Hesi A2 Entrance Test Bank Over 700 Qs& 100
g g g g g g g gg
% Correct Answers/Hesi Exit Final Exam 2023
g g g g g gg
- 2024/A+ GRADE
g g
1. Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtell
sgthegnursegtheghegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gt
oghelpgcoatgandgprotectghisgulcer.gWhatgisgthegbestgfollow-
upgactiongbygthegnurse?
• Reviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichging
milkgandgcream
2. Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertens
ivegprescriptionsgatghisglastgvisitgreturnsgtogthegclinicgtwogweeksglat
ergtogevaluateghisgbloodgpressureg(BP).gHisgBPisg158/106gandghega
dmitsgthatgheghasgnotgbeengtakinggthegprescribedgmedicationgbecau
segthegdrugsgmakeghimg―feelgbad‖.gIngexplaininggthegneedgforghype
rtensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplace
sgthegclientgatgriskgforgwhichgpathophysiologicalgcondition?
• Strokegsecondarygtoghemorrhage
3. Thegnursegobservesgangunlicensedgassistivegpersonnelg(UAP)gpo
sitioninggagnewlygadmittedgclientgwhoghasgagseizuregdisorder.gTh
egclientgisgsupinegandgthegUAPgisgplacingsoftgpillowsgalonggthegs
idegrails.gWhatgactiongshouldgthegnursegimplement?
• InstructgthegUAPgtogobtaingsoftgblanketsgtogsecuregtogtheg
sidegrailsginsteadgofpillows.
4. Angadolescentgwithgmajorgdepressivegdisorderghasgbeengtakingg
duloxetineg(Cymbalta)gforthegpastg12gdays.gWhichgassessmentg
findinggrequiresgimmediategfollow-up?
• Describesglifegwithoutgpurpose
5. Ag60-year-
oldgfemalegclientgwithgagpositivegfamilyghistorygofgovariangcan
cerghasgdevelopedgangabdominalgmassgandgisgbeinggevaluatedgf
orgpossiblegovariangcancer.gHergPapanicolaug(Pap)
, smeargresultsgaregnegative.gWhatginformationgshouldgthegnurseginc
ludeingthegclient’sgteachinggplan?
• Furthergevaluationginvolvinggsurgerygmaygbegneeded
6. Agclientgwhogrecentlygunderweargagtracheostomygisgbeinggpreparedg
forgdischargegtoghome.Whichginstructionsgisgmostgimportantgforgth
egnursegtogincludegingthegdischargegplan?
• Teachgtrachealgsuctioninggtechniques
7. Ingassessinggangadultgclientgwithgagpartialgrebreathergmask,gthegnurseg
notesgthatgthegoxygen
reservoirgbaggdoesgnotgdeflategcompletelygduringginspirationgandgt
hegclient’sgrespiratoryrategisg14gbreathsg/gminute.gWhatgactiongsho
uldgthegnursegimplement?
• Documentgthegassessmentgdata
• Rational:greservoirgbaggshouldgnotgdeflategcompletelygduri
ngginspirationgandgtheclient’sgrespiratorygrategisgwithingnor
malglimits.
8. Duringgshiftgreport,gthegcentralgelectrocardiogramg(EKG)g
monitoringgsystemgalarms.Whichgclientgalarmgshouldgtheg
nurseginvestigategfirs?
• Respiratorygapneagofg30gseconds
9. Duringgaghomegvisit,gthegnursegobservedgangelderlygclientgwithg
diabetesgslipgandgfall.gWhat
actiongshouldgthegnursegtakegfirst?
• Checkgthegclientgforglacerationsgorgfractures
10. Atg0600gwhilegadmittinggagwomangforgagschedulegrepeatgcesareang
sectiong(C-Section),gthe
clientgtellsgthegnursegthatgshegdrankgagcupgagcoffeegatg0400gbecause
gshegwantedgto gavoidgettinggagheadache.gWhichgactiongshouldgtheg
nursegtakegfirst?
, • Informgtheganesthesiagcaregprovider
11. Aftergplacinggagstethoscopegasgseengingthegpicture,gthegnurseg
auscultatesgS1gandgS2gheart
sounds.gTogdeterminegifgangS3gheartgsoundgisgpresent,gwhatgactiong
shouldgthegnursegtakefirst?
• Listengwithgthegbellgatgthegsameglocation
12. Ag66-year-
oldgwomangisgretiringgandgwillgnoglongerghavegaghealthginsurancegt
hroughgher
placegofgemployment.gWhichgagencygshouldgthegclientgbegrefer
redgtogbygthegemployeehealthgnursegforghealthginsurancegneeds
?
• Medicare
13. Agclientgwhogisgtakinggangoralgdosegofgagtetracyclinegcomplainsgofg
gastrointestinalgupset.Whatgsnackgshouldgthegnurseginstructgthegcl
ientgtogtakegwithgthegtetracycline?
• Toastedgwheatgbreadgandgjelly
14. Followinggaglumbargpuncture,gagclientgvoicesgseveralgcom
plaints.gWhatgcomplaintindicatedgtogthegnursegthatgthegclie
ntgisgexperiencinggagcomplication?
• “IghavegagheadachegthatggetsgworsegwhengIgsitgup”
• ―IgamghavinggpaingingmyglowergbackgwhengIgmovegmyglegs‖
• ―MygthroatghurtsgwhengIgswallow‖
• “Igfeelgsickgtogmygstomachgandgamggoinggtogthrowgup”
15. Angelderlygclientgseemsgconfusedgandgreportsgthegonsetgofgnausea,g
dysuria,gandgurgencywithgincontinence.gWhichgactiongshouldgtheg
nursegimplement?
• Obtaingagcleangcatchgmid-streamgspecimen
16. Thegnursegisgassistinggthegmothergofgagchildgwithgphenylketonuriag(
PKU)gtogselectgfoodsgthatgaregingkeepinggwithgthegchild’sgdietarygre
strictions.gWhichgfoodsgaregcontraindicatedforgthisgchild?
• Foodsgsweetenedgwithgaspartame
17. Beforegpreparinggagclientgforgthegfirstgsurgicalgcasegofgthegday,gag
part-timegscrubgnursegasksthegcirculatinggnursegifgag3gminute
, surgicalghandgscrubgisgadequategpreparationgforgthisgclient.gWhichg
responsegshouldgthegcirculatinggnursegprovide?
• Directgthegnursegtogcontinuegthegsurgicalghandgscrubgforgag5gg
minutegduration
18. Whichgbreakfastgselectiongindicatesgthatgthegclientgunderstandsgtheg
nurse’sginstructions
aboutgthegdietarygmanagementgofgosteoporosis?
• Bagelgwithgjellygandgskimgmilk
19. Thegchargegnursegofgagcriticalgcaregunitgisginformedgatgthegbeginnin
ggofgthegshiftgthatglessgthangthegoptimalgnumbergofgregisteredgnurse
sgwillgbegworkinggthatgshift.gIngplanninggassignments,gwhichgclientg
shouldgreceivegthegmostgcareghoursgbygagregisteredgnurseg(RN)?
• Ang82-year-oldgclientgwithgAlzheimer’sgdiseasegnewly-
gfractures gfemurgwhoghasgaFoleygcathetergandgsoftgwristg
grestrains gapplied
g g g g g g g gg
% Correct Answers/Hesi Exit Final Exam 2023
g g g g g gg
- 2024/A+ GRADE
g g
1. Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtell
sgthegnursegtheghegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gt
oghelpgcoatgandgprotectghisgulcer.gWhatgisgthegbestgfollow-
upgactiongbygthegnurse?
• Reviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichging
milkgandgcream
2. Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertens
ivegprescriptionsgatghisglastgvisitgreturnsgtogthegclinicgtwogweeksglat
ergtogevaluateghisgbloodgpressureg(BP).gHisgBPisg158/106gandghega
dmitsgthatgheghasgnotgbeengtakinggthegprescribedgmedicationgbecau
segthegdrugsgmakeghimg―feelgbad‖.gIngexplaininggthegneedgforghype
rtensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplace
sgthegclientgatgriskgforgwhichgpathophysiologicalgcondition?
• Strokegsecondarygtoghemorrhage
3. Thegnursegobservesgangunlicensedgassistivegpersonnelg(UAP)gpo
sitioninggagnewlygadmittedgclientgwhoghasgagseizuregdisorder.gTh
egclientgisgsupinegandgthegUAPgisgplacingsoftgpillowsgalonggthegs
idegrails.gWhatgactiongshouldgthegnursegimplement?
• InstructgthegUAPgtogobtaingsoftgblanketsgtogsecuregtogtheg
sidegrailsginsteadgofpillows.
4. Angadolescentgwithgmajorgdepressivegdisorderghasgbeengtakingg
duloxetineg(Cymbalta)gforthegpastg12gdays.gWhichgassessmentg
findinggrequiresgimmediategfollow-up?
• Describesglifegwithoutgpurpose
5. Ag60-year-
oldgfemalegclientgwithgagpositivegfamilyghistorygofgovariangcan
cerghasgdevelopedgangabdominalgmassgandgisgbeinggevaluatedgf
orgpossiblegovariangcancer.gHergPapanicolaug(Pap)
, smeargresultsgaregnegative.gWhatginformationgshouldgthegnurseginc
ludeingthegclient’sgteachinggplan?
• Furthergevaluationginvolvinggsurgerygmaygbegneeded
6. Agclientgwhogrecentlygunderweargagtracheostomygisgbeinggpreparedg
forgdischargegtoghome.Whichginstructionsgisgmostgimportantgforgth
egnursegtogincludegingthegdischargegplan?
• Teachgtrachealgsuctioninggtechniques
7. Ingassessinggangadultgclientgwithgagpartialgrebreathergmask,gthegnurseg
notesgthatgthegoxygen
reservoirgbaggdoesgnotgdeflategcompletelygduringginspirationgandgt
hegclient’sgrespiratoryrategisg14gbreathsg/gminute.gWhatgactiongsho
uldgthegnursegimplement?
• Documentgthegassessmentgdata
• Rational:greservoirgbaggshouldgnotgdeflategcompletelygduri
ngginspirationgandgtheclient’sgrespiratorygrategisgwithingnor
malglimits.
8. Duringgshiftgreport,gthegcentralgelectrocardiogramg(EKG)g
monitoringgsystemgalarms.Whichgclientgalarmgshouldgtheg
nurseginvestigategfirs?
• Respiratorygapneagofg30gseconds
9. Duringgaghomegvisit,gthegnursegobservedgangelderlygclientgwithg
diabetesgslipgandgfall.gWhat
actiongshouldgthegnursegtakegfirst?
• Checkgthegclientgforglacerationsgorgfractures
10. Atg0600gwhilegadmittinggagwomangforgagschedulegrepeatgcesareang
sectiong(C-Section),gthe
clientgtellsgthegnursegthatgshegdrankgagcupgagcoffeegatg0400gbecause
gshegwantedgto gavoidgettinggagheadache.gWhichgactiongshouldgtheg
nursegtakegfirst?
, • Informgtheganesthesiagcaregprovider
11. Aftergplacinggagstethoscopegasgseengingthegpicture,gthegnurseg
auscultatesgS1gandgS2gheart
sounds.gTogdeterminegifgangS3gheartgsoundgisgpresent,gwhatgactiong
shouldgthegnursegtakefirst?
• Listengwithgthegbellgatgthegsameglocation
12. Ag66-year-
oldgwomangisgretiringgandgwillgnoglongerghavegaghealthginsurancegt
hroughgher
placegofgemployment.gWhichgagencygshouldgthegclientgbegrefer
redgtogbygthegemployeehealthgnursegforghealthginsurancegneeds
?
• Medicare
13. Agclientgwhogisgtakinggangoralgdosegofgagtetracyclinegcomplainsgofg
gastrointestinalgupset.Whatgsnackgshouldgthegnurseginstructgthegcl
ientgtogtakegwithgthegtetracycline?
• Toastedgwheatgbreadgandgjelly
14. Followinggaglumbargpuncture,gagclientgvoicesgseveralgcom
plaints.gWhatgcomplaintindicatedgtogthegnursegthatgthegclie
ntgisgexperiencinggagcomplication?
• “IghavegagheadachegthatggetsgworsegwhengIgsitgup”
• ―IgamghavinggpaingingmyglowergbackgwhengIgmovegmyglegs‖
• ―MygthroatghurtsgwhengIgswallow‖
• “Igfeelgsickgtogmygstomachgandgamggoinggtogthrowgup”
15. Angelderlygclientgseemsgconfusedgandgreportsgthegonsetgofgnausea,g
dysuria,gandgurgencywithgincontinence.gWhichgactiongshouldgtheg
nursegimplement?
• Obtaingagcleangcatchgmid-streamgspecimen
16. Thegnursegisgassistinggthegmothergofgagchildgwithgphenylketonuriag(
PKU)gtogselectgfoodsgthatgaregingkeepinggwithgthegchild’sgdietarygre
strictions.gWhichgfoodsgaregcontraindicatedforgthisgchild?
• Foodsgsweetenedgwithgaspartame
17. Beforegpreparinggagclientgforgthegfirstgsurgicalgcasegofgthegday,gag
part-timegscrubgnursegasksthegcirculatinggnursegifgag3gminute
, surgicalghandgscrubgisgadequategpreparationgforgthisgclient.gWhichg
responsegshouldgthegcirculatinggnursegprovide?
• Directgthegnursegtogcontinuegthegsurgicalghandgscrubgforgag5gg
minutegduration
18. Whichgbreakfastgselectiongindicatesgthatgthegclientgunderstandsgtheg
nurse’sginstructions
aboutgthegdietarygmanagementgofgosteoporosis?
• Bagelgwithgjellygandgskimgmilk
19. Thegchargegnursegofgagcriticalgcaregunitgisginformedgatgthegbeginnin
ggofgthegshiftgthatglessgthangthegoptimalgnumbergofgregisteredgnurse
sgwillgbegworkinggthatgshift.gIngplanninggassignments,gwhichgclientg
shouldgreceivegthegmostgcareghoursgbygagregisteredgnurseg(RN)?
• Ang82-year-oldgclientgwithgAlzheimer’sgdiseasegnewly-
gfractures gfemurgwhoghasgaFoleygcathetergandgsoftgwristg
grestrains gapplied
