BSN 266 HESI V2 EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
Neutrophil count- The patient is experiencing infection, so a nurse should
review the neutrophil count before contacting the HCP. ( correct answers )
While caring for a client with full thickness burns covering 40% of the body,
the nurse observes purulent drainage from the wounds. Before reporting the
finding, what is the best lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and
family. ( correct answers ) An older woman who experienced a
cerebrovascular accident (CVA) has difficulty with visual perception and she
only eats half of the food on her meal tray. Her family expresses concern
about her nutritional status. How should the nurse respond to the family's
concern?
High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac
workload. ( correct answers ) Best position for respiratory distress?
High risk for injury ( correct answers ) A patient with peripheral artery
disease has marked peripheral neuropath. An appropriate nursing diagnosis
for the patient is
Check feet every day for cuts or injuries. ( correct answers ) Type 2
diabetes patient discharge teaching patient and family
Institute Contact precautions for staff and visitors
GRADED A+
, Send wound drainage for culture and sensitivity
Monitor the clients WBC count ( correct answers ) Plan of care for patient
with skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. ( correct answers ) A patient with acute anterior wall MI 1
week ago is given low-dose aspirin. The medication is related to which
problem and HCP should be notified?
Elevated blood urea nitrogen (BUN) ( correct answers ) For a patient with
SLE exacerbation what is the most important to report which assessment
finding?
Rate of pain on a scale from 0-10. ( correct answers ) Before selecting a
medication to administer, which action should the nurse implement in the
post-op patient who reports incisional pain and has 2 PRN analgesia available
in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully
completed. The patient should not take anything by mouth. ( correct
answers ) Patient had bariatric surgery 2 months ago who developed post-
op strictures who is experiencing nausea and vomiting and anorexia who is
admitted for fluid resuscitation. Which intervention should the nurse
implement?
Vital sign changes and ECGs- Priority parameters are vital sign changes
related to hypovolemia and ECG changes due to serum electrolyte loss,
which can be life threatening. ( correct answers ) Acute Kidney Injury due
to aminoglycoside antibiotic moved from oliguric phase to the diuretic phase.
Which parameters are most important to monitor?
Nuts, chocolate, dark greens, and spinach. ( correct answers ) Patient has
a calcium oxalate renal stone. Which food are you going to teach the patient
to avoid?
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
Neutrophil count- The patient is experiencing infection, so a nurse should
review the neutrophil count before contacting the HCP. ( correct answers )
While caring for a client with full thickness burns covering 40% of the body,
the nurse observes purulent drainage from the wounds. Before reporting the
finding, what is the best lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and
family. ( correct answers ) An older woman who experienced a
cerebrovascular accident (CVA) has difficulty with visual perception and she
only eats half of the food on her meal tray. Her family expresses concern
about her nutritional status. How should the nurse respond to the family's
concern?
High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac
workload. ( correct answers ) Best position for respiratory distress?
High risk for injury ( correct answers ) A patient with peripheral artery
disease has marked peripheral neuropath. An appropriate nursing diagnosis
for the patient is
Check feet every day for cuts or injuries. ( correct answers ) Type 2
diabetes patient discharge teaching patient and family
Institute Contact precautions for staff and visitors
GRADED A+
, Send wound drainage for culture and sensitivity
Monitor the clients WBC count ( correct answers ) Plan of care for patient
with skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. ( correct answers ) A patient with acute anterior wall MI 1
week ago is given low-dose aspirin. The medication is related to which
problem and HCP should be notified?
Elevated blood urea nitrogen (BUN) ( correct answers ) For a patient with
SLE exacerbation what is the most important to report which assessment
finding?
Rate of pain on a scale from 0-10. ( correct answers ) Before selecting a
medication to administer, which action should the nurse implement in the
post-op patient who reports incisional pain and has 2 PRN analgesia available
in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully
completed. The patient should not take anything by mouth. ( correct
answers ) Patient had bariatric surgery 2 months ago who developed post-
op strictures who is experiencing nausea and vomiting and anorexia who is
admitted for fluid resuscitation. Which intervention should the nurse
implement?
Vital sign changes and ECGs- Priority parameters are vital sign changes
related to hypovolemia and ECG changes due to serum electrolyte loss,
which can be life threatening. ( correct answers ) Acute Kidney Injury due
to aminoglycoside antibiotic moved from oliguric phase to the diuretic phase.
Which parameters are most important to monitor?
Nuts, chocolate, dark greens, and spinach. ( correct answers ) Patient has
a calcium oxalate renal stone. Which food are you going to teach the patient
to avoid?
GRADED A+
