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HESI A2 ENTRANCE EXAM| HESI ENTRANCE TEX
d d d d d d
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. Followingddischargedteaching,dadmaledclientdwithdduodenaldulcerdtellsdthednursedth
e he will drink plenty of dairy products, such as milk, to help coat and protect his u
d d d d d d d d d d d d d d d d d
lcer. What is the best follow-up action by the nurse?
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• Review with the client the need to avoid foods that are rich in milk and cr
d d d d d d d d d d d d d d d
eam
2. Admaledclientdwithdhypertension,dwhodreceiveddnewdantihypertensivedprescriptio
ns at his last visit returns to the clinic two weeks later to evaluate his blood pressu
d d d d d d d d d d d d d d d d
re (BP). His BPis 158/106 and he admits that he has not been taking the prescribe
d d d d d d d d d d d d d d d
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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dat risk for which pathophysiological condition?
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• Stroke secondary to hemorrhage d d d
3. Thednursedobservesdandunlicenseddassistivedpersonneld(UAP)dpositioningdadnew
ly admitted client who has a seizure disorder. The client is supine and the UAP i
d d d d d d d d d d d d d d d
s placingsoft pillows along the side rails. What action should the nurse implem
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ent?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
d d d d d d d d d d d d d d
pillows.
4. Andadolescentdwithdmajorddepressiveddisorderdhasdbeendtakingdduloxetined(Cym
balta) forthe past 12 days. Which assessment finding requires immediate follow-
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up?
• Describes life without purpose d d d
5. Ad60-year-
old female client with a positive family history of ovarian cancer has develope
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d an abdominal mass and is being evaluated for possible ovarian cancer. Her Pa
d d d d d d d d d d d d d
panicolau (Pap) d
,smear results are negative. What information should the nurse includein the client’s teachin
d d d d d d d d d d d d
g plan?
d
• Further evaluation involving surgery may be needed
d d d d d d
6. Adclientdwhodrecentlydunderweardadtracheostomydisdbeingdprepareddforddis
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 d d d
7. Indassessingdandadultdclientdwithdadpartialdrebreatherdmask,dthednursednotesdthatdth
e oxygen
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reservoir bag does not deflate completely during inspiration and the client’s respiratoryrate
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dis 14 breaths / minute. What action should the nurse implement?
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• Document the assessment data d d d
• Rational: reservoir bag should not deflate completely during inspiration a
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nd theclient’s respiratory rate is within normal limits.
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8. Duringdshiftdreport,dthedcentraldelectrocardiogramd(EKG)dmonitoringdsystemda
larms.Which client alarm should the nurse investigate firs?
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• Respiratory apnea of 30 seconds d d d d
9. Duringdadhomedvisit,dthednursedobserveddandelderlydclientdwithddiabetesdslipdanddfa
ll. What d
action should the nurse take first?
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• Check the client for lacerations or fractures
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10. Atd0600dwhiledadmittingdadwomandfordadscheduledrepeatdcesareandsectiond(C-
Section), the d
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoidgettin
d d d d d d d d d d d d d d d d d
g a headache. Which action should the nurse take first?
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• Inform the anesthesia care provider
d d d d
11. Afterdplacingdadstethoscopedasdseendindthedpicture,dthednursedauscultatesdS1danddS
2 heart
d
sounds. To determine if an S3 heart sound is present, what action should the nurse takefirst?
d d d d d d d d d d d d d d d
• Listen with the bell at the same location
d d d d d d d
12. Ad66-year-
old woman is retiring and will no longer have a health insurance through her
d d d d d d d d d d d d d
place of employment. Which agency should the client be referred to by the employeehealth
d d d d d d d d d d d d d d
nurse for health insurance needs?
d d d d
• Medicare
13. Adclientdwhodisdtakingdandoralddosedofdadtetracyclinedcomplainsdofdgastrointesti
nal upset.What snack should the nurse instruct the client to take with the tetrac
d d d d d d d d d d d d d
ycline?
• Toasted wheat bread and jelly d d d d
14. Followingdadlumbardpuncture,dadclientdvoicesdseveraldcomplaints.dWhatdcomplai
ntindicated to the nurse that the client is experiencing a complication?
d d d d d d d d d d
• “I have a headache that gets worse when I sit up”
d d d d d d d d d d
• ―I am having pain in my lower back when I move my legs‖
d d d d d d d d d d d d
• ―My throat hurts when I swallow‖
d d d d d
• “I feel sick to my stomach and am going to throw up”
d d d d d d d d d d d
15. Andelderlydclientdseemsdconfuseddanddreportsdthedonsetdofdnausea,ddysuria,danddur
gencywith incontinence. Which action should the nurse implement?
d d d d d d d
• Obtain a clean catch mid-stream specimen
d d d d d
16. Thednursedisdassistingdthedmotherdofdadchilddwithdphenylketonuriad(PKU)dtodse
lect foods that are in keeping with the child’s dietary restrictions. Which foo
d d d d d d d d d d d d
ds are contraindicatedfor this child?
d d d d
• Foods sweetened with aspartamed d d
, 17. Beforedpreparingdadclientdfordthedfirstdsurgicaldcasedofdthedday,dadpart-
time scrub nurse asksthe circulating nurse if a 3 minute
d d d d d d d d d
HESI A2 ENTRANCE EXAM| HESI ENTRANCE TEX
d d d d d d
T BANK ALL QUESTIONS AND CORRECT ANSWER
d d d d d d
S| MOST RECENT AND COMPLETE VERSION ALRE
d d d d d d
ADY GRADED A+| BRAND NEW!!!!!
d d d d
1. Followingddischargedteaching,dadmaledclientdwithdduodenaldulcerdtellsdthednursedth
e he will drink plenty of dairy products, such as milk, to help coat and protect his u
d d d d d d d d d d d d d d d d d
lcer. What is the best follow-up action by the nurse?
d d d d d d d d d
• Review with the client the need to avoid foods that are rich in milk and cr
d d d d d d d d d d d d d d d
eam
2. Admaledclientdwithdhypertension,dwhodreceiveddnewdantihypertensivedprescriptio
ns at his last visit returns to the clinic two weeks later to evaluate his blood pressu
d d d d d d d d d d d d d d d d
re (BP). His BPis 158/106 and he admits that he has not been taking the prescribe
d d d d d d d d d d d d d d d
d medication because the drugs make him ―feel bad‖. In explaining the need for
d d d d d d d d d d d d d d
hypertension control, the nurse should stress that an elevated BP places the client
d d d d d d d d d d d d
dat risk for which pathophysiological condition?
d d d d d
• Stroke secondary to hemorrhage d d d
3. Thednursedobservesdandunlicenseddassistivedpersonneld(UAP)dpositioningdadnew
ly admitted client who has a seizure disorder. The client is supine and the UAP i
d d d d d d d d d d d d d d d
s placingsoft pillows along the side rails. What action should the nurse implem
d d d d d d d d d d d d
ent?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
d d d d d d d d d d d d d d
pillows.
4. Andadolescentdwithdmajorddepressiveddisorderdhasdbeendtakingdduloxetined(Cym
balta) forthe past 12 days. Which assessment finding requires immediate follow-
d d d d d d d d d d
up?
• Describes life without purpose d d d
5. Ad60-year-
old female client with a positive family history of ovarian cancer has develope
d d d d d d d d d d d d
d an abdominal mass and is being evaluated for possible ovarian cancer. Her Pa
d d d d d d d d d d d d d
panicolau (Pap) d
,smear results are negative. What information should the nurse includein the client’s teachin
d d d d d d d d d d d d
g plan?
d
• Further evaluation involving surgery may be needed
d d d d d d
6. Adclientdwhodrecentlydunderweardadtracheostomydisdbeingdprepareddforddis
charge to home.Which instructions is most important for the nurse to incl
d d d d d d d d d d d
ude in the discharge plan?
d d d d
• Teach tracheal suctioning techniques d d d
7. Indassessingdandadultdclientdwithdadpartialdrebreatherdmask,dthednursednotesdthatdth
e oxygen
d
reservoir bag does not deflate completely during inspiration and the client’s respiratoryrate
d d d d d d d d d d d
dis 14 breaths / minute. What action should the nurse implement?
d d d d d d d d d d
• Document the assessment data d d d
• Rational: reservoir bag should not deflate completely during inspiration a
d d d d d d d d d
nd theclient’s respiratory rate is within normal limits.
d d d d d d d
8. Duringdshiftdreport,dthedcentraldelectrocardiogramd(EKG)dmonitoringdsystemda
larms.Which client alarm should the nurse investigate firs?
d d d d d d d
• Respiratory apnea of 30 seconds d d d d
9. Duringdadhomedvisit,dthednursedobserveddandelderlydclientdwithddiabetesdslipdanddfa
ll. What d
action should the nurse take first?
d d d d d
• Check the client for lacerations or fractures
d d d d d d
10. Atd0600dwhiledadmittingdadwomandfordadscheduledrepeatdcesareandsectiond(C-
Section), the d
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoidgettin
d d d d d d d d d d d d d d d d d
g a headache. Which action should the nurse take first?
d d d d d d d d d
,3d|dPd ad gd e
• Inform the anesthesia care provider
d d d d
11. Afterdplacingdadstethoscopedasdseendindthedpicture,dthednursedauscultatesdS1danddS
2 heart
d
sounds. To determine if an S3 heart sound is present, what action should the nurse takefirst?
d d d d d d d d d d d d d d d
• Listen with the bell at the same location
d d d d d d d
12. Ad66-year-
old woman is retiring and will no longer have a health insurance through her
d d d d d d d d d d d d d
place of employment. Which agency should the client be referred to by the employeehealth
d d d d d d d d d d d d d d
nurse for health insurance needs?
d d d d
• Medicare
13. Adclientdwhodisdtakingdandoralddosedofdadtetracyclinedcomplainsdofdgastrointesti
nal upset.What snack should the nurse instruct the client to take with the tetrac
d d d d d d d d d d d d d
ycline?
• Toasted wheat bread and jelly d d d d
14. Followingdadlumbardpuncture,dadclientdvoicesdseveraldcomplaints.dWhatdcomplai
ntindicated to the nurse that the client is experiencing a complication?
d d d d d d d d d d
• “I have a headache that gets worse when I sit up”
d d d d d d d d d d
• ―I am having pain in my lower back when I move my legs‖
d d d d d d d d d d d d
• ―My throat hurts when I swallow‖
d d d d d
• “I feel sick to my stomach and am going to throw up”
d d d d d d d d d d d
15. Andelderlydclientdseemsdconfuseddanddreportsdthedonsetdofdnausea,ddysuria,danddur
gencywith incontinence. Which action should the nurse implement?
d d d d d d d
• Obtain a clean catch mid-stream specimen
d d d d d
16. Thednursedisdassistingdthedmotherdofdadchilddwithdphenylketonuriad(PKU)dtodse
lect foods that are in keeping with the child’s dietary restrictions. Which foo
d d d d d d d d d d d d
ds are contraindicatedfor this child?
d d d d
• Foods sweetened with aspartamed d d
, 17. Beforedpreparingdadclientdfordthedfirstdsurgicaldcasedofdthedday,dadpart-
time scrub nurse asksthe circulating nurse if a 3 minute
d d d d d d d d d
