HESI BSN 266 EXAM | ALL QUESTIONS AND CORRECT ANSWERS |
BSN HESI 266
VERIFIED ANSWERS | LATEST VERSION 2025 | GRADED A+ (JUST
Study online at https://quizlet.com/_d2o3fc
RELEASED)
1. Client is recovering from a transurethral prostatecto- Drink 3L
my. Which activity should be limited until after the first
postoperative visit with the healthcare provider?
2. A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should the non-opioid medications
nurse implement? simultaneously
3. A client experiences an AOB incompatibility reac- a. low back pain and hy-
tion after multiple blood transfusions. Which finding potension
should the nurse report immediately to the health care
provider? ANSWER: (A) LOW BACK
PAIN AND HYPOTENSTION
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
4. When conducting discharge teaching for a client c. Eat a high fiber diet and
diagnosed with diverticulosis, which diet instruction increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least two HIGH-FIBER DIET AND IN-
hours after meals. CREASE FLUID INTAKE
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
, BSN HESI 266
Study online at https://quizlet.com/_d2o3fc
5. The nurse observes an increased number of blood c. Increase the flow of the
clots in the drainage tubing of a client with continuous bladder
bladder irrigation following a transurethral resection irrigation
of the prostate (TURP). What is the best initial nursing
action?
ANSWER (C) Increase the
a. Provide additional oral fluid intake flow of the bladder irriga-
tion
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
6. A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
7. Coming down the basement steps, a client is brought Right foot pale with slug-
to the emergency room X-ray ... cast, which assess- gish capillary refill
ment finding warrants immediate
Intervention by the nurse?
8. An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
type 2 diabetes mellitus is admitted for a hernia repair.
He tells the nurse that he is feeling very weak and b. Assess skin tempera-
jittery. ture
and moisture
Which actions should the nurse implement?
, BSN HESI 266
Study online at https://quizlet.com/_d2o3fc
(Select all that apply.) c. Measure pulse and
blood
a. Check finger stick pressure
glucose
ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
9. A client who underwent cardiac stent placement four d. Obtain a 12-lead elec-
days ago arrives to the trocardiogram and begin
emergency department reporting a sudden onset of continuous cardiac moni-
chest pressure and toring
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 con-
tinuous cardiac monitoring
.
BSN HESI 266
VERIFIED ANSWERS | LATEST VERSION 2025 | GRADED A+ (JUST
Study online at https://quizlet.com/_d2o3fc
RELEASED)
1. Client is recovering from a transurethral prostatecto- Drink 3L
my. Which activity should be limited until after the first
postoperative visit with the healthcare provider?
2. A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should the non-opioid medications
nurse implement? simultaneously
3. A client experiences an AOB incompatibility reac- a. low back pain and hy-
tion after multiple blood transfusions. Which finding potension
should the nurse report immediately to the health care
provider? ANSWER: (A) LOW BACK
PAIN AND HYPOTENSTION
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
4. When conducting discharge teaching for a client c. Eat a high fiber diet and
diagnosed with diverticulosis, which diet instruction increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least two HIGH-FIBER DIET AND IN-
hours after meals. CREASE FLUID INTAKE
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
, BSN HESI 266
Study online at https://quizlet.com/_d2o3fc
5. The nurse observes an increased number of blood c. Increase the flow of the
clots in the drainage tubing of a client with continuous bladder
bladder irrigation following a transurethral resection irrigation
of the prostate (TURP). What is the best initial nursing
action?
ANSWER (C) Increase the
a. Provide additional oral fluid intake flow of the bladder irriga-
tion
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
6. A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
7. Coming down the basement steps, a client is brought Right foot pale with slug-
to the emergency room X-ray ... cast, which assess- gish capillary refill
ment finding warrants immediate
Intervention by the nurse?
8. An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
type 2 diabetes mellitus is admitted for a hernia repair.
He tells the nurse that he is feeling very weak and b. Assess skin tempera-
jittery. ture
and moisture
Which actions should the nurse implement?
, BSN HESI 266
Study online at https://quizlet.com/_d2o3fc
(Select all that apply.) c. Measure pulse and
blood
a. Check finger stick pressure
glucose
ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
9. A client who underwent cardiac stent placement four d. Obtain a 12-lead elec-
days ago arrives to the trocardiogram and begin
emergency department reporting a sudden onset of continuous cardiac moni-
chest pressure and toring
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 con-
tinuous cardiac monitoring
.
