BSN 246 HESI Practice Exams 1 & 2 Nightingale College
2026 | Complete Study Guide | Graded A+
1. A 70-year-old man undertakes a Mini-Mental State Examination (MMSE). He
asks what is being assessed when he is instructed to take away serial 7s from
100 and then repeat the result. Which of the following is the most appropriate
response?
Remote memory
Attention
Working memory
Verbal memory
Language
2. What is the prescribed dosage of digoxin for the infant in micrograms?
35 mcg
0.05 mg
0.1 mg
50 mcg
3. Describe the significance of the two-hour postprandial glucose level in the
context of an oral glucose tolerance test (OGTT).
A two-hour postprandial glucose level of 140 mg/dl or lower
indicates normal glucose metabolism.
A level above 140 mg/dl suggests diabetes regardless of other factors.
The test is only relevant for diagnosing type 1 diabetes.
The two-hour level is not significant in assessing glucose tolerance.
,4. In the MMSE (mini mental state exam), which section asked a patient to count
by 7s backwards from 100?
registration
orientation
language
attention
5. The nurse provides care for a client with a nasogastric (NG) tube. The X-ray
determined the NG tube is in proper position. Which method does the nurse
use to determine proper placement of the NG tube for each subsequent
use?
Request a prescription for an X-ray.
Push air into the NG tube while auscultating the abdomen.
Observe the contents in the suction canister.
Measure the pH of the aspirate.
6. Discuss why older females are at a higher risk for urinary tract infections
compared to other groups.
Adolescent males have a higher incidence of UTIs due to sexual
activity.
School-age females are less likely to develop UTIs because of better
hygiene practices.
Older females are at a higher risk for urinary tract infections due to
anatomical and hormonal changes that occur with aging.
Older males have larger prostates that increase UTI risk.
,7. Why is checking the pH of aspirated stomach contents considered a reliable
method for confirming nasogastric tube placement?
Listening for bowel sounds helps determine if the NGT is in the correct
position.
Checking the pH of aspirated stomach contents indicates whether
the tube is in the stomach, as gastric contents have a specific pH
range.
Auscultating over the epigastrium confirms the tube's placement by
sound alone.
Disconnecting the NGT and placing it in water shows if it is functioning
properly.
8. What are the assessment findings that indicate diminished peripheral
circulation?
Capillary refill less than 3 seconds, Skin warm to touch
Bruising on extremities, Capillary refill less than 3 seconds
Diminished hair on legs, Skin cool to touch, Darkened skin on
extremities
Warm skin on extremities, Normal hair growth
9. If a patient with viral gastroenteritis exhibits rebound tenderness and also
shows signs of dehydration, what should the nurse prioritize in their care
plan?
Increased oral fluid intake to manage dehydration
Administering antiemetic medication for nausea
Monitoring vital signs for stability
Immediate evaluation for possible surgical intervention
, 10. A child is ordered 45 micrograms of Digoxin. Stock in your ward is an elixir
containing 0.05 milligrams/mL.
What volume should be administered?
Select one:
9 mL
2.3 mL
1 mL
0.9 mL
11. Describe how diminished peripheral circulation can manifest in a patient's
physical assessment.
Diminished peripheral circulation is only indicated by capillary refill
time.
Diminished peripheral circulation shows no visible signs during
assessment.
Diminished peripheral circulation is indicated by normal skin
temperature and hair growth.
Diminished peripheral circulation can manifest as diminished hair on
legs, cool skin temperature, and darkened skin on extremities.
12. The nurse is caring for a client with a diagnosis of dehydration, and the client
is receiving intravenous (IV) fluids. Which assessment data would indicate to
the nurse that the dehydration remains unresolved?
A blood pressure of 120/80 mm Hg
A urine output that is pale yellow
A urine specific gravity of 1.043
An oral temperature of 98.8° F
2026 | Complete Study Guide | Graded A+
1. A 70-year-old man undertakes a Mini-Mental State Examination (MMSE). He
asks what is being assessed when he is instructed to take away serial 7s from
100 and then repeat the result. Which of the following is the most appropriate
response?
Remote memory
Attention
Working memory
Verbal memory
Language
2. What is the prescribed dosage of digoxin for the infant in micrograms?
35 mcg
0.05 mg
0.1 mg
50 mcg
3. Describe the significance of the two-hour postprandial glucose level in the
context of an oral glucose tolerance test (OGTT).
A two-hour postprandial glucose level of 140 mg/dl or lower
indicates normal glucose metabolism.
A level above 140 mg/dl suggests diabetes regardless of other factors.
The test is only relevant for diagnosing type 1 diabetes.
The two-hour level is not significant in assessing glucose tolerance.
,4. In the MMSE (mini mental state exam), which section asked a patient to count
by 7s backwards from 100?
registration
orientation
language
attention
5. The nurse provides care for a client with a nasogastric (NG) tube. The X-ray
determined the NG tube is in proper position. Which method does the nurse
use to determine proper placement of the NG tube for each subsequent
use?
Request a prescription for an X-ray.
Push air into the NG tube while auscultating the abdomen.
Observe the contents in the suction canister.
Measure the pH of the aspirate.
6. Discuss why older females are at a higher risk for urinary tract infections
compared to other groups.
Adolescent males have a higher incidence of UTIs due to sexual
activity.
School-age females are less likely to develop UTIs because of better
hygiene practices.
Older females are at a higher risk for urinary tract infections due to
anatomical and hormonal changes that occur with aging.
Older males have larger prostates that increase UTI risk.
,7. Why is checking the pH of aspirated stomach contents considered a reliable
method for confirming nasogastric tube placement?
Listening for bowel sounds helps determine if the NGT is in the correct
position.
Checking the pH of aspirated stomach contents indicates whether
the tube is in the stomach, as gastric contents have a specific pH
range.
Auscultating over the epigastrium confirms the tube's placement by
sound alone.
Disconnecting the NGT and placing it in water shows if it is functioning
properly.
8. What are the assessment findings that indicate diminished peripheral
circulation?
Capillary refill less than 3 seconds, Skin warm to touch
Bruising on extremities, Capillary refill less than 3 seconds
Diminished hair on legs, Skin cool to touch, Darkened skin on
extremities
Warm skin on extremities, Normal hair growth
9. If a patient with viral gastroenteritis exhibits rebound tenderness and also
shows signs of dehydration, what should the nurse prioritize in their care
plan?
Increased oral fluid intake to manage dehydration
Administering antiemetic medication for nausea
Monitoring vital signs for stability
Immediate evaluation for possible surgical intervention
, 10. A child is ordered 45 micrograms of Digoxin. Stock in your ward is an elixir
containing 0.05 milligrams/mL.
What volume should be administered?
Select one:
9 mL
2.3 mL
1 mL
0.9 mL
11. Describe how diminished peripheral circulation can manifest in a patient's
physical assessment.
Diminished peripheral circulation is only indicated by capillary refill
time.
Diminished peripheral circulation shows no visible signs during
assessment.
Diminished peripheral circulation is indicated by normal skin
temperature and hair growth.
Diminished peripheral circulation can manifest as diminished hair on
legs, cool skin temperature, and darkened skin on extremities.
12. The nurse is caring for a client with a diagnosis of dehydration, and the client
is receiving intravenous (IV) fluids. Which assessment data would indicate to
the nurse that the dehydration remains unresolved?
A blood pressure of 120/80 mm Hg
A urine output that is pale yellow
A urine specific gravity of 1.043
An oral temperature of 98.8° F
