BSN 266 HESI V2 (Nightingale College) | Actual Exam
Questions & 100% Correct Answers | Latest Update 2026
| Nursing Exam Prep
1. What serum lab value is crucial to monitor for a patient exhibiting signs of
decreased CO2 and increased serum pH after surgery?
Complete blood count (CBC)
Blood glucose levels
Arterial blood gases (ABGs)
Electrolyte panel
2. A patient with cirrhosis is showing signs of improved fluid balance after
starting a low sodium diet and receiving albumin. What assessment finding
would best indicate this improvement?
Decreased peripheral edema
Increased liver enzymes
Increased abdominal girth
Elevated blood pressure
3. The nurse is caring for a client with lung cancer who has an intractable cough
and is exhausted from the effort of coughing. which of the following drugs
should the nurse administer to this client?
codeine
rifampin (rifadin)
Acetylcysteine (mucomyst)
fluticasone (flovent)
,4. A client who had bariatric surgery 2 months ago is admitted because of
vomiting and inability to tolerate food and liquids. The client is pain free.
Which intervention should the nurse include in the client's plan of care?
Administer daily vitamin supplements
Determine if the client is over-hydrating to feel satiated
Encourage positive self accolades for dietary adherence
Maintain the client on an NPO status
5. The client is exhibiting symptoms indicative of pulmonary tuberculosis. The
nurse anticipates that which diagnostic test will be ordered to confirm the
diagnosis?
Arterial blood gas (ABG) analysis
Sputum culture and sensitivity
Chest X-ray
Blood cultures
6. The nurse is discussing the important of an exercise program for pain control
to a patient diagnosed with osteoarthritis and assist with maintaining
maximum functional ability. Which nursing intervention should the nurse
include in the teaching?
Walk at least 30 minutes 3 times a week
Wear supportive tennis shoes with white socks when walking
carry a complex carbohydrate while exercising
Alternate walking briskly and jogging when exercising
,7. What is a key aspect of foot care that should be taught to a patient with Type
2 diabetes?
Soak feet in hot water regularly.
Wear tight-fitting shoes for support.
Inspect feet daily for cuts or sores.
Ignore any foot pain.
8. A client presents with the onset of a severe headache, fever, nuchal rigidity,
and a petechial rash on arms and legs. The nurse recognizes the client is
exhibiting symptoms of which condition?
Cerebrovascular accident (CVA).
Rocky mountain spotted fever.
Intracerebral hemorrhage.
Meningococcal meningitis.
9. A patient with chronic obstructive pulmonary disease (COPD) is admitted
with acute respiratory distress. Which nursing intervention should be
prioritized?
Position the patient in High Fowler's position.
Administer a sedative to calm the patient.
Provide a high-calorie diet immediately.
Encourage the patient to lie flat to rest.
10. The autoimmune disease of SLE (Systemic Lupus Erythematosus) can affect
the joints, skin, cardiovascular system and kidneys. What is the classic sign of
exacerbation which the nurse advises the patient to report immediately?
, Dizziness in rising
Change in bowel habits
CVA tenderness
Fever
11. A nurse is exploring treatment options with a client living with sleep apnea.
The nurse should inform the client that the most common reason for
treatment refusal with continuous positive airway pressure (CPAP) is because:
Surgical options exist that are permanent so clients usually choose
this over CPAP.
Most clients learn how to manage sleep apnea with oral devices,
making CPAP unnecessary.
Using CPAP has not been shown to help with the negative effects of
sleep apnea and is for comfort only.
Many clients find the treatment too uncomfortable and are unable
or unwilling to use it regularly.
12. The nurse is taking a health history for a 12-year-old child whose BMI is
greater than 30. Which general question should the nurse ask the child's
parents?
"How important is exercise?"
"Is there a family history of hypertension, heart disease, or
diabetes?"
"Is breakfast eaten regularly?"
"What beverages are preferred?"
Questions & 100% Correct Answers | Latest Update 2026
| Nursing Exam Prep
1. What serum lab value is crucial to monitor for a patient exhibiting signs of
decreased CO2 and increased serum pH after surgery?
Complete blood count (CBC)
Blood glucose levels
Arterial blood gases (ABGs)
Electrolyte panel
2. A patient with cirrhosis is showing signs of improved fluid balance after
starting a low sodium diet and receiving albumin. What assessment finding
would best indicate this improvement?
Decreased peripheral edema
Increased liver enzymes
Increased abdominal girth
Elevated blood pressure
3. The nurse is caring for a client with lung cancer who has an intractable cough
and is exhausted from the effort of coughing. which of the following drugs
should the nurse administer to this client?
codeine
rifampin (rifadin)
Acetylcysteine (mucomyst)
fluticasone (flovent)
,4. A client who had bariatric surgery 2 months ago is admitted because of
vomiting and inability to tolerate food and liquids. The client is pain free.
Which intervention should the nurse include in the client's plan of care?
Administer daily vitamin supplements
Determine if the client is over-hydrating to feel satiated
Encourage positive self accolades for dietary adherence
Maintain the client on an NPO status
5. The client is exhibiting symptoms indicative of pulmonary tuberculosis. The
nurse anticipates that which diagnostic test will be ordered to confirm the
diagnosis?
Arterial blood gas (ABG) analysis
Sputum culture and sensitivity
Chest X-ray
Blood cultures
6. The nurse is discussing the important of an exercise program for pain control
to a patient diagnosed with osteoarthritis and assist with maintaining
maximum functional ability. Which nursing intervention should the nurse
include in the teaching?
Walk at least 30 minutes 3 times a week
Wear supportive tennis shoes with white socks when walking
carry a complex carbohydrate while exercising
Alternate walking briskly and jogging when exercising
,7. What is a key aspect of foot care that should be taught to a patient with Type
2 diabetes?
Soak feet in hot water regularly.
Wear tight-fitting shoes for support.
Inspect feet daily for cuts or sores.
Ignore any foot pain.
8. A client presents with the onset of a severe headache, fever, nuchal rigidity,
and a petechial rash on arms and legs. The nurse recognizes the client is
exhibiting symptoms of which condition?
Cerebrovascular accident (CVA).
Rocky mountain spotted fever.
Intracerebral hemorrhage.
Meningococcal meningitis.
9. A patient with chronic obstructive pulmonary disease (COPD) is admitted
with acute respiratory distress. Which nursing intervention should be
prioritized?
Position the patient in High Fowler's position.
Administer a sedative to calm the patient.
Provide a high-calorie diet immediately.
Encourage the patient to lie flat to rest.
10. The autoimmune disease of SLE (Systemic Lupus Erythematosus) can affect
the joints, skin, cardiovascular system and kidneys. What is the classic sign of
exacerbation which the nurse advises the patient to report immediately?
, Dizziness in rising
Change in bowel habits
CVA tenderness
Fever
11. A nurse is exploring treatment options with a client living with sleep apnea.
The nurse should inform the client that the most common reason for
treatment refusal with continuous positive airway pressure (CPAP) is because:
Surgical options exist that are permanent so clients usually choose
this over CPAP.
Most clients learn how to manage sleep apnea with oral devices,
making CPAP unnecessary.
Using CPAP has not been shown to help with the negative effects of
sleep apnea and is for comfort only.
Many clients find the treatment too uncomfortable and are unable
or unwilling to use it regularly.
12. The nurse is taking a health history for a 12-year-old child whose BMI is
greater than 30. Which general question should the nurse ask the child's
parents?
"How important is exercise?"
"Is there a family history of hypertension, heart disease, or
diabetes?"
"Is breakfast eaten regularly?"
"What beverages are preferred?"
