[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
HESI 266 Exam Questions & Answers
Latest Verified 2026/2027 Edition
Nightingale College
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
54 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 54 verified questions with correct answers and rationales covering various nursing
concepts. Each item is designed to enhance understanding of critical nursing scenarios, making it suitable for
exam preparation, review, and professional certification readiness.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Questions related to the assessment and management of
Neurological Disorders neurological conditions. 5 Qs 9.3%
Focus on postoperative care and considerations following
Surgical Interventions surgical procedures. 5 Qs 9.3%
Chronic Conditions and Explores the nursing care of clients with chronic diseases like
Management diabetes and kidney issues. 5 Qs 9.3%
Covers assessment and management strategies for clients
Cardiovascular Health with cardiovascular conditions. 5 Qs 9.3%
Examines the management of acute and chronic respiratory
Respiratory Conditions issues. 5 Qs 9.3%
Focuses on nursing interventions for gastrointestinal diseases
Gastrointestinal Disorders and dietary management. 5 Qs 9.3%
Addresses the care of clients with musculoskeletal injuries
Musculoskeletal Issues and conditions. 4 Qs 7.4%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 32
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Involves questions related to the management and treatment
Infectious Diseases of infectious diseases. 4 Qs 7.4%
Covers assessment and management related to endocrine
Endocrine Disorders system disorders. 4 Qs 7.4%
Focuses on the assessment and management of pain in
Pain Management various clinical scenarios. 4 Qs 7.4%
Explores dietary recommendations and nutritional
Nutritional Management management for various conditions. 4 Qs 7.4%
Addresses nursing considerations for clients with urinary
Urinary Conditions system disorders. 4 Qs 7.4%
Total Exam Coverage 12 Integrated Topic Modules 54 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 32
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: NEUROLOGICAL DISORDERS
5 Questions • 9.3% of Exam • Questions related to the assessment and management of neurological conditions.
QUESTION 1
The nurse assists a client with Parkinson's disease to ambulate in the hallway. The
client appears to "freeze" and then carefully lifts on leg and steps forward. The client
tells the nurse of pretending to step over a crack on the floor. How should the nurse
respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.
Answer: C. Confirm that this is an effective technique to help with ambulation.
QUESTION 2
The nurse is assessing a client who has herpes zoster. Which question will allow the
nurse to gather further information about this condition?
a. has everyone at home already had Varicella?
b. have the antifungal creams been effective?
c. do you have any dry patches on your feet and hands?
d. do your family members share combs and brushes?
Answer: A. has everyone at home already had Varicella?
Rationale: Varicella is another name for chickenpox, which is caused by the Varicella-Zoster virus.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 32
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
While caring for a client with amyotrophic lateral sclerosis
(ALS), the nurse performs a neurological assessment every four
hours. Which assessment finding warrants immediate intervention by the nurse?
A. Increasing anxiety
B. Inappropriate laughter
C. Asymmetrical weakness
D. Weakened cough effort
Answer: D. Weakened cough effort.
Rationale: Weakened cough effort is a critial finding in a client with ALS, as it can lead to ineffective airway clearance and
increase the risk of aspiration pneumonia. Immediate intervention, such as suctioning or respiratory support, may be
necessary to maintain airway patency and prevent complications. The other options are some common symptoms of ALS
but do not warrant immediate intervention.
QUESTION 4
A college student comes to the school's health clinic troubled by urinary frequency and
burning with right lower back pain. Which intervention should the nurse implement
first?
A. Palpate the right flank for tenderness
B. Test the urine for the presence of hematuria.
C. Evaluate the urine for a strong odor.
D. Measure the temperature and pulse rate.
Answer: D. Measure the temperature and pulse rate.
Rationale: Measuring the temperature and pulse rate is important for identifying any signs of systemic infection or
inflammation that could be contributing to the patient's symptoms.
Palpation of right flank for tenderness is essential to assess for possible renal involvement, but is not the initial step. Testing
for urine presence of hematuria is important in assessing for potential UTI or other renal pathology but does not directly
address the cause of the right lower back pain. Evaluating the urine for a strong odor may provide information about a
possible UTI, but not the most immediate intervention for addressing the client's symptoms.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 32
HESI 266 Exam Questions & Answers
Latest Verified 2026/2027 Edition
Nightingale College
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
54 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 54 verified questions with correct answers and rationales covering various nursing
concepts. Each item is designed to enhance understanding of critical nursing scenarios, making it suitable for
exam preparation, review, and professional certification readiness.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Questions related to the assessment and management of
Neurological Disorders neurological conditions. 5 Qs 9.3%
Focus on postoperative care and considerations following
Surgical Interventions surgical procedures. 5 Qs 9.3%
Chronic Conditions and Explores the nursing care of clients with chronic diseases like
Management diabetes and kidney issues. 5 Qs 9.3%
Covers assessment and management strategies for clients
Cardiovascular Health with cardiovascular conditions. 5 Qs 9.3%
Examines the management of acute and chronic respiratory
Respiratory Conditions issues. 5 Qs 9.3%
Focuses on nursing interventions for gastrointestinal diseases
Gastrointestinal Disorders and dietary management. 5 Qs 9.3%
Addresses the care of clients with musculoskeletal injuries
Musculoskeletal Issues and conditions. 4 Qs 7.4%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 32
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Involves questions related to the management and treatment
Infectious Diseases of infectious diseases. 4 Qs 7.4%
Covers assessment and management related to endocrine
Endocrine Disorders system disorders. 4 Qs 7.4%
Focuses on the assessment and management of pain in
Pain Management various clinical scenarios. 4 Qs 7.4%
Explores dietary recommendations and nutritional
Nutritional Management management for various conditions. 4 Qs 7.4%
Addresses nursing considerations for clients with urinary
Urinary Conditions system disorders. 4 Qs 7.4%
Total Exam Coverage 12 Integrated Topic Modules 54 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 32
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: NEUROLOGICAL DISORDERS
5 Questions • 9.3% of Exam • Questions related to the assessment and management of neurological conditions.
QUESTION 1
The nurse assists a client with Parkinson's disease to ambulate in the hallway. The
client appears to "freeze" and then carefully lifts on leg and steps forward. The client
tells the nurse of pretending to step over a crack on the floor. How should the nurse
respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.
Answer: C. Confirm that this is an effective technique to help with ambulation.
QUESTION 2
The nurse is assessing a client who has herpes zoster. Which question will allow the
nurse to gather further information about this condition?
a. has everyone at home already had Varicella?
b. have the antifungal creams been effective?
c. do you have any dry patches on your feet and hands?
d. do your family members share combs and brushes?
Answer: A. has everyone at home already had Varicella?
Rationale: Varicella is another name for chickenpox, which is caused by the Varicella-Zoster virus.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 32
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
While caring for a client with amyotrophic lateral sclerosis
(ALS), the nurse performs a neurological assessment every four
hours. Which assessment finding warrants immediate intervention by the nurse?
A. Increasing anxiety
B. Inappropriate laughter
C. Asymmetrical weakness
D. Weakened cough effort
Answer: D. Weakened cough effort.
Rationale: Weakened cough effort is a critial finding in a client with ALS, as it can lead to ineffective airway clearance and
increase the risk of aspiration pneumonia. Immediate intervention, such as suctioning or respiratory support, may be
necessary to maintain airway patency and prevent complications. The other options are some common symptoms of ALS
but do not warrant immediate intervention.
QUESTION 4
A college student comes to the school's health clinic troubled by urinary frequency and
burning with right lower back pain. Which intervention should the nurse implement
first?
A. Palpate the right flank for tenderness
B. Test the urine for the presence of hematuria.
C. Evaluate the urine for a strong odor.
D. Measure the temperature and pulse rate.
Answer: D. Measure the temperature and pulse rate.
Rationale: Measuring the temperature and pulse rate is important for identifying any signs of systemic infection or
inflammation that could be contributing to the patient's symptoms.
Palpation of right flank for tenderness is essential to assess for possible renal involvement, but is not the initial step. Testing
for urine presence of hematuria is important in assessing for potential UTI or other renal pathology but does not directly
address the cause of the right lower back pain. Evaluating the urine for a strong odor may provide information about a
possible UTI, but not the most immediate intervention for addressing the client's symptoms.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 32
