2025 BSN266 HESI ACTUAL EXAM
55 QUESTIONS AND ANSWERS
A client is admitted to the hospital for shortness of breath and
chest pain after an episode of syncope. Which laboratory finding
is most important for the nurse to report to the healthcare
provider?
Troponin I
A client is admitted with a deep and productive cough,
hemophytisis, and a low grade fever. The client's Mantoux skin
test has 15mm induration. Which intervention should the nurse
implement first?
Initiate airborne particulate isolation precautions
A client is hospitalized after experiencing a myocardial infarction
(MI) to reduce cardiac workload, which intervention should the
nurse include in the client's plan of care?
Provide a bedside commode for toileting
,A client is receiving combination chemotherapy for treatment of
metastatic carcinoma. When monitoring the client for systemic
side effects, which assessment findings warrant intervention by
the nurse?
Leukopenia
A client takes daily supplemental iron tablets for iron deficiency
anemia reports feeling increasingly fatigued. Which laboratory
values should the nurse review?
Complete blood count
A client with COPD arrives at the emergency department reporting
of shortness of breath upon exertion and _____ weakness. The
client ___ the nurse was normally receiving dialysis three times a
week but missed the last treatment. The client's serum potassium
is 4.8 mEq/L and creatinine of 1.4 ___ , accompanied with a blood
pressure of 200/120 mmHg. The client has salt crystals present
on the skin. Which finding is most important for the nurse to bring
to the attention of the healthcare provider?
Blood pressure
, A client with chronic obstructive pulmonary disease (COPD) is
admitted to a non-emergent cholecystectomy. The admission
arterial blood gas ) ABG PCO2 48 mmHG?
Administer a PRN bronchodilator
A client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrants
immediate intervention by the nurse?
Irregular apical pulse
A client with gouty arthritis reports tenderness and swelling of the
right ankle and great toe. The nurse observes the area of
inflammation. The client receives prescriptions for colchicine and
indomethacin, Which instruction should the nurse include in the
discharge teaching?
Return for periodic liver functions studies
A client with heart failure is receiving intravenous fluids at 125
ml/hour. The nurse observes an increased jugular venous
55 QUESTIONS AND ANSWERS
A client is admitted to the hospital for shortness of breath and
chest pain after an episode of syncope. Which laboratory finding
is most important for the nurse to report to the healthcare
provider?
Troponin I
A client is admitted with a deep and productive cough,
hemophytisis, and a low grade fever. The client's Mantoux skin
test has 15mm induration. Which intervention should the nurse
implement first?
Initiate airborne particulate isolation precautions
A client is hospitalized after experiencing a myocardial infarction
(MI) to reduce cardiac workload, which intervention should the
nurse include in the client's plan of care?
Provide a bedside commode for toileting
,A client is receiving combination chemotherapy for treatment of
metastatic carcinoma. When monitoring the client for systemic
side effects, which assessment findings warrant intervention by
the nurse?
Leukopenia
A client takes daily supplemental iron tablets for iron deficiency
anemia reports feeling increasingly fatigued. Which laboratory
values should the nurse review?
Complete blood count
A client with COPD arrives at the emergency department reporting
of shortness of breath upon exertion and _____ weakness. The
client ___ the nurse was normally receiving dialysis three times a
week but missed the last treatment. The client's serum potassium
is 4.8 mEq/L and creatinine of 1.4 ___ , accompanied with a blood
pressure of 200/120 mmHg. The client has salt crystals present
on the skin. Which finding is most important for the nurse to bring
to the attention of the healthcare provider?
Blood pressure
, A client with chronic obstructive pulmonary disease (COPD) is
admitted to a non-emergent cholecystectomy. The admission
arterial blood gas ) ABG PCO2 48 mmHG?
Administer a PRN bronchodilator
A client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrants
immediate intervention by the nurse?
Irregular apical pulse
A client with gouty arthritis reports tenderness and swelling of the
right ankle and great toe. The nurse observes the area of
inflammation. The client receives prescriptions for colchicine and
indomethacin, Which instruction should the nurse include in the
discharge teaching?
Return for periodic liver functions studies
A client with heart failure is receiving intravenous fluids at 125
ml/hour. The nurse observes an increased jugular venous
