BSN 266 Practice HESI | 2025/2026 |
Verified Questions & Answers |
Complete Study Guide
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
1. A client with a completed ischemic stroke D. Give an antihypertensive medication.
has a blood pressure of 180/90 mm Hg. Rationale
Which action should the nurse imple- Most ischemic strokes occur during sleep
ment? when baseline blood pressure declines or
A. Position the head of the bed (HOB) blood viscosity increases due to minimal flu-
flat. id intake. Completed strokes usually produce
B. Withhold intravenous fluids. neurologic deficits within an hour, and the
C. Administer a bolus of IV fluids. client's current elevated blood pressure re-
D. Give an antihypertensive medication. quires antihypertensive medication.
2. A client who is receiving chemothera- A. "Chemotherapy affects the cells of the body
py asks the nurse, "Why is so much of that grow rapidly, both normal and malig-
my hair falling out each day?" Which re- nant."
sponse by the nurse best explains the Rationale
reason for alopecia? The common adverse effects of chemothera-
A. "Chemotherapy affects the cells of the py (nausea, vomiting, alopecia, bone marrow
body that grow rapidly, both normal and depression) are due to chemotherapy's effect
malignant." on the rapidly reproducing cells, both normal
B. "Alopecia is a common side effect you and malignant.
will experience during long-term steroid
therapy."
C. "Your hair will grow back complete-
ly after your course of chemotherapy is
completed."
D. "The chemotherapy causes perma-
nent alterations in your hair follicles that
lead to hair loss."
3. After checking the urinary drainage sys- A. Report the findings to the surgeon.
tem for kinks in the tubing, the nurse Rationale
determines that a client who has re- An adult who weighs 132 pounds (60 kg)
turned from the post-anesthesia care should produce about 60 ml of urine hourly
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
has a dark, concentrated urinary output (1 ml/kg/hour). Dark, concentrated, and low
of 54 ml for the last 2 hours. What prior- volume of urine output should be reported to
ity nursing action should be implement- the surgeon.
ed?
A. Report the findings to the surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the bladder.
D. Increase the IV flow rate for 15 min-
utes.
4. A male client who smokes two packs of B, C and D
cigarettes a day states he understands Rationale
that smoking cigarettes is contributing Use of tobacco, alcohol, and marijuana may
to the difficulty that he and his wife are affect sperm counts. Sperm count is also neg-
having in getting pregnant and wants to atively affected by low testerone levels and
know if other factors could be contribut- obesity.
ing to their difficulty. What information is
best for the nurse to provide? (Select all
that apply.)
Select all that apply
A. Marijuana cigarettes do not affect
sperm count.
B. Alcohol consumption can cause erec-
tile dysfunction.
C. Low testosterone levels affect sperm
production.
D. Cessation of smoking improves gener-
al health and fertility.
E. Obesity has no effect on sperm pro-
duction.
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
5. A client with gastroesophageal reflux D. Raising the head of the bed on blocks.
disease (GERD) has been experiencing Rationale
severe reflux during sleep. Which recom- Raising the head of the bed on blocks (reverse
mendation by the nurse is most effective Trendelenburg position) to reduce reflux and
to assist the client? subsequent aspiration is the most non-phar-
A. Losing weight. macological effective recommendation for a
B. Decreasing caffeine intake. client experiencing severe gastroesophageal
C. Avoiding large meals. reflux during sleep.
D. Raising the head of the bed on blocks.
6. A 51-year-old truck driver who smokes A. Information about smoking cessation.
two packs of cigarettes a day and is Rationale
30 pounds overweight is diagnosed with Smoking has been associated with ulcer for-
having a gastric ulcer. What content is mation, and stopping or decreasing the num-
most important for the nurse to include ber of cigarettes smoked per day is an impor-
in the discharge teaching for this client? tant aspect of ulcer management.
A. Information about smoking cessa-
tion.
B. Diet instructions for a low-residue
diet.
C. Instructions on a weight-loss pro-
gram.
D. The importance of increasing milk in
the diet.
7. What types of medications should the D. Bronchodilators and steroids.
nurse expect to administer to a client Rationale
during an acute respiratory distress Besides supplemental oxygen, this client with
episode? ARDS needs medications to widen air pas-
A. Vasodilators and hormones. sages, increase air space, and reduce alve-
B. Analgesics and sedatives. olar membrane inflammation, such as bron-
chodilators and steroids.
Verified Questions & Answers |
Complete Study Guide
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
1. A client with a completed ischemic stroke D. Give an antihypertensive medication.
has a blood pressure of 180/90 mm Hg. Rationale
Which action should the nurse imple- Most ischemic strokes occur during sleep
ment? when baseline blood pressure declines or
A. Position the head of the bed (HOB) blood viscosity increases due to minimal flu-
flat. id intake. Completed strokes usually produce
B. Withhold intravenous fluids. neurologic deficits within an hour, and the
C. Administer a bolus of IV fluids. client's current elevated blood pressure re-
D. Give an antihypertensive medication. quires antihypertensive medication.
2. A client who is receiving chemothera- A. "Chemotherapy affects the cells of the body
py asks the nurse, "Why is so much of that grow rapidly, both normal and malig-
my hair falling out each day?" Which re- nant."
sponse by the nurse best explains the Rationale
reason for alopecia? The common adverse effects of chemothera-
A. "Chemotherapy affects the cells of the py (nausea, vomiting, alopecia, bone marrow
body that grow rapidly, both normal and depression) are due to chemotherapy's effect
malignant." on the rapidly reproducing cells, both normal
B. "Alopecia is a common side effect you and malignant.
will experience during long-term steroid
therapy."
C. "Your hair will grow back complete-
ly after your course of chemotherapy is
completed."
D. "The chemotherapy causes perma-
nent alterations in your hair follicles that
lead to hair loss."
3. After checking the urinary drainage sys- A. Report the findings to the surgeon.
tem for kinks in the tubing, the nurse Rationale
determines that a client who has re- An adult who weighs 132 pounds (60 kg)
turned from the post-anesthesia care should produce about 60 ml of urine hourly
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
has a dark, concentrated urinary output (1 ml/kg/hour). Dark, concentrated, and low
of 54 ml for the last 2 hours. What prior- volume of urine output should be reported to
ity nursing action should be implement- the surgeon.
ed?
A. Report the findings to the surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the bladder.
D. Increase the IV flow rate for 15 min-
utes.
4. A male client who smokes two packs of B, C and D
cigarettes a day states he understands Rationale
that smoking cigarettes is contributing Use of tobacco, alcohol, and marijuana may
to the difficulty that he and his wife are affect sperm counts. Sperm count is also neg-
having in getting pregnant and wants to atively affected by low testerone levels and
know if other factors could be contribut- obesity.
ing to their difficulty. What information is
best for the nurse to provide? (Select all
that apply.)
Select all that apply
A. Marijuana cigarettes do not affect
sperm count.
B. Alcohol consumption can cause erec-
tile dysfunction.
C. Low testosterone levels affect sperm
production.
D. Cessation of smoking improves gener-
al health and fertility.
E. Obesity has no effect on sperm pro-
duction.
, BSN 266 Practice HESI
Study online at https://quizlet.com/_cpfc9g
5. A client with gastroesophageal reflux D. Raising the head of the bed on blocks.
disease (GERD) has been experiencing Rationale
severe reflux during sleep. Which recom- Raising the head of the bed on blocks (reverse
mendation by the nurse is most effective Trendelenburg position) to reduce reflux and
to assist the client? subsequent aspiration is the most non-phar-
A. Losing weight. macological effective recommendation for a
B. Decreasing caffeine intake. client experiencing severe gastroesophageal
C. Avoiding large meals. reflux during sleep.
D. Raising the head of the bed on blocks.
6. A 51-year-old truck driver who smokes A. Information about smoking cessation.
two packs of cigarettes a day and is Rationale
30 pounds overweight is diagnosed with Smoking has been associated with ulcer for-
having a gastric ulcer. What content is mation, and stopping or decreasing the num-
most important for the nurse to include ber of cigarettes smoked per day is an impor-
in the discharge teaching for this client? tant aspect of ulcer management.
A. Information about smoking cessa-
tion.
B. Diet instructions for a low-residue
diet.
C. Instructions on a weight-loss pro-
gram.
D. The importance of increasing milk in
the diet.
7. What types of medications should the D. Bronchodilators and steroids.
nurse expect to administer to a client Rationale
during an acute respiratory distress Besides supplemental oxygen, this client with
episode? ARDS needs medications to widen air pas-
A. Vasodilators and hormones. sages, increase air space, and reduce alve-
B. Analgesics and sedatives. olar membrane inflammation, such as bron-
chodilators and steroids.
