BSN HESI 266 Exam Top Tier Correctly Answered
and Graded Excellently 100% A+
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. Move into airborne isolation
b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - CORRECT ANSWER ✔✔ -a. Move into airborne isolation
A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate.
A triple-lumen catheter for the continuous bladder
,irrigation with normal saline is infused and the nurse observes dark-pink tinged outflow with
blood clots in the tubing collection bag.
Which action should the nurse take?
a. Monitoring catheter drainage (pic one says this)
b. irrigation the catheter manually.
c. Decreasing the flow rate.
d. Discounting infusing solution. - CORRECT ANSWER ✔✔ -a. Monitoring catheter drainage
(pic one says this)
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which
finding should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
,c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - CORRECT ANSWER ✔✔ -a. low back pain and
hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize as a
contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus - CORRECT ANSWER ✔✔ -c. Crohn's disease with colectomy.
, A client presents to the emergency department reporting chest pain that is radiation to the left
arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine - CORRECT ANSWER ✔✔ -d. Morphine
A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole number.) -
CORRECT ANSWER ✔✔ -167 mL
1000mL/6(hours) =166.6=167mL
A client who had colon surgery 3 days ago is anxious and requesting
and Graded Excellently 100% A+
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. Move into airborne isolation
b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - CORRECT ANSWER ✔✔ -a. Move into airborne isolation
A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate.
A triple-lumen catheter for the continuous bladder
,irrigation with normal saline is infused and the nurse observes dark-pink tinged outflow with
blood clots in the tubing collection bag.
Which action should the nurse take?
a. Monitoring catheter drainage (pic one says this)
b. irrigation the catheter manually.
c. Decreasing the flow rate.
d. Discounting infusing solution. - CORRECT ANSWER ✔✔ -a. Monitoring catheter drainage
(pic one says this)
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which
finding should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
,c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - CORRECT ANSWER ✔✔ -a. low back pain and
hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize as a
contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus - CORRECT ANSWER ✔✔ -c. Crohn's disease with colectomy.
, A client presents to the emergency department reporting chest pain that is radiation to the left
arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine - CORRECT ANSWER ✔✔ -d. Morphine
A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole number.) -
CORRECT ANSWER ✔✔ -167 mL
1000mL/6(hours) =166.6=167mL
A client who had colon surgery 3 days ago is anxious and requesting
