BSN 266 HESI QUESTIONS & ANSWERS 2026-2027 | … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
BSN 266 HESI Questions
& Answers 2026-2027 |
Complete Exam Review
Verified Answers Exam Ready With Rationales
36 QUESTIONS
DOCUMENT OVERVIEW
This document contains 36 verified exam questions along with their correct answers and
concise explanations. It focuses on nursing concepts relevant to healthcare assessments
and interventions. It is suitable for study, review, and certification preparation, providing a
robust resource for students seeking to enhance their understanding and performance in
nursing examinations.
CONTENTS
Surgical Care Q1–Q7
Patient Assessment Q8–Q17
Chronic Conditions Q18–Q28
Infectious Diseases Q29–Q33
Medication Administration Q34–Q36
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 36
NGN (1/4): A 68-year-old male with a history of bilateral total hip arthroplasty 2 years ago
presents to the emergency department by ambulance. The client reports he simply slipped
today and did not feel lightheaded or dizzy before the fall. The client reports he returned
home from the store and was putting his groceries away he dropped a can and bent over to
pick it up he lost his balance and fell face forward, hitting his head on the wall and his left
shoulder on the floor reports pain mainly in his shoulder; however, he also notes pain in his
right knee. Additionally, the client reports he feels nauseated and tired.
Nurses Note 1820: Client is resting, grimacing, vital signs assessed, reports intense pain and
inability to move his left arm. He is guarded, shoulder swollen, and bruising are preent left
arm is cool to touch. Collarbone appears out of alignment.
1820 flow sheet: temp 98.1 F, HR 88, RR 18, BP 136/
CORRECT ANSWER
B. left arm that is cool to touch
Coolness may indicate impaired circulation or neurovascular compromise. This is a priority
finding bc delayed intervention could lead to tissue ischemia or permanent damage.
C. Decreased range of motion
Limited range of motion suggests possible joint, muscle or nerve injury. Assessing this further
is essential to prevent worsening function an to plan appropriate intervention.
E. Bone misalignment
Bone misalignment of the collarbone indicates a likely fracture dislocation. Prompt evaluation
is required to reduce pain, restore function, and prevent neurovascular compromise.
G. Intense pain reported by client
Severe pain can indicate serious injuries such as fractures or soft tissue damage. It warrants
prompt assessment and intervention to manage pain and prevent complications.
H. Nausea and fatigue reported by the client
These are symptoms that could signal head trauma, internal injury, or early shock. Further
evaluation is necessary to rule out potential serious complications from the fall.
Page 2
, Q2 QUESTION 2 OF 36
NGN:
The client is a 65 Yo male admitted to the medical surgical after a total cholecystectomy. He
has passed medical history of HTN, HF, DMT1, cholelithiasis, and cigarette smoking 1 pack a
day for 20 years. The client has been reporting pain that is "Barely relieved by pain
medication." He has not been able to use the incentive spirometer every hour as prescribed
because, "it is too painful to take a deep breath."
Postoperative day (POD) 2:
The client has a fever. He says he had a shaking chills and a productive cough episode earlier
morning but didn't want to bother the night nurse. he says that he cannot lie down to sleep
because, "I cannot stop coughing." He also reports pain to the right side of his chest raiding
it 6 on this scale of 1 to 10. VS: T-99 F, HR-88, RR024, BP 148/80, O2 92% RA. Complete the
diagram by dragging the choices area to specify which condition the client is most likely
experiencing, t
CORRECT ANSWER
Action to take:
-Obtain a sputum sample for culture and sensitivity CNS.
-Obtain a prescription for a chest X-ray and antibiotic therapy.
Potential condition choices:
-Pneumonia
Parameters to monitor choices:
-BP, HR, RR, )2 set, temp.
-Respiratory status.
Q3 QUESTION 3 OF 36
A client who received 6 units of packed red blood cells (PRBC) 3 days ago for a lower
gastrointestinal (GI) bleed is now displaying SOB with occasional stridor and is reporting
muscle cramping. Which serum laboratory values should the nurse immediately report to
the health care provider (HCP).
Reference range:
Potassium 4.7 mEq.L (1.63 mmol/L)
Magnesium 2.1 mEq/L (1.63 mmol/L)
Calcium 6.5 mg/dL (1.63 mmol/L)
Sodium 135 mEq/L (135 mmol/L)
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
BSN 266 HESI Questions
& Answers 2026-2027 |
Complete Exam Review
Verified Answers Exam Ready With Rationales
36 QUESTIONS
DOCUMENT OVERVIEW
This document contains 36 verified exam questions along with their correct answers and
concise explanations. It focuses on nursing concepts relevant to healthcare assessments
and interventions. It is suitable for study, review, and certification preparation, providing a
robust resource for students seeking to enhance their understanding and performance in
nursing examinations.
CONTENTS
Surgical Care Q1–Q7
Patient Assessment Q8–Q17
Chronic Conditions Q18–Q28
Infectious Diseases Q29–Q33
Medication Administration Q34–Q36
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 36
NGN (1/4): A 68-year-old male with a history of bilateral total hip arthroplasty 2 years ago
presents to the emergency department by ambulance. The client reports he simply slipped
today and did not feel lightheaded or dizzy before the fall. The client reports he returned
home from the store and was putting his groceries away he dropped a can and bent over to
pick it up he lost his balance and fell face forward, hitting his head on the wall and his left
shoulder on the floor reports pain mainly in his shoulder; however, he also notes pain in his
right knee. Additionally, the client reports he feels nauseated and tired.
Nurses Note 1820: Client is resting, grimacing, vital signs assessed, reports intense pain and
inability to move his left arm. He is guarded, shoulder swollen, and bruising are preent left
arm is cool to touch. Collarbone appears out of alignment.
1820 flow sheet: temp 98.1 F, HR 88, RR 18, BP 136/
CORRECT ANSWER
B. left arm that is cool to touch
Coolness may indicate impaired circulation or neurovascular compromise. This is a priority
finding bc delayed intervention could lead to tissue ischemia or permanent damage.
C. Decreased range of motion
Limited range of motion suggests possible joint, muscle or nerve injury. Assessing this further
is essential to prevent worsening function an to plan appropriate intervention.
E. Bone misalignment
Bone misalignment of the collarbone indicates a likely fracture dislocation. Prompt evaluation
is required to reduce pain, restore function, and prevent neurovascular compromise.
G. Intense pain reported by client
Severe pain can indicate serious injuries such as fractures or soft tissue damage. It warrants
prompt assessment and intervention to manage pain and prevent complications.
H. Nausea and fatigue reported by the client
These are symptoms that could signal head trauma, internal injury, or early shock. Further
evaluation is necessary to rule out potential serious complications from the fall.
Page 2
, Q2 QUESTION 2 OF 36
NGN:
The client is a 65 Yo male admitted to the medical surgical after a total cholecystectomy. He
has passed medical history of HTN, HF, DMT1, cholelithiasis, and cigarette smoking 1 pack a
day for 20 years. The client has been reporting pain that is "Barely relieved by pain
medication." He has not been able to use the incentive spirometer every hour as prescribed
because, "it is too painful to take a deep breath."
Postoperative day (POD) 2:
The client has a fever. He says he had a shaking chills and a productive cough episode earlier
morning but didn't want to bother the night nurse. he says that he cannot lie down to sleep
because, "I cannot stop coughing." He also reports pain to the right side of his chest raiding
it 6 on this scale of 1 to 10. VS: T-99 F, HR-88, RR024, BP 148/80, O2 92% RA. Complete the
diagram by dragging the choices area to specify which condition the client is most likely
experiencing, t
CORRECT ANSWER
Action to take:
-Obtain a sputum sample for culture and sensitivity CNS.
-Obtain a prescription for a chest X-ray and antibiotic therapy.
Potential condition choices:
-Pneumonia
Parameters to monitor choices:
-BP, HR, RR, )2 set, temp.
-Respiratory status.
Q3 QUESTION 3 OF 36
A client who received 6 units of packed red blood cells (PRBC) 3 days ago for a lower
gastrointestinal (GI) bleed is now displaying SOB with occasional stridor and is reporting
muscle cramping. Which serum laboratory values should the nurse immediately report to
the health care provider (HCP).
Reference range:
Potassium 4.7 mEq.L (1.63 mmol/L)
Magnesium 2.1 mEq/L (1.63 mmol/L)
Calcium 6.5 mg/dL (1.63 mmol/L)
Sodium 135 mEq/L (135 mmol/L)
Page 3
