{"id":115456,"date":"2023-08-24T11:13:09","date_gmt":"2023-08-24T11:13:09","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115456"},"modified":"2023-08-24T11:13:12","modified_gmt":"2023-08-24T11:13:12","slug":"hesi-level-2-practice-questions-answers-and-rationale-best-revision-material-hesi-level-2-exam-questions","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/hesi-level-2-practice-questions-answers-and-rationale-best-revision-material-hesi-level-2-exam-questions\/","title":{"rendered":"HESI Level #2 Practice Questions, Answers and Rationale (Best Revision Material) HESI level 2 Exam Questions"},"content":{"rendered":"\n

HESI Level #2 Practice Questions, Answers
and Rationale (Best Revision Material)
HESI level 2 Exam Questions
What assessment finding should the nurse identify that indicates a client with an acute
asthma exacerbation is beginning to improve after treatment?
A. Vesicular breath sounds decrease
B. Bronchodilators stimulate coughing
C. Cough remains unproductive
D. Wheezing becomes louder ———- CORRECT ANSWER ——- Answer : Wheezing
becomes louder.
Rationale: In an acute asthma attack, air flow may be so significantly restricted that
wheezing is diminished. If the client is successfully responding to bronchodilators and
respiratory treatments, wheezing becomes louder (A) as air flow increases in the
airways. As the airways open and mucous is mobilized in response to treatment, the
cough becomes more productive, not (B). Vesicular sounds are soft, low-pitched,
gentle, rustling sounds heard over lung fields (C) and is not an indicator of improvement
during asthma treatment. Bronchodilators do not stimulate coughing (D).
A client with sickle cell anemia is admitted with severe abdominal pain and the
diagnosis is sickle cell crisis. What is the most important nursing action to implement?
A. Evaluate the effectiveness of narcotic analgesics.
B. Limit the client’s intake of oral fluids and food.
C. Teach the client about prevention of crises.
D. Encourage the client to ambulate as tolerated. ———- CORRECT ANSWER ——-
Answer: Evaluate the effectiveness of narcotic analgesics.
Rationale: Pain management is the priority for a client during sickle cell crisis.
Continuous narcotic analgesics are the mainstay of pain control, which should be
evaluated (B) frequently to determine if the client’s pain is adequately controlled. (A, C,
and D) are not indicated at this time.
The nurse is assessing a middle-aged male client for risk factors related to chronic
illness. Which finding should the nurse assess further?
A. Thinning hair and dry scalp.
B. Increase in muscle tone but decreased muscle strength.
C. Increase in abdominal fat deposits.
D. Increase in appetite and taste-bud acuity. ———- CORRECT ANSWER ——-
Answer: Increase in abdominal fat deposits.
Rationale: An increase in the abdominal girth (D) may be indicative of the onset of
metabolic syndrome, which places the client at risk for cardiac disease and requires
further assessment. During middle adulthood, common findings include thinning hair,<\/p>\n\n\n\n

dry skin and scalp (A), changes in taste bud acuity (B), and muscle size and strength
(C), which are consistent with normal system functioning during aging.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago.
The nurse determines the client’s lower abdomen is distended and assesses dullness to
percussion. What is the priority nursing action?
A. Assessment of the client’s vital signs.
B. Determine the time the client last voided.
C. Document the finding as the only action.
D. Insert a rectal tube for the passage of flatus. ———- CORRECT ANSWER ——-
Answer: Determine the time the client last voided.
Rationale: Swelling at the surgical site in the immediate postoperative period can
impact the bladder and prostate area causing the client to experience difficulty voiding
due to pressure on the urethra. To provide additional data supporting bladder distention,
the last time the client voided (C) should be determined next. Documentation (B) should
be made, but the client’s distended bladder requires additional intervention. (A and D)
are not priority actions based on the client’s abdominal findings.
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the
infection to other areas of the client’s urinary tract?
A. Avoid consuming alcohol and caffeinated beverages.
B. Wear a condom when having sexual intercourse.
C. Have intercourse or masturbate at least twice a week.
D. Empty the bladder completely with each voiding. ———- CORRECT ANSWER ——-
Answer: Have intercourse or masturbate at least twice a week.
Rationale: The prostate is not easily penetrated by antibiotics and can serve as a
reservoir for microorganisms, which can infect other areas of the genitourinary tract.
Draining the prostate regularly through intercourse or masturbation (D) decreases the
number of microorganisms present and reduces the risk for further infection from stored
contaminated fluids. (A, B, and C) do not reduce the risk of spreading the infection
internally.
A 3-year-old boy is brought to the emergency room because of a possible diazepam
(Valium) overdose. He is lethargic and confused, and his vital signs are: pulse rate 100
beats\/minute, respiratory rate 20 breaths\/minute, and blood pressure 70\/30. Which
nursing intervention has the highest priority?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C.Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to monitor renal functioning. ———- CORRECT ANSWER —-
— Answer: Prepare a set-up for an endotracheal intubation.
Rationale: Diazepam causes respiratory depression, so preparation for intubation (B)
to protect the airway is the priority intervention at this time. (A) may be necessary, but
the child is lethargic and confused, with a lowered respiratory rate, so (B) takes priority.<\/p>\n\n\n\n

(C and D) are interventions that should be implemented, but they are both secondary to
ensuring an open airway.
The nurse is developing a plan of care for a newborn with a colostomy due to anal
agenesis, and the infant has had three loose stools since surgery yesterday. Which
nursing diagnosis has the highest priority?
A. Pain related to postoperative condition.
B. Potential for fluid volume deficit.
C. Alteration in bowel elimination.
D. Anxiety of parents related to newborn’s condition. ———- CORRECT ANSWER ——<\/p>\n\n\n\n