HESI V2
BSN 266 Fundamentals | Latest 2026
Practice Questions & Verified
Answers with Detailed Rationales
THIS STUDY GUIDE INCLUDES:
• ✅ BSN 266 HESI V2 Fundamentals practice questions
• ✅ Verified questions and answers
• ✅ Detailed answer rationales
• ✅ Nursing process (ADPIE)
• ✅ NCLEX-style clinical application questions
• ✅ Comprehensive exam review
• ✅ Printable PDF format
• ✅ Latest 2026 updated study material
, BSN 266 HESI V2 Fundamentals | Latest 2026
Practice Questions & Verified Answers with
Detailed Rationales
Question 1
While caring for a client with full-thickness burns covering 40% of the body,
the nurse observes purulent drainage from the wounds. Before reporting
the finding, what is the best lab value to evaluate?
A) Hemoglobin level
B) Neutrophil count
C) Platelet count
D) Serum albumin
Answer: B) Neutrophil count
Rationale: The patient is experiencing infection, so a nurse should review
the neutrophil count before contacting the healthcare provider. Neutrophils
are the primary white blood cells that respond to bacterial infections. An
elevated neutrophil count (neutrophilia) would support the finding of
purulent drainage and indicate an infectious process. This information is
essential for the healthcare provider to determine appropriate antibiotic
therapy.
Question 2
,An older woman who experienced a cerebrovascular accident (CVA) has
difficulty with visual perception and she only eats half of the food on her
meal tray. Her family expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
A) Encourage the family to feed the client
B) Demonstrate the use of visual scanning during meals to the client and
family
C) Request a nutritional supplement
D) Place the client on a pureed diet
Answer: B) Demonstrate the use of visual scanning during meals to
the client and family
Rationale: Clients with visual perceptual difficulties following a CVA may
not see food on half of their tray due to neglect or visual field deficits.
Teaching the family and client to use visual scanning techniques
(systematically looking from left to right) during meals can help ensure the
client eats the entire meal. This approach addresses the underlying
problem of visual perception rather than simply compensating with
supplements or feeding assistance.
Question 3
Best position for respiratory distress?
A) Supine position
B) High Fowler's position
, C) Trendelenburg position
D) Lateral recumbent position
Answer: B) High Fowler's position
Rationale: High Fowler's position helps to decrease venous return, which
decreases fluid volume in the heart and results in decreased cardiac
workload. This position also promotes maximum lung expansion by
allowing the diaphragm to descend more easily, improving ventilation and
oxygenation. High Fowler's position is the preferred position for patients
with respiratory distress, heart failure, and other conditions requiring
optimal breathing mechanics.
Question 4
A patient with peripheral artery disease has marked peripheral neuropathy.
An appropriate nursing diagnosis for the patient is:
A) Risk for infection
B) High risk for injury
C) Impaired skin integrity
D) Ineffective tissue perfusion
Answer: B) High risk for injury
Rationale: Peripheral neuropathy in a patient with peripheral artery disease
significantly decreases sensation in the extremities. The patient may not
feel minor injuries, burns, or pressure points, leading to unnoticed wounds
that can become infected and progress to ulceration or gangrene. "High
BSN 266 Fundamentals | Latest 2026
Practice Questions & Verified
Answers with Detailed Rationales
THIS STUDY GUIDE INCLUDES:
• ✅ BSN 266 HESI V2 Fundamentals practice questions
• ✅ Verified questions and answers
• ✅ Detailed answer rationales
• ✅ Nursing process (ADPIE)
• ✅ NCLEX-style clinical application questions
• ✅ Comprehensive exam review
• ✅ Printable PDF format
• ✅ Latest 2026 updated study material
, BSN 266 HESI V2 Fundamentals | Latest 2026
Practice Questions & Verified Answers with
Detailed Rationales
Question 1
While caring for a client with full-thickness burns covering 40% of the body,
the nurse observes purulent drainage from the wounds. Before reporting
the finding, what is the best lab value to evaluate?
A) Hemoglobin level
B) Neutrophil count
C) Platelet count
D) Serum albumin
Answer: B) Neutrophil count
Rationale: The patient is experiencing infection, so a nurse should review
the neutrophil count before contacting the healthcare provider. Neutrophils
are the primary white blood cells that respond to bacterial infections. An
elevated neutrophil count (neutrophilia) would support the finding of
purulent drainage and indicate an infectious process. This information is
essential for the healthcare provider to determine appropriate antibiotic
therapy.
Question 2
,An older woman who experienced a cerebrovascular accident (CVA) has
difficulty with visual perception and she only eats half of the food on her
meal tray. Her family expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
A) Encourage the family to feed the client
B) Demonstrate the use of visual scanning during meals to the client and
family
C) Request a nutritional supplement
D) Place the client on a pureed diet
Answer: B) Demonstrate the use of visual scanning during meals to
the client and family
Rationale: Clients with visual perceptual difficulties following a CVA may
not see food on half of their tray due to neglect or visual field deficits.
Teaching the family and client to use visual scanning techniques
(systematically looking from left to right) during meals can help ensure the
client eats the entire meal. This approach addresses the underlying
problem of visual perception rather than simply compensating with
supplements or feeding assistance.
Question 3
Best position for respiratory distress?
A) Supine position
B) High Fowler's position
, C) Trendelenburg position
D) Lateral recumbent position
Answer: B) High Fowler's position
Rationale: High Fowler's position helps to decrease venous return, which
decreases fluid volume in the heart and results in decreased cardiac
workload. This position also promotes maximum lung expansion by
allowing the diaphragm to descend more easily, improving ventilation and
oxygenation. High Fowler's position is the preferred position for patients
with respiratory distress, heart failure, and other conditions requiring
optimal breathing mechanics.
Question 4
A patient with peripheral artery disease has marked peripheral neuropathy.
An appropriate nursing diagnosis for the patient is:
A) Risk for infection
B) High risk for injury
C) Impaired skin integrity
D) Ineffective tissue perfusion
Answer: B) High risk for injury
Rationale: Peripheral neuropathy in a patient with peripheral artery disease
significantly decreases sensation in the extremities. The patient may not
feel minor injuries, burns, or pressure points, leading to unnoticed wounds
that can become infected and progress to ulceration or gangrene. "High
