2025 BSN HESI 266 ACTUAL EXAM
80 QUESTIONS WITH VERIFIED
ANSWERS
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider?
Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement?
Administer opioid and non-opioid medications simultaneously
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
,b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the
nurse include?
a. Have small frequent meals and sit up for at least two hours
after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
,d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What
is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
, c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches
on
Remove all morphine patches
Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding
warrants immediate
Intervention by the nurse?
Right foot pale with sluggish capillary refill
80 QUESTIONS WITH VERIFIED
ANSWERS
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider?
Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement?
Administer opioid and non-opioid medications simultaneously
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
,b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the
nurse include?
a. Have small frequent meals and sit up for at least two hours
after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
,d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What
is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
, c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches
on
Remove all morphine patches
Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding
warrants immediate
Intervention by the nurse?
Right foot pale with sluggish capillary refill
