HESI BSN 215 Health Practice Test Exam
Complete Study Guide with Verified Answers
for the 2026/2027 Academic Year
Q: A client suddenly reports severe shortness of breath. What should the nurse
assess first?
A: Airway and breathing. Impaired oxygenation can rapidly become life-threatening.
Q: Which finding requires immediate intervention?
A: Respiratory rate 7/min. This indicates significant respiratory depression and requires
prompt assessment.
Q: Which intervention is most effective for preventing healthcare-associated
infections?
A: Appropriate hand hygiene. It is one of the most effective methods for preventing
transmission of microorganisms.
Q: Which client is at greatest risk for falling?
A: Older adult receiving a sedating medication. Older age combined with sedation
increases the risk of impaired balance and falls.
Q: Which intervention is appropriate for a client at high risk for falls?
A: Keep the call light within reach. Easy access allows the client to request assistance.
Q: Which client should the nurse assess first?
A: Client with new chest pressure and diaphoresis. These signs may indicate acute
coronary syndrome and require immediate assessment.
Q: Which documentation is most appropriate?
A: "Client reports pain decreased from 8/10 to 3/10 30 minutes after medication."
Objective, measurable documentation communicates the client's status clearly.
Q: Which position generally promotes lung expansion in a dyspneic client?
A: High-Fowler's. Upright positioning facilitates diaphragmatic expansion and
ventilation.
Complete Study Guide with Verified Answers
for the 2026/2027 Academic Year
Q: A client suddenly reports severe shortness of breath. What should the nurse
assess first?
A: Airway and breathing. Impaired oxygenation can rapidly become life-threatening.
Q: Which finding requires immediate intervention?
A: Respiratory rate 7/min. This indicates significant respiratory depression and requires
prompt assessment.
Q: Which intervention is most effective for preventing healthcare-associated
infections?
A: Appropriate hand hygiene. It is one of the most effective methods for preventing
transmission of microorganisms.
Q: Which client is at greatest risk for falling?
A: Older adult receiving a sedating medication. Older age combined with sedation
increases the risk of impaired balance and falls.
Q: Which intervention is appropriate for a client at high risk for falls?
A: Keep the call light within reach. Easy access allows the client to request assistance.
Q: Which client should the nurse assess first?
A: Client with new chest pressure and diaphoresis. These signs may indicate acute
coronary syndrome and require immediate assessment.
Q: Which documentation is most appropriate?
A: "Client reports pain decreased from 8/10 to 3/10 30 minutes after medication."
Objective, measurable documentation communicates the client's status clearly.
Q: Which position generally promotes lung expansion in a dyspneic client?
A: High-Fowler's. Upright positioning facilitates diaphragmatic expansion and
ventilation.
