BSN HESI 266 Exam with Questions and
Correct Answers 2025
Client ,is ,recovering ,from ,a ,transurethral ,prostatectomy. ,Which ,activity ,should
,be ,limited ,until ,after ,the ,first ,postoperative ,visit ,with ,the ,healthcare ,provider? ,-
,CORRECT ,ANSWER-Drink ,3L
A ,client ,with ,stage ,IV ,bone ,cancer ,is ,admitted ,to ,the ,hospital ,for ,a ,1-10 ,scale.
,Which ,intervention ,should ,the ,nurse ,implement? ,- ,CORRECT ,ANSWER-
Administer ,opioid ,and ,non-opioid ,medications ,simultaneously
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 ,with ,urticaria
d. ,arthritic ,joint ,changes ,and ,chronic ,pain ,- ,CORRECT ,ANSWER-a. ,low ,back
,pain ,and ,hypotension
ANSWER: ,(A) ,LOW ,BACK ,PAIN ,AND ,HYPOTENSION
When ,conducting ,discharge ,teaching ,for ,a ,client
diagnosed ,with ,diverticulosis, ,which ,diet ,instruction ,should ,the ,nurse ,include?
a. ,Have ,small ,frequent ,meals ,and ,sit ,up ,for ,at ,least ,two ,hours ,after ,meals.
b. ,Eat ,a ,bland ,diet ,and ,avoid ,spicy ,foods.
c. ,Eat ,a ,high ,fiber ,diet ,and ,increase ,fluid ,intake.
d. ,Eat ,a ,soft ,diet ,with ,increased ,intake ,of ,milk ,and ,milk ,products ,- ,CORRECT
,ANSWER-c. ,Eat ,a ,high ,fiber ,diet ,and ,increase ,fluid ,intake.
,ANSWER ,(C) ,EAT ,A ,HIGH-FIBER ,DIET ,AND ,INCREASE ,FLUID ,INTAKE
The ,nurse ,observes ,an ,increased ,number ,of ,blood ,clots ,in ,the ,drainage ,tubing
,of ,a ,client ,with ,continuous ,bladder ,irrigation ,following ,a ,transurethral ,resection
,of ,the ,prostate ,(TURP). ,What ,is ,the ,best ,initial ,nursing ,action?
a. ,Provide ,additional ,oral ,fluid ,intake
b. ,Measure ,the ,client's ,intake ,and ,output.
c. ,Increase ,the ,flow ,of ,the ,bladder
irrigation
d. ,Administer ,a ,PRN ,dose ,of ,an ,antispasmodic ,agent ,- ,CORRECT ,ANSWER-c.
,Increase ,the ,flow ,of ,the ,bladder
irrigation
ANSWER ,(C) ,Increase ,the ,flow ,of ,the ,bladder ,irrigation
A ,client ,wit ,lung ,cancer ,who ,wears ,a ,subcutaneous ,morphine ,sulfate ,patch ,for
,pain ,is ,short ,of ,breath ,and ,difficult ,to ,arouse. ,When ,performing ,a ,head
-to-toe ,assessment, ,the ,nurse ,discovers ,four ,analgesic ,patches ,on ,- ,CORRECT
,ANSWER-Remove ,all ,morphine ,patches
Coming ,down ,the ,basement ,steps, ,a ,client ,is ,brought ,to ,the ,emergency ,room
,X-ray ,... ,cast, ,which ,assessment ,finding ,warrants ,immediate
Intervention ,by ,the ,nurse? ,- ,CORRECT ,ANSWER-Right ,foot ,pale ,with ,sluggish
,capillary ,refill
An ,overweight, ,young ,adult ,who ,was
recently ,Check ,finger ,stick ,glucose ,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.)
a. ,Check ,finger ,stick
glucose
b. ,Assess ,skin ,temperature
and ,moisture
c. ,Measure ,pulse ,and ,blood
pressure ,- ,CORRECT ,ANSWER-a. ,Check ,finger ,stick
, glucose
b. ,Assess ,skin ,temperature
and ,moisture
c. ,Measure ,pulse ,and ,blood
pressure
ANSWER: ,(CAM)
A ,client ,who ,underwent ,cardiac ,stent ,placement ,four ,days ,ago ,arrives ,to ,the
emergency ,department ,reporting ,a ,sudden ,onset ,of ,chest ,pressure ,and
shortness ,of ,breath. ,Which ,action ,should ,the ,nurse ,take ,next?
a. ,Listen ,for ,extra ,heart ,sounds, ,murmurs, ,and ,r
hythm ,with ,the ,bell ,of
the ,stethoscope.
b. ,Evaluate ,upper ,and ,lower ,extremities ,for ,perfusion, ,pulse ,volume,
and ,pitting ,edema.
c. ,Verify ,troponin ,level ,assessments ,are ,scheduled ,every ,3-6 ,hours ,for ,a ,series
,of ,three.
d. ,Obtain ,a ,12-lead ,electrocardiogram ,and ,begin ,continuous ,cardiac ,monitoring
. ,- ,CORRECT ,ANSWER-d. ,Obtain ,a ,12-lead ,electrocardiogram ,and ,begin
,continuous ,cardiac ,monitoring
While ,completing ,a ,health ,assessment ,for ,a ,client ,with ,migraine ,headaches, ,the
,nurse ,assesses ,bilateral ,weakness ,in ,the ,clients ,hand ,grips. ,The ,client ,reports
,joint ,pain ,and ,trouble ,twisting ,a ,door ,knob ,due ,to ,weaknesses. ,Which ,action
,should ,the ,nurses ,take ,in ,response ,to ,these ,figures?
a. ,Implement ,fall ,precautions ,to ,reduce ,the ,clients ,risk ,of ,injury.
b. ,Explain ,that ,relief ,of ,the ,migraine ,pain ,will ,reduce ,related ,symptoms.
c. ,Gather ,additional ,assessment ,data ,about ,the ,pain ,and ,weakness.
d. ,Consult ,with ,the ,occupational ,therapist ,for ,a ,functional ,assessment ,-
,CORRECT ,ANSWER-c. ,Gather ,additional ,assessment ,data ,about ,the ,pain ,and
,weakness.
The ,nurse ,is ,caring ,for ,a ,client ,diagnosed ,with ,psoriasis ,vulgaris ,who ,is
,receiving ,psoralen ,and ,ultraviolet ,A ,light ,(PUVA) ,treatment. ,
Correct Answers 2025
Client ,is ,recovering ,from ,a ,transurethral ,prostatectomy. ,Which ,activity ,should
,be ,limited ,until ,after ,the ,first ,postoperative ,visit ,with ,the ,healthcare ,provider? ,-
,CORRECT ,ANSWER-Drink ,3L
A ,client ,with ,stage ,IV ,bone ,cancer ,is ,admitted ,to ,the ,hospital ,for ,a ,1-10 ,scale.
,Which ,intervention ,should ,the ,nurse ,implement? ,- ,CORRECT ,ANSWER-
Administer ,opioid ,and ,non-opioid ,medications ,simultaneously
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 ,with ,urticaria
d. ,arthritic ,joint ,changes ,and ,chronic ,pain ,- ,CORRECT ,ANSWER-a. ,low ,back
,pain ,and ,hypotension
ANSWER: ,(A) ,LOW ,BACK ,PAIN ,AND ,HYPOTENSION
When ,conducting ,discharge ,teaching ,for ,a ,client
diagnosed ,with ,diverticulosis, ,which ,diet ,instruction ,should ,the ,nurse ,include?
a. ,Have ,small ,frequent ,meals ,and ,sit ,up ,for ,at ,least ,two ,hours ,after ,meals.
b. ,Eat ,a ,bland ,diet ,and ,avoid ,spicy ,foods.
c. ,Eat ,a ,high ,fiber ,diet ,and ,increase ,fluid ,intake.
d. ,Eat ,a ,soft ,diet ,with ,increased ,intake ,of ,milk ,and ,milk ,products ,- ,CORRECT
,ANSWER-c. ,Eat ,a ,high ,fiber ,diet ,and ,increase ,fluid ,intake.
,ANSWER ,(C) ,EAT ,A ,HIGH-FIBER ,DIET ,AND ,INCREASE ,FLUID ,INTAKE
The ,nurse ,observes ,an ,increased ,number ,of ,blood ,clots ,in ,the ,drainage ,tubing
,of ,a ,client ,with ,continuous ,bladder ,irrigation ,following ,a ,transurethral ,resection
,of ,the ,prostate ,(TURP). ,What ,is ,the ,best ,initial ,nursing ,action?
a. ,Provide ,additional ,oral ,fluid ,intake
b. ,Measure ,the ,client's ,intake ,and ,output.
c. ,Increase ,the ,flow ,of ,the ,bladder
irrigation
d. ,Administer ,a ,PRN ,dose ,of ,an ,antispasmodic ,agent ,- ,CORRECT ,ANSWER-c.
,Increase ,the ,flow ,of ,the ,bladder
irrigation
ANSWER ,(C) ,Increase ,the ,flow ,of ,the ,bladder ,irrigation
A ,client ,wit ,lung ,cancer ,who ,wears ,a ,subcutaneous ,morphine ,sulfate ,patch ,for
,pain ,is ,short ,of ,breath ,and ,difficult ,to ,arouse. ,When ,performing ,a ,head
-to-toe ,assessment, ,the ,nurse ,discovers ,four ,analgesic ,patches ,on ,- ,CORRECT
,ANSWER-Remove ,all ,morphine ,patches
Coming ,down ,the ,basement ,steps, ,a ,client ,is ,brought ,to ,the ,emergency ,room
,X-ray ,... ,cast, ,which ,assessment ,finding ,warrants ,immediate
Intervention ,by ,the ,nurse? ,- ,CORRECT ,ANSWER-Right ,foot ,pale ,with ,sluggish
,capillary ,refill
An ,overweight, ,young ,adult ,who ,was
recently ,Check ,finger ,stick ,glucose ,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.)
a. ,Check ,finger ,stick
glucose
b. ,Assess ,skin ,temperature
and ,moisture
c. ,Measure ,pulse ,and ,blood
pressure ,- ,CORRECT ,ANSWER-a. ,Check ,finger ,stick
, glucose
b. ,Assess ,skin ,temperature
and ,moisture
c. ,Measure ,pulse ,and ,blood
pressure
ANSWER: ,(CAM)
A ,client ,who ,underwent ,cardiac ,stent ,placement ,four ,days ,ago ,arrives ,to ,the
emergency ,department ,reporting ,a ,sudden ,onset ,of ,chest ,pressure ,and
shortness ,of ,breath. ,Which ,action ,should ,the ,nurse ,take ,next?
a. ,Listen ,for ,extra ,heart ,sounds, ,murmurs, ,and ,r
hythm ,with ,the ,bell ,of
the ,stethoscope.
b. ,Evaluate ,upper ,and ,lower ,extremities ,for ,perfusion, ,pulse ,volume,
and ,pitting ,edema.
c. ,Verify ,troponin ,level ,assessments ,are ,scheduled ,every ,3-6 ,hours ,for ,a ,series
,of ,three.
d. ,Obtain ,a ,12-lead ,electrocardiogram ,and ,begin ,continuous ,cardiac ,monitoring
. ,- ,CORRECT ,ANSWER-d. ,Obtain ,a ,12-lead ,electrocardiogram ,and ,begin
,continuous ,cardiac ,monitoring
While ,completing ,a ,health ,assessment ,for ,a ,client ,with ,migraine ,headaches, ,the
,nurse ,assesses ,bilateral ,weakness ,in ,the ,clients ,hand ,grips. ,The ,client ,reports
,joint ,pain ,and ,trouble ,twisting ,a ,door ,knob ,due ,to ,weaknesses. ,Which ,action
,should ,the ,nurses ,take ,in ,response ,to ,these ,figures?
a. ,Implement ,fall ,precautions ,to ,reduce ,the ,clients ,risk ,of ,injury.
b. ,Explain ,that ,relief ,of ,the ,migraine ,pain ,will ,reduce ,related ,symptoms.
c. ,Gather ,additional ,assessment ,data ,about ,the ,pain ,and ,weakness.
d. ,Consult ,with ,the ,occupational ,therapist ,for ,a ,functional ,assessment ,-
,CORRECT ,ANSWER-c. ,Gather ,additional ,assessment ,data ,about ,the ,pain ,and
,weakness.
The ,nurse ,is ,caring ,for ,a ,client ,diagnosed ,with ,psoriasis ,vulgaris ,who ,is
,receiving ,psoralen ,and ,ultraviolet ,A ,light ,(PUVA) ,treatment. ,
