HESI BSN 266 EXAM 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Hypoalbuminemia that results in a decreased colloidal onoctic pressure.
b. Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
c. Decreased renin-angiotensin response related to an increase in renal blood flow.
d. Decreased portacaval pressure with greater collateral circulation - ANS-a.
Hypoalbuminemia that results in a decreased colloidal onoctic pressure.
A client with a history of asthma reports having episodes of bronchoconstriction and
increased mucous production while exercising.
Which action should the nurse implement?
a. Determine if the client is using an inhaler before exercising.
b. Teach client to use pursed lip breathing when episodes occur.
c. Review the client's routine asthma management prescriptions.
d. Assess client for signs and symptoms of upper airway infection. - ANS-a. Determine
if the client is using an inhaler before exercising.
Question about dry feet - ANS-apply lotion to prevent cracks
The nurse is evaluating a male client's understanding of diet teaching about the
DASH eating plan. Which behavior indicates that the client is adhering to the
eating plan? - ANS-Low fat yogurt
A client with
operating room received succinylcholine. The client is experiencing
muscle rigidity and has an extremely high temperature. Which action should the
nurse implement? - ANS-Prepare ice packs for placement in the client's axillary
area
,The nurse is obtaining the ad
mission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
medical diagnosis? - ANS-Upper mid abdominal pain described as gnawing and
burning
An adult client is admitted with flank pain and
is diagnosed with acute
pyelonephritis. What is the priority nursing action? - ANS-a. Administer IV antibiotics
as prescribed
A client who has developed acute kidney injury (AKI) due to aminoglycoside antibiotics
has moved from the oliguric phase to the diuretic phase of AKI.
Which parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN) - ANS-b. Hypovolemia and
electrocardiographic (ECG) changes.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
a. Aching feet may be soaked in lukewarm water for one hour or more.
b. Shoes should be worn outside the house, but it is fine to be barefoot inside.
c. Family members can help with regular foot exams.
d. Heating pads are useful if on the lowest setting - ANS-c. Family members can help
with regular foot exams.
Question about facial droop - ANS-prepare for fiberlyntic therapy
Client is hospitalized with Heart failure. What nursing interventions will be implemented
for patient to improve ventilation and reduce venous return? - ANS-Place in high
fowlers
Dialysis access bruit heard in R arm - ANS-normal/ document
math (drops question) - ANS-42 gtt/min
, TURP QUESTION - ANS-decrease urinary output
Assessment question Guillan Barre - ANS-loss of sensation at T-8
Addison's question - ANS-educate to take steroids
a client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness
and palpitations.
Which finding should the nurse
recognize as a possible complication?
a. anxiety and sighing
b. myalgia in wrists and hands
c. hyperactive bowel sounds
d. dark yellow urine - ANS-b. myalgia in wrists and hands
The nurse has conducted a cancer prevention community education program. In
evaluating the participants' understanding of the carcinogens,
which statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer
d. Carcinogens are in the environment and cannot be avoided. - ANS-c. Substances
that change a cell so that it becomes cancerous are
potential sources of cancer
A client with eczema is applying 10% urea cream onto the affected skin areas. Which
finding reflects the expected therapeutic response?
a. Hydration of affected dry skin areas
b. Reduced pain in eczematous areas.
c. Decreased weeping of ulcerations in affected areas.
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Hypoalbuminemia that results in a decreased colloidal onoctic pressure.
b. Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
c. Decreased renin-angiotensin response related to an increase in renal blood flow.
d. Decreased portacaval pressure with greater collateral circulation - ANS-a.
Hypoalbuminemia that results in a decreased colloidal onoctic pressure.
A client with a history of asthma reports having episodes of bronchoconstriction and
increased mucous production while exercising.
Which action should the nurse implement?
a. Determine if the client is using an inhaler before exercising.
b. Teach client to use pursed lip breathing when episodes occur.
c. Review the client's routine asthma management prescriptions.
d. Assess client for signs and symptoms of upper airway infection. - ANS-a. Determine
if the client is using an inhaler before exercising.
Question about dry feet - ANS-apply lotion to prevent cracks
The nurse is evaluating a male client's understanding of diet teaching about the
DASH eating plan. Which behavior indicates that the client is adhering to the
eating plan? - ANS-Low fat yogurt
A client with
operating room received succinylcholine. The client is experiencing
muscle rigidity and has an extremely high temperature. Which action should the
nurse implement? - ANS-Prepare ice packs for placement in the client's axillary
area
,The nurse is obtaining the ad
mission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
medical diagnosis? - ANS-Upper mid abdominal pain described as gnawing and
burning
An adult client is admitted with flank pain and
is diagnosed with acute
pyelonephritis. What is the priority nursing action? - ANS-a. Administer IV antibiotics
as prescribed
A client who has developed acute kidney injury (AKI) due to aminoglycoside antibiotics
has moved from the oliguric phase to the diuretic phase of AKI.
Which parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN) - ANS-b. Hypovolemia and
electrocardiographic (ECG) changes.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
a. Aching feet may be soaked in lukewarm water for one hour or more.
b. Shoes should be worn outside the house, but it is fine to be barefoot inside.
c. Family members can help with regular foot exams.
d. Heating pads are useful if on the lowest setting - ANS-c. Family members can help
with regular foot exams.
Question about facial droop - ANS-prepare for fiberlyntic therapy
Client is hospitalized with Heart failure. What nursing interventions will be implemented
for patient to improve ventilation and reduce venous return? - ANS-Place in high
fowlers
Dialysis access bruit heard in R arm - ANS-normal/ document
math (drops question) - ANS-42 gtt/min
, TURP QUESTION - ANS-decrease urinary output
Assessment question Guillan Barre - ANS-loss of sensation at T-8
Addison's question - ANS-educate to take steroids
a client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness
and palpitations.
Which finding should the nurse
recognize as a possible complication?
a. anxiety and sighing
b. myalgia in wrists and hands
c. hyperactive bowel sounds
d. dark yellow urine - ANS-b. myalgia in wrists and hands
The nurse has conducted a cancer prevention community education program. In
evaluating the participants' understanding of the carcinogens,
which statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer
d. Carcinogens are in the environment and cannot be avoided. - ANS-c. Substances
that change a cell so that it becomes cancerous are
potential sources of cancer
A client with eczema is applying 10% urea cream onto the affected skin areas. Which
finding reflects the expected therapeutic response?
a. Hydration of affected dry skin areas
b. Reduced pain in eczematous areas.
c. Decreased weeping of ulcerations in affected areas.
