BSN 266 HESI EXAM QUESTIONS AND
ANSWERS
1.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
Answer B. Tenderness upon pal- pation and generalized erythema
2.The nurse is preparing a client for surgery who was admitted to the emer-
gency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
What is the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
Answer C. Notify the healthcare provider of the client's medication
1/
12
, history
3.The nurse is preparing to obtain a rapid COVID-19 test for a client who
was exposed to the virus eight days ago. The client is experiencing fever,
cough, and shortness of breath. Which action is the most important for the
nurse to take?
A. Counsel family members to monitor for illness symptoms for 2 weeks
after last contact with patient
B. Assist the client to recall everyone possibly exposed since onset of
symp- toms
C. Start an intravenous infusion for antiviral drug to be administered
for positive COVID-19 test results.
D. Move the client to a private room, keep the door closed, and initiate
droplet precautions.
Answer D. Move the client to a private room, keep the door closed, and
initiate droplet precautions.
4.A client arrives to the emergency department reporting an intermittent
fever and night sweats for the past 3 weeks and has developed a productive
cough containing small amounts of blood. Which intervention should the
nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
2/
12
ANSWERS
1.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
Answer B. Tenderness upon pal- pation and generalized erythema
2.The nurse is preparing a client for surgery who was admitted to the emer-
gency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
What is the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
Answer C. Notify the healthcare provider of the client's medication
1/
12
, history
3.The nurse is preparing to obtain a rapid COVID-19 test for a client who
was exposed to the virus eight days ago. The client is experiencing fever,
cough, and shortness of breath. Which action is the most important for the
nurse to take?
A. Counsel family members to monitor for illness symptoms for 2 weeks
after last contact with patient
B. Assist the client to recall everyone possibly exposed since onset of
symp- toms
C. Start an intravenous infusion for antiviral drug to be administered
for positive COVID-19 test results.
D. Move the client to a private room, keep the door closed, and initiate
droplet precautions.
Answer D. Move the client to a private room, keep the door closed, and
initiate droplet precautions.
4.A client arrives to the emergency department reporting an intermittent
fever and night sweats for the past 3 weeks and has developed a productive
cough containing small amounts of blood. Which intervention should the
nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
2/
12
