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. Followingbdischargebteaching,babmalebclientbwithbduodenalbulcerbtellsbthebnursebth
e he will drink plenty of dairy products, such as milk, to help coat and protect his u
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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
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eam
2. Abmalebclientbwithbhypertension,bwhobreceivedbnewbantihypertensivebprescriptio
ns at his last visit returns to the clinic two weeks later to evaluate his blood pressu
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re (BP). His BPis 158/106 and he admits that he has not been taking the prescribe
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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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bat risk for which pathophysiological condition?
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• Stroke secondary to hemorrhage b b b
3. Thebnursebobservesbanbunlicensedbassistivebpersonnelb(UAP)bpositioningbabnew
ly admitted client who has a seizure disorder. The client is supine and the UAP i
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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
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pillows.
4. Anbadolescentbwithbmajorbdepressivebdisorderbhasbbeenbtakingbduloxetineb(Cym
balta) forthe past 12 days. Which assessment finding requires immediate follow-
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up?
• Describes life without purpose b b b
5. Ab60-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
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panicolau (Pap) b
,smear results are negative. What information should the nurse includein the client’s teachin
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g plan?
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• Further evaluation involving surgery may be needed
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6. Abclientbwhobrecentlybunderwearbabtracheostomybisbbeingbpreparedbforbdis
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 b b b
7. Inbassessingbanbadultbclientbwithbabpartialbrebreatherbmask,bthebnursebnotesbthatbth
e oxygen
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reservoir bag does not deflate completely during inspiration and the client’s respiratoryrate
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is 14 breaths / minute. What action should the nurse implement?
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• Document the assessment data b b b
• 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. Duringbshiftbreport,bthebcentralbelectrocardiogramb(EKG)bmonitoringbsystemba
larms.Which client alarm should the nurse investigate firs?
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• Respiratory apnea of 30 seconds b b b b
9. Duringbabhomebvisit,bthebnursebobservedbanbelderlybclientbwithbdiabetesbslipbandbfa
ll. What b
action should the nurse take first?
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• Check the client for lacerations or fractures
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10. Atb0600bwhilebadmittingbabwomanbforbabschedulebrepeatbcesareanbsectionb(C-
Section), the b
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoidgettin
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g a headache. Which action should the nurse take first?
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,3b|bPb ab gb e
• Inform the anesthesia care provider
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11. Afterbplacingbabstethoscopebasbseenbinbthebpicture,bthebnursebauscultatesbS1bandbS
2 heart
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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
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12. Ab66-year-
old woman is retiring and will no longer have a health insurance through her
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place of employment. Which agency should the client be referred to by the employeehealth
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nurse for health insurance needs?
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• Medicare
13. Abclientbwhobisbtakingbanboralbdosebofbabtetracyclinebcomplainsbofbgastrointesti
nal upset.What snack should the nurse instruct the client to take with the tetrac
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ycline?
• Toasted wheat bread and jelly b b b b
14. Followingbablumbarbpuncture,babclientbvoicesbseveralbcomplaints.bWhatbcomplai
ntindicated to the nurse that the client is experiencing a complication?
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• “I have a headache that gets worse when I sit up”
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• ―I am having pain in my lower back when I move my legs‖
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• ―My throat hurts when I swallow‖
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• “I feel sick to my stomach and am going to throw up”
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15. Anbelderlybclientbseemsbconfusedbandbreportsbthebonsetbofbnausea,bdysuria,bandbur
gencywith incontinence. Which action should the nurse implement?
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• Obtain a clean catch mid-stream specimen
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16. Thebnursebisbassistingbthebmotherbofbabchildbwithbphenylketonuriab(PKU)btobse
lect foods that are in keeping with the child’s dietary restrictions. Which foo
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ds are contraindicatedfor this child?
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• Foods sweetened with aspartameb b b
, 17. Beforebpreparingbabclientbforbthebfirstbsurgicalbcasebofbthebday,babpart-
time scrub nurse asksthe circulating nurse if a 3 minute
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