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HESI A2 ENTRANCE EXAM| HESI ENTRANCE TEX
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T BANK ALL QUESTIONS AND CORRECT ANSWER
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S| MOST RECENT AND COMPLETE VERSION ALRE
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ADY GRADED A+| BRAND NEW!!!!!
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1. Followinghdischargehteaching,hahmalehclienthwithhduodenalhulcerhtellshthehnursehth
e he will drink plenty of dairy products, such as milk, to help coat and protect his u
h h h h h h h h h h h h h h h h h
lcer. What is the best follow-up action by the nurse?
h h h h h h h h h
• Review with the client the need to avoid foods that are rich in milk and cr
h h h h h h h h h h h h h h h
eam
2. Ahmalehclienthwithhhypertension,hwhohreceivedhnewhantihypertensivehprescriptio
ns at his last visit returns to the clinic two weeks later to evaluate his blood pressu
h h h h h h h h h h h h h h h h
re (BP). His BPis 158/106 and he admits that he has not been taking the prescribe
h h h h h h h h h h h h h h h
d medication because the drugs make him ―feel bad‖. In explaining the need for
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hypertension control, the nurse should stress that an elevated BP places the client
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hat risk for which pathophysiological condition?
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• Stroke secondary to hemorrhage h h h
3. Thehnursehobserveshanhunlicensedhassistivehpersonnelh(UAP)hpositioninghahnew
ly admitted client who has a seizure disorder. The client is supine and the UAP i
h h h h h h h h h h h h h h h
s placingsoft pillows along the side rails. What action should the nurse implem
h h h h h h h h h h h h
ent?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
h h h h h h h h h h h h h h
pillows.
4. Anhadolescenthwithhmajorhdepressivehdisorderhhashbeenhtakinghduloxetineh(Cym
balta) forthe past 12 days. Which assessment finding requires immediate follow-
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up?
• Describes life without purpose h h h
5. Ah60-year-
old female client with a positive family history of ovarian cancer has develope
h h h h h h h h h h h h
d an abdominal mass and is being evaluated for possible ovarian cancer. Her Pa
h h h h h h h h h h h h h
panicolau (Pap) h
,smear results are negative. What information should the nurse includein the client’s teachin
h h h h h h h h h h h h
g plan?
h
• Further evaluation involving surgery may be needed
h h h h h h
6. Ahclienthwhohrecentlyhunderwearhahtracheostomyhishbeinghpreparedhforhdis
charge to home.Which instructions is most important for the nurse to incl
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ude in the discharge plan?
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• Teach tracheal suctioning techniques h h h
7. Inhassessinghanhadulthclienthwithhahpartialhrebreatherhmask,hthehnursehnoteshthathth
e oxygen
h
reservoir bag does not deflate completely during inspiration and the client’s respiratoryrate
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his 14 breaths / minute. What action should the nurse implement?
h h h h h h h h h h
• Document the assessment data h h h
• Rational: reservoir bag should not deflate completely during inspiration a
h h h h h h h h h
nd theclient’s respiratory rate is within normal limits.
h h h h h h h
8. Duringhshifthreport,hthehcentralhelectrocardiogramh(EKG)hmonitoringhsystemha
larms.Which client alarm should the nurse investigate firs?
h h h h h h h
• Respiratory apnea of 30 seconds h h h h
9. Duringhahhomehvisit,hthehnursehobservedhanhelderlyhclienthwithhdiabeteshsliphandhfa
ll. Whath
action should the nurse take first?
h h h h h
• Check the client for lacerations or fractures
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10. Ath0600hwhilehadmittinghahwomanhforhahschedulehrepeathcesareanhsectionh(C-
Section), the h
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoidgettin
h h h h h h h h h h h h h h h h h
g a headache. Which action should the nurse take first?
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• Inform the anesthesia care provider
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11. Afterhplacinghahstethoscopehashseenhinhthehpicture,hthehnursehauscultateshS1handhS
2 heart
h
sounds. To determine if an S3 heart sound is present, what action should the nurse takefirst?
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• Listen with the bell at the same location
h h h h h h h
12. Ah66-year-
old woman is retiring and will no longer have a health insurance through her
h h h h h h h h h h h h h
place of employment. Which agency should the client be referred to by the employeehealth
h h h h h h h h h h h h h h
nurse for health insurance needs?
h h h h
• Medicare
13. Ahclienthwhohishtakinghanhoralhdosehofhahtetracyclinehcomplainshofhgastrointesti
nal upset.What snack should the nurse instruct the client to take with the tetrac
h h h h h h h h h h h h h
ycline?
• Toasted wheat bread and jelly h h h h
14. Followinghahlumbarhpuncture,hahclienthvoiceshseveralhcomplaints.hWhathcomplai
ntindicated to the nurse that the client is experiencing a complication?
h h h h h h h h h h
• “I have a headache that gets worse when I sit up”
h h h h h h h h h h
• ―I am having pain in my lower back when I move my legs‖
h h h h h h h h h h h h
• ―My throat hurts when I swallow‖
h h h h h
• “I feel sick to my stomach and am going to throw up”
h h h h h h h h h h h
15. Anhelderlyhclienthseemshconfusedhandhreportshthehonsethofhnausea,hdysuria,handhur
gencywith incontinence. Which action should the nurse implement?
h h h h h h h
• Obtain a clean catch mid-stream specimen
h h h h h
16. Thehnursehishassistinghthehmotherhofhahchildhwithhphenylketonuriah(PKU)htohse
lect foods that are in keeping with the child’s dietary restrictions. Which foo
h h h h h h h h h h h h
ds are contraindicatedfor this child?
h h h h
• Foods sweetened with aspartameh h h
, 17. Beforehpreparinghahclienthforhthehfirsthsurgicalhcasehofhthehday,hahpart-
time scrub nurse asksthe circulating nurse if a 3 minute
h h h h h h h h h
HESI A2 ENTRANCE EXAM| HESI ENTRANCE TEX
h h h h h h
T BANK ALL QUESTIONS AND CORRECT ANSWER
h h h h h h
S| MOST RECENT AND COMPLETE VERSION ALRE
h h h h h h
ADY GRADED A+| BRAND NEW!!!!!
h h h h
1. Followinghdischargehteaching,hahmalehclienthwithhduodenalhulcerhtellshthehnursehth
e he will drink plenty of dairy products, such as milk, to help coat and protect his u
h h h h h h h h h h h h h h h h h
lcer. What is the best follow-up action by the nurse?
h h h h h h h h h
• Review with the client the need to avoid foods that are rich in milk and cr
h h h h h h h h h h h h h h h
eam
2. Ahmalehclienthwithhhypertension,hwhohreceivedhnewhantihypertensivehprescriptio
ns at his last visit returns to the clinic two weeks later to evaluate his blood pressu
h h h h h h h h h h h h h h h h
re (BP). His BPis 158/106 and he admits that he has not been taking the prescribe
h h h h h h h h h h h h h h h
d medication because the drugs make him ―feel bad‖. In explaining the need for
h h h h h h h h h h h h h h
hypertension control, the nurse should stress that an elevated BP places the client
h h h h h h h h h h h h
hat risk for which pathophysiological condition?
h h h h h
• Stroke secondary to hemorrhage h h h
3. Thehnursehobserveshanhunlicensedhassistivehpersonnelh(UAP)hpositioninghahnew
ly admitted client who has a seizure disorder. The client is supine and the UAP i
h h h h h h h h h h h h h h h
s placingsoft pillows along the side rails. What action should the nurse implem
h h h h h h h h h h h h
ent?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
h h h h h h h h h h h h h h
pillows.
4. Anhadolescenthwithhmajorhdepressivehdisorderhhashbeenhtakinghduloxetineh(Cym
balta) forthe past 12 days. Which assessment finding requires immediate follow-
h h h h h h h h h h
up?
• Describes life without purpose h h h
5. Ah60-year-
old female client with a positive family history of ovarian cancer has develope
h h h h h h h h h h h h
d an abdominal mass and is being evaluated for possible ovarian cancer. Her Pa
h h h h h h h h h h h h h
panicolau (Pap) h
,smear results are negative. What information should the nurse includein the client’s teachin
h h h h h h h h h h h h
g plan?
h
• Further evaluation involving surgery may be needed
h h h h h h
6. Ahclienthwhohrecentlyhunderwearhahtracheostomyhishbeinghpreparedhforhdis
charge to home.Which instructions is most important for the nurse to incl
h h h h h h h h h h h
ude in the discharge plan?
h h h h
• Teach tracheal suctioning techniques h h h
7. Inhassessinghanhadulthclienthwithhahpartialhrebreatherhmask,hthehnursehnoteshthathth
e oxygen
h
reservoir bag does not deflate completely during inspiration and the client’s respiratoryrate
h h h h h h h h h h h
his 14 breaths / minute. What action should the nurse implement?
h h h h h h h h h h
• Document the assessment data h h h
• Rational: reservoir bag should not deflate completely during inspiration a
h h h h h h h h h
nd theclient’s respiratory rate is within normal limits.
h h h h h h h
8. Duringhshifthreport,hthehcentralhelectrocardiogramh(EKG)hmonitoringhsystemha
larms.Which client alarm should the nurse investigate firs?
h h h h h h h
• Respiratory apnea of 30 seconds h h h h
9. Duringhahhomehvisit,hthehnursehobservedhanhelderlyhclienthwithhdiabeteshsliphandhfa
ll. Whath
action should the nurse take first?
h h h h h
• Check the client for lacerations or fractures
h h h h h h
10. Ath0600hwhilehadmittinghahwomanhforhahschedulehrepeathcesareanhsectionh(C-
Section), the h
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoidgettin
h h h h h h h h h h h h h h h h h
g a headache. Which action should the nurse take first?
h h h h h h h h h
,3h|hPh ah gh e
• Inform the anesthesia care provider
h h h h
11. Afterhplacinghahstethoscopehashseenhinhthehpicture,hthehnursehauscultateshS1handhS
2 heart
h
sounds. To determine if an S3 heart sound is present, what action should the nurse takefirst?
h h h h h h h h h h h h h h h
• Listen with the bell at the same location
h h h h h h h
12. Ah66-year-
old woman is retiring and will no longer have a health insurance through her
h h h h h h h h h h h h h
place of employment. Which agency should the client be referred to by the employeehealth
h h h h h h h h h h h h h h
nurse for health insurance needs?
h h h h
• Medicare
13. Ahclienthwhohishtakinghanhoralhdosehofhahtetracyclinehcomplainshofhgastrointesti
nal upset.What snack should the nurse instruct the client to take with the tetrac
h h h h h h h h h h h h h
ycline?
• Toasted wheat bread and jelly h h h h
14. Followinghahlumbarhpuncture,hahclienthvoiceshseveralhcomplaints.hWhathcomplai
ntindicated to the nurse that the client is experiencing a complication?
h h h h h h h h h h
• “I have a headache that gets worse when I sit up”
h h h h h h h h h h
• ―I am having pain in my lower back when I move my legs‖
h h h h h h h h h h h h
• ―My throat hurts when I swallow‖
h h h h h
• “I feel sick to my stomach and am going to throw up”
h h h h h h h h h h h
15. Anhelderlyhclienthseemshconfusedhandhreportshthehonsethofhnausea,hdysuria,handhur
gencywith incontinence. Which action should the nurse implement?
h h h h h h h
• Obtain a clean catch mid-stream specimen
h h h h h
16. Thehnursehishassistinghthehmotherhofhahchildhwithhphenylketonuriah(PKU)htohse
lect foods that are in keeping with the child’s dietary restrictions. Which foo
h h h h h h h h h h h h
ds are contraindicatedfor this child?
h h h h
• Foods sweetened with aspartameh h h
, 17. Beforehpreparinghahclienthforhthehfirsthsurgicalhcasehofhthehday,hahpart-
time scrub nurse asksthe circulating nurse if a 3 minute
h h h h h h h h h