Page 1
BSN266 HESI exam, nursing HESI test,
BSN266 questions and answers, HESI
nursing prep, clinical nursing exam, BSN266
study guide
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? - answerTroponin 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? - answerInitiate airborne particulate isolation precautions
,Page 2
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? - answerProvide 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? - answerLeukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly
fatigued. Which laboratory values should the nurse review? - answerComplete 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? - answerBlood pressure
,Page 3
A client with chronic obstructive pulmonary disease (COPD) is admitted to a non-emergent
cholecystectomy. The admission arterial blood gas ) ABG PCO2 48 mmHG? - answerAdminister 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? - answerIrregular 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? -
answerReturn 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 - answerObserve 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,
, Page 4
respirations 28 breaths/minute and blood pressure 170/90mmHg. Which finding warrants
immediate intervention by the nurse? - answerBilateral 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)? - answerRhythm of apical pulse
A client with pyelonephritis is receiving discharge instructions with the goal to prevent
readmission.Which instruction is most important to include in the discharge teaching plan. -
answerComplete the full course of antibiotics
A client with ureterolithiasis is preparing for discharge after a ureteroscopy removal. Which
instruction should the nurse include in this client's postoperative discharge teaching? -
answerMonitor urinary stream for decreased output
A client who has been taking finasteride, an enzyme (5 alpha reductase) inhibitor used to shrink the
prostate gland, is admitted because of continuing benign prostate prostatic hypertrophy (BPH)
BSN266 HESI exam, nursing HESI test,
BSN266 questions and answers, HESI
nursing prep, clinical nursing exam, BSN266
study guide
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? - answerTroponin 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? - answerInitiate airborne particulate isolation precautions
,Page 2
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? - answerProvide 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? - answerLeukopenia
A client takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly
fatigued. Which laboratory values should the nurse review? - answerComplete 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? - answerBlood pressure
,Page 3
A client with chronic obstructive pulmonary disease (COPD) is admitted to a non-emergent
cholecystectomy. The admission arterial blood gas ) ABG PCO2 48 mmHG? - answerAdminister 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? - answerIrregular 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? -
answerReturn 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 - answerObserve 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,
, Page 4
respirations 28 breaths/minute and blood pressure 170/90mmHg. Which finding warrants
immediate intervention by the nurse? - answerBilateral 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)? - answerRhythm of apical pulse
A client with pyelonephritis is receiving discharge instructions with the goal to prevent
readmission.Which instruction is most important to include in the discharge teaching plan. -
answerComplete the full course of antibiotics
A client with ureterolithiasis is preparing for discharge after a ureteroscopy removal. Which
instruction should the nurse include in this client's postoperative discharge teaching? -
answerMonitor urinary stream for decreased output
A client who has been taking finasteride, an enzyme (5 alpha reductase) inhibitor used to shrink the
prostate gland, is admitted because of continuing benign prostate prostatic hypertrophy (BPH)
