BSN 215 HESI PracticeAssessment V1
Exam 2025-2026 (ACTUAL EXAM)
QUESTIONS AND VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
,
, Question 1
A client with abdominal wound dehiscence has the surgical staples removed. Which
intervention should the nurse implement first?
A. Notify the surgeon immediately.
B. Place the client in protective (reverse) isolation.
C. Place a sterile saline dressing over the wound.
D. Assess the client's bowel sounds.
Correct Answer
✔ C. Place a sterile saline dressing over the wound.
Rationale
The priority is to protect the exposed tissues from drying and contamination. Cover the wound
with a sterile normal saline dressing before notifying the healthcare provider.
Question 2
The healthcare provider prescribes 0.9% sodium chloride at 50 mL/hour. The IV tubing has a
drop factor of 60 gtt/mL. At how many drops per minute should the nurse regulate the IV?
Correct Answer
✔ 50 gtt/min
Calculation
50 mL/hr × 60 gtt/mL
= 50 gtt/min
60 min/hr
Question 3
Which interventions should the nurse teach a client to help prevent osteoporosis? (Select all
that apply.)
Exam 2025-2026 (ACTUAL EXAM)
QUESTIONS AND VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
,
, Question 1
A client with abdominal wound dehiscence has the surgical staples removed. Which
intervention should the nurse implement first?
A. Notify the surgeon immediately.
B. Place the client in protective (reverse) isolation.
C. Place a sterile saline dressing over the wound.
D. Assess the client's bowel sounds.
Correct Answer
✔ C. Place a sterile saline dressing over the wound.
Rationale
The priority is to protect the exposed tissues from drying and contamination. Cover the wound
with a sterile normal saline dressing before notifying the healthcare provider.
Question 2
The healthcare provider prescribes 0.9% sodium chloride at 50 mL/hour. The IV tubing has a
drop factor of 60 gtt/mL. At how many drops per minute should the nurse regulate the IV?
Correct Answer
✔ 50 gtt/min
Calculation
50 mL/hr × 60 gtt/mL
= 50 gtt/min
60 min/hr
Question 3
Which interventions should the nurse teach a client to help prevent osteoporosis? (Select all
that apply.)
