BSN266 HESI
BSN266 HESI EXAM QUESTIONS AND
ANSWERS 2025
A client is admitted to the hospital for shortness of breath and chest pain after an
episode of syncope. Which laboratory finding is most important for the nurse to report
to the healthcare provider? -Correct Answer ✔Troponin I
A client is admitted with a deep and productive cough, hemophytisis, and a low grade
fever. The client's Mantoux skin test has 15mm induration. Which intervention should
the nurse implement first? -Correct Answer ✔Initiate airborne particulate isolation
precautions
A client is hospitalized after experiencing a myocardial infarction (MI) to reduce cardiac
workload, which intervention should the nurse include in the client's plan of care? -
Correct Answer ✔Provide a bedside commode for toileting
A client is receiving combination chemotherapy for treatment of metastatic carcinoma.
When monitoring the client for systemic side effects, which assessment findings warrant
intervention by the nurse? -Correct Answer ✔Leukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports feeling
increasingly fatigued. Which laboratory values should the nurse review? -Correct Answer
✔Complete blood count
A client with COPD arrives at the emergency department reporting of shortness of
breath upon exertion and _____ weakness. The client ___ the nurse was normally
receiving dialysis three times a week but missed the last treatment. The client's serum
potassium is 4.8 mEq/L and creatinine of 1.4 ___ , accompanied with a blood pressure of
200/120 mmHg. The client has salt crystals present on the skin. Which finding is most
BSN266 HESI
, BSN266 HESI
important for the nurse to bring to the attention of the healthcare provider? -Correct
Answer ✔Blood pressure
A client with chronic obstructive pulmonary disease (COPD) is admitted to a non-
emergent cholecystectomy. The admission arterial blood gas ) ABG PCO2 48 mmHG? -
Correct Answer ✔Administer a PRN bronchodilator
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrants immediate intervention by the nurse? -Correct
Answer ✔Irregular apical pulse
A client with gouty arthritis reports tenderness and swelling of the right ankle and great
toe. The nurse observes the area of inflammation. The client receives prescriptions for
colchicine and indomethacin, Which instruction should the nurse include in the
discharge teaching? -Correct Answer ✔Return for periodic liver functions studies
A client with heart failure is receiving intravenous fluids at 125 ml/hour. The nurse
observes an increased jugular venous distention. Which assessment should the nurse
make before reporting to the healthcare provider -Correct Answer ✔Observe for change
in breathing pattern
A client with a history of chronic obstructive disease (COPD) is admitted with
pneumonia. Vital signs include oxygen saturation 89% temperature 100.5 F (__ C) heart
rate 120 beats/minute, respirations 28 breaths/minute and blood pressure
170/90mmHg. Which finding warrants immediate intervention by the nurse? -Correct
Answer ✔Bilateral diffuse wheezing
A client with a history of heart failure reports increasing fatigue over the past week. On
assessment the nurse obtains the following blood pressure 122/70 mmHg, and
respiratory rate 24 breaths/minute. While waiting for an electrocardiogram (ECG)? -
Correct Answer ✔Rhythm of apical pulse
BSN266 HESI
BSN266 HESI EXAM QUESTIONS AND
ANSWERS 2025
A client is admitted to the hospital for shortness of breath and chest pain after an
episode of syncope. Which laboratory finding is most important for the nurse to report
to the healthcare provider? -Correct Answer ✔Troponin I
A client is admitted with a deep and productive cough, hemophytisis, and a low grade
fever. The client's Mantoux skin test has 15mm induration. Which intervention should
the nurse implement first? -Correct Answer ✔Initiate airborne particulate isolation
precautions
A client is hospitalized after experiencing a myocardial infarction (MI) to reduce cardiac
workload, which intervention should the nurse include in the client's plan of care? -
Correct Answer ✔Provide a bedside commode for toileting
A client is receiving combination chemotherapy for treatment of metastatic carcinoma.
When monitoring the client for systemic side effects, which assessment findings warrant
intervention by the nurse? -Correct Answer ✔Leukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports feeling
increasingly fatigued. Which laboratory values should the nurse review? -Correct Answer
✔Complete blood count
A client with COPD arrives at the emergency department reporting of shortness of
breath upon exertion and _____ weakness. The client ___ the nurse was normally
receiving dialysis three times a week but missed the last treatment. The client's serum
potassium is 4.8 mEq/L and creatinine of 1.4 ___ , accompanied with a blood pressure of
200/120 mmHg. The client has salt crystals present on the skin. Which finding is most
BSN266 HESI
, BSN266 HESI
important for the nurse to bring to the attention of the healthcare provider? -Correct
Answer ✔Blood pressure
A client with chronic obstructive pulmonary disease (COPD) is admitted to a non-
emergent cholecystectomy. The admission arterial blood gas ) ABG PCO2 48 mmHG? -
Correct Answer ✔Administer a PRN bronchodilator
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrants immediate intervention by the nurse? -Correct
Answer ✔Irregular apical pulse
A client with gouty arthritis reports tenderness and swelling of the right ankle and great
toe. The nurse observes the area of inflammation. The client receives prescriptions for
colchicine and indomethacin, Which instruction should the nurse include in the
discharge teaching? -Correct Answer ✔Return for periodic liver functions studies
A client with heart failure is receiving intravenous fluids at 125 ml/hour. The nurse
observes an increased jugular venous distention. Which assessment should the nurse
make before reporting to the healthcare provider -Correct Answer ✔Observe for change
in breathing pattern
A client with a history of chronic obstructive disease (COPD) is admitted with
pneumonia. Vital signs include oxygen saturation 89% temperature 100.5 F (__ C) heart
rate 120 beats/minute, respirations 28 breaths/minute and blood pressure
170/90mmHg. Which finding warrants immediate intervention by the nurse? -Correct
Answer ✔Bilateral diffuse wheezing
A client with a history of heart failure reports increasing fatigue over the past week. On
assessment the nurse obtains the following blood pressure 122/70 mmHg, and
respiratory rate 24 breaths/minute. While waiting for an electrocardiogram (ECG)? -
Correct Answer ✔Rhythm of apical pulse
BSN266 HESI
