HESI A2 V1 Questions and Answers
A+ Graded (2025)
The .Patient: .A .65-year-old .man. .
The .Situation- .The .family .brings .the .patient .to .the .emergency .room .because .he
.just .took .an .entire .bottle .of .pills. .
The .Question: .What .action .should .the .nurse .take .first? .- .CORRECT .ANSWER-
Determine .the .patient's .level .of .consciousness.
The .Patient: .An .80-year-old .male .who .has .used .continuous .oxygen .for .the .past
.three .years. .
The .Situation: .While .making .a .home .visit, .the .wife .tells .the .nurse .that .her
.husband .was .doing .well .on .2 .liters .of .oxygen .per .minute . until .late .night .when
.he .developed .severe .shortness .of .breath .on .the .way .to .the .bathroom. .
The .Question: .What .action .should .the .nurse .take .first? .- .CORRECT .ANSWER-
Assess .the .patient's .oxygen .saturation .by .pulse .oximeter.
The .Patient: .A .41-year-old .male.
The .Situation: .The .patient .is .complaining .of .severe .stomach .pain .and .states .that
.he .has .been ."vomiting .all .the .time."
The .Question: .What .should .the .nurse .do .first? .- .CORRECT .ANSWER-Administer
.a .prescribed .pain .medication.
The .Patient: .The .wife .of .a .wealthy .owner .of .the .town's .bank.
The .Situation: .The .patient .and .her .husband .arrive .on .the .unit. .While .orienting
.the .patient .to .the .hospital .room, .the .nurse .notices .that .the .patient .has .placed .a
.large .amount .of .cash .and .some .expensive .earrings .in .the .drawer .of .the .bedside
.table. .
The .Question: .What .is .the .best .action .for .the .nurse .to .take? .- .CORRECT
.ANSWER-Advise .the .patient .to .have .her .husband .take .the .items .home .when .he
.leaves.
The .Patient: .A .45-year-old .female .who .is .5'2" .tall, .weighs .200 .pounds, .and .has
.smoked .since .age .21. .
The .Situation: .The .patient .comes .to .the .clinic .with .a .complaint .of ."leg .pain."
The .Question: .It .is .most .important .for .the .nurse .do .obtain .information .about
.which .previous .occurrence? .- .CORRECT .ANSWER-A .previous .blood .clot .in .the
.leg.
, The .Patient: .A .61-year-old .female. .
The .Situation: .The .patient .has .a .fever .of .unknown .origin. .The .nurse
.administered .a .fever-reducing .medication .30 .minutes .ago. .At .this .time .there . has
.been .no .decrease .in .the .patient's .fever. .
The .Question: .What .action .would .be .best .for .the .nurse .to .take? .- .CORRECT
.ANSWER-Sponge .the .patient .with .cool .water.
The .Patient: .A .70-year-old .male .who .is .relatively .healthy.
The .Situation: .A .liquid .medication .is .prescribed .for .this .patient. .
The .Question: .Prior .to .administering .the .prescribed .medication, .what
.intervention .has .the .highest .priority? .- .CORRECT .ANSWER-Determine .if .the
.patient .is .allergic .to .the .medication.
The .Patient: .A .50-year-old .female. .
The .Situation: .While .the .nurse .is .offering .the .patient .her .morning .medications,
.she .tells .the .nurse .that .she .does .not .recall .ever .taking .a .pill .that .was .pink-
colored.
The .Question: .What .should .the .nurse .do .in .response .to .this .patient's .comment?
.- .CORRECT .ANSWER-Withhold .the .medication .until .the .patient's .prescription .if
.verified.
The .Patients: .
1. .A .63-year-old .with .a .burn .on .the .left .lower .leg .who .is .complaining .of .pain. .
2. .A .45-year-old .with .pneumonia, .complaining .of .shortness .of .breath.
3. .A .31-year-old .with .abdominal .pain .who .has .just .vomited .blood.
4. .A .88-year-old .who .has .right-sided .paralysis .and .wants .to .be .helped .to .the
.bathroom .immediately.
The .Situation: .The .nurse .is .caring .for .these .patients.
The .Question: .Who .should .the .nurse .see .first? .- .CORRECT .ANSWER-The .45-
year-old .with .pneumonia .and .shortness .of .breath
The .Patients: .
1. .A .13-year-old .female .with .a .kidney .infection .who .reports .that .there .is ."lots .of
.blood" .in .her .urine.
2. .An .18-year-old .male .with .acute .alcohol .poisoning .who .is .seeing ."bugs .on .the
.walls."
3. .A .21-year-old .female .with .inflammatory .bowel .disease .who .has .soaked .a
.dressing .three .hours .after .surgery.
4. .A .25-year-old .male .who .is .sobbing .in .his .room .after .being .told .that .he .has
.testicular .cancer.
The .Situation: .The .nurse .is .caring .for .these .four .patients.
The .Question: .Who .should .the .nurse .see .first? .- .CORRECT .ANSWER-The .21-
year-old .who .is .three .hours .postoperative .and .has .a .soaked .dressing.
The .Patient: .
1. .A .42-year-old .with .diabetes .who .is .blind .and .is .asking .to .get .up .and .moved .to
.a .chair. .
2. .An .88-year-old .with .lower .body .paralysis .who .wants .to .be .turned .in .bed.
A+ Graded (2025)
The .Patient: .A .65-year-old .man. .
The .Situation- .The .family .brings .the .patient .to .the .emergency .room .because .he
.just .took .an .entire .bottle .of .pills. .
The .Question: .What .action .should .the .nurse .take .first? .- .CORRECT .ANSWER-
Determine .the .patient's .level .of .consciousness.
The .Patient: .An .80-year-old .male .who .has .used .continuous .oxygen .for .the .past
.three .years. .
The .Situation: .While .making .a .home .visit, .the .wife .tells .the .nurse .that .her
.husband .was .doing .well .on .2 .liters .of .oxygen .per .minute . until .late .night .when
.he .developed .severe .shortness .of .breath .on .the .way .to .the .bathroom. .
The .Question: .What .action .should .the .nurse .take .first? .- .CORRECT .ANSWER-
Assess .the .patient's .oxygen .saturation .by .pulse .oximeter.
The .Patient: .A .41-year-old .male.
The .Situation: .The .patient .is .complaining .of .severe .stomach .pain .and .states .that
.he .has .been ."vomiting .all .the .time."
The .Question: .What .should .the .nurse .do .first? .- .CORRECT .ANSWER-Administer
.a .prescribed .pain .medication.
The .Patient: .The .wife .of .a .wealthy .owner .of .the .town's .bank.
The .Situation: .The .patient .and .her .husband .arrive .on .the .unit. .While .orienting
.the .patient .to .the .hospital .room, .the .nurse .notices .that .the .patient .has .placed .a
.large .amount .of .cash .and .some .expensive .earrings .in .the .drawer .of .the .bedside
.table. .
The .Question: .What .is .the .best .action .for .the .nurse .to .take? .- .CORRECT
.ANSWER-Advise .the .patient .to .have .her .husband .take .the .items .home .when .he
.leaves.
The .Patient: .A .45-year-old .female .who .is .5'2" .tall, .weighs .200 .pounds, .and .has
.smoked .since .age .21. .
The .Situation: .The .patient .comes .to .the .clinic .with .a .complaint .of ."leg .pain."
The .Question: .It .is .most .important .for .the .nurse .do .obtain .information .about
.which .previous .occurrence? .- .CORRECT .ANSWER-A .previous .blood .clot .in .the
.leg.
, The .Patient: .A .61-year-old .female. .
The .Situation: .The .patient .has .a .fever .of .unknown .origin. .The .nurse
.administered .a .fever-reducing .medication .30 .minutes .ago. .At .this .time .there . has
.been .no .decrease .in .the .patient's .fever. .
The .Question: .What .action .would .be .best .for .the .nurse .to .take? .- .CORRECT
.ANSWER-Sponge .the .patient .with .cool .water.
The .Patient: .A .70-year-old .male .who .is .relatively .healthy.
The .Situation: .A .liquid .medication .is .prescribed .for .this .patient. .
The .Question: .Prior .to .administering .the .prescribed .medication, .what
.intervention .has .the .highest .priority? .- .CORRECT .ANSWER-Determine .if .the
.patient .is .allergic .to .the .medication.
The .Patient: .A .50-year-old .female. .
The .Situation: .While .the .nurse .is .offering .the .patient .her .morning .medications,
.she .tells .the .nurse .that .she .does .not .recall .ever .taking .a .pill .that .was .pink-
colored.
The .Question: .What .should .the .nurse .do .in .response .to .this .patient's .comment?
.- .CORRECT .ANSWER-Withhold .the .medication .until .the .patient's .prescription .if
.verified.
The .Patients: .
1. .A .63-year-old .with .a .burn .on .the .left .lower .leg .who .is .complaining .of .pain. .
2. .A .45-year-old .with .pneumonia, .complaining .of .shortness .of .breath.
3. .A .31-year-old .with .abdominal .pain .who .has .just .vomited .blood.
4. .A .88-year-old .who .has .right-sided .paralysis .and .wants .to .be .helped .to .the
.bathroom .immediately.
The .Situation: .The .nurse .is .caring .for .these .patients.
The .Question: .Who .should .the .nurse .see .first? .- .CORRECT .ANSWER-The .45-
year-old .with .pneumonia .and .shortness .of .breath
The .Patients: .
1. .A .13-year-old .female .with .a .kidney .infection .who .reports .that .there .is ."lots .of
.blood" .in .her .urine.
2. .An .18-year-old .male .with .acute .alcohol .poisoning .who .is .seeing ."bugs .on .the
.walls."
3. .A .21-year-old .female .with .inflammatory .bowel .disease .who .has .soaked .a
.dressing .three .hours .after .surgery.
4. .A .25-year-old .male .who .is .sobbing .in .his .room .after .being .told .that .he .has
.testicular .cancer.
The .Situation: .The .nurse .is .caring .for .these .four .patients.
The .Question: .Who .should .the .nurse .see .first? .- .CORRECT .ANSWER-The .21-
year-old .who .is .three .hours .postoperative .and .has .a .soaked .dressing.
The .Patient: .
1. .A .42-year-old .with .diabetes .who .is .blind .and .is .asking .to .get .up .and .moved .to
.a .chair. .
2. .An .88-year-old .with .lower .body .paralysis .who .wants .to .be .turned .in .bed.
