BSN 225 HESI RN Specialty Nursing Fundamental HESI
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. The nurse notices that the Hispanic parents of a toddler who returns from
surgery offer the child only the broth that comes on the clear liquid tray.
Other liquids, including gelatin, popsicles, and juices, remain untouched.
What explanation is most appropriate for this behavior?
A) The belief is held that the "evil eye" enters the child if anything cold is
ingested.
B) After surgery the child probably has refused all foods except broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition. - Correct Answer: D) Hot remedies restore
balance after surgery, which is considered a "cold" condition
Common parental practices and health beliefs among Hispanic, Chinese,
Filipino, and Arab cultures classify diseases, areas of the body, and illnesses
as "hot" or "cold" and must be balanced to maintain health and prevent
illness. The perception that surgery is a "cold" condition implies that only
"hot" remedies, such as soup, should be used to restore the healthy
balance within the body, so (D) is the correct interpretation. (A, B, and C)
are not correct interpretations of the noted behavior. "Chi" is a Chinese
belief that an innate energy enters and leaves the body via certain locations
, and pathways and maintains health. The "evil eye," or "mal ojo," is believed
by many cultures to be related to the balance of health and illness but is
unrelated to dietary practice.
2. Three days following surgery, a male client observes his colostomy for the
first time. He becomes quite upset and tells the nurse that it is much bigger
than he expected. What is the best response by the nurse?
A) Reassure the client that he will become accustomed to the stoma
appearance in time.
B) Instruct the client that the stoma will become smaller when the initial
swelling diminishes.
C) Offer to contact a member of the local ostomy support group to help
him with his concerns.
D) Encourage the client to handle the stoma equipment to gain
confidence with the procedure - Correct Answer: B) Instruct the
client that the stoma will become smaller when the initial swelling
diminishes
Postoperative swelling causes enlargement of the stoma. The nurse can
teach the client that the stoma will become smaller when the swelling is
diminished (B). This will help reduce the client's anxiety and promote
acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse provides
pertinent teaching. The client is not yet demonstrating readiness to learn
colostomy care (D).
,3. An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction
should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the anterior
ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level. - Correct Answer: C) Reposition in a Sim's position
with the client's weight on the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall results, so
the UAP should reposition the client in the Sims' position, which distributes
the client's weight to the anterior ilium (C). (A) is inaccurate. (B and D)
should be implemented once the client is positioned
4. The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5
mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse
plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets. - Correct Answer: C) 1½ tablets
, 5. An elderly male client who suffered a cerebral vascular accident is receiving
tube feedings via a gastrostomy tube. The nurse knows that the best
position for this client during administration of the feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine - Correct Answer: B) Fowler's
The client should be positioned in a semi-sitting (Fowler's) (B) position
during feeding to decrease the occurrence of aspiration. A gastrostomy
tube, known as a PEG tube, due to placement by a percutaneous
endoscopic gastrostomy procedure, is inserted directly into the stomach
through an incision in the abdomen for long-term administration of
nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in
(D) increases the risk of aspiration
6. A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in
the client's medical record?
A) Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B) Blood specimens not collected because client no longer wants blood
tests performed.
C) Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. The nurse notices that the Hispanic parents of a toddler who returns from
surgery offer the child only the broth that comes on the clear liquid tray.
Other liquids, including gelatin, popsicles, and juices, remain untouched.
What explanation is most appropriate for this behavior?
A) The belief is held that the "evil eye" enters the child if anything cold is
ingested.
B) After surgery the child probably has refused all foods except broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition. - Correct Answer: D) Hot remedies restore
balance after surgery, which is considered a "cold" condition
Common parental practices and health beliefs among Hispanic, Chinese,
Filipino, and Arab cultures classify diseases, areas of the body, and illnesses
as "hot" or "cold" and must be balanced to maintain health and prevent
illness. The perception that surgery is a "cold" condition implies that only
"hot" remedies, such as soup, should be used to restore the healthy
balance within the body, so (D) is the correct interpretation. (A, B, and C)
are not correct interpretations of the noted behavior. "Chi" is a Chinese
belief that an innate energy enters and leaves the body via certain locations
, and pathways and maintains health. The "evil eye," or "mal ojo," is believed
by many cultures to be related to the balance of health and illness but is
unrelated to dietary practice.
2. Three days following surgery, a male client observes his colostomy for the
first time. He becomes quite upset and tells the nurse that it is much bigger
than he expected. What is the best response by the nurse?
A) Reassure the client that he will become accustomed to the stoma
appearance in time.
B) Instruct the client that the stoma will become smaller when the initial
swelling diminishes.
C) Offer to contact a member of the local ostomy support group to help
him with his concerns.
D) Encourage the client to handle the stoma equipment to gain
confidence with the procedure - Correct Answer: B) Instruct the
client that the stoma will become smaller when the initial swelling
diminishes
Postoperative swelling causes enlargement of the stoma. The nurse can
teach the client that the stoma will become smaller when the swelling is
diminished (B). This will help reduce the client's anxiety and promote
acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse provides
pertinent teaching. The client is not yet demonstrating readiness to learn
colostomy care (D).
,3. An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction
should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the anterior
ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level. - Correct Answer: C) Reposition in a Sim's position
with the client's weight on the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall results, so
the UAP should reposition the client in the Sims' position, which distributes
the client's weight to the anterior ilium (C). (A) is inaccurate. (B and D)
should be implemented once the client is positioned
4. The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5
mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse
plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets. - Correct Answer: C) 1½ tablets
, 5. An elderly male client who suffered a cerebral vascular accident is receiving
tube feedings via a gastrostomy tube. The nurse knows that the best
position for this client during administration of the feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine - Correct Answer: B) Fowler's
The client should be positioned in a semi-sitting (Fowler's) (B) position
during feeding to decrease the occurrence of aspiration. A gastrostomy
tube, known as a PEG tube, due to placement by a percutaneous
endoscopic gastrostomy procedure, is inserted directly into the stomach
through an incision in the abdomen for long-term administration of
nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in
(D) increases the risk of aspiration
6. A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in
the client's medical record?
A) Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B) Blood specimens not collected because client no longer wants blood
tests performed.
C) Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
