "I cannot give this medication as it is written. I have no idea of w
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hat you mean."
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B) "Would you please clarify what you have written so I am sure I am r
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eading it v




correctly?"
C) "I am having difficulty reading your handwriting. It would save
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me time if you would be more careful."
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D) "Please print in the future so I do not have to spend extra time a
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ttempting to read your writing.". Answer: B) "Would you please cl
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arify what you have written so I am sure I am reading it
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correctly?"


◉ What is the most important consideration when teaching parents
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how to reduce risks in the home?
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A) Age and knowledge level of the parents
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B) Proximity to emergency services v v v




C) Number of children in the home v v v v v

,D) Age of children in the home. Answer: D) Age of children in the h
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ome


◉ A 35 year-
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old client with sickle cell crisis is talking on the telephone but
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stops as the nurse enters the room to request something for
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pain. The nurse should
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A) Administer a placebo v v




B) Encourage increased fluid intake v v v




C) Administer the prescribed analgesia v v v




D) Recommend relaxation exercises for pain control. Answer: C) v v v v v v v v



Administer the prescribed analgesia v v v




◉ While caring for a toddler with croup, which initial sign of croup r
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equires the nurse's immediate attention?
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A) Respiratory rate of 42 v v v




B) Lethargy for the past hour v v v v




C) Apical pulse of 54 v v v




D) Coughing up copious secretions. Answer: A) Respiratory rate of
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42


◉ A client is admitted with low T3 and T4 levels and an elevated TSH l
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evel. On initial assessment, the nurse would anticipate which of the fol
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lowing assessment findings?
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A) Lethargy

,B) Heat intolerance v




C) Diarrhea
D) Skin eruptions. Answer: A) Lethargy
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◉ The emergency room nurse admits a child who experienced a s
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eizure at school. The father comments that this is the first occurre
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nce, and denies any family history of epilepsy. What is the best resp
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onse by the nurse?
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A) "Do not worry. Epilepsy can be treated with medications."
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B) "The seizure may or may not mean your child has epilepsy."
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C) "Since this was the first convulsion, it may not happen again."
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D) "Long term treatment will prevent future seizures.". Answer: B) "
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The seizure may or may not mean your child has epilepsy."
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◉ Alcohol and drug abuse impairs judgment and increases risk t
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aking behavior. What nursing diagnosis best applies?
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A) Risk for injury v v




B) Risk for knowledge deficit
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C) Altered thought process v v




D) Disturbance in self-esteem. Answer: A) Risk for injury v v v v v v v




◉ Which these findings would the nurse more closely associate with a
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nemia in a 10 month-old infant?
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, A) Hemoglobin level of 12 g/dI v v v v




B) Pale mucosa of the eyelids and lips
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C) Hypoactivity
D) A heart rate between 140 to 160. Answer: B) Pale mucosa of the e
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yelids and lips v v




◉ The nurse is caring for a client in hypertensive crisis in an intensiv
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e care unit. The priority assessment in the first hour of care is
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A) Heart rate v




B) Pedal pulses v




C) Lung sounds v




D) Pupil responses. Answer: D) Pupil responses
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◉ Which of these clients who are all in the terminal stage of cancer is l
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east appropriate to suggest the use of patient controlled analgesia (PC
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A) with a pump?
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A) A young adult with a history of Down's syndrome
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B) A teenager who reads at a 4th grade level
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C) An elderly client with numerous arthritic nodules on the hands
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D) A preschooler with intermittent episodes of alertness. Answer: D)
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A preschooler with intermittent episodes of alertness
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