2024 HESI A2 ENTRANCE EXAM ALL SECTION WITH
QUESTIONS & ANSWERS
A low-sodium, low-protein diet is prescribed for a
45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last
month. The nurse determines that the client has
been noncompliant with the diet, based on which
report from the 24-hour dietary recall? (Select all
that apply.) - - -answers- - -Snack of potato chips,
and diet soda.
Lunch of tuna fish sandwich, carrot sticks, fresh
fruit, and coffee.
Breakfast of eggs, bacon, toast, and coffee.
,Bedtime snack of crackers and milk.
While preparing to insert a rectal suppository in a
male adult client, the nurse observes that the client
is holding his breath while bearing down. What
action should the nurse implement? - - -answers- - -
Instruct the client to take slow deep breaths and
stop bearing down.
During administration of a rectal suppository, the
client is asked to take slow deep breaths through
the mouth to relax the anal sphineter down
A female client who has breast cancer with
metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use
of oxycodone (Percodan) and amitriptyline (Elavil)
for pain control at home. During the admission
assessment, which information is most important
,for the nurse to obtain? - - -answers- - -Sensory
pattern, area, intensity, and nature of the pain.
The components of every pain assessment should
include sensory patterns, area, intensity, and nature
(PAIN)
Which statement best describes durable power of
attorney for health care? - - -answers- - -The client
signs a document that designates another person to
make legally binding healthcare decisions if client is
unable to do so.
The durable power of attorney is a legal document
or a form of advance directive that designates
another person to voice healthcare decisions when
the client is unable to do so.
A client provides the nurse with information about
the reason for seeking care. The nurse realizes that
, some information about past hospitalizations is
missing. How should the nurse obtain this
information? - - -answers- - -Elicit specific facts
about past hospitalizations with direct questions.
Direct questions should be used after the client's
opening narrative to fill in any details that have
been left out or during the review of systems to
elicit specific facts about past health problems.
The nurse formulates the nursing diagnosis of,
"Ineffective health maintenance related to lack of
motivation" for a client with Type 2 diabetes. Which
finding supports this nursing diagnosis? - - -answers-
- -Eats anything and does not think diet makes a
difference in health.
The nursing diagnosis of ineffective health
maintenance refers to an inability to identify,
manage, and/or seek out help to maintain health,
QUESTIONS & ANSWERS
A low-sodium, low-protein diet is prescribed for a
45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last
month. The nurse determines that the client has
been noncompliant with the diet, based on which
report from the 24-hour dietary recall? (Select all
that apply.) - - -answers- - -Snack of potato chips,
and diet soda.
Lunch of tuna fish sandwich, carrot sticks, fresh
fruit, and coffee.
Breakfast of eggs, bacon, toast, and coffee.
,Bedtime snack of crackers and milk.
While preparing to insert a rectal suppository in a
male adult client, the nurse observes that the client
is holding his breath while bearing down. What
action should the nurse implement? - - -answers- - -
Instruct the client to take slow deep breaths and
stop bearing down.
During administration of a rectal suppository, the
client is asked to take slow deep breaths through
the mouth to relax the anal sphineter down
A female client who has breast cancer with
metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use
of oxycodone (Percodan) and amitriptyline (Elavil)
for pain control at home. During the admission
assessment, which information is most important
,for the nurse to obtain? - - -answers- - -Sensory
pattern, area, intensity, and nature of the pain.
The components of every pain assessment should
include sensory patterns, area, intensity, and nature
(PAIN)
Which statement best describes durable power of
attorney for health care? - - -answers- - -The client
signs a document that designates another person to
make legally binding healthcare decisions if client is
unable to do so.
The durable power of attorney is a legal document
or a form of advance directive that designates
another person to voice healthcare decisions when
the client is unable to do so.
A client provides the nurse with information about
the reason for seeking care. The nurse realizes that
, some information about past hospitalizations is
missing. How should the nurse obtain this
information? - - -answers- - -Elicit specific facts
about past hospitalizations with direct questions.
Direct questions should be used after the client's
opening narrative to fill in any details that have
been left out or during the review of systems to
elicit specific facts about past health problems.
The nurse formulates the nursing diagnosis of,
"Ineffective health maintenance related to lack of
motivation" for a client with Type 2 diabetes. Which
finding supports this nursing diagnosis? - - -answers-
- -Eats anything and does not think diet makes a
difference in health.
The nursing diagnosis of ineffective health
maintenance refers to an inability to identify,
manage, and/or seek out help to maintain health,
