BSN 266 HESI EXAM/ BSN 266 HESI VERSION 2
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS FULLY REVISED EXAM
VERSION 2026 (CORRECT VERIFIED ANSWERS) A
NEW UPDATED VERSION LATEST 2026-2027
GUARANTEED PASS A+
A patient with chronic kidney disease (CKD) is prescribed erythropoietin.
Which laboratory value indicates the need to hold the medication and notify
the healthcare provider?
A. Hemoglobin of 9.5 g/dL
B. Platelet count of 150,000/mm³
C. Hemoglobin of 12.5 g/dL
D. Serum potassium of 4.8 mEq/L
Answer: C
Rationale: Erythropoietin therapy should be held or the dose reduced if the
hemoglobin exceeds 11 g/dL due to the increased risk of thromboembolic
events, stroke, and myocardial infarction. A hemoglobin of 9.5 g/dL is an
expected therapeutic progression for CKD anemia and does not require
holding the medication. Platelets and potassium are within normal limits.
,A nurse is caring for a patient with a chest tube. Continuous bubbling is noted
in the water seal chamber. What is the nurse's best action?
A. Document this as a normal finding indicating lung re-expansion.
B. Check the system for an air leak and assess the insertion site.
C. Increase the suction pressure to resolve the bubbling.
D. Clamp the chest tube immediately to prevent tension pneumothorax.
Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak
in the system or from the patient's lung. Intermittent bubbling during coughing
or exhalation is normal. The nurse should check all connections and assess the
insertion site for an air leak. Suction is controlled in a separate suction control
chamber.
A patient with acute pancreatitis is prescribed meperidine 100 mg IM every 4
hours as needed for severe pain. Which action should the nurse take?
A. Administer the medication as prescribed.
B. Clarify the prescription with the healthcare provider.
C. Administer a lower dose to prevent respiratory depression.
D. Request a change to oral meperidine for better pain control.
Answer: B
Rationale: Meperidine is not recommended for acute pancreatitis because it
can cause seizures, and its metabolite, normeperidine, is neurotoxic. Morphine
is also generally avoided as it can cause spasms of the sphincter of Oddi. The
,nurse should clarify this prescription with the healthcare provider to select a
more appropriate analgesic like hydromorphone or fentanyl.
A patient is receiving a magnesium sulfate infusion for preeclampsia. Which
assessment finding is the earliest indicator of magnesium toxicity?
A. Deep tendon reflexes of 2+
B. Urinary output of 50 mL over the last 2 hours
C. Respiratory rate of 16 breaths per minute
D. Serum magnesium level of 5.0 mEq/L
Answer: B
Rationale: Magnesium sulfate is excreted by the kidneys, and oliguria (less
than 30 mL/hr) can lead to toxic accumulation. Early signs of toxicity include
a decrease in urinary output, followed by a loss of deep tendon reflexes, and
then respiratory depression. A respiratory rate of 16 breaths/min and a serum
magnesium level of 5.0 mEq/L are within normal limits.
A patient with atrial fibrillation is prescribed warfarin. Which dietary
instruction is most important for the nurse to include in the teaching plan?
A. Eliminate all green leafy vegetables from the diet.
B. Maintain a consistent intake of foods high in Vitamin K.
C. Increase intake of citrus fruits to improve drug absorption.
D. Drink cranberry juice daily to maximize drug efficacy.
Answer: B
Rationale: Sudden changes in Vitamin K intake can alter warfarin efficacy and
increase the risk of bleeding or clotting. The patient should maintain a
, consistent daily intake of Vitamin K-rich foods rather than eliminating them
entirely. Cranberry juice can increase the risk of bleeding and should be
avoided.
The nurse assesses a patient 2 hours post-transurethral resection of the prostate
(TURP) with continuous bladder irrigation (CBI) running. The drainage is
bright red with small clots. Which action is most appropriate?
A. Turn off the continuous bladder irrigation immediately.
B. Increase the irrigation flow rate to clear the drainage.
C. Notify the surgeon regarding active arterial hemorrhage.
D. Aspirate the urinary catheter using sterile technique.
Answer: B
Rationale: Bright red drainage with small clots is an expected finding in the
immediate post-TURP period. The irrigation rate should be increased to keep
the urine light pink and prevent the formation of large clots that could occlude
the catheter. If the drainage remains bright red despite increasing the rate, the
surgeon should be notified.
The nurse is reviewing an electrocardiogram (ECG) and notes a prolonged PR
interval of 0.28 seconds with no dropped beats. Which rhythm does this
represent?
A. First-degree AV block
B. Second-degree AV block Type I (Wenckebach)
C. Second-degree AV block Type II (Mobitz II)
D. Third-degree AV block
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS FULLY REVISED EXAM
VERSION 2026 (CORRECT VERIFIED ANSWERS) A
NEW UPDATED VERSION LATEST 2026-2027
GUARANTEED PASS A+
A patient with chronic kidney disease (CKD) is prescribed erythropoietin.
Which laboratory value indicates the need to hold the medication and notify
the healthcare provider?
A. Hemoglobin of 9.5 g/dL
B. Platelet count of 150,000/mm³
C. Hemoglobin of 12.5 g/dL
D. Serum potassium of 4.8 mEq/L
Answer: C
Rationale: Erythropoietin therapy should be held or the dose reduced if the
hemoglobin exceeds 11 g/dL due to the increased risk of thromboembolic
events, stroke, and myocardial infarction. A hemoglobin of 9.5 g/dL is an
expected therapeutic progression for CKD anemia and does not require
holding the medication. Platelets and potassium are within normal limits.
,A nurse is caring for a patient with a chest tube. Continuous bubbling is noted
in the water seal chamber. What is the nurse's best action?
A. Document this as a normal finding indicating lung re-expansion.
B. Check the system for an air leak and assess the insertion site.
C. Increase the suction pressure to resolve the bubbling.
D. Clamp the chest tube immediately to prevent tension pneumothorax.
Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak
in the system or from the patient's lung. Intermittent bubbling during coughing
or exhalation is normal. The nurse should check all connections and assess the
insertion site for an air leak. Suction is controlled in a separate suction control
chamber.
A patient with acute pancreatitis is prescribed meperidine 100 mg IM every 4
hours as needed for severe pain. Which action should the nurse take?
A. Administer the medication as prescribed.
B. Clarify the prescription with the healthcare provider.
C. Administer a lower dose to prevent respiratory depression.
D. Request a change to oral meperidine for better pain control.
Answer: B
Rationale: Meperidine is not recommended for acute pancreatitis because it
can cause seizures, and its metabolite, normeperidine, is neurotoxic. Morphine
is also generally avoided as it can cause spasms of the sphincter of Oddi. The
,nurse should clarify this prescription with the healthcare provider to select a
more appropriate analgesic like hydromorphone or fentanyl.
A patient is receiving a magnesium sulfate infusion for preeclampsia. Which
assessment finding is the earliest indicator of magnesium toxicity?
A. Deep tendon reflexes of 2+
B. Urinary output of 50 mL over the last 2 hours
C. Respiratory rate of 16 breaths per minute
D. Serum magnesium level of 5.0 mEq/L
Answer: B
Rationale: Magnesium sulfate is excreted by the kidneys, and oliguria (less
than 30 mL/hr) can lead to toxic accumulation. Early signs of toxicity include
a decrease in urinary output, followed by a loss of deep tendon reflexes, and
then respiratory depression. A respiratory rate of 16 breaths/min and a serum
magnesium level of 5.0 mEq/L are within normal limits.
A patient with atrial fibrillation is prescribed warfarin. Which dietary
instruction is most important for the nurse to include in the teaching plan?
A. Eliminate all green leafy vegetables from the diet.
B. Maintain a consistent intake of foods high in Vitamin K.
C. Increase intake of citrus fruits to improve drug absorption.
D. Drink cranberry juice daily to maximize drug efficacy.
Answer: B
Rationale: Sudden changes in Vitamin K intake can alter warfarin efficacy and
increase the risk of bleeding or clotting. The patient should maintain a
, consistent daily intake of Vitamin K-rich foods rather than eliminating them
entirely. Cranberry juice can increase the risk of bleeding and should be
avoided.
The nurse assesses a patient 2 hours post-transurethral resection of the prostate
(TURP) with continuous bladder irrigation (CBI) running. The drainage is
bright red with small clots. Which action is most appropriate?
A. Turn off the continuous bladder irrigation immediately.
B. Increase the irrigation flow rate to clear the drainage.
C. Notify the surgeon regarding active arterial hemorrhage.
D. Aspirate the urinary catheter using sterile technique.
Answer: B
Rationale: Bright red drainage with small clots is an expected finding in the
immediate post-TURP period. The irrigation rate should be increased to keep
the urine light pink and prevent the formation of large clots that could occlude
the catheter. If the drainage remains bright red despite increasing the rate, the
surgeon should be notified.
The nurse is reviewing an electrocardiogram (ECG) and notes a prolonged PR
interval of 0.28 seconds with no dropped beats. Which rhythm does this
represent?
A. First-degree AV block
B. Second-degree AV block Type I (Wenckebach)
C. Second-degree AV block Type II (Mobitz II)
D. Third-degree AV block
