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BSN HESI Final 2025/2026 with Solution

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Prepare for BSN 266 HESI Final (03-26-25) with this 2025/2026 guide with solution, featuring practice questions and answers designed to reinforce medical-surgical nursing knowledge, improve clinical reasoning, and boost exam performance.

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2026- Complete Exam Prep Bundle:BSN 266 03-26-25 HESI
BSNFinal
266 03-26-25 HESI Final.pdf Page 1 of 16



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BSN 266 03-26-25 HESI Final
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Terms in this set (61)


When explaining dietary guidelines to a B. Restrict sodium intake
client with acute glomerulonephritis
(AGN) which instruction should the nurse Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of
include in the dietary teaching? the kidneys. This can manifest as nephritic syndrome, where there is significant
A. Select protein rich food daily hematuria, and/or nephrotic syndrome, where edema is pronounced. In this
B. Restrict sodium intake disease the nurse should include restriction of sodium intake as part of dietary
C. Eat high potassium foods adjustments because the kidneys are not able to filter blood well if inflamed. Thus
D. Avoid foods high in carbohydrates buildup of sodium may occur if intake is not lowered.




An older client with long term type 2 A: Helps identify complications like diabetic ulcers
diabetes mellitus (DM) is seen in the clinic B: Assessing sensation in feet and legs helps detect neuropathy.
for a routine health assessment. Which C: Helps identify diabetic retinopathy.
assessment would the nurse complete to E: Helps assess kidney function and identify nephropathy.
determine if a patient with type 2 DM is
experiencing long term complications?
SATA
A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea
Nitrogen (BUN)




2026/2027 BSN 266 03-26-25 HESI Final - BSN 266 03-26-25 HESIBSN
Final.pdf
266 03-26-25 HESI Final.pdf? Verified answers with rationales

,2026- Complete Exam Prep Bundle:BSN 266 03-26-25 HESI
BSNFinal
266 03-26-25 HESI Final.pdf Page 2 of 16

NGN: Scenario 1 Answer on next card
A 57 year old male client is brought to the
emergency department by emergency
medical services (EMS) with reports of
chest pain. The client was mowing his
lawn and noticed chest pain presenting
as tightness and pressure. The pain
continued to increase over about 30
minutes when the client decided to rest.
The clients wife called EMS when the pain
was unrelieved after 20 minutes of rest.
The client reports no other incidents of
experiencing this pain, The clients medical
history includes hypertension, obesity,
and a 20 year history of smoking, having
quite about 5 years ago. Medications:
Metoprolol 25 mg PO once daily.

Scenario 1: Click to highlight findings for *Neurological: Agitation
follow up: *Cardiovascular: Chest pain described as tightness and pressure, rapid regular
rhythm.
*Respiratory: Rapid and shallow breathing
Neurological: Alert and orientated. *Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
Agitated. Denies headaches
Cardiovascular: Reported chest pain
described as pressure and tightness that
is unrelieved with rest.
Rapid regular rhythm. Normal heart
tones. Radial and pedal pulses 2+.
Capillary refill 2 sec.
Respiratory: Rapid and shallow breaths.
Clear breath sounds throughout bilateral
lungs.
Gastrointestinal: Within normal limits
(WNL)
Musculoskeletal: WNL
Pain reported 7 on a 0 to 10 pain scale,
tightness and pressure in chest, started
approximately 2 hours ago and got
progressively worse, unrelieved by rest.

Scenario 1: Epigastric distress: MI
Select which one or both if they are Chest Pain radiating down arm: Both
angina or myocardial infarction: Pain only relieved by opioids: MI
Occurring without cause: MI
Epigastric distress Feelings of fear: MI
Chest Pain radiating down arm Pain relieved by nitroglycerin: Angina
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin

Scenario 1: Chest pain New onset angina
Troponin
Choose the most likely options for the
information missing from the statement by
selecting from the list of options
provided. The nurse determines that the
client has ________ as evidenced by ST
depression on electrocardiogram and
normal__________


2026/2027 BSN 266 03-26-25 HESI Final - BSN 266 03-26-25 HESIBSN
Final.pdf
266 03-26-25 HESI Final.pdf? Verified answers with rationales

, 2026- Complete Exam Prep Bundle:BSN 266 03-26-25 HESI
BSNFinal
266 03-26-25 HESI Final.pdf Page 3 of 16

Scenario 1: Chest Pain Vaso
Pain
Drag and drop word choices to complete
the sentence.


If healthcare providers see a narrowed
heart vessel while performing a
percutaneous coronary intervention (PIC),
they may perform a balloon angioplasty
to compress the plaque against the vessel
and hold it there with a stent, which will
lessen_______ and_________

Scenario 1 Chest pain: Amlodipine: Calcium channel blocker-Lessens contractility of smooth muscle


For each medication, choose the drug Aspirin: Antiplatelet: Inhibits cyclooxygenase and thromboxane A2
classification and medication action:
Lisinopril: Ace inhibitor- Results in vasodilation
A. Amlodipine
B. Aspirin Nitroglycerin: Nitrate- Promotes peripheral dilation
C. Lisinopril
D. Nitroglycerin


Classification
Nitrate
Ace Inhibitor
Calcium channel blocker
antiplatelet


Medication action:
Promotes peripheral dilation
Lessens contractility of smooth muscle
Results in vasodilation
Inhibits cyclooxygenase and
thromboxane A2




2026/2027 BSN 266 03-26-25 HESI Final - BSN 266 03-26-25 HESIBSN
Final.pdf
266 03-26-25 HESI Final.pdf? Verified answers with rationales

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