HESI – 266 EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder
irrigation with normal saline is infusing and the nurse observes dark pink
tinged outflow with blood clots in the tubing and collection bag. Which action
should the nurse take? ( correct answers ) Monitoring catheter drainage
A client experiences an ABO incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the
health care provider?
a) low back pain and hypotension
b) rhinitis and nasal stuffiness
c) delayed painful rash and urticarial
d) arthritic joint changes and chronic pain ( correct answers ) low back
pain and hypotension
An overweight, young adult male who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement?
(Select all that apply.)
check finger stick glucose level.
Assess his skin temperature and moisture.
Document anxiety on the surgical checklist.
Administer a PRN dose of regular insulin
GRADED A+
, Measure pulse and blood pressure ( correct answers ) Assess his skin
temperature and moisture.
Document anxiety on the surgical checklist.
Administer a PRN dose of regular insulin
The nurse is evaluating a male client's understanding of diet teaching about
DASH (dietary approaches to stop hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan.
A. Enjoys fat-free yogurt as an occasional snack food
B. No longer includes grains in daily diet
C. Carefully cleans and peels all fresh fruit and vegetables
D. Uses only lactose-free dairy products ( correct answers ) Enjoys fat-free
yogurt as an occasional snack food
The nurse is caring for a client diagnosed with psoriasis Vulgaris who is
receiving psoralen and ultraviolet light. Which finding indicates that the
client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes ( correct answers ) B.
Tenderness upon palpation and generalized erythema
The nurse is caring for a client with human immunodeficiency virus (HIV) who
has developed oral thrush and is experiencing burning and soreness in the
mouth. Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder
irrigation with normal saline is infusing and the nurse observes dark pink
tinged outflow with blood clots in the tubing and collection bag. Which action
should the nurse take? ( correct answers ) Monitoring catheter drainage
A client experiences an ABO incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the
health care provider?
a) low back pain and hypotension
b) rhinitis and nasal stuffiness
c) delayed painful rash and urticarial
d) arthritic joint changes and chronic pain ( correct answers ) low back
pain and hypotension
An overweight, young adult male who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement?
(Select all that apply.)
check finger stick glucose level.
Assess his skin temperature and moisture.
Document anxiety on the surgical checklist.
Administer a PRN dose of regular insulin
GRADED A+
, Measure pulse and blood pressure ( correct answers ) Assess his skin
temperature and moisture.
Document anxiety on the surgical checklist.
Administer a PRN dose of regular insulin
The nurse is evaluating a male client's understanding of diet teaching about
DASH (dietary approaches to stop hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan.
A. Enjoys fat-free yogurt as an occasional snack food
B. No longer includes grains in daily diet
C. Carefully cleans and peels all fresh fruit and vegetables
D. Uses only lactose-free dairy products ( correct answers ) Enjoys fat-free
yogurt as an occasional snack food
The nurse is caring for a client diagnosed with psoriasis Vulgaris who is
receiving psoralen and ultraviolet light. Which finding indicates that the
client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes ( correct answers ) B.
Tenderness upon palpation and generalized erythema
The nurse is caring for a client with human immunodeficiency virus (HIV) who
has developed oral thrush and is experiencing burning and soreness in the
mouth. Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
GRADED A+
