HESI 266 Exam with Questions and
Correct Answers 2025
A ,client ,arrives ,at ,the ,medical ,surgical ,unit ,four ,hours ,after ,a ,transurethral
,resection ,of ,the ,prostate. ,A ,triple ,lumen ,catheter ,for ,continuous ,bladder
,irrigation ,with ,normal ,saline ,is ,infusing ,and ,the ,nurse ,observes ,dark ,pink
,tinged ,outflow ,with ,blood ,clots ,in ,the ,tubing ,and ,collection ,bag. ,Which ,action
,should ,the ,nurse ,take? ,- ,CORRECT ,ANSWER-Monitoring ,catheter ,drainage
A ,client ,experiences ,an ,ABO ,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 ,and ,urticaria
d) ,arthritic ,joint ,changes ,and ,chronic ,pain ,- ,CORRECT ,ANSWER-low ,back ,pain
,and ,hypotension
An ,overweight, ,young ,adult ,male ,who ,was ,recently ,diagnosed ,with ,type ,2
,diabetes ,mellitus ,is ,admitted ,for ,a ,hernia ,repair. ,He ,tells ,the ,nurse ,that ,he ,is
,feeling ,very ,weak ,and ,jittery. ,Which ,actions ,should ,the ,nurse ,implement?
,(Select ,all ,that ,apply.)
check ,finger ,stick ,glucose ,level.
Assess ,his ,skin ,temperature ,and ,moisture.
Document ,anxiety ,on ,the ,surgical ,checklist.
Administer ,a ,PRN ,dose ,of ,regular ,insulin
Measure ,pulse ,and ,blood ,pressure ,- ,CORRECT ,ANSWER-Assess ,his ,skin
,temperature ,and ,moisture.
Document ,anxiety ,on ,the ,surgical ,checklist.
Administer ,a ,PRN ,dose ,of ,regular ,insulin
The ,nurse ,is ,evaluating ,a ,male ,client's ,understanding ,of ,diet ,teaching ,about
,DASH ,(dietary ,approaches ,to ,stop ,hypertension) ,eating ,plan. ,Which ,behavior
,indicates ,that ,the ,client ,is ,adhering ,to ,the ,eating ,plan.
, A. ,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food
B. ,No ,longer ,includes ,grains ,in ,daily ,diet
C. ,Carefully ,cleans ,and ,peels ,all ,fresh ,fruit ,and ,vegetables
D. ,Uses ,only ,lactose-free ,dairy ,products ,- ,CORRECT ,ANSWER-Enjoys ,fat-free
,yogurt ,as ,an ,occasional ,snack ,food
The ,nurse ,is ,caring ,for ,a ,client ,diagnosed ,with ,psoriasis ,Vulgaris ,who ,is
,receiving ,psoralen ,and ,ultraviolet ,light. ,Which ,finding ,indicates ,that ,the ,client
,has ,been ,overexposed ,to ,the ,treatment?
A. ,Thick ,skin ,plaques ,topped ,by ,silvery ,white ,scales
B. ,Tenderness ,upon ,palpation ,and ,generalized ,erythema
C. ,Brown, ,rough, ,greasy, ,wart-like ,papules ,on ,the ,face
D. ,Requires ,sunglasses ,because ,sunlight ,hurts ,eyes ,- ,CORRECT ,ANSWER-B.
,Tenderness ,upon ,palpation ,and ,generalized ,erythema
The ,nurse ,is ,caring ,for ,a ,client ,with ,human ,immunodeficiency ,virus ,(HIV) ,who
,has ,developed ,oral ,thrush ,and ,is ,experiencing ,burning ,and ,soreness ,in ,the
,mouth. ,Which ,intervention ,should ,the ,nurse ,implement ,first?
A. ,Cleanse ,the ,mouth ,with ,swabs
B. ,Encourage ,frequent ,mouth ,care
C. ,Obtain ,a ,soft ,diet ,for ,the ,client
D. ,Administer ,a ,topical ,analgesic ,- ,CORRECT ,ANSWER-D. ,Adminiter ,a ,topical
,analgesic
The ,nurse ,is ,providing ,teaching ,to ,a ,client ,with ,Type ,2 ,Diabetes ,Mellitus ,and
,peripheral ,neuropathy. ,What ,information ,should ,the ,nurse ,provide?
A. ,Family ,members ,can ,help ,with ,regular ,foot ,exams
B. ,Shoes ,should ,be ,worn ,outside ,the ,house, ,but ,it ,is ,fine ,to ,be ,barefoot ,inside
C. ,Aching ,feet ,may ,be ,soaked ,in ,lukewarm ,water ,for ,one ,hour ,or ,more
D. ,Heating ,pads ,are ,useful ,if ,on ,the ,lowest ,setting ,- ,CORRECT ,ANSWER-A.
,Family ,members ,can ,help ,with ,regular ,foot ,exams
An ,adult ,client ,who ,had ,a ,gastric ,bypass ,surgery ,2 ,weeks ,ago ,is ,admitted ,with
,possible ,anastamosis ,leakage. ,The ,client's ,abdomen ,is ,tender ,and ,soft ,and
,vital ,signs ,are: ,temp ,101 ,F, ,heart ,rate ,130 ,beats/minute, ,respiratory ,rate ,26.
,Which ,intervention ,is ,most ,important ,for ,the ,nurse ,to ,include ,in ,the ,client's
,plan ,of ,care?
A. ,Assess ,wound ,drainage ,daily
B. ,Encourage ,regular ,turning
C. ,Strict ,IV ,fluid ,replacement
D. ,Monitor ,skin ,breakdown ,- ,CORRECT ,ANSWER-A. ,Assess ,wound ,drainage
,daily
Correct Answers 2025
A ,client ,arrives ,at ,the ,medical ,surgical ,unit ,four ,hours ,after ,a ,transurethral
,resection ,of ,the ,prostate. ,A ,triple ,lumen ,catheter ,for ,continuous ,bladder
,irrigation ,with ,normal ,saline ,is ,infusing ,and ,the ,nurse ,observes ,dark ,pink
,tinged ,outflow ,with ,blood ,clots ,in ,the ,tubing ,and ,collection ,bag. ,Which ,action
,should ,the ,nurse ,take? ,- ,CORRECT ,ANSWER-Monitoring ,catheter ,drainage
A ,client ,experiences ,an ,ABO ,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 ,and ,urticaria
d) ,arthritic ,joint ,changes ,and ,chronic ,pain ,- ,CORRECT ,ANSWER-low ,back ,pain
,and ,hypotension
An ,overweight, ,young ,adult ,male ,who ,was ,recently ,diagnosed ,with ,type ,2
,diabetes ,mellitus ,is ,admitted ,for ,a ,hernia ,repair. ,He ,tells ,the ,nurse ,that ,he ,is
,feeling ,very ,weak ,and ,jittery. ,Which ,actions ,should ,the ,nurse ,implement?
,(Select ,all ,that ,apply.)
check ,finger ,stick ,glucose ,level.
Assess ,his ,skin ,temperature ,and ,moisture.
Document ,anxiety ,on ,the ,surgical ,checklist.
Administer ,a ,PRN ,dose ,of ,regular ,insulin
Measure ,pulse ,and ,blood ,pressure ,- ,CORRECT ,ANSWER-Assess ,his ,skin
,temperature ,and ,moisture.
Document ,anxiety ,on ,the ,surgical ,checklist.
Administer ,a ,PRN ,dose ,of ,regular ,insulin
The ,nurse ,is ,evaluating ,a ,male ,client's ,understanding ,of ,diet ,teaching ,about
,DASH ,(dietary ,approaches ,to ,stop ,hypertension) ,eating ,plan. ,Which ,behavior
,indicates ,that ,the ,client ,is ,adhering ,to ,the ,eating ,plan.
, A. ,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food
B. ,No ,longer ,includes ,grains ,in ,daily ,diet
C. ,Carefully ,cleans ,and ,peels ,all ,fresh ,fruit ,and ,vegetables
D. ,Uses ,only ,lactose-free ,dairy ,products ,- ,CORRECT ,ANSWER-Enjoys ,fat-free
,yogurt ,as ,an ,occasional ,snack ,food
The ,nurse ,is ,caring ,for ,a ,client ,diagnosed ,with ,psoriasis ,Vulgaris ,who ,is
,receiving ,psoralen ,and ,ultraviolet ,light. ,Which ,finding ,indicates ,that ,the ,client
,has ,been ,overexposed ,to ,the ,treatment?
A. ,Thick ,skin ,plaques ,topped ,by ,silvery ,white ,scales
B. ,Tenderness ,upon ,palpation ,and ,generalized ,erythema
C. ,Brown, ,rough, ,greasy, ,wart-like ,papules ,on ,the ,face
D. ,Requires ,sunglasses ,because ,sunlight ,hurts ,eyes ,- ,CORRECT ,ANSWER-B.
,Tenderness ,upon ,palpation ,and ,generalized ,erythema
The ,nurse ,is ,caring ,for ,a ,client ,with ,human ,immunodeficiency ,virus ,(HIV) ,who
,has ,developed ,oral ,thrush ,and ,is ,experiencing ,burning ,and ,soreness ,in ,the
,mouth. ,Which ,intervention ,should ,the ,nurse ,implement ,first?
A. ,Cleanse ,the ,mouth ,with ,swabs
B. ,Encourage ,frequent ,mouth ,care
C. ,Obtain ,a ,soft ,diet ,for ,the ,client
D. ,Administer ,a ,topical ,analgesic ,- ,CORRECT ,ANSWER-D. ,Adminiter ,a ,topical
,analgesic
The ,nurse ,is ,providing ,teaching ,to ,a ,client ,with ,Type ,2 ,Diabetes ,Mellitus ,and
,peripheral ,neuropathy. ,What ,information ,should ,the ,nurse ,provide?
A. ,Family ,members ,can ,help ,with ,regular ,foot ,exams
B. ,Shoes ,should ,be ,worn ,outside ,the ,house, ,but ,it ,is ,fine ,to ,be ,barefoot ,inside
C. ,Aching ,feet ,may ,be ,soaked ,in ,lukewarm ,water ,for ,one ,hour ,or ,more
D. ,Heating ,pads ,are ,useful ,if ,on ,the ,lowest ,setting ,- ,CORRECT ,ANSWER-A.
,Family ,members ,can ,help ,with ,regular ,foot ,exams
An ,adult ,client ,who ,had ,a ,gastric ,bypass ,surgery ,2 ,weeks ,ago ,is ,admitted ,with
,possible ,anastamosis ,leakage. ,The ,client's ,abdomen ,is ,tender ,and ,soft ,and
,vital ,signs ,are: ,temp ,101 ,F, ,heart ,rate ,130 ,beats/minute, ,respiratory ,rate ,26.
,Which ,intervention ,is ,most ,important ,for ,the ,nurse ,to ,include ,in ,the ,client's
,plan ,of ,care?
A. ,Assess ,wound ,drainage ,daily
B. ,Encourage ,regular ,turning
C. ,Strict ,IV ,fluid ,replacement
D. ,Monitor ,skin ,breakdown ,- ,CORRECT ,ANSWER-A. ,Assess ,wound ,drainage
,daily