BSN 266 HESI V2 (Latest 2025/ 2026
Update) Questions and Verified Answers |
100% Correct| Grade A- Nightingale
Neutrophil count- The patient is experiencing infection, so a nurse should review
the neutrophil count before contacting the HCP. - ANSWER While caring
for a client with full thickness burns covering 40% of the body, the nurse observes
purulent drainage from the wounds. Before reporting the finding, what is the best
lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and family. -
ANSWER An older woman who experienced a cerebrovascular accident
(CVA) has difficulty with visual perception and she only eats half of the food on
her meal tray. Her family expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac workload. -
ANSWER Best position for respiratory distress?
High risk for injury - ANSWER A patient with peripheral artery disease
has marked peripheral neuropath. An appropriate nursing diagnosis for the patient
is
Check feet every day for cuts or injuries. - ANSWER Type 2 diabetes
patient discharge teaching patient and family
, Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count - ANSWER Plan of care for patient with
skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. - ANSWER A patient with acute anterior wall MI 1 week
ago is given low-dose aspirin. The medication is related to which problem and
HCP should be notified?
Elevated blood urea nitrogen (BUN) - ANSWER For a patient with SLE
exacerbation what is the most important to report which assessment finding?
Rate of pain on a scale from 0-10. - ANSWER Before selecting a
medication to administer, which action should the nurse implement in the post-op
patient who reports incisional pain and has 2 PRN analgesia available in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully
completed. The patient should not take anything by mouth. - ANSWER
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid
resuscitation. Which intervention should the nurse implement?
Vital sign changes and ECGs- Priority parameters are vital sign changes related to
hypovolemia and ECG changes due to serum electrolyte loss, which can be life
threatening. - ANSWER Acute Kidney Injury due to aminoglycoside
Update) Questions and Verified Answers |
100% Correct| Grade A- Nightingale
Neutrophil count- The patient is experiencing infection, so a nurse should review
the neutrophil count before contacting the HCP. - ANSWER While caring
for a client with full thickness burns covering 40% of the body, the nurse observes
purulent drainage from the wounds. Before reporting the finding, what is the best
lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and family. -
ANSWER An older woman who experienced a cerebrovascular accident
(CVA) has difficulty with visual perception and she only eats half of the food on
her meal tray. Her family expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac workload. -
ANSWER Best position for respiratory distress?
High risk for injury - ANSWER A patient with peripheral artery disease
has marked peripheral neuropath. An appropriate nursing diagnosis for the patient
is
Check feet every day for cuts or injuries. - ANSWER Type 2 diabetes
patient discharge teaching patient and family
, Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count - ANSWER Plan of care for patient with
skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. - ANSWER A patient with acute anterior wall MI 1 week
ago is given low-dose aspirin. The medication is related to which problem and
HCP should be notified?
Elevated blood urea nitrogen (BUN) - ANSWER For a patient with SLE
exacerbation what is the most important to report which assessment finding?
Rate of pain on a scale from 0-10. - ANSWER Before selecting a
medication to administer, which action should the nurse implement in the post-op
patient who reports incisional pain and has 2 PRN analgesia available in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully
completed. The patient should not take anything by mouth. - ANSWER
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid
resuscitation. Which intervention should the nurse implement?
Vital sign changes and ECGs- Priority parameters are vital sign changes related to
hypovolemia and ECG changes due to serum electrolyte loss, which can be life
threatening. - ANSWER Acute Kidney Injury due to aminoglycoside
