BSN 246 HESI Review Questions & Answers 2026 | High-
Yield Review | Graded A+
1. Describe why an increase in urine output is a critical indicator of stabilization
in a patient with sepsis and dehydration.
An increase in urine output is unrelated to the patient's overall health
status.
An increase in urine output suggests the need for further fluid
restriction.
An increase in urine output suggests improved kidney function and
fluid balance, indicating that the patient's condition is stabilizing.
An increase in urine output indicates the patient is experiencing more
fluid loss.
2. Discuss why older females are considered at the highest risk for urinary tract
infections compared to other groups.
Older males have a higher risk due to prostate enlargement.
Adolescent males are at risk due to increased sexual activity.
Older females are at higher risk due to factors like hormonal
changes and anatomical differences that predispose them to UTIs.
School-age females are at risk due to poor hygiene practices.
3. Describe how Beta 2 receptor agonists function in the management of acute
asthma symptoms.
Beta 2 receptor agonists relax bronchial smooth muscle, leading to
bronchodilation and relief of wheezing.
Beta 2 receptor agonists decrease heart rate and blood pressure.
Beta 2 receptor agonists increase mucus production in the airways.
, Beta 2 receptor agonists promote airway inflammation.
4. If a client with asthma does not exhibit rapid resolution of wheezing after
receiving a Beta 2 receptor agonist, what should the RN consider as the next
step in management?
Reassure the client that symptoms will resolve on their own.
Immediately administer a higher dose of the same medication.
Assess for possible medication administration errors or the need for
additional treatment.
Discontinue all medications and monitor the client.
5. If a client with chronic hypertension reports consistently high readings on
their home sphygmomanometer, what should the nurse advise the client to
do next?
Increase their physical activity immediately.
Contact their healthcare provider for further evaluation.
Stop taking their prescribed medications.
Change their diet without consulting a professional.
6. A 50 y.o. male presents with abdominal pain and a history of alcohol abuse.
His serum amylase levels are double normal. This image most likely
represents:
, chronic pancreatitis
acute cholecystitis
chronic cholecystitis
acute pancreatitis
7. What is the potential consequence for a nurse who administers medication
without checking the updated medication administration record (MAR)?
Enhanced communication skills
Medication error
Improved patient outcomes
Increased patient satisfaction
8. What is the normal value for a two-hour postprandial result in an oral glucose
tolerance test (OGTT)?
160 mg/dl
200 mg/dl
140 mg/dl
, 180 mg/dl
9. A client is experiencing severe diarrhea. Which data should indicate to the
nurse that the client is experiencing fluid volume deficit? (Select all that
apply.)
Orthostatic hypotension
Increased urine output
Weight gain
Poor skin turgor
Increased heart rate
10. In a scenario where a client with a closed head injury exhibits polydipsia,
what nursing intervention should be prioritized to manage the risk of
diabetes insipidus?
Perform neurological assessments every hour.
Administer IV fluids without restriction.
Monitor fluid intake and output closely.
Encourage the client to limit fluid intake.
11. What is the primary expected outcome of administering a Beta 2 receptor
agonist during an acute asthma attack?
Rapid resolution of wheezing.
Improved blood glucose levels.
Increased heart rate.
Decreased respiratory rate.
Yield Review | Graded A+
1. Describe why an increase in urine output is a critical indicator of stabilization
in a patient with sepsis and dehydration.
An increase in urine output is unrelated to the patient's overall health
status.
An increase in urine output suggests the need for further fluid
restriction.
An increase in urine output suggests improved kidney function and
fluid balance, indicating that the patient's condition is stabilizing.
An increase in urine output indicates the patient is experiencing more
fluid loss.
2. Discuss why older females are considered at the highest risk for urinary tract
infections compared to other groups.
Older males have a higher risk due to prostate enlargement.
Adolescent males are at risk due to increased sexual activity.
Older females are at higher risk due to factors like hormonal
changes and anatomical differences that predispose them to UTIs.
School-age females are at risk due to poor hygiene practices.
3. Describe how Beta 2 receptor agonists function in the management of acute
asthma symptoms.
Beta 2 receptor agonists relax bronchial smooth muscle, leading to
bronchodilation and relief of wheezing.
Beta 2 receptor agonists decrease heart rate and blood pressure.
Beta 2 receptor agonists increase mucus production in the airways.
, Beta 2 receptor agonists promote airway inflammation.
4. If a client with asthma does not exhibit rapid resolution of wheezing after
receiving a Beta 2 receptor agonist, what should the RN consider as the next
step in management?
Reassure the client that symptoms will resolve on their own.
Immediately administer a higher dose of the same medication.
Assess for possible medication administration errors or the need for
additional treatment.
Discontinue all medications and monitor the client.
5. If a client with chronic hypertension reports consistently high readings on
their home sphygmomanometer, what should the nurse advise the client to
do next?
Increase their physical activity immediately.
Contact their healthcare provider for further evaluation.
Stop taking their prescribed medications.
Change their diet without consulting a professional.
6. A 50 y.o. male presents with abdominal pain and a history of alcohol abuse.
His serum amylase levels are double normal. This image most likely
represents:
, chronic pancreatitis
acute cholecystitis
chronic cholecystitis
acute pancreatitis
7. What is the potential consequence for a nurse who administers medication
without checking the updated medication administration record (MAR)?
Enhanced communication skills
Medication error
Improved patient outcomes
Increased patient satisfaction
8. What is the normal value for a two-hour postprandial result in an oral glucose
tolerance test (OGTT)?
160 mg/dl
200 mg/dl
140 mg/dl
, 180 mg/dl
9. A client is experiencing severe diarrhea. Which data should indicate to the
nurse that the client is experiencing fluid volume deficit? (Select all that
apply.)
Orthostatic hypotension
Increased urine output
Weight gain
Poor skin turgor
Increased heart rate
10. In a scenario where a client with a closed head injury exhibits polydipsia,
what nursing intervention should be prioritized to manage the risk of
diabetes insipidus?
Perform neurological assessments every hour.
Administer IV fluids without restriction.
Monitor fluid intake and output closely.
Encourage the client to limit fluid intake.
11. What is the primary expected outcome of administering a Beta 2 receptor
agonist during an acute asthma attack?
Rapid resolution of wheezing.
Improved blood glucose levels.
Increased heart rate.
Decreased respiratory rate.
