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266 HESI Exam Questions & Answers 2026 |
Comprehensive Nursing Assessment & Exam
Preparation | Clearly Explained Solutions | Updated
Study Resource | Aim for Grade A Success
Introduction
Prepare confidently for the 266 HESI with a structured
resource designed to help nursing students
strengthen their understanding of key concepts and
approach assessments with greater confidence. The
material focuses on important HESI-style topics,
explanations, and exam-focused learning areas to
support efficient
Question and answer
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12. correct answer D Strict intravenous (IV) fluid replacement.
The most important intervention for the nurse to include in the client's plan of care, who
is suspected of anastomosis leakage post gastric bypass surgery, is D: Strict intravenous
(IV) fluid replacement. This is crucial as the client's vital signs indicate possible sepsis due
to infection, which can lead to severe dehydration. IV fluid replacement can help maintain
the client's blood pressure and prevent further complications.
While interventions A, B, and C (Encourage regular turning, Assess wound drainage daily,
Monitor skin for breakdown) are generally important in postoperative care, they are not
the most critical in this specific situation of suspected anastomotic leakage.: Question 12
of 55
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are:
temperature 101° F (38.3° C), heart rate 130 beats/minute, respiratory rate 26
breaths/minute, and blood pressure 100/50 mm Hg. Which intervention is most
important for the nurse to include in the client's plan of care?
- A Encourage regular turning.
- B Assess wound drainage daily.
- C Monitor skin for breakdown.
- D Strict intravenous (IV) fluid replacement.
13. 42: Question 13 of 55
A client receives a prescription for 1 liter of 0.9% sodium chloride, USP intravenously (IV)
to be infused over 4 hours. The IV administration set delivers 10 gtt/mL. How many
gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding
is required, round to the nearest whole number)
14. correct answer D Move into airborne isolation.
Airborne correct answer think MTV: Measles, TB, Varicella: Question 14 of 55
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A client arrives to the emergency department reporting an intermittent fever and night
sweats for the past 3 weeks and has developed a productive cough containing small
amounts of blood. Which intervention should the nurse prioritize?
- A Collect specimens for blood cultures.
- B Obtain a sputum sample.
- C Arrange transport for radiographic imaging.
- D Move into airborne isolation.
15. correct answer C Morphine.: Question 15 of 55
A client presents to the emergency department reporting chest pain that is radiating to
the left arm, shortness of breath, and diaphoresis. Which medication should the nurse
anticipate being prescribed by the healthcare provider?
- A Fentanyl.
- B Oxycodone.
- C Morphine.
- D Hydromorphone.
16. correct answer D Notify the healthcare provider of the client's medication history.:
Question
16 of 55
The nurse is preparing a client for surgery who was admitted to the emergency center
following a motor vehicle collision. The client has an open fracture of the femur and is
bleeding moderately from the bone protrusion site. During the preoperative
assessment, the nurse determines that the client currently receives heparin sodium
5,000 units subcutaneously daily. Which is the priority nursing action?
- A Ensure that the potential for bleeding is explained to the client.
- B Observe the heparin injection sites for signs of bruising.
- C Have the client sign the surgical and transfusion permits.
- D Notify the healthcare provider of the client's medication history.
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17. correct answer C Start two large bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy.
Thrombolytic treatment, also known as fibrinolytic therapy, dissolves dangerous
intravascular clots to prevent ischemic damage by improving blood flow.: Question 17 of
55
The nurse is caring for a client who reports a sudden, severe headache, and facial
numbness. The nurse asks the client to smile observes an uneven smile with facial droop
to the right side and a hand grasp strength that is weaker on the right than the left. The
client denies a recent history of headaches or trauma. Which intervention should the
nurse perform in the immediate management of the client?
- A Maintain elevated positioning of the dependent joints on affected side.
- B Verify prescribed laboratory tests include prothrombin time and platelet count.
- C Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic
therapy.
- D Administer aspirin to prevent further clot formation and platelet clumping.
18. correct answer B Lumbar puncture.: Question 18 of 55
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of
bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for
the healthcare provider?
- A Magnetic resonance imaging (MRI).
- B Lumbar puncture.
- C Computerized tomography (CT) scan.
- D Skull radiography.
19. correct answer A Eating patterns of dietary intake.: Question 19 of 55
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage the pain, which assessment data is most
important for the nurse to obtain?
- A Eating patterns of dietary intake.