BSN266 HESI (Latest 2025/ 2026 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
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? - 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? - 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? - 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? - ANSWER Leukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports
feeling increasingly fatigued. Which laboratory values should the nurse review? -
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 important for the nurse to bring to the attention of the
healthcare provider? - 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? - 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? - 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? - 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 - 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
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
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? - 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? - 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? - 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? - ANSWER Leukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports
feeling increasingly fatigued. Which laboratory values should the nurse review? -
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 important for the nurse to bring to the attention of the
healthcare provider? - 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? - 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? - 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? - 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 - 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
