HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
1.fFollowingfdischargefteaching,fafmalefclientfwithfduodenalfulcerftellsfthefnursefthefhefwillfdrinkfplentyfoffdairyfproducts,fsuchfasfmil
ffff
k,ftofhelpfcoatfandfprotectfhisfulcer.fWhatfisfthefbestffollow-upfactionfbyfthefnurse?
a- Remindfthefclientfthatfitfisfalsofimportantftofswitchftofdecaffeinatedfcoffeefandftea.
b- Suggestfthatfthefclientfalsofplanftofeatffrequentfsmallfmealsftofreducefdiscomfort
c- Reviewfwithfthefclientfthefneedftofavoidffoodsfthatfarefrichfinfmilkfandfcream.
d- Reinforcefthisfteachingfbyfaskingfthefclientftoflistfafdairyffoodfthatfhefmightfselect.
1. Afmalefclientfwithfhypertension,fwhofreceivedfnewfantihypertensivefprescriptionsfatfhisflastfvisitfreturnsftofthefclinicftwofwee
ksflaterftofevaluatefhisfbloodfpressuref(BP).fHisfBPfisf158/106fandfhefadmitsfthatfhefhasfnotfbeenftakingfthefprescribedfmedicati
onfbecausefthefdrugsfmakefhimf“feelfbad”.fInfexplainingfthefneedfforfhypertensionfcontrol,fthefnursefshouldfstressfthatfanfeleva
tedfBPfplacesfthefclientfatfriskfforfwhichfpathophysiologicalfcondition?
a- Blindnessfsecondaryftofcataracts
b- Acutefkidneyfinjuryfdueftofglomerularfdamage
c- Strokefsecondaryftofhemorrhage
d- Heartfblockfdueftofmyocardialfdamage
2. Thefnursefobservesfanfunlicensedfassistivefpersonnelf(UAP)fpositioningfafnewlyfadmittedfclientfwhofhasfafseizurefdisorder.fThef
clientfisfsupinefandfthefUAPfisfplacingfsoftfpillowsfalongfthefsidefrails.fWhatfactionfshouldfthefnursefimplement?
a- EnsurefthatfthefUAPfhasfplacedfthefpillowsfeffectivelyftofprotectfthefclient.
b- InstructfthefUAPftofobtainfsoftfblanketsftofsecureftofthefsidefrailsfinsteadfoffpillows.fa-
fAssumefresponsibilityfforfplacingfthefpillowsfwhilefthefUAPfcompletesfanotherftask.
b-fAskfthefUAPftofusefsomefoffthefpillowsftofpropfthefclientfinfafsideflyingfposition.
3. Anfadolescentfwithfmajorfdepressivefdisorderfhasfbeenftakingfduloxetinef(Cymbalta)fforfthefpastf12fdays.fWhichfassessmentffind
ingfrequiresfimmediateffollow-up?
a- Describesflifefwithoutfpurpose
b- Complainsfoffnauseafandflossfoffappetite
c- Statesfisfoftenffatiguedfandfdrowsy
d- Exhibitsfanfincreasefinfsweating.
4. Af60-year-
oldffemalefclientfwithfafpositiveffamilyfhistoryfoffovarianfcancerfhasfdevelopedfanfabdominalfmassfandfisfbeingfevaluatedfforfpos
siblefovarianfcancer.fHerfPapanicolauf(Pap)fsmearfresultsfarefnegative.fWhatfinformationfshouldfthefnursefincludefinfthefclient’s
fteachingfplan?
a- Furtherfevaluationfinvolvingfsurgeryfmayfbefneeded
b- Afpelvicfexamfisfalsofneededfbeforefcancerfisfruledfout
c- Papfsmearfevaluationfshouldfbefcontinuedfeveryfsixfmonth
d- Onefadditionalfnegativefpapfsmearfinfsixfmonthsfisfneeded.
5. Afclientfwhofrecentlyfunderwearfaftracheostomyfisfbeingfpreparedfforfdischargeftofhome.fWhichfinstructionsfisfmostfimp
ortantfforfthefnurseftofincludefinfthefdischargefplan?
a- Explainfhowftofusefcommunicationftools.
,HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
b- Teachftrachealfsuctioningftechniques
c- Encouragefself-carefandfindependence.
d- Demonstratefhowftofcleanftracheostomyfsite.
6. Infassessingfanfadultfclientfwithfafpartialfrebreatherfmask,fthefnursefnotesfthatfthefoxygenfreservoirfbagfdoesfnotfdeflatefcompl
etelyfduringfinspirationfandfthefclient’sfrespiratoryfratefisf14fbreathsf/fminute.fWhatfactionfshouldfthefnursefimplement?fa-
fEncouragefthefclientftoftakefdeepfbreaths
b- Removefthefmaskftofdeflatefthefbag
c- Increasefthefliterfflowfoffoxygen
d- Documentfthefassessmentfdata
7. Duringfafhomefvisit,fthefnursefobservedfanfelderlyfclientfwithfdiabetesfslipfandffall.fWhatfactionfshouldfthefnurseftakeffirst?
,HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
a- Givefthefclientf4founcesfofforangefjuice
b- Callf911ftofsummonfemergencyfassistance
c- Checkfthefclientfforflacerationsforffractures
d- Assesfclientsfbloodfsugarflevel
8. Atf0600fwhilefadmittingfafwomanfforfafschedulefrepeatfcesareanfsectionf(C-
Section),fthefclientftellsfthefnursefthatfshefdrankfafcupfafcoffeefatf0400fbecausefshefwantedftofavoidfgettingfafheadache.fWhichfacti
onfshouldfthefnurseftakeffirst?
a- Ensurefpreoperativeflabfresultsfarefavailable
b- StartfprescribedfIVfwithflactatedfRinger’s
c- Informfthefanesthesiafcarefprovider
d- Contactfthefclient’sfobstetrician.
9. Afterfplacingfafstethoscopefasfseenfinfthefpicture,fthefnursefauscultatesfS1fandfS2fheartfsounds.fTofdeterminefiffanfS3fheartfsoun
dfisfpresent,fwhatfactionfshouldfthefnurseftakeffirst?
a- Sidefthefstethoscopefacrossfthefsternum.
b- Movefthefstethoscopeftofthefmitralfsite
c- Listenfwithfthefbellfatfthefsameflocation
d- Observefthefcardiacftelemetryfmonitor
10. Af66-year-
oldfwomanfisfretiringfandfwillfnoflongerfhavefafhealthfinsurancefthroughfherfplacefoffemployment.fWhichfagencyfshouldfthefclientfb
efreferredftofbyfthefemployeefhealthfnursefforfhealthfinsurancefneeds?
a- Woman,fInfant,fandfChildrenfprogram
b- Medicaid
c- Medicare
d- ConsolidatedfOmnibusfBudgetfReconciliationfActfprovision.
11. Afclientfwhofisftakingfanforalfdosefoffaftetracyclinefcomplainsfoffgastrointestinalfupset.fWhatfsnackfshouldfthefnursefinstr
uctfthefclientftoftakefwithftheftetracycline?
a- Fruit-flavoredfyogurt.
b- Cheesefandfcrackers.
c- Coldfcerealfwithfskimfmilk.
d- Toastedfwheatfbreadfandfjelly
12. Followingfaflumbarfpuncture,fafclientfvoicesfseveralfcomplaints.fWhatfcomplaintfindicatedftofthefnursefthatfthefclientfisfe
xperiencingfafcomplication?
a- “IfamfhavingfpainfinfmyflowerfbackfwhenfIfmovefmyflegs”
b- “MyfthroatfhurtsfwhenfIfswallow”
c- “Iffeelfsickftofmyfstomachfandfamfgoingftofthrowfup”
d- IfhavefafheadachefthatfgetsfworsefwhenfIfsitfup”
13. Anfelderlyfclientfseemsfconfusedfandfreportsfthefonsetfoffnausea,fdysuria,fandfurgencyfwithfincontinence.fWhichfactionfsho
, HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
uldfthefnursefimplement?
a- Auscultatefforfrenalfbruits
b- Obtainfafcleanfcatchfmid-streamfspecimen
c- Usefafdipstickftofmeasurefforfurinaryfketone
d- Beginftofstrainfthefclient’sfurine.
14. Thefnursefisfassistingfthefmotherfoffafchildfwithfphenylketonuriaf(PKU)ftofselectffoodsfthatfarefinfkeepingfwithfthef
child’sfdietaryfrestrictions.fWhichffoodsfarefcontraindicatedfforfthisfchild?
a- Wheatfproducts
b- Foodsfsweetenedfwithfaspartame.
c- Highffatffoods
d- Highfcaloriesffoods.
f f f f f f f f f
to Version 7). f f
1.fFollowingfdischargefteaching,fafmalefclientfwithfduodenalfulcerftellsfthefnursefthefhefwillfdrinkfplentyfoffdairyfproducts,fsuchfasfmil
ffff
k,ftofhelpfcoatfandfprotectfhisfulcer.fWhatfisfthefbestffollow-upfactionfbyfthefnurse?
a- Remindfthefclientfthatfitfisfalsofimportantftofswitchftofdecaffeinatedfcoffeefandftea.
b- Suggestfthatfthefclientfalsofplanftofeatffrequentfsmallfmealsftofreducefdiscomfort
c- Reviewfwithfthefclientfthefneedftofavoidffoodsfthatfarefrichfinfmilkfandfcream.
d- Reinforcefthisfteachingfbyfaskingfthefclientftoflistfafdairyffoodfthatfhefmightfselect.
1. Afmalefclientfwithfhypertension,fwhofreceivedfnewfantihypertensivefprescriptionsfatfhisflastfvisitfreturnsftofthefclinicftwofwee
ksflaterftofevaluatefhisfbloodfpressuref(BP).fHisfBPfisf158/106fandfhefadmitsfthatfhefhasfnotfbeenftakingfthefprescribedfmedicati
onfbecausefthefdrugsfmakefhimf“feelfbad”.fInfexplainingfthefneedfforfhypertensionfcontrol,fthefnursefshouldfstressfthatfanfeleva
tedfBPfplacesfthefclientfatfriskfforfwhichfpathophysiologicalfcondition?
a- Blindnessfsecondaryftofcataracts
b- Acutefkidneyfinjuryfdueftofglomerularfdamage
c- Strokefsecondaryftofhemorrhage
d- Heartfblockfdueftofmyocardialfdamage
2. Thefnursefobservesfanfunlicensedfassistivefpersonnelf(UAP)fpositioningfafnewlyfadmittedfclientfwhofhasfafseizurefdisorder.fThef
clientfisfsupinefandfthefUAPfisfplacingfsoftfpillowsfalongfthefsidefrails.fWhatfactionfshouldfthefnursefimplement?
a- EnsurefthatfthefUAPfhasfplacedfthefpillowsfeffectivelyftofprotectfthefclient.
b- InstructfthefUAPftofobtainfsoftfblanketsftofsecureftofthefsidefrailsfinsteadfoffpillows.fa-
fAssumefresponsibilityfforfplacingfthefpillowsfwhilefthefUAPfcompletesfanotherftask.
b-fAskfthefUAPftofusefsomefoffthefpillowsftofpropfthefclientfinfafsideflyingfposition.
3. Anfadolescentfwithfmajorfdepressivefdisorderfhasfbeenftakingfduloxetinef(Cymbalta)fforfthefpastf12fdays.fWhichfassessmentffind
ingfrequiresfimmediateffollow-up?
a- Describesflifefwithoutfpurpose
b- Complainsfoffnauseafandflossfoffappetite
c- Statesfisfoftenffatiguedfandfdrowsy
d- Exhibitsfanfincreasefinfsweating.
4. Af60-year-
oldffemalefclientfwithfafpositiveffamilyfhistoryfoffovarianfcancerfhasfdevelopedfanfabdominalfmassfandfisfbeingfevaluatedfforfpos
siblefovarianfcancer.fHerfPapanicolauf(Pap)fsmearfresultsfarefnegative.fWhatfinformationfshouldfthefnursefincludefinfthefclient’s
fteachingfplan?
a- Furtherfevaluationfinvolvingfsurgeryfmayfbefneeded
b- Afpelvicfexamfisfalsofneededfbeforefcancerfisfruledfout
c- Papfsmearfevaluationfshouldfbefcontinuedfeveryfsixfmonth
d- Onefadditionalfnegativefpapfsmearfinfsixfmonthsfisfneeded.
5. Afclientfwhofrecentlyfunderwearfaftracheostomyfisfbeingfpreparedfforfdischargeftofhome.fWhichfinstructionsfisfmostfimp
ortantfforfthefnurseftofincludefinfthefdischargefplan?
a- Explainfhowftofusefcommunicationftools.
,HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
b- Teachftrachealfsuctioningftechniques
c- Encouragefself-carefandfindependence.
d- Demonstratefhowftofcleanftracheostomyfsite.
6. Infassessingfanfadultfclientfwithfafpartialfrebreatherfmask,fthefnursefnotesfthatfthefoxygenfreservoirfbagfdoesfnotfdeflatefcompl
etelyfduringfinspirationfandfthefclient’sfrespiratoryfratefisf14fbreathsf/fminute.fWhatfactionfshouldfthefnursefimplement?fa-
fEncouragefthefclientftoftakefdeepfbreaths
b- Removefthefmaskftofdeflatefthefbag
c- Increasefthefliterfflowfoffoxygen
d- Documentfthefassessmentfdata
7. Duringfafhomefvisit,fthefnursefobservedfanfelderlyfclientfwithfdiabetesfslipfandffall.fWhatfactionfshouldfthefnurseftakeffirst?
,HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
a- Givefthefclientf4founcesfofforangefjuice
b- Callf911ftofsummonfemergencyfassistance
c- Checkfthefclientfforflacerationsforffractures
d- Assesfclientsfbloodfsugarflevel
8. Atf0600fwhilefadmittingfafwomanfforfafschedulefrepeatfcesareanfsectionf(C-
Section),fthefclientftellsfthefnursefthatfshefdrankfafcupfafcoffeefatf0400fbecausefshefwantedftofavoidfgettingfafheadache.fWhichfacti
onfshouldfthefnurseftakeffirst?
a- Ensurefpreoperativeflabfresultsfarefavailable
b- StartfprescribedfIVfwithflactatedfRinger’s
c- Informfthefanesthesiafcarefprovider
d- Contactfthefclient’sfobstetrician.
9. Afterfplacingfafstethoscopefasfseenfinfthefpicture,fthefnursefauscultatesfS1fandfS2fheartfsounds.fTofdeterminefiffanfS3fheartfsoun
dfisfpresent,fwhatfactionfshouldfthefnurseftakeffirst?
a- Sidefthefstethoscopefacrossfthefsternum.
b- Movefthefstethoscopeftofthefmitralfsite
c- Listenfwithfthefbellfatfthefsameflocation
d- Observefthefcardiacftelemetryfmonitor
10. Af66-year-
oldfwomanfisfretiringfandfwillfnoflongerfhavefafhealthfinsurancefthroughfherfplacefoffemployment.fWhichfagencyfshouldfthefclientfb
efreferredftofbyfthefemployeefhealthfnursefforfhealthfinsurancefneeds?
a- Woman,fInfant,fandfChildrenfprogram
b- Medicaid
c- Medicare
d- ConsolidatedfOmnibusfBudgetfReconciliationfActfprovision.
11. Afclientfwhofisftakingfanforalfdosefoffaftetracyclinefcomplainsfoffgastrointestinalfupset.fWhatfsnackfshouldfthefnursefinstr
uctfthefclientftoftakefwithftheftetracycline?
a- Fruit-flavoredfyogurt.
b- Cheesefandfcrackers.
c- Coldfcerealfwithfskimfmilk.
d- Toastedfwheatfbreadfandfjelly
12. Followingfaflumbarfpuncture,fafclientfvoicesfseveralfcomplaints.fWhatfcomplaintfindicatedftofthefnursefthatfthefclientfisfe
xperiencingfafcomplication?
a- “IfamfhavingfpainfinfmyflowerfbackfwhenfIfmovefmyflegs”
b- “MyfthroatfhurtsfwhenfIfswallow”
c- “Iffeelfsickftofmyfstomachfandfamfgoingftofthrowfup”
d- IfhavefafheadachefthatfgetsfworsefwhenfIfsitfup”
13. Anfelderlyfclientfseemsfconfusedfandfreportsfthefonsetfoffnausea,fdysuria,fandfurgencyfwithfincontinence.fWhichfactionfsho
, HESI A2 EXIT RN EXAM (756 QA) (Version 1
f f f f f f f f f
to Version 7). f f
uldfthefnursefimplement?
a- Auscultatefforfrenalfbruits
b- Obtainfafcleanfcatchfmid-streamfspecimen
c- Usefafdipstickftofmeasurefforfurinaryfketone
d- Beginftofstrainfthefclient’sfurine.
14. Thefnursefisfassistingfthefmotherfoffafchildfwithfphenylketonuriaf(PKU)ftofselectffoodsfthatfarefinfkeepingfwithfthef
child’sfdietaryfrestrictions.fWhichffoodsfarefcontraindicatedfforfthisfchild?
a- Wheatfproducts
b- Foodsfsweetenedfwithfaspartame.
c- Highffatffoods
d- Highfcaloriesffoods.
