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HESI A2 ENTRANCE EXAM| HESI ENTRANCE
TEXT BANK ALL QUESTIONS AND CORRECT
ANSWERS| MOST RECENT AND COMPLETE
VERSION ALREADY GRADED A+| BRAND
NEW!!!!!
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
• Review with the client the need to avoid foods that are rich in milk and
cream
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BPis 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him ―feel bad‖. In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is placingsoft pillows along the side rails. What action should the nurse
implement?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead
ofpillows.
4. An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) forthe past 12 days. Which assessment finding requires immediate
follow-up?
• Describes life without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap)
,smear results are negative. What information should the nurse includein the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home.Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen
reservoir bag does not deflate completely during inspiration and the client’s
respiratoryrate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration
and theclient’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system
alarms.Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What
action should the nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoidgetting a headache. Which action should the nurse take first?
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• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nurse
takefirst?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance
through her
place of employment. Which agency should the client be referred to by the
employeehealth nurse for health insurance needs?
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset.What snack should the nurse instruct the client to take
with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What
complaintindicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets worse when I sit up”
• ―I am having pain in my lower back when I move my legs‖
• ―My throat hurts when I swallow‖
• “I feel sick to my stomach and am going to throw up”
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
urgencywith incontinence. Which action should the nurse implement?
• Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which
foods are contraindicatedfor this child?
• Foods sweetened with aspartame
, 17. Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asksthe circulating nurse if a 3 minute
HESI A2 ENTRANCE EXAM| HESI ENTRANCE
TEXT BANK ALL QUESTIONS AND CORRECT
ANSWERS| MOST RECENT AND COMPLETE
VERSION ALREADY GRADED A+| BRAND
NEW!!!!!
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
• Review with the client the need to avoid foods that are rich in milk and
cream
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BPis 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him ―feel bad‖. In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is placingsoft pillows along the side rails. What action should the nurse
implement?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead
ofpillows.
4. An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) forthe past 12 days. Which assessment finding requires immediate
follow-up?
• Describes life without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap)
,smear results are negative. What information should the nurse includein the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home.Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen
reservoir bag does not deflate completely during inspiration and the client’s
respiratoryrate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration
and theclient’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system
alarms.Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What
action should the nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoidgetting a headache. Which action should the nurse take first?
,3|Pag e
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nurse
takefirst?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance
through her
place of employment. Which agency should the client be referred to by the
employeehealth nurse for health insurance needs?
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset.What snack should the nurse instruct the client to take
with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What
complaintindicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets worse when I sit up”
• ―I am having pain in my lower back when I move my legs‖
• ―My throat hurts when I swallow‖
• “I feel sick to my stomach and am going to throw up”
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
urgencywith incontinence. Which action should the nurse implement?
• Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which
foods are contraindicatedfor this child?
• Foods sweetened with aspartame
, 17. Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asksthe circulating nurse if a 3 minute
