HESI 266 QUESTIONS & ANSWERS 2026-2027 | NIGHTINGALE COL… 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
HESI 266 Questions &
Answers 2026-2027 |
Nightingale College |
Latest Verified Edition
Verified Answers Exam Ready With Rationales
54 QUESTIONS
DOCUMENT OVERVIEW
This document provides 54 verified questions with correct answers and concise
explanations, focusing on nursing concepts and clinical scenarios. It is suitable for
comprehensive exam preparation in nursing, ensuring a thorough understanding of key
principles. Students can utilize it for effective study, review, and certification preparation,
enhancing their knowledge and confidence for upcoming assessments.
CONTENTS
Neurological Disorders Q1–Q12
Renal and Urinary Health Q13–Q21
Endocrine and Metabolic Disorders Q22–Q31
Surgical and Postoperative Care Q32–Q39
Respiratory Conditions Q40–Q47
Page 1
, Gastrointestinal Disorders Q48–Q54
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 54
The nurse assists a client with Parkinson's disease to ambulate
in the hallway. The client appears to "freeze" and then carefully lifts
on leg and steps forward. The client tells the nurse of pretending
to step over a crack on the floor. How should the nurse respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.
CORRECT ANSWER
c. Confirm that this is an effective technique to help with ambulation.
Q2 QUESTION 2 OF 54
a 37 year old female client reports to the preoperative area for herscheduled bariatric
surgery. The decision to have bariatric surgerycame after multiple attempts to lose weight
by diet and exercisewhich resulted in intial weight attempts were not sustained
Choose the most likely options for the information missing fromthe statement by selecting
from the lists of options provided?
The nurse recognizes that the most common serious complica-tion after having gastric
bypass surgery is ___ as evidenced byincreased back, shoulder, or abdominal pain,
restlessness, ___and tachcardia.
CORRECT ANSWER
First line - Anastomotic leak
Second line - Arrythmia (I think)
Page 2
, Q3 QUESTION 3 OF 54
A client is diagnosed with chronic kidney disease and needsto begin dialysis. Which
condition entered on the client's medicalrecord should the nurse recognize as a
contraindication for peritoneal dialysis?
a. Nephrotic syndrom history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C
CORRECT ANSWER
b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients with
extensive intra-abdominal surgical history are not candidates for peritoneal dialysis, as these
clients may have decreased peritoneal membrane surface areas and scar tissue formation,
which would make it insufficient for adequate dialysis exchange.
Q4 QUESTION 4 OF 54
A client with a fracture of the right femur has had skeletal traction
applied. Which intervention should the nurse include in the client's
nursing care plan?
a. assess the pin sites for signs of infection.
b. administer pain medication at designated intervals around the clock.
c. assess the pulse proximal to the fracture site.
d. Remove traction every provide skin care.
CORRECT ANSWER
a. assess the pin sites for signs of infection.
Rationale: Assessing the pin sites for sign of infection is in essential for clients with skeletal
traction to detect any early signs of infection such as redness, warmth, swelling, or purulent
drainage. Prompt identification and management of pin site infections can prevent
complications.
Page 3
, Q5 QUESTION 5 OF 54
A client is admitted to the medical unit during an exacerbation
of systemic lupus erythematosus (SLE). It is most important for
the nurse to report which assessment finding to the healthcare
provider?
a. Joint pain
b. Low grade fever
c. Muscle atrophy
d. Hematuria
CORRECT ANSWER
d. Hematuria
Rationale: Hematuria is the presence of blood in the urine, which can indicate kidney damage or
failure. Kidney involvement is one of the most serious complications of SLE, which can lead to
end-stage renal disease and require dialysis or transplantation. Hematuria is a critical finding
that requires prompt intervention and treatment from the health care provider.
Q6 QUESTION 6 OF 54
A client with leukemia is receiving chemotherapy. The nurse
observes the client is weak, pale, and febrile. After reviewing
the client's most recent laboratory data which reveals a platelet
count of 25,000/mm, which intervention should
the nurse include in the plan of care?
Reference Range
Platelet [150,000 to 400,000/mm]
A. Ensure a large gauge IV catheter is used to obtain blood samples.
B. Wrap bruised areas with elastic bandage dressings.
C. Remove cold and frozen foods from dietary trays.
D. Monitor urine and stool for occult blood regularly.
CORRECT ANSWER
D. Monitor urine and stool for occult blood regularly.
Rationale: This is crucial because patients with thrombocytopenia are at an increased risk of
bleeding, which may not always be visible or apparent. Regular monitoring can help in early
detection and prompt management of any bleeding episodes.
Page 4
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
HESI 266 Questions &
Answers 2026-2027 |
Nightingale College |
Latest Verified Edition
Verified Answers Exam Ready With Rationales
54 QUESTIONS
DOCUMENT OVERVIEW
This document provides 54 verified questions with correct answers and concise
explanations, focusing on nursing concepts and clinical scenarios. It is suitable for
comprehensive exam preparation in nursing, ensuring a thorough understanding of key
principles. Students can utilize it for effective study, review, and certification preparation,
enhancing their knowledge and confidence for upcoming assessments.
CONTENTS
Neurological Disorders Q1–Q12
Renal and Urinary Health Q13–Q21
Endocrine and Metabolic Disorders Q22–Q31
Surgical and Postoperative Care Q32–Q39
Respiratory Conditions Q40–Q47
Page 1
, Gastrointestinal Disorders Q48–Q54
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 54
The nurse assists a client with Parkinson's disease to ambulate
in the hallway. The client appears to "freeze" and then carefully lifts
on leg and steps forward. The client tells the nurse of pretending
to step over a crack on the floor. How should the nurse respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.
CORRECT ANSWER
c. Confirm that this is an effective technique to help with ambulation.
Q2 QUESTION 2 OF 54
a 37 year old female client reports to the preoperative area for herscheduled bariatric
surgery. The decision to have bariatric surgerycame after multiple attempts to lose weight
by diet and exercisewhich resulted in intial weight attempts were not sustained
Choose the most likely options for the information missing fromthe statement by selecting
from the lists of options provided?
The nurse recognizes that the most common serious complica-tion after having gastric
bypass surgery is ___ as evidenced byincreased back, shoulder, or abdominal pain,
restlessness, ___and tachcardia.
CORRECT ANSWER
First line - Anastomotic leak
Second line - Arrythmia (I think)
Page 2
, Q3 QUESTION 3 OF 54
A client is diagnosed with chronic kidney disease and needsto begin dialysis. Which
condition entered on the client's medicalrecord should the nurse recognize as a
contraindication for peritoneal dialysis?
a. Nephrotic syndrom history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C
CORRECT ANSWER
b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients with
extensive intra-abdominal surgical history are not candidates for peritoneal dialysis, as these
clients may have decreased peritoneal membrane surface areas and scar tissue formation,
which would make it insufficient for adequate dialysis exchange.
Q4 QUESTION 4 OF 54
A client with a fracture of the right femur has had skeletal traction
applied. Which intervention should the nurse include in the client's
nursing care plan?
a. assess the pin sites for signs of infection.
b. administer pain medication at designated intervals around the clock.
c. assess the pulse proximal to the fracture site.
d. Remove traction every provide skin care.
CORRECT ANSWER
a. assess the pin sites for signs of infection.
Rationale: Assessing the pin sites for sign of infection is in essential for clients with skeletal
traction to detect any early signs of infection such as redness, warmth, swelling, or purulent
drainage. Prompt identification and management of pin site infections can prevent
complications.
Page 3
, Q5 QUESTION 5 OF 54
A client is admitted to the medical unit during an exacerbation
of systemic lupus erythematosus (SLE). It is most important for
the nurse to report which assessment finding to the healthcare
provider?
a. Joint pain
b. Low grade fever
c. Muscle atrophy
d. Hematuria
CORRECT ANSWER
d. Hematuria
Rationale: Hematuria is the presence of blood in the urine, which can indicate kidney damage or
failure. Kidney involvement is one of the most serious complications of SLE, which can lead to
end-stage renal disease and require dialysis or transplantation. Hematuria is a critical finding
that requires prompt intervention and treatment from the health care provider.
Q6 QUESTION 6 OF 54
A client with leukemia is receiving chemotherapy. The nurse
observes the client is weak, pale, and febrile. After reviewing
the client's most recent laboratory data which reveals a platelet
count of 25,000/mm, which intervention should
the nurse include in the plan of care?
Reference Range
Platelet [150,000 to 400,000/mm]
A. Ensure a large gauge IV catheter is used to obtain blood samples.
B. Wrap bruised areas with elastic bandage dressings.
C. Remove cold and frozen foods from dietary trays.
D. Monitor urine and stool for occult blood regularly.
CORRECT ANSWER
D. Monitor urine and stool for occult blood regularly.
Rationale: This is crucial because patients with thrombocytopenia are at an increased risk of
bleeding, which may not always be visible or apparent. Regular monitoring can help in early
detection and prompt management of any bleeding episodes.
Page 4
