BSN 266 PRACTICE HESI (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

BSN 266 PRACTICE HESI (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmwithmamcompletedmischemicmstrokemhasmambloodmpressuremofm180/90mmmmHg.mWhichmac
tionmshouldmthemnursemimplement?

A.mPositionmthemheadmofmthembedm(HOB)mflat.

B.mWithholdmintravenousmfluids.

C.mAdministermambolusmofmIVmfluids.

D.mGivemanmantihypertensivemmedication.m-
mCORRECTmANSWERmD.mGivemanmantihypertensivemmedication.



Rationale

Mostmischemicmstrokesmoccurmduringmsleepmwhenmbaselinembloodmpressuremdeclinesmormbloodmvis
cositymincreasesmduemtomminimalmfluidmintake.mCompletedmstrokesmusuallymproducemneurologicmd
eficitsmwithinmanmhour,mandmthemclient'smcurrentmelevatedmbloodmpressuremrequiresmantihyperten
sivemmedication.



Amclientmwhomismreceivingmchemotherapymasksmthemnurse,m"Whymismsommuchmofmmymhairmfallingmo
utmeachmday?"mWhichmresponsembymthemnursembestmexplainsmthemreasonmformalopecia?

A.m"Chemotherapymaffectsmthemcellsmofmthembodymthatmgrowmrapidly,mbothmnormalmandmmalignan
t."

B.m"Alopeciamismamcommonmsidemeffectmyoumwillmexperiencemduringmlong-termmsteroidmtherapy."

C.m"Yourmhairmwillmgrowmbackmcompletelymaftermyourmcoursemofmchemotherapymismcompleted."

D.m"Themchemotherapymcausesmpermanentmalterationsminmyourmhairmfolliclesmthatmleadmtomhairmlo
ss."m-
mCORRECTmANSWERmA.m"Chemotherapymaffectsmthemcellsmofmthembodymthatmgrowmrapidly,mbothmn


ormalmandmmalignant."

Rationale

,Themcommonmadversemeffectsmofmchemotherapym(nausea,mvomiting,malopecia,mbonemmarrowmde
pression)maremduemtomchemotherapy'smeffectmonmthemrapidlymreproducingmcells,mbothmnormalman
dmmalignant.



Aftermcheckingmthemurinarymdrainagemsystemmformkinksminmthemtubing,mthemnursemdeterminesmthat
mamclientmwhomhasmreturnedmfrommthempost-


anesthesiamcaremhasmamdark,mconcentratedmurinarymoutputmofm54mmlmformthemlastm2mhours.mWhatm
prioritymnursingmactionmshouldmbemimplemented?

A.mReportmthemfindingsmtomthemsurgeon.

B.mIrrigatemthemindwellingmurinarymcatheter.

C.mApplymmanualmpressuremtomthembladder.

D.mIncreasemthemIVmflowmratemform15mminutes.m-
mCORRECTmANSWERmA.mReportmthemfindingsmtomthemsurgeon.



Rationale

Anmadultmwhomweighsm132mpoundsm(60mkg)mshouldmproducemaboutm60mmlmofmurinemhourlym(1mml/
kg/hour).mDark,mconcentrated,mandmlowmvolumemofmurinemoutputmshouldmbemreportedmtomthemsur
geon.



Ammalemclientmwhomsmokesmtwompacksmofmcigarettesmamdaymstatesmhemunderstandsmthatmsmokingm
cigarettesmismcontributingmtomthemdifficultymthatmhemandmhismwifemaremhavingminmgettingmpregnantm
andmwantsmtomknowmifmothermfactorsmcouldmbemcontributingmtomtheirmdifficulty.mWhatminformation
mismbestmformthemnursemtomprovide?m(Selectmallmthatmapply.)



Selectmallmthatmapply



A.mMarijuanamcigarettesmdomnotmaffectmspermmcount.

B.mAlcoholmconsumptionmcanmcausemerectilemdysfunction.

C.mLowmtestosteronemlevelsmaffectmspermmproduction.

D.mCessationmofmsmokingmimprovesmgeneralmhealthmandmfertility.

E.mObesitymhasmnomeffectmonmspermmproduction.m-mCORRECTmANSWERmB,mCmandmD

,Rationale

Usemofmtobacco,malcohol,mandmmarijuanammaymaffectmspermmcounts.mSpermmcountmismalsomnegativ
elymaffectedmbymlowmtesteronemlevelsmandmobesity.



Amclientmwithmgastroesophagealmrefluxmdiseasem(GERD)mhasmbeenmexperiencingmseveremrefluxmdur
ingmsleep.mWhichmrecommendationmbymthemnursemismmostmeffectivemtomassistmthemclient?

A.mLosingmweight.

B.mDecreasingmcaffeinemintake.

C.mAvoidingmlargemmeals.

D.mRaisingmthemheadmofmthembedmonmblocks.m-
mCORRECTmANSWERmD.mRaisingmthemheadmofmthembedmonmblocks.



Rationale

Raisingmthemheadmofmthembedmonmblocksm(reversemTrendelenburgmposition)mtomreducemrefluxmandm
subsequentmaspirationmismthemmostmnon-
pharmacologicalmeffectivemrecommendationmformamclientmexperiencingmseveremgastroesophagealm
refluxmduringmsleep.



Am51-year-
oldmtruckmdrivermwhomsmokesmtwompacksmofmcigarettesmamdaymandmism30mpoundsmoverweightmismdi
agnosedmwithmhavingmamgastricmulcer.mWhatmcontentmismmostmimportantmformthemnursemtominclude
minmthemdischargemteachingmformthismclient?



A.mInformationmaboutmsmokingmcessation.

B.mDietminstructionsmformamlow-residuemdiet.

C.mInstructionsmonmamweight-lossmprogram.

D.mThemimportancemofmincreasingmmilkminmthemdiet.m-
mCORRECTmANSWERmA.mInformationmaboutmsmokingmcessation.



Rationale

Smokingmhasmbeenmassociatedmwithmulcermformation,mandmstoppingmormdecreasingmthemnumberm
ofmcigarettesmsmokedmpermdaymismanmimportantmaspectmofmulcermmanagement.

, Whatmtypesmofmmedicationsmshouldmthemnursemexpectmtomadministermtomamclientmduringmanmacute
mrespiratorymdistressmepisode?



A.mVasodilatorsmandmhormones.

B.mAnalgesicsmandmsedatives.

C.mAnticoagulantsmandmexpectorants.

D.mBronchodilatorsmandmsteroids.m-mCORRECTmANSWERmD.mBronchodilatorsmandmsteroids.

Rationale

Besidesmsupplementalmoxygen,mthismclientmwithmARDSmneedsmmedicationsmtomwidenmairmpassages
,mincreasemairmspace,mandmreducemalveolarmmembraneminflammation,msuchmasmbronchodilatorsma
ndmsteroids.



Amfemalemclientmismbroughtmtomthemclinicmbymhermdaughtermformamflumshot.mShemhasmlostmsignificant
mweightmsincemthemlastmvisit.mShemhasmpoormpersonalmhygienemandminadequatemclothingmformthemw


eather.mThemclientmstatesmthatmshemlivesmalonemandmdeniesmproblemsmormconcerns.mWhatmactionms
houldmthemnursemimplement?

A.mNotifymsocialmservicesmimmediatelymofmsuspectedmelderlymabuse.

B.mDiscussmthemneedmformmentalmhealthmcounselingmwithmthemdaughter.

C.mExplainmtomthemclientmthatmshemneedsmtomtakembettermcaremofmherself.

D.mCollectmfurthermdatamtomdeterminemwhethermself-neglectmismoccurring.m-
mCORRECTmANSWERmD.mCollectmfurthermdatamtomdeterminemwhethermself-neglectmismoccurring.



Rationale

Changesminmweightmandmhygienemmaymbemindicatorsmofmself-
neglectmormneglectmbymfamilymmembers.mFurthermassessmentmismneededmbeforemnotifyingmsocialm
servicesmormdiscussingmamneedmformcounseling.



Themnursemismassistingmamclientmoutmofmbedmformthemfirstmtimemaftermsurgery.mWhatmactionmshouldm
themnursemdomfirst?

A.mPlacemamchairmatmamrightmanglemtomthembedside.