BSN 225 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 mixes 50 mg of Nipride in 250 ml of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds.
Using a drip factor of 60 gtt/ml, how many drops per minute should the
client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - Correct Answer: (D) is the correct calculation:
Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage for this
client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg
are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is
to receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is
to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then 60
× 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min =
60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1
kg/2.2 lbs X 182 lbs.
Correct Answer: D
2. A hospitalized male client is receiving nasogastric tube feedings via a small-
bore tube and a continuous pump infusion. He reports that he had a bad
, bout of severe coughing a few minutes ago, but feels fine now. What action
is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling. - Correct Answer: Coughing, vomiting, and suctioning
can precipitate displacement of the tip of the small bore feeding tube
upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube
(after clearing the tube with 30 ml of air) for acidic (stomach) or
alkaline (intestine) values is a more sensitive method for these tubes,
and the nurse should assess tube placement in this way prior to
taking any other action (C). (A and B) are not indicated. The
auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
Correct Answer: C
3. A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of
the medication each day. Since, at the time of discharge, timed-release
capsules are not available, which dosing schedule should the nurse advise
the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
, D. With breakfast, with lunch, and with dinner. - Correct Answer:
Theophylline should be administered on a regular around-the-clock
schedule (B) to provide the best bronchodilating effect and reduce
the potential for adverse effects. (A, C, and D) do not provide around-
the-clock dosing. Food may alter absorption of the medication (D).
Correct Answer: B
4. An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an
intensive aerobic exercise program 3 to 4 times a week and to take stress
management classes. After praising the client for his decision, which
instruction is most important for the nurse to provide?
A. "Be sure to have a complete physical examination before beginning
your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a sense
of accomplishment and motivation." - Correct Answer: The most
important teaching is (A), so that the client will not begin a dangerous
level of exercise when he is not sufficiently fit. This might result in
chest pain, a heart attack, or stroke. (B, C, and D) are important
instructions, but are of less priority than (A).
Correct Answer: A
5. The nurse is teaching a client proper use of an inhaler. When should the
client administer the inhaler-delivered medication to demonstrate correct
use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation.
, C. At the end of three inhalations.
D. Immediately after inhalation. - Correct Answer: The client should
be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should
remove the mouthpiece, keeping his/her lips closed and breath held
for several seconds to allow for distribution of the medication. The
client should not deliver the dose as stated in (A or D), and should
deliver no more than two inhalations at a time (C).
Correct Answer: B
6. 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) is the correct calculation: D/H × Q
= 7.5/5 × 1 tablet = 1½ tablets.
Correct Answer: C
7. The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On
hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?
A. 1 ml.
B. 1.5 ml.
C. 1.75 ml.
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 mixes 50 mg of Nipride in 250 ml of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds.
Using a drip factor of 60 gtt/ml, how many drops per minute should the
client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - Correct Answer: (D) is the correct calculation:
Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage for this
client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg
are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is
to receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is
to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then 60
× 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min =
60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1
kg/2.2 lbs X 182 lbs.
Correct Answer: D
2. A hospitalized male client is receiving nasogastric tube feedings via a small-
bore tube and a continuous pump infusion. He reports that he had a bad
, bout of severe coughing a few minutes ago, but feels fine now. What action
is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling. - Correct Answer: Coughing, vomiting, and suctioning
can precipitate displacement of the tip of the small bore feeding tube
upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube
(after clearing the tube with 30 ml of air) for acidic (stomach) or
alkaline (intestine) values is a more sensitive method for these tubes,
and the nurse should assess tube placement in this way prior to
taking any other action (C). (A and B) are not indicated. The
auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
Correct Answer: C
3. A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of
the medication each day. Since, at the time of discharge, timed-release
capsules are not available, which dosing schedule should the nurse advise
the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
, D. With breakfast, with lunch, and with dinner. - Correct Answer:
Theophylline should be administered on a regular around-the-clock
schedule (B) to provide the best bronchodilating effect and reduce
the potential for adverse effects. (A, C, and D) do not provide around-
the-clock dosing. Food may alter absorption of the medication (D).
Correct Answer: B
4. An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an
intensive aerobic exercise program 3 to 4 times a week and to take stress
management classes. After praising the client for his decision, which
instruction is most important for the nurse to provide?
A. "Be sure to have a complete physical examination before beginning
your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a sense
of accomplishment and motivation." - Correct Answer: The most
important teaching is (A), so that the client will not begin a dangerous
level of exercise when he is not sufficiently fit. This might result in
chest pain, a heart attack, or stroke. (B, C, and D) are important
instructions, but are of less priority than (A).
Correct Answer: A
5. The nurse is teaching a client proper use of an inhaler. When should the
client administer the inhaler-delivered medication to demonstrate correct
use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation.
, C. At the end of three inhalations.
D. Immediately after inhalation. - Correct Answer: The client should
be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should
remove the mouthpiece, keeping his/her lips closed and breath held
for several seconds to allow for distribution of the medication. The
client should not deliver the dose as stated in (A or D), and should
deliver no more than two inhalations at a time (C).
Correct Answer: B
6. 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) is the correct calculation: D/H × Q
= 7.5/5 × 1 tablet = 1½ tablets.
Correct Answer: C
7. The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On
hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?
A. 1 ml.
B. 1.5 ml.
C. 1.75 ml.
