HESI A2 VERSION 3 COMPLETE EXAM 2024 GRAMMAER,
MATHS, READING, BIOLOGY, VOCABULARY, CHEMISTRY,
ANATOMY AND PHYSIOLOGY ACTUAL EXAM QUESTIONS
AND ANSWERS|| A+ GUARANTEED
1. A patient who has been in active labor for 12 hours suddenly tells the nurse that she
has a strong urge to have a bowel movement. What action should the nurse take?
A. Allow the patient to use a bedpan.
B. Explain the fetal head is descending.
C. Perform a sterile vaginal exam.
D. Assist the patient to the bathroom - ANSC. Perform a sterile vaginal exam.
2. The nurse assesses a 78-year-old male patient who has left sided heart failure.
Which symptoms would the nurse expect this patient to exhibit?
A. Dyspnea, cough and fatigue.
B. Hepatomegaly and distended neck veins.
C. Pain over the pericardium and friction rub.
D. Narrowing pulse pressure and distant heart sounds. - ANSA. Dyspnea, cough and
fatigue.
3. A female patient comes to the clinic complaining of fatigue and inability to sleep
because she is the full-time caretaker for a 22-year-old son who was paralyzed by a
motor vehicle collision. She adds that her husband left her because he says he can't
take her behavior anymore since all she does is care for their son. What intervention
should the nurse implement?
A. Teach the patient to problem-solve for herself and establish her own priorities.
B. Schedule a home visit in the afternoon to assess the son and patient's role as
caregiver.
C. Provide feedback to the patient about her atonement for guilt about her son's
impairment.
D. Acknowledge the patient's stress and suggest that she consider respite care. -
ANSD. Acknowledge the patient's stress and suggest that she consider respite care.
4. The nurse plans to administer a scheduled dose of metoprolol (Toprol SR) at 0900 to
a patient with hypertension. At 0800, the nurse notes that the patient's telemetry pattern
shows a second-degree heart block with a ventricular rate of 50. What action should the
nurse take?
A. Administer the Toprol immediately and monitor the patient carefully until the heart
rate increases.
B. Provide the dose of Toprol as scheduled and assign a UAP to monitor the patient's
BP q30 minutes.
C. Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern.
,D. Give the Toprol as scheduled if the patient's systolic blood pressure reading is
greater than 180. - ANSC. Hold the scheduled dose of Toprol and notify the healthcare
provider of the telemetry pattern.
5. A patient who developed Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
associated with small cell carcinoma of the lung is preparing for discharge. When
teaching the patient about self-management with demeclocycline (Declomycin), the
nurse should instruct the patient to report which condition to the healthcare provider?
A. Anxiety.
B. Insomnia.
C. Muscle cramping.
D. Increased appetite - ANSC. Muscle cramping.
6. In determining the patient position for insertion of an indwelling urinary catheter, it is
most important for the nurse to recognize which patient condition?
A. High urinary pH.
B. Fever.
C. Abdominal ascites.
D. Orthopnea. - ANSD. Orthopnea.
7. The nurse is reviewing a patient's electrocardiogram and determines that the PR
interval (PRI) is prolonged. What does this finding indicate?
A. Inability of the SA node to initiate an impulse at the normal rate.
B. Initiation of the impulse from a location outside the SA node.
C. Increased conduction time from the SA node to the AV junction.
D. Interference with the conduction through one or both ventricles. - ANSC. Increased
conduction time from the SA node to the AV junction.
8. The nurse is teaching a male patient with multiple sclerosis how to empty his bladder
using the Crede Method. When performing a return demonstration, the patient applies
pressure to the umbilical area of his abdomen. What instruction should the nurse
provide?
A. Stroke the inner thigh below the perineum to initiate urinary flow.
B. Pour warm water over the external sphincter at the distal glans.
C. Apply downward manual pressure at the suprapubic region.
D. Contract, hold, and then relax the pubococcygeal muscle. - ANSC. Apply downward
manual pressure at the suprapubic region.
9. A 35-year-old female patient has just been admitted to the postanesthesia recovery
unit following a partial thyroidectomy. Which statement reflects the nurse's accurate
understanding of the expected outcome for the patient following this surgery?
A. Supplemental hormonal therapy will probably be unnecessary.
B. The thyroid will regenerate to a normal size within a few years.
C. The patient will be restricted from eating seafood.
D. The remainder of the thyroid will be removed at a later date. - ANSA. Supplemental
hormonal therapy will probably be unnecessary.
,10. A patient with gestational diabetes, at 39-weeks gestation, is in the second stage of
labor. After delivery of the fetal head, the nurse recognizes that shoulder dystocia is
occurring. What intervention should the nurse implement first?
A. Lower the head of the bed and apply suprapubic pressure.
B. Encourage the patient to move to a hands-and-knees position.
C. Prepare the patient for an emergency cesarean birth.
D. Assist the patient to sharply flex her thighs up against the abdomen. - ANSD. Assist
the patient to sharply flex her thighs up against the abdomen.
11. The nurse should observe most closely for drug toxicity when a patient receives a
medication that has which characteristic?
A. Rapid onset of action.
B. Low bioavailability.
.C Narrow therapeutic index.
D. Short half-life. - ANSC Narrow therapeutic index.
12. Following insertion of a LeVeen shunt in a patient with cirrhosis of the liver, which
assessment finding indicates to the nurse that the shunt is effective?
A. Decreased abdominal girth.
B. Increased blood pressure.
C. Clear breath sounds.
D. Decreased serum albumin. - ANSA. Decreased abdominal girth.
13. When finding a patient sitting on the floor, the nurse calls for help from the
unlicensed assistive personnel (UAP). Which task should the nurse ask the UAP to do?
A. Check for any abrasions or bruises.
B. Help the patient to stand.
C. Get a blood pressure cuff.
D. Report the fall to the nurse-manager. - ANSC. Get a blood pressure cuff.
14. During the initial newborn assessment, the nurse finds that a newborn's heart rate is
irregular. Which intervention should the nurse implement?
A. Notify the pediatrician immediately.
B. Teach the parents about congenital heart defects.
C. Document the finding in the infant's record.
D. Apply oxygen per nasal cannula at 3 L/min. - ANSC. Document the finding in the
infant's record.
15. A patient is diagnosed with a frontal lobe glioma, which is a benign brain tumor.
When teaching the patient about the tumor, which information should the nurse
consider?
A. Surgery is not indicated unless the tumor becomes malignant.
B. Vision and hearing will be affected in the future.
C. If the tumor metastasizes, surgical intervention is necessary.
, D. Personality changes or expressive aphasia are likely. - ANSD. Personality changes
or expressive aphasia are likely.
16. A patient who has suffered 3rd degree burns over 60% of the body is admitted to
the emergency department. The healthcare provider writes a prescription for "IV
Lactated Ringer's 350 ml/hr". Which intervention should the nurse implement?
A. Administer the Lactated Ringer's at 350 ml/hr via gravity infusion.
B. Collaborate with the pharmacist to recalculate the infusion rate.
C. Obtain an intravenous infusion pump prior to administering the IV.
D. Call the healthcare provider and question the prescription - ANSC. Obtain an
intravenous infusion pump prior to administering the IV.
17. A male patient with HIV, who is being admitted to a healthcare facility, tells the
nurse that he is concerned about his right to have access to his records and
explanations regarding his treatment and the cost of such treatment. Which resource
should guide the nurse's response to this patient?
A. The Patient's Bill of Rights.
B. The hospital policy and procedure manual.
C. The Nurse Practice Act.
D. The patient's Durable Power of Attorney. - ANSA. The Patient's Bill of Rights.
18. When assessing the oral temperature of an adult patient at 6:00 pm, the nurse notes
that the patient's temperature at 6:00 am was 97.2, and is now 98.8. Which intervention
should the nurse implement?
A. Document this intermittent fever in the nurse's notes.
B. Administer a PRN dose of medication to reduce the fever.
C. Document this temperature variation on the graphic sheet.
D. Notify the healthcare provider of the increase in temperature. - ANSC. Document this
temperature variation on the graphic sheet.
19. It would be of greatest benefit for the patient with which problem related to diabetes
mellitus to change from the use of insulin syringes to using an insulin pen for medication
administration?
A. Lipodystrophy from continuous use of one injection site.
B. Hyperglycemia due to noncompliance with diet.
C. Diminished dexterity due to finger paresthesias.
D. Blindness secondary to diabetic retinopathy - ANSC. Diminished dexterity due to
finger paresthesias.
20. A one-year-old child with neuroblastoma is crying continuously and is curled into a
fetal position. What action is most important for the nurse to implement?
A. Give a prescribed analgesic.
B. Reduce light and noise in the room.
C. Offer the child a favorite toy to clutch.
D. Ask the parent to rock the child. - ANSA. Give a prescribed analgesic.
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