BSN 246 HESI #2 Exam Prep PDF 2026 | Questions &
Correct Answers | Graded A+
1. Why is monitoring IV fluids and blood products critical in the care of a client
with esophageal varices?
It is necessary for maintaining the client's nutritional status.
It ensures the client remains comfortable during the procedure.
It allows for the administration of medications effectively.
It helps prevent hypovolemia and manage potential hemorrhage.
2. Which of the following is a recommended communication strategy for a client
with hearing loss?
Speak quickly to convey information.
Face the client so the client can see the RN's mouth.
Avoid using gestures or facial expressions.
Use technical jargon to explain health issues.
3. Why might stiffness in the right ankle joint indicate a complication of
immobility in an older client?
Stiffness is unrelated to immobility.
Stiffness indicates improved circulation in the extremities.
Stiffness is a sign of increased physical activity.
Stiffness in the right ankle joint suggests joint immobility and
potential contractures due to prolonged bed rest.
,4. If an older client shows stiffness in the right ankle joint after being bedridden
for two weeks, what nursing intervention should be prioritized?
Administering pain medication.
Implementing range-of-motion exercises.
Increasing the client's fluid intake.
Encouraging the client to remain in bed.
5. Why is rebound abdominal tenderness over the right lower quadrant a critical
finding in this scenario?
It may indicate appendicitis or another serious abdominal condition
requiring immediate attention.
It indicates the client is experiencing normal symptoms of the illness.
It shows that the client is recovering from the viral infection.
It suggests dehydration, which is common in viral gastroenteritis.
6. A client is taking a decongestant for a cold. The nurse should be most
concerned if the client has a history of what medical condition?
Gastrointestinal reflux disease
Arthritis
Headache
Hypertension
7. A client who has TB is being treated with combination drug therapy. The nurse
should explain to the client that combination drug therapy is essential for
decrease the development of resistant strains of the TB organism
shorten the length of time the treatment regimen will be needed
, minimize the required dose of each of the meds
reduce the unpleasant side effects of the meds
8. The nurse reviews the arterial blood gases of a patient. Which result would
indicate the patient has later stage COPD and is in respiratory acidosis?
pH 7.52, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 35 mEq/L
pH 7.32, PaCO2 58 mm Hg, PaO2 60 mm Hg, HCO3 30 mEq/L
pH 7.40, PaCO2 40 mm Hg, PaO2 70 mm Hg, HCO3 25 mEq/L
pH 7.30, PaCO2 45 mm Hg, PaO2 55 mm Hg, HCO3 18 mEq/L
9. What are some symptoms of akathisia?
Repetitive, involuntary, purposeless movements
Rigidity in arms and shoulders, tremors in hands and arms, and
shuffling gait
Muscles contract and spasm involuntarily
Feelings of inner restlessness, inability to sit still, pacing
10. Describe how increased portal pressure affects blood flow in a patient with
cirrhosis and leads to esophageal varices.
Increased portal pressure results in the formation of new blood
vessels that bypass the liver.
Increased portal pressure causes blood to pool in the stomach,
leading to esophageal swelling.
Increased portal pressure causes the liver to enlarge, which directly
weakens the esophageal walls.
, Increased portal pressure leads to the diversion of blood flow from
the liver to the esophageal vessels, causing varices.
11. Why is it important for the RN to check if the client's hearing aids are working
properly?
To ensure the client can hear and understand the communication.
To determine if the client needs new hearing aids.
To evaluate the effectiveness of the RN's communication style.
To assess the client's overall health condition.
12. Pt takes ipratropium (Atrovent) and reports nausea, HA, blurred vision, and
inability to sleep. The nurse should
Report these symptoms to the provider as signs of overdose
Obtain a provider's request for an ipratropium level
Administer a PRN med for nausea and a mild PRN sedative
Tell the pt that these side effects are normal and will soon pass
13. A nurse is discharging a patient with TB who speaks limited English and has a
low education level. What should the nurse prioritize to ensure effective
discharge planning?
Focusing solely on medication administration.
Disregarding the patient's language needs.
Encouraging the patient to seek help from family members.
Providing a translator and simplified discharge instructions.
14. Which of the following cultural issues should a nurse assess when preparing
a client for discharge after TB treatment? (Select all that apply.)
Correct Answers | Graded A+
1. Why is monitoring IV fluids and blood products critical in the care of a client
with esophageal varices?
It is necessary for maintaining the client's nutritional status.
It ensures the client remains comfortable during the procedure.
It allows for the administration of medications effectively.
It helps prevent hypovolemia and manage potential hemorrhage.
2. Which of the following is a recommended communication strategy for a client
with hearing loss?
Speak quickly to convey information.
Face the client so the client can see the RN's mouth.
Avoid using gestures or facial expressions.
Use technical jargon to explain health issues.
3. Why might stiffness in the right ankle joint indicate a complication of
immobility in an older client?
Stiffness is unrelated to immobility.
Stiffness indicates improved circulation in the extremities.
Stiffness is a sign of increased physical activity.
Stiffness in the right ankle joint suggests joint immobility and
potential contractures due to prolonged bed rest.
,4. If an older client shows stiffness in the right ankle joint after being bedridden
for two weeks, what nursing intervention should be prioritized?
Administering pain medication.
Implementing range-of-motion exercises.
Increasing the client's fluid intake.
Encouraging the client to remain in bed.
5. Why is rebound abdominal tenderness over the right lower quadrant a critical
finding in this scenario?
It may indicate appendicitis or another serious abdominal condition
requiring immediate attention.
It indicates the client is experiencing normal symptoms of the illness.
It shows that the client is recovering from the viral infection.
It suggests dehydration, which is common in viral gastroenteritis.
6. A client is taking a decongestant for a cold. The nurse should be most
concerned if the client has a history of what medical condition?
Gastrointestinal reflux disease
Arthritis
Headache
Hypertension
7. A client who has TB is being treated with combination drug therapy. The nurse
should explain to the client that combination drug therapy is essential for
decrease the development of resistant strains of the TB organism
shorten the length of time the treatment regimen will be needed
, minimize the required dose of each of the meds
reduce the unpleasant side effects of the meds
8. The nurse reviews the arterial blood gases of a patient. Which result would
indicate the patient has later stage COPD and is in respiratory acidosis?
pH 7.52, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 35 mEq/L
pH 7.32, PaCO2 58 mm Hg, PaO2 60 mm Hg, HCO3 30 mEq/L
pH 7.40, PaCO2 40 mm Hg, PaO2 70 mm Hg, HCO3 25 mEq/L
pH 7.30, PaCO2 45 mm Hg, PaO2 55 mm Hg, HCO3 18 mEq/L
9. What are some symptoms of akathisia?
Repetitive, involuntary, purposeless movements
Rigidity in arms and shoulders, tremors in hands and arms, and
shuffling gait
Muscles contract and spasm involuntarily
Feelings of inner restlessness, inability to sit still, pacing
10. Describe how increased portal pressure affects blood flow in a patient with
cirrhosis and leads to esophageal varices.
Increased portal pressure results in the formation of new blood
vessels that bypass the liver.
Increased portal pressure causes blood to pool in the stomach,
leading to esophageal swelling.
Increased portal pressure causes the liver to enlarge, which directly
weakens the esophageal walls.
, Increased portal pressure leads to the diversion of blood flow from
the liver to the esophageal vessels, causing varices.
11. Why is it important for the RN to check if the client's hearing aids are working
properly?
To ensure the client can hear and understand the communication.
To determine if the client needs new hearing aids.
To evaluate the effectiveness of the RN's communication style.
To assess the client's overall health condition.
12. Pt takes ipratropium (Atrovent) and reports nausea, HA, blurred vision, and
inability to sleep. The nurse should
Report these symptoms to the provider as signs of overdose
Obtain a provider's request for an ipratropium level
Administer a PRN med for nausea and a mild PRN sedative
Tell the pt that these side effects are normal and will soon pass
13. A nurse is discharging a patient with TB who speaks limited English and has a
low education level. What should the nurse prioritize to ensure effective
discharge planning?
Focusing solely on medication administration.
Disregarding the patient's language needs.
Encouraging the patient to seek help from family members.
Providing a translator and simplified discharge instructions.
14. Which of the following cultural issues should a nurse assess when preparing
a client for discharge after TB treatment? (Select all that apply.)
