BSN HESI LATEST EXAM 2025/2026 WITH
100 PREP QUESTIONS AND 100% CORRECT
ANSWERS | ALREADY GRADED A+ |
GUARANTEED SUCCESS | BSN HESI 2
ACTUAL EXAM [BRAND NEW]
In evaluating client care, which action should the nurse take first? - ANSWER-
Determine if the expected outcomes of care were achieved.
A female client informs the nurse that she uses herbal therapies to supplement her
diet and manage common ailments. What information should the nurse offer the
client about general use of herbal supplements? - ANSWER-Herbs should be
obtained from manufacturers with a history of quality control of their supplements.
The nurse working in the emergency department is assessing four clients' ability to
tolerate pain. Which client is likely to tolerate a higher level of pain? - ANSWER-
A 55-year-old woman who has had moderate low back pain for three months.
As the nurse prepares the equipment to be used to start an IV on a 4-year-old boy
in the treatment room, he cries continuously. What intervention should the nurse
implement? - ANSWER-Ask the mother to be present to soothe the child.
,A 35-year-old female client with cancer refuses to allow the nurse to insert an IV
for a scheduled chemotherapy treatment, and states that she is ready to go home to
die. What intervention should the nurse initiate? - ANSWER-Evaluate the client's
mental status for competence to refuse treatment.
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond?
- ANSWER-"What is concerning you this morning?"
When caring for an immobile client, what nursing diagnosis has the highest
priority? - ANSWER-Impaired gas exchange.
When assessing a client with an indwelling urinary catheter, which observation
requires the most immediate intervention by the nurse? - ANSWER-The clamp on
the urinary drainage bag is open.
A middle-aged woman who enjoys being a teacher and mentor feels that she
should pass down her legacy of knowledge and skills to the younger generation.
According to Erikson, she is involved in what developmental stage? - ANSWER-
Generativity.
An older client who is able to stand but not to ambulate receives a prescription to
be mobilized into a chair as tolerated during each day.What is the best action for
the nurse to implement when assisting the client from the bed to the chair? -
ANSWER-Place a transfer belt around the client, assist to stand, and pivot to a
chair that is placed at a right angle to the bed.
The nurse is digitally removing a fecal impaction for a client. The nurse should
stop the procedure and take corrective action if which client reaction is noted? -
ANSWER-Pulse rate decreases from 78 to 52 beats/min.
,A 75-year-old client who has a history of end stage renal failure and advanced lung
cancer, recently had a stroke. Two days ago the healthcare provider discontinued
the client's dialysis treatments, stating that death is inevitable, but the client is
disoriented and will not sign a DNR directive. What is the priority nursing
intervention? - ANSWER-Determine who is legally empowered to make decisions.
On the third postoperative day following thoracic surgery, a client reports feeling
constipated. Which intervention should the nurse implement to promote bowel
elimination? - ANSWER-Provide warm prune juice before the client goes to bed at
night.
A male nurse is assigned to care for a female Muslim client. When the nurse offers
to bathe the client, the client requests that a female nurse perform this task. How
should the male nurse respond? - ANSWER-"I will ask one of the female nurses to
bathe you."
A female nurse who sometimes tries to save time by putting medications in her
uniform pocket to deliver to clients, confides that after arriving home she found a
hydrocodone (Vicodin) tablet in her pocket. Which possible outcome of this
situation should be the nurse's greatest concern? - ANSWER-Accused of diversion.
What is the rationale for using the nursing process in planning care for clients? -
ANSWER-As a tool to organize thinking and clinical decision making about
clients' healthcare needs.
Which statement best describes durable power of attorney for health care? -
ANSWER-The client signs a document that designates another person to make
legally binding healthcare decisions if client is unable to do so.
Prior to administering a newly prescribed medication to a client, the nurse reviews
the adverse effects of the medication listed in a drug reference guide and
, determines the priority risks to the client. While performing this action, the nurse is
engaged in which step of the nursing process? - ANSWER-Analysis.
The nurse is providing passive range of motion (ROM) exercises to the hip and
knee for a client who is unconscious.
After supporting the client's knee with one hand, what action should the nurse take
next? - ANSWER-Cradle the client's heel.
In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement? - ANSWER-Document the presence and volume of the pulse palpated.
Which intervention is most important for the nurse to include in the client's plan of
care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily - ANSWER-c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
100 PREP QUESTIONS AND 100% CORRECT
ANSWERS | ALREADY GRADED A+ |
GUARANTEED SUCCESS | BSN HESI 2
ACTUAL EXAM [BRAND NEW]
In evaluating client care, which action should the nurse take first? - ANSWER-
Determine if the expected outcomes of care were achieved.
A female client informs the nurse that she uses herbal therapies to supplement her
diet and manage common ailments. What information should the nurse offer the
client about general use of herbal supplements? - ANSWER-Herbs should be
obtained from manufacturers with a history of quality control of their supplements.
The nurse working in the emergency department is assessing four clients' ability to
tolerate pain. Which client is likely to tolerate a higher level of pain? - ANSWER-
A 55-year-old woman who has had moderate low back pain for three months.
As the nurse prepares the equipment to be used to start an IV on a 4-year-old boy
in the treatment room, he cries continuously. What intervention should the nurse
implement? - ANSWER-Ask the mother to be present to soothe the child.
,A 35-year-old female client with cancer refuses to allow the nurse to insert an IV
for a scheduled chemotherapy treatment, and states that she is ready to go home to
die. What intervention should the nurse initiate? - ANSWER-Evaluate the client's
mental status for competence to refuse treatment.
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond?
- ANSWER-"What is concerning you this morning?"
When caring for an immobile client, what nursing diagnosis has the highest
priority? - ANSWER-Impaired gas exchange.
When assessing a client with an indwelling urinary catheter, which observation
requires the most immediate intervention by the nurse? - ANSWER-The clamp on
the urinary drainage bag is open.
A middle-aged woman who enjoys being a teacher and mentor feels that she
should pass down her legacy of knowledge and skills to the younger generation.
According to Erikson, she is involved in what developmental stage? - ANSWER-
Generativity.
An older client who is able to stand but not to ambulate receives a prescription to
be mobilized into a chair as tolerated during each day.What is the best action for
the nurse to implement when assisting the client from the bed to the chair? -
ANSWER-Place a transfer belt around the client, assist to stand, and pivot to a
chair that is placed at a right angle to the bed.
The nurse is digitally removing a fecal impaction for a client. The nurse should
stop the procedure and take corrective action if which client reaction is noted? -
ANSWER-Pulse rate decreases from 78 to 52 beats/min.
,A 75-year-old client who has a history of end stage renal failure and advanced lung
cancer, recently had a stroke. Two days ago the healthcare provider discontinued
the client's dialysis treatments, stating that death is inevitable, but the client is
disoriented and will not sign a DNR directive. What is the priority nursing
intervention? - ANSWER-Determine who is legally empowered to make decisions.
On the third postoperative day following thoracic surgery, a client reports feeling
constipated. Which intervention should the nurse implement to promote bowel
elimination? - ANSWER-Provide warm prune juice before the client goes to bed at
night.
A male nurse is assigned to care for a female Muslim client. When the nurse offers
to bathe the client, the client requests that a female nurse perform this task. How
should the male nurse respond? - ANSWER-"I will ask one of the female nurses to
bathe you."
A female nurse who sometimes tries to save time by putting medications in her
uniform pocket to deliver to clients, confides that after arriving home she found a
hydrocodone (Vicodin) tablet in her pocket. Which possible outcome of this
situation should be the nurse's greatest concern? - ANSWER-Accused of diversion.
What is the rationale for using the nursing process in planning care for clients? -
ANSWER-As a tool to organize thinking and clinical decision making about
clients' healthcare needs.
Which statement best describes durable power of attorney for health care? -
ANSWER-The client signs a document that designates another person to make
legally binding healthcare decisions if client is unable to do so.
Prior to administering a newly prescribed medication to a client, the nurse reviews
the adverse effects of the medication listed in a drug reference guide and
, determines the priority risks to the client. While performing this action, the nurse is
engaged in which step of the nursing process? - ANSWER-Analysis.
The nurse is providing passive range of motion (ROM) exercises to the hip and
knee for a client who is unconscious.
After supporting the client's knee with one hand, what action should the nurse take
next? - ANSWER-Cradle the client's heel.
In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement? - ANSWER-Document the presence and volume of the pulse palpated.
Which intervention is most important for the nurse to include in the client's plan of
care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily - ANSWER-c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
