BSN 246 HESI Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
Which action can be assigned to the unlicensed assistive personnel (UAP)? -
Answer✔✔-Measure the client's urinary output.
What is the best initial response by the nurse? - Answer✔✔-Describe the
location and type of pain you are having
Based on the nurse's assessment, which assessment data supports the decision
to administer pain medication as the first intervention? (Select all that apply.
One, some, or all options may be correct.) - Answer✔✔-Pain rating of 6/10 -
Heart rate of 102 beats/minute - Blood pressure of 132/76 mmHg
Which action should the nurse implement first? - Answer✔✔-Administer an
analgesic.
Which interventions are important to include in the client's plan of care while
receiving multiple immunosuppressants? (Select all that apply. One, some, or
all options may be correct.) - Answer✔✔-Instruct client to wear a mask when
,walking in the halls. - Instruct visitors that fresh flowers should not be taken
into the room. - Monitor immunosuppression drug levels regularly.
Which intervention should the nurse ensure is included in the plan of care
during the immediate postoperative period?
a. Monitor Judy's urinary output hourly using an urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer daily. - Answer✔✔-a
Which is the priority nursing assessment during the first 24-hour postoperative
period? - Answer✔✔-Vital signs
The nurse is teaching the patient about fluid management between dialysis
treatments. Which instruction by the nurse is the most accurate? - Answer✔✔-
Limit fluids in between treatments to minimize the amount of fluid that needs
to be removed during dialysis.
Which expected outcome should be included in the nurse's teaching plan? -
Answer✔✔-Client will avoid canned and processed foods.
The nurse assesses the dialysis graft. Which assessment should be reported to
the healthcare provider (HCP) immediately? (Select all that apply. One, some,
or all options may be correct.) - Answer✔✔-Yellow, purulent drainage from
graft incision site. - Absence of a thrill over the graft site. - Capillary refill >10
seconds in the hand where the graft is placed.
,Which intervention should the nurse ensure has been include in the client's
plan of care? (Select all that apply. One, some, or all options may be correct.)
A. Instruct lab personnel to obtain blood specimens from the dual-lumen
catheter.
B. Perform sterile dressing changes at the dual-lumen catheter site.
C. Empty and record the drainage from the graft tubing regularly.
D. Regularly rotate IV insertion sites above and below the graft site.
E. Assess Judy's distal pulses and circulation in the arm with the access -
Answer✔✔-B. Perform sterile dressing changes at the dual lumen catheter site
- E. Assess the client's distal pulses and circulation in the arm with the access.
The nurse documents the assessment of the arteriovenous (AV) graft. Which
documentation best describes a properly functioning AV graft? - Answer✔✔-
Thrill present and palpated
The client asks the nurse to clarify what palliative care involves. Which
explanation provides the client the best education regarding palliative care?
(Select all that apply. One, some, or all options may be correct.) - Answer✔✔-
Palliative care provides relief from symptoms including pain. - Palliative care
supports holistic care and improves quality of life. -
What complication would the client be most concerned about if choosing
peritoneal dialysis? - Answer✔✔-Abdominal infection/Peritonitis
The nurse prepares and instructs the client for hemodialysis. Which statements
by the client indicate the need for further education? (Select all that apply.
One, some, or all options may be correct.) - Answer✔✔-Hemodialysis will help
restore kidney function back to a normal level. - Bowel or bladder perforation
may occur with hemodialysis catheter placement.
, What action should the nurse take based on the response from the healthcare
provider (HCP) phone call? (Select all that apply. One, some, or all options may
be correct.) - Answer✔✔-Document both phone calls and the HCP's
prescriptions. - Notify the charge nurse and activate the chain of command -
Hold the potassium chloride
Which intervention should the nurse implement? - Answer✔✔-Call and speak
directly with the healthcare provider (HCP).
Which intervention is most important for the nurse to implement? -
Answer✔✔-Hold the dose of potassium chloride and contact the HCP to report
the serum potassium level.
Based on these problems, which nursing intervention should be included in the
client's plan of care? - Answer✔✔-Encourage the client to ask questions and
discuss fears about diagnosis
Which assessment data indicates to the nurse that the desired outcome of the
epoetin alfa has been achieved? - Answer✔✔-Conjunctival sac returns to a
reddish pink color
Which assessment should the nurse perform to determine if the desired
outcome of the losartan has been achieved? - Answer✔✔-Blood pressure
Which assessment finding indicates to the nurse that the desired outcome of
the calcium acetate has been achieved? - Answer✔✔-Serum phosphorous of
4.0 mg/dL (1.29 mmol/L)5
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
Which action can be assigned to the unlicensed assistive personnel (UAP)? -
Answer✔✔-Measure the client's urinary output.
What is the best initial response by the nurse? - Answer✔✔-Describe the
location and type of pain you are having
Based on the nurse's assessment, which assessment data supports the decision
to administer pain medication as the first intervention? (Select all that apply.
One, some, or all options may be correct.) - Answer✔✔-Pain rating of 6/10 -
Heart rate of 102 beats/minute - Blood pressure of 132/76 mmHg
Which action should the nurse implement first? - Answer✔✔-Administer an
analgesic.
Which interventions are important to include in the client's plan of care while
receiving multiple immunosuppressants? (Select all that apply. One, some, or
all options may be correct.) - Answer✔✔-Instruct client to wear a mask when
,walking in the halls. - Instruct visitors that fresh flowers should not be taken
into the room. - Monitor immunosuppression drug levels regularly.
Which intervention should the nurse ensure is included in the plan of care
during the immediate postoperative period?
a. Monitor Judy's urinary output hourly using an urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer daily. - Answer✔✔-a
Which is the priority nursing assessment during the first 24-hour postoperative
period? - Answer✔✔-Vital signs
The nurse is teaching the patient about fluid management between dialysis
treatments. Which instruction by the nurse is the most accurate? - Answer✔✔-
Limit fluids in between treatments to minimize the amount of fluid that needs
to be removed during dialysis.
Which expected outcome should be included in the nurse's teaching plan? -
Answer✔✔-Client will avoid canned and processed foods.
The nurse assesses the dialysis graft. Which assessment should be reported to
the healthcare provider (HCP) immediately? (Select all that apply. One, some,
or all options may be correct.) - Answer✔✔-Yellow, purulent drainage from
graft incision site. - Absence of a thrill over the graft site. - Capillary refill >10
seconds in the hand where the graft is placed.
,Which intervention should the nurse ensure has been include in the client's
plan of care? (Select all that apply. One, some, or all options may be correct.)
A. Instruct lab personnel to obtain blood specimens from the dual-lumen
catheter.
B. Perform sterile dressing changes at the dual-lumen catheter site.
C. Empty and record the drainage from the graft tubing regularly.
D. Regularly rotate IV insertion sites above and below the graft site.
E. Assess Judy's distal pulses and circulation in the arm with the access -
Answer✔✔-B. Perform sterile dressing changes at the dual lumen catheter site
- E. Assess the client's distal pulses and circulation in the arm with the access.
The nurse documents the assessment of the arteriovenous (AV) graft. Which
documentation best describes a properly functioning AV graft? - Answer✔✔-
Thrill present and palpated
The client asks the nurse to clarify what palliative care involves. Which
explanation provides the client the best education regarding palliative care?
(Select all that apply. One, some, or all options may be correct.) - Answer✔✔-
Palliative care provides relief from symptoms including pain. - Palliative care
supports holistic care and improves quality of life. -
What complication would the client be most concerned about if choosing
peritoneal dialysis? - Answer✔✔-Abdominal infection/Peritonitis
The nurse prepares and instructs the client for hemodialysis. Which statements
by the client indicate the need for further education? (Select all that apply.
One, some, or all options may be correct.) - Answer✔✔-Hemodialysis will help
restore kidney function back to a normal level. - Bowel or bladder perforation
may occur with hemodialysis catheter placement.
, What action should the nurse take based on the response from the healthcare
provider (HCP) phone call? (Select all that apply. One, some, or all options may
be correct.) - Answer✔✔-Document both phone calls and the HCP's
prescriptions. - Notify the charge nurse and activate the chain of command -
Hold the potassium chloride
Which intervention should the nurse implement? - Answer✔✔-Call and speak
directly with the healthcare provider (HCP).
Which intervention is most important for the nurse to implement? -
Answer✔✔-Hold the dose of potassium chloride and contact the HCP to report
the serum potassium level.
Based on these problems, which nursing intervention should be included in the
client's plan of care? - Answer✔✔-Encourage the client to ask questions and
discuss fears about diagnosis
Which assessment data indicates to the nurse that the desired outcome of the
epoetin alfa has been achieved? - Answer✔✔-Conjunctival sac returns to a
reddish pink color
Which assessment should the nurse perform to determine if the desired
outcome of the losartan has been achieved? - Answer✔✔-Blood pressure
Which assessment finding indicates to the nurse that the desired outcome of
the calcium acetate has been achieved? - Answer✔✔-Serum phosphorous of
4.0 mg/dL (1.29 mmol/L)5
