Science Medicine Nursing
HESI A2 VERSION 3 EXAM (2025/2026) Updated:
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careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and
management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding organizational processes. A typical
Students also studied
C
Terms in this set (160)
1. A client who has been in active labor for 12 hours C. Perform a sterile vaginal exam.
suddenly tells the nurse that she has a strong urge to
have a bowel movement. What action should the nurse
take?
A. Allow the client to use a bedpan.
B. Explain the fetal head is descending.
C. Perform a sterile vaginal exam.
D. Assist the client to the bathroom
2. The nurse assesses a 78-year-old male client who has A. Dyspnea, cough and fatigue.
left sided heart failure. Which symptoms would the nurse
expect this client 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.
,3. A female client comes to the clinic complaining of D. Acknowledge the client's stress and suggest that she consider respite care.
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 client to problem-solve for herself and
establish her own priorities.
B. Schedule a home visit in the afternoon to assess the
son and client's role as caregiver.
C. Provide feedback to the client about her atonement
for guilt about her son's impairment.
D. Acknowledge the client's stress and suggest that she
consider respite care.
4. The nurse plans to administer a scheduled dose of C. Hold the scheduled dose of Toprol and notify the healthcare provider of the
metoprolol (Toprol SR) at 0900 to a client with telemetry pattern.
hypertension. At 0800, the nurse notes that the client'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
client carefully until the heart rate increases.
B. Provide the dose of Toprol as scheduled and assign a
UAP to monitor the client'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 client's systolic
blood pressure reading is greater than 180.
5. A client who developed Syndrome of Inappropriate C. Muscle cramping.
Antidiuretic Hormone (SIADH) associated with small cell
carcinoma of the lung is preparing for discharge. When
teaching the client about self-management with
demeclocycline (Declomycin), the nurse should instruct
the client to report which condition to the healthcare
provider?
A. Anxiety.
B. Insomnia.
C. Muscle cramping.
D. Increased appetite
6. In determining the client position for insertion of an D. Orthopnea.
indwelling urinary catheter, it is most important for the
nurse to recognize which client condition?
A. High urinary pH.
B. Fever.
C. Abdominal ascites.
D. Orthopnea. careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for
leadership and management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding organizational processes. A
typical
, 7. The nurse is reviewing a client's electrocardiogram and C. Increased conduction time from the SA node to the AV junction.
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.
8. The nurse is teaching a male client with multiple C. Apply downward manual pressure at the suprapubic region.
sclerosis how to empty his bladder using the Crede
Method. When performing a return demonstration, the
client 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.
9. A 35-year-old female client has just been admitted to A. Supplemental hormonal therapy will probably be unnecessary.
the postanesthesia recovery unit following a partial
thyroidectomy. Which statement reflects the nurse's
accurate understanding of the expected outcome for the
client 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 client will be restricted from eating seafood.
D. The remainder of the thyroid will be removed at a later
date.
10. A client with gestational diabetes, at 39-weeks D. Assist the client to sharply flex her thighs up against the abdomen.
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 client to move to a hands-and-knees
position.
C. Prepare the client for an emergency cesarean birth.
D. Assist the client to sharply flex her thighs up against
the abdomen.
careers.________________________________________1.
Business Exams1.1. Overview of Business EducationBusiness
education prepares students for leadership and management
roles in various industries. It focuses on critical thinking,
decision-making, problem-solving, and understanding
organizational processes. A typical
HESI A2 VERSION 3 EXAM (2025/2026) Updated:
EXAM QUESTIONS WITH ACCURATE ANSWERS |
GET IT RIGHT!!
Leave the first rating
Save
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and
management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding organizational processes. A typical
Students also studied
C
Terms in this set (160)
1. A client who has been in active labor for 12 hours C. Perform a sterile vaginal exam.
suddenly tells the nurse that she has a strong urge to
have a bowel movement. What action should the nurse
take?
A. Allow the client to use a bedpan.
B. Explain the fetal head is descending.
C. Perform a sterile vaginal exam.
D. Assist the client to the bathroom
2. The nurse assesses a 78-year-old male client who has A. Dyspnea, cough and fatigue.
left sided heart failure. Which symptoms would the nurse
expect this client 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.
,3. A female client comes to the clinic complaining of D. Acknowledge the client's stress and suggest that she consider respite care.
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 client to problem-solve for herself and
establish her own priorities.
B. Schedule a home visit in the afternoon to assess the
son and client's role as caregiver.
C. Provide feedback to the client about her atonement
for guilt about her son's impairment.
D. Acknowledge the client's stress and suggest that she
consider respite care.
4. The nurse plans to administer a scheduled dose of C. Hold the scheduled dose of Toprol and notify the healthcare provider of the
metoprolol (Toprol SR) at 0900 to a client with telemetry pattern.
hypertension. At 0800, the nurse notes that the client'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
client carefully until the heart rate increases.
B. Provide the dose of Toprol as scheduled and assign a
UAP to monitor the client'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 client's systolic
blood pressure reading is greater than 180.
5. A client who developed Syndrome of Inappropriate C. Muscle cramping.
Antidiuretic Hormone (SIADH) associated with small cell
carcinoma of the lung is preparing for discharge. When
teaching the client about self-management with
demeclocycline (Declomycin), the nurse should instruct
the client to report which condition to the healthcare
provider?
A. Anxiety.
B. Insomnia.
C. Muscle cramping.
D. Increased appetite
6. In determining the client position for insertion of an D. Orthopnea.
indwelling urinary catheter, it is most important for the
nurse to recognize which client condition?
A. High urinary pH.
B. Fever.
C. Abdominal ascites.
D. Orthopnea. careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for
leadership and management roles in various industries. It focuses on critical thinking, decision-making, problem-solving, and understanding organizational processes. A
typical
, 7. The nurse is reviewing a client's electrocardiogram and C. Increased conduction time from the SA node to the AV junction.
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.
8. The nurse is teaching a male client with multiple C. Apply downward manual pressure at the suprapubic region.
sclerosis how to empty his bladder using the Crede
Method. When performing a return demonstration, the
client 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.
9. A 35-year-old female client has just been admitted to A. Supplemental hormonal therapy will probably be unnecessary.
the postanesthesia recovery unit following a partial
thyroidectomy. Which statement reflects the nurse's
accurate understanding of the expected outcome for the
client 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 client will be restricted from eating seafood.
D. The remainder of the thyroid will be removed at a later
date.
10. A client with gestational diabetes, at 39-weeks D. Assist the client to sharply flex her thighs up against the abdomen.
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 client to move to a hands-and-knees
position.
C. Prepare the client for an emergency cesarean birth.
D. Assist the client to sharply flex her thighs up against
the abdomen.
careers.________________________________________1.
Business Exams1.1. Overview of Business EducationBusiness
education prepares students for leadership and management
roles in various industries. It focuses on critical thinking,
decision-making, problem-solving, and understanding
organizational processes. A typical
