HESI A2 ENTRANCE EXAMS 2022/2023
22. Patient: A 54-year-old male who weighs 275 pounds. He is 5’ 10” tall and has many family
members who have died of heart disease. Situation: He comes to the clinic stating that he has had
several episodes of “chest pain” in the last week.
Question: What is the most important action for the nurse to
take? Ask the patient to describe the chest pain.
23. Patient: A 7-year-old child. Situation: A nurse arrives with an injection containing preoperative
sedation that must be given to the child now. The child asks the nurse if the shot will hurt.
Question: What response should the nurse offer to this
child? “Yes, but it won’t last very long and soon you will be
sleepy”
24. Patient: A 35-year-old female. Situation: The patient is admitted with a diagnosis of
abdominal pain and diarrhea.
Question: Which action should the nurse take first?
Initiate Intravenous fluids.
25. Patient: A 51-year-old male. Situation: The patient is pale, has dark circles under his eyes, and
responds to questions with a soft, low voice. He tells the nurse that he has not slept well for
months, but denies any type of pain.
Question: What information is most important for the nurse to
obtain? The existence of a significant life in the last year that has
caused anxiety.
26. Patient: A 19-year-old male who has previously been healthy. Situation: The patient
complains that he is losing weight despite “eating all the time.”
Question: Considering this patient’s age and complaint, which diagnostic test is likely to
provide the most important information?
A fingerstick for blood sugar level.
27. Patient: An adult with diabetes mellitus who was just given a morning does of insulin which
lowers the blood sugar. Situation: The patient’s breakfast tray arrives, and the nurse notices
22. Patient: A 54-year-old male who weighs 275 pounds. He is 5’ 10” tall and has many family
members who have died of heart disease. Situation: He comes to the clinic stating that he has had
several episodes of “chest pain” in the last week.
Question: What is the most important action for the nurse to
take? Ask the patient to describe the chest pain.
23. Patient: A 7-year-old child. Situation: A nurse arrives with an injection containing preoperative
sedation that must be given to the child now. The child asks the nurse if the shot will hurt.
Question: What response should the nurse offer to this
child? “Yes, but it won’t last very long and soon you will be
sleepy”
24. Patient: A 35-year-old female. Situation: The patient is admitted with a diagnosis of
abdominal pain and diarrhea.
Question: Which action should the nurse take first?
Initiate Intravenous fluids.
25. Patient: A 51-year-old male. Situation: The patient is pale, has dark circles under his eyes, and
responds to questions with a soft, low voice. He tells the nurse that he has not slept well for
months, but denies any type of pain.
Question: What information is most important for the nurse to
obtain? The existence of a significant life in the last year that has
caused anxiety.
26. Patient: A 19-year-old male who has previously been healthy. Situation: The patient
complains that he is losing weight despite “eating all the time.”
Question: Considering this patient’s age and complaint, which diagnostic test is likely to
provide the most important information?
A fingerstick for blood sugar level.
27. Patient: An adult with diabetes mellitus who was just given a morning does of insulin which
lowers the blood sugar. Situation: The patient’s breakfast tray arrives, and the nurse notices
