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HESI A2 original latest material

90 questions · Original · Latest version

Question 1

A nurse gives a client the following instructions: “Weigh yourself every morning after urinating and before eating breakfast. Use the same scale and wear similar clothing each time. Record your weight and contact the clinic if it increases by 2 pounds or more in 24 hours.” What is the main purpose of this passage?

  1. A. To explain why breakfast causes weight gain
  2. B. To describe a consistent method of monitoring weight and when to report a change
  3. C. To encourage the client to lose at least 2 pounds each day
  4. D. To compare the accuracy of different types of scales

ANS: Answer: B

The passage primarily provides a standardized daily weighing procedure and a threshold for contacting the clinic. It does not claim that breakfast causes weight gain; weighing before breakfast simply improves consistency. The 2-pound value is a reporting threshold for weight gain, not a weight-loss goal. Although the passage recommends using the same scale, it does not compare scale types.

Question 2

A clinic handout states: “Some clients do not notice symptoms when their blood pressure is elevated. Regular measurements can identify elevated readings before a client feels ill. A single high reading does not always establish a diagnosis; clinicians may use measurements collected on several occasions.” Which conclusion is best supported by the passage?

  1. A. Clients without symptoms cannot have elevated blood pressure.
  2. B. Every high blood pressure reading confirms a chronic condition.
  3. C. Repeated blood pressure measurements can provide useful information even when a client feels well.
  4. D. Blood pressure measurements are useful only after symptoms appear.

ANS: Answer: C

The passage supports monitoring clients who feel well and using measurements from multiple occasions to evaluate blood pressure. The first and fourth options contradict the statement that elevated blood pressure may occur without symptoms. The second contradicts the explicit warning that a single high reading does not always establish a diagnosis.

Question 3

A client's record states, “The client experienced a transient episode of dizziness after standing.” What does “transient” mean in this sentence?

  1. A. Lasting a short time
  2. B. Increasing steadily in severity
  3. C. Occurring permanently
  4. D. Resulting from an infection

ANS: Answer: A

Transient means temporary or short-lived, so it describes the episode's duration. It does not indicate that symptoms are progressively worsening or permanent. The word also does not identify a cause, such as an infection.

Question 4

During a follow-up visit, a client says, “Rest alleviates my knee discomfort.” Which word could replace “alleviates” without changing the meaning?

  1. A. Causes
  2. B. Measures
  3. C. Worsens
  4. D. Relieves

Question 5

A nurse is editing a sentence for a patient education handout. Which sentence uses correct subject–verb agreement?

  1. A. The list of follow-up appointments are on the kitchen counter.
  2. B. The list of follow-up appointments is on the kitchen counter.
  3. C. The list of follow-up appointments were on the kitchen counter.
  4. D. The list of follow-up appointments have been on the kitchen counter.

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