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BSN 266 HESI Practice Questions 2026 (Nightingale College) | HESI-Style Questions & Verified Answers | Nursing Exam Prep

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Prepare confidently for the BSN 266 HESI Exam at Nightingale College with this updated 2026 nursing exam prep resource designed to strengthen clinical reasoning, nursing knowledge, and test-taking confidence. This comprehensive study guide includes HESI-style practice questions, verified answers, and detailed rationales to help nursing students reinforce essential concepts commonly covered in BSN 266 coursework and HESI assessments. HESI-style nursing practice questions Verified answers with detailed rationales High-yield nursing review concepts Clinical judgment and prioritization practice Pharmacology, patient safety, and nursing intervention review Coverage of adult health, fundamentals, medical-surgical nursing, pharmacology, leadership, communication, and evidence-based care concepts Structured to improve confidence and nursing exam preparedness Topics covered include medication administration, infection prevention, fluid and electrolyte balance, therapeutic communication, delegation, documentation, patient assessment, chronic disease management, and nursing care planning. Ideal for Nightingale College nursing students preparing for BSN 266 HESI exams, remediation coursework, nursing school assessments, and NCLEX-RN preparation. Strengthen nursing knowledge. Improve clinical reasoning. Prepare with confidence.

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BSN 266 HESI Practice Questions 2026 (Nightingale
College) | Most Tested Questions & 100% Correct
Answers
1. What is the next nursing action after determining that a client's pulse is
present, regular, and full during a neurovascular assessment?

Assess for color, feeling, discomfort, and movement

Notify the healthcare provider of assessment finding

Discontinue elevating the client's affected extremity

Document the neurovascular assessment as normal

2. Why is it important for a nurse to assess drooling in a patient with Parkinson's
disease?

Drooling is a sign of dehydration in all patients.

Drooling indicates the need for more medication.

Drooling is unrelated to Parkinson's disease symptoms.

Drooling can indicate difficulties with swallowing and oral motor
control in Parkinson's disease.

3. Which intervention should the practical nurse (PN) reinforce for a client with
pruritus?

do not take any type of tub bath

keep fingernails trimmed short

discourage use of scan lubricants

Encourage a warm sleeping environment

,4. What is the concentration of the progesterone solution provided to the
nurse?

100 mg/mL

50 mg/mL

25 mg/mL

10 mg/mL

5. What position is typically used for a client undergoing a thoracentesis?

Prone position

Lateral position

Upright position

Supine position

6. A nurse is instructing a client who is scheduled for a transurethral resection of
the prostate (TURP) about his postoperative care. Which of the following
information should the nurse include in the teaching?

You will be on bed rest for the first 2 days after the procedure

You may have a continuous sensation of needing to void even
though you have a catheter

Your urine should be clear yellow the evening after the surgery

You will be instructed to limit your fluid intake after the procedure

7. The nursing care plan for a client in the diuresis stage of acute kidney injury
(AKI) should include monitoring for which complication?

Urinary retention

Excess fluid volume

, Electrolyte imbalance

Acute pain

8. Why is it important for a client with pruritis to keep their fingernails trimmed
short?

Trimmed nails reduce the risk of infection from skin conditions.

Short nails allow for better application of topical treatments.

Keeping fingernails trimmed short helps prevent skin damage from
scratching.

Short nails are more aesthetically pleasing for the client.

9. A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?

Advise the client to limit foods that are high in calcium and iron.

Explain that the need to restrict fluids is the primary limitation.

Instruct the client to avoid foods with gluten, such as wheat bread.

Describe the use of an elimination diet to find trigger foods.

10. The nurse is caring for a patient who reports headache, fever, and neck
stiffness. Which diagnostic test should the nurse prepare the patient for?

Magnetic resonance imaging (MRI)

Computerized tomography (CT) Scan

Blood culture

Lumbar Puncture

, 11. A patient presents with a serum potassium level of 2.8 mEq/L before surgery.
What should the nurse's immediate action be?

Document the level and monitor the patient.

Proceed with the surgery as scheduled.

Notify the physician and prepare to administer potassium
supplements.

Increase the patient's fluid intake.

12. Why is it important for the nurse to visualize the abdominal incision when a
client expresses concern about their surgical site?

To document the client's feelings in the medical record.

To provide emotional support to the client.

To assess for any signs of dehiscence or complications at the
incision site.

To prepare for potential surgery.

13. Why is it important for the nurse to assess the client's pain in this scenario?

Assessing the client's pain helps to identify the severity and nature
of the pain, guiding further interventions.

The assessment is only needed if the client requests it.

It is not necessary to assess pain after five months of treatment.

The nurse should focus on teaching the client about pain
management techniques instead.

14. What is one recommended intervention for a client experiencing pruritis?

Instruct the client to keep fingernails trimmed short

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