HESI 266 FINAL STUDY GUIDE EXAM:
266- HESI, 2025/2026 WITH
CORRECT/ACCUREATE ANSWERS
The nurse is caring for a client diagnosed with psoriasis Vulgaris
who is receiving psoralen and ultraviolet light. Which finding
indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
B. Tenderness upon palpation and generalized erythema
(35) An older client who us agitated, dyspneic, orthopneic, and
using accessory muscles to
breathe is admitted for further treatment. Initial assessment
includes a heart rate 128
beats/minute and irregular respirations 38 breaths/minute, blood
pressure 168/100
mmHg, wheezes and crackles in all lung fields. An hour after the
administration of
furosemide 60 mg IV, which assessments should the nurse obtain
to determine the
client's response to the treatment? (Select all that apply)
A. Urinary Output
B. Pain Scale
,C. Oxygen Saturation
D. Lung Sounds
E. Skin Elasticity
A. Urinary Output
C. Oxygen Saturation
D. Lung Sounds
(39) The nurse is caring for a client who reports a sudden, severe
headache, and facial numbness.... (Too blurry to read).... Which
intervention should the nurse perform in the immediate
management of the client?
A. Place an indwelling urinary catheter and measure strict intake
and output.
B. Begin continuous observation for transient episodes of
neurologic dysfunction.
C. Notify the stroke team to assist with acute assessment and
management.
D. Raise the head of the bed to 30 degrees keeping head and
neck in neutral alignment.
C. Notify the stroke team to assist with acute assessment and
management.
(45) Which action should the nurse implement to reduce the risk
of vesicant extravasation in a client who is receiving
chemotherapy?
A. Monitor the client's IV site hourly during the treatment
B. Instruct the client to drink plenty of fluids during the treatment
C. Keep the head of the bed elevated until the treatment is
completed
D. Administer an antiemetic before starting the chemotherapy
, A. Monitor the client's IV site hourly during the treatment
(43) The healthcare provider prescribes penicillin 200,000 units IM
for a client with pneumonia. The available vial is labeled,
"Penicillin 500,000 units/ml." How many mL should the nurse
administer to the client? (enter numerical value only. If rounding
is required, round to the nearest tenth.)
0.4
(48) The nurse is performing preoperative assessment for a client
scheduled for a vertebroplasty of the cervical spine. Which finding
should the nurse notify the healthcare provider of prior to the
procedure?
A. White blood cells 9,000
B. Platelet count 40,000
C. Hematocrit 38% (0.38)
D. Hemoglobin 12g/dL (120g/L)
B. Platelet count 40,000
(49) While assessing a client with degenerative joint disease, the
nurse observes Heberden's nodes large prominences on the
(blurry). Which action should the nurse take?
A. Review the client's dietary intake of hig-protein foods
B. Discuss approaches to chronic pain control with the client
C. Assess the client's radial pulses and capillary refill time
D. Notify the healthcare provider of the finding immediately
B. Discuss approaches to chronic pain control with the client
(55) A client with gouty arthritis reports tenderness and swelling
of right ankle and great toe. The nurse observes the area of
266- HESI, 2025/2026 WITH
CORRECT/ACCUREATE ANSWERS
The nurse is caring for a client diagnosed with psoriasis Vulgaris
who is receiving psoralen and ultraviolet light. Which finding
indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
B. Tenderness upon palpation and generalized erythema
(35) An older client who us agitated, dyspneic, orthopneic, and
using accessory muscles to
breathe is admitted for further treatment. Initial assessment
includes a heart rate 128
beats/minute and irregular respirations 38 breaths/minute, blood
pressure 168/100
mmHg, wheezes and crackles in all lung fields. An hour after the
administration of
furosemide 60 mg IV, which assessments should the nurse obtain
to determine the
client's response to the treatment? (Select all that apply)
A. Urinary Output
B. Pain Scale
,C. Oxygen Saturation
D. Lung Sounds
E. Skin Elasticity
A. Urinary Output
C. Oxygen Saturation
D. Lung Sounds
(39) The nurse is caring for a client who reports a sudden, severe
headache, and facial numbness.... (Too blurry to read).... Which
intervention should the nurse perform in the immediate
management of the client?
A. Place an indwelling urinary catheter and measure strict intake
and output.
B. Begin continuous observation for transient episodes of
neurologic dysfunction.
C. Notify the stroke team to assist with acute assessment and
management.
D. Raise the head of the bed to 30 degrees keeping head and
neck in neutral alignment.
C. Notify the stroke team to assist with acute assessment and
management.
(45) Which action should the nurse implement to reduce the risk
of vesicant extravasation in a client who is receiving
chemotherapy?
A. Monitor the client's IV site hourly during the treatment
B. Instruct the client to drink plenty of fluids during the treatment
C. Keep the head of the bed elevated until the treatment is
completed
D. Administer an antiemetic before starting the chemotherapy
, A. Monitor the client's IV site hourly during the treatment
(43) The healthcare provider prescribes penicillin 200,000 units IM
for a client with pneumonia. The available vial is labeled,
"Penicillin 500,000 units/ml." How many mL should the nurse
administer to the client? (enter numerical value only. If rounding
is required, round to the nearest tenth.)
0.4
(48) The nurse is performing preoperative assessment for a client
scheduled for a vertebroplasty of the cervical spine. Which finding
should the nurse notify the healthcare provider of prior to the
procedure?
A. White blood cells 9,000
B. Platelet count 40,000
C. Hematocrit 38% (0.38)
D. Hemoglobin 12g/dL (120g/L)
B. Platelet count 40,000
(49) While assessing a client with degenerative joint disease, the
nurse observes Heberden's nodes large prominences on the
(blurry). Which action should the nurse take?
A. Review the client's dietary intake of hig-protein foods
B. Discuss approaches to chronic pain control with the client
C. Assess the client's radial pulses and capillary refill time
D. Notify the healthcare provider of the finding immediately
B. Discuss approaches to chronic pain control with the client
(55) A client with gouty arthritis reports tenderness and swelling
of right ankle and great toe. The nurse observes the area of
