HESI A2 Prep Online

Health Education Systems, Inc. Admission Assessment

Pass the HESI A2 the first time with expert-designed practice questions, detailed rationales, engaging videos, realistic practice exams, and a proven track record of student success

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Results

Date: 19th Aug 2026Time Taken: 00:00:31

Management of Care

Management of Care

Answers Result

When monitoring a patient with advanced chronic kidney disease, which findings could suggest worsening uremia (aggravation of the condition)? Select all that apply.

Incorrect
  1. A.Regularly low blood pressure readings at home
  2. B.Constant feeling of alertness and energy
  3. C.Less frequent urination
  4. D.A powdery, white crystalline layer on the skin
  5. E.Persistent vomiting and decreased appetite

A nurse is caring for a client with a history of congestive heart failure (CHF) who is now experiencing acute respiratory distress. Which interventions should the nurse prioritize? Select all that apply.

Incorrect
  1. A.Apply oxygen using CPAP
  2. B.Place the client in high Fowler's position
  3. C.Encourage oral fluids to thin secretions
  4. D.Administer a loop diuretic as prescribed
  5. E.Have the client lie flat to rest

A nurse is reviewing advance directives with a competent adult on admission. Which actions are appropriate? Select all that apply.

Correct
  1. A.Ask whether the client has a living will or durable power of attorney
  2. B.Have a family member sign the form if the client is unsure
  3. C.Document the discussion in the medical record
  4. D.Offer written information on how to complete the forms
  5. E.Tell the client the hospital cannot admit them without a DNR
Answers Result

When monitoring a patient with advanced chronic kidney disease, which findings could suggest worsening uremia (aggravation of the condition)? Select all that apply.

Incorrect
  1. A.Regularly low blood pressure readings at home
  2. B.Constant feeling of alertness and energy
  3. C.Less frequent urination
  4. D.A powdery, white crystalline layer on the skin
  5. E.Persistent vomiting and decreased appetite

Uremia is waste the failing kidney can no longer clear. Oliguria, uremic frost, and anorexia with vomiting are the findings. Home hypotension and feeling alert cut the other way — uremia dulls people, it doesn't energize them.

A nurse is caring for a client with a history of congestive heart failure (CHF) who is now experiencing acute respiratory distress. Which interventions should the nurse prioritize? Select all that apply.

Incorrect
  1. A.Apply oxygen using CPAP
  2. B.Place the client in high Fowler's position
  3. C.Encourage oral fluids to thin secretions
  4. D.Administer a loop diuretic as prescribed
  5. E.Have the client lie flat to rest

Acute pulmonary edema needs upright positioning, positive-pressure oxygen, and a loop diuretic. Extra oral fluids and lying flat load the lungs. CPAP is the right first oxygen mode here.

A nurse is reviewing advance directives with a competent adult on admission. Which actions are appropriate? Select all that apply.

Correct
  1. A.Ask whether the client has a living will or durable power of attorney
  2. B.Have a family member sign the form if the client is unsure
  3. C.Document the discussion in the medical record
  4. D.Offer written information on how to complete the forms
  5. E.Tell the client the hospital cannot admit them without a DNR

Ask, document, and hand over the paperwork. The client signs, not the family, and admission does not wait on a DNR. Competence is the gate — they still get to refuse.

Understand why,
not only what.

HESI A2 questions test how you apply knowledge in real situations. After every answer, you are provided with a clear rationale so you can understand the reasoning, learn from mistakes, and recognize it when it appears again.

Question 1 of 3

A client reports sudden chest pain. First action?

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