BSN266 HESI EXAM LATEST 2025/ 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
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A client who underwent cardiac stent placement four days
ago arrives to the emergency department reporting a
sudden onset of chest pressure and shortness of breath.
Which action should the nurse take next? - Answer-Obtain
a 12-lead electrocardiogram and begin continuous cardiac
monitoring
While completing a health assessment for a client with
migraine headaches, the nurse assesses bilateral
weakness in the clients hand grips. The client reports joint
pain and trouble twisting a door knob due to weaknesses.
Which action should the nurses take in response to these
figures? - Answer-Gather additional assessment data
about the pain and weakness
When assessing a male client's respiratory status, which
technique should the nurse use to assess his anterior-
posteriour chest diameter? - Answer-Tenderness upon
palpation and generalized erythema
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An adult client who had a gastric bypass surgery 2 weeks
ago, is admitted with possible anastomosis leakage. The
client's abdomen is tender to touch, and the vital signs are
temperature 101* F (38 3* C). heart rate 130 beats/minute,
Respiratory rate 26 breaths/minute, and blood pressure
100/50 mmHg. Which intervention is most important for
the nurse to include in the client's plan of care? - Answer-
.Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's
disease is concerned about pain management. Which
nursing instructions should the nurse provide? - Answer-
Wearing gloves when handling cold items guards against
painful spasms
A client with newly diagnosed Crohn's disease asks the
nurse about dietary restrictions. How should the nurse
respond? - Answer-Describe the use of an elimination diet
to find trigger foods
The nurse is obtaining a health history from a new client
who has a history of kidney stones. Which statement by
the client indicates an increased risk for renal calculi.? -
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Answer-Eats a vegetarian diet with cheese 2 to 3 times a
day.
An older male client tells the nurse that he is losing sleep
because he has to get up several times at night to go to
the bathroom, that he has trouble starting his urinary
system, and that he does not feel like his bladder is ever
completely empty. Which intervention should the nurse
implement - Answer-Palpate the bladder above the
symphysis pubis.
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? - Answer-Crohn's
disease with colectomy.
When providing care for an unconscious client who has
seizures. Which nursing intervention is most essential? -
Answer-Ensure oral suction is available.
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
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nurse anticipate being prescribed by the healthcare
provider? - Answer-Morphine
An adult who was recently diagnosed with glaucoma tells
the nurse, "It feels like I am driving through a tunnel." The
client expresses great concern about going blind. Which
nursing instruction is most important for the nurses to
provide this client? - Answer-Maintain prescribed eye drop
regimen
Which information should the nurse include on the
teaching plan of a client diagnosed with gastroesophageal
reflux disease (GERD)? - Answer-Minimize symptoms by
wearing loose, comfortable clothin
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? - Answer-Move into airborne isolation
A client receives a prescription for 1 liter of Ringer's
intravenously to be infused over 6 hours. How many mL/hr