Page 1 of 102
BSN 225 HESI EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| BSN 225 HESI EXAM PREP
(BRAND NEW!!)
Which action by the nurse demonstrates humility?
A. a willingness to try new ideas
B. admission of mistakes
C. upholding high standards of care
D. always taking the suggestions of others - Correct Answer - B.
Admission of mistakes
A nurse who can admit mistakes and is aware of their own limitation
reflects humility. A nurse who is willing to try new ideas is a risk taker.
A nurse always follows the highest standards for patient care even in the
face of adversity; this is integrity. Nurses must be open-minded and
listen to others' opinions but also must be able to think independently
before coming to a final conclusion.
Which assessment finding is consistent with hypovolemia?
A. A 1lb (0.5kg) weight loss in 1-week, pale-yellow urine
B. Engorged neck veins when upright, bradycardia
C. Dry mucous membranes, thready pulse, tachycardia
D. Bounding radial puls, flat neck veins when supine - Correct Answer -
C. Dry mucous membranes, thready pulse, tachycardia.
pg. 1
,Page 2 of 102
Hypovolemia (isotonic fluid volume deficit) is characterized by dry
mucous membranes, thready pulse, and tachycardia, among other
indicators. Weight loss of 1 lb (0.5kg) in 1 week with pale-yellow urine
could indicate fat loss instead of fluid loss. Hypovolemia causes dark-
yellow urine rather than pale yellow. Engorged neck veins when upright,
bradycardia, bounding radial pulse, and flat neck veins when supine are
not clinical manifestations of fluid volume deficit.
The nurse identifies a patient w/ diabetes has been skipping the
prescribed hypoglycemic drugs and is noncompliant with the diet
schedule provided by the dietician. Which cues suggests peripheral
neuropathy in this patient?
A. thickend toenails
B. decreased temperature sensitivity
C. decreased hair growth on the feet
D. paleness of the skin on limb elevation - Correct Answer - B.
decreased temperature sensitivity
when blood sugar is poorly controlled, diabetic patients may develop
peripheral neuropathy. Patients w/ neurologic deficits, such as peripheral
neuropathy secondary to diabetes, may not be able to identify extremes
of hot and cold. Thickened toenails, decreased hair growth on the feet,
and paleness of skin on elevating the limb are signs of vascular
insufficiency. These symptoms are caused when the circulation to the
extremities is compromised.
Which need is a PRIORITY, according to Maslow's hierarchy of needs,
for a patient who is an active businessperson who is worried about
getting back to work and is admitted to an acute care area with severe
diarrhea, vomiting, dyspnea, and weakness?
pg. 2
,Page 3 of 102
A. safety
B. self-actualization
C. air, water, and nutrition
D. esteem, and self-esteem needs - Correct Answer - C. Air, Water, and
Nutrition
the patient's physiologic needs are priorit: air, water, and nutrition. The
patient needs to have sufficient air exchange, which may require oxygen
administration. In addition, the patient needs to have appropriate fluid
balance and some nutritional supplement. Safey and security should be
the secon tier of Masolw's hierarchy of needs. This would include safety
from threats, protection, stability, and lack of danger. Self-actualization
is the recognition and realization of one's potential growth, health, and
autonomy. Self-esteem or self-worth is the fourth tier of Maslow's
hierarchy of needs.
Doctor's Order: Kanamycin 7.5 mg/kg IM q 12 hr; Available:
Kanamycin 0.35 Gm/mL. How many mL will you administer for each
dose to a 157 lb patient? Round to 1 decimal place. - Correct Answer -
7.5 mg/Kg x 1 gm/1000mg x 1mL/0.35gm x 1 kg/2.2lbs x 157 lbs/1 =
1.5 mL
Doctor's order says; "0.4 L of D5W in NS to infuse over 3 hours." Drip
factor: 10 gtt/mL. What is the drop per min rate? Round to the nearst
whole number. - Correct Answer - 0.4L/3hrs x 1000mL/ 1L x 10 gtts/
1mL x 1 hr/60min =
22gtt/min
pg. 3
, Page 4 of 102
Doctor orders a Lidocaine infusion to be started at 30mcg/kg/min. The
patient weighs 298 lbs. You are supplied w/ a bag of Lidocaine that reads
4 mg/mL. How many mL/hr will you administer? Round to the nearest
whole number. - Correct Answer - 30mcg/Kg x 1 g/2.2 lbs x 298 lbs/1 x
1mg/1000 mcg x 1mL/4mg x 1/1min x 60 min/ 1hr =
61mL/hr
The nurse teaching a client who has had surgery will instruct that
increasing which nutrient will help with tissue repair?
A. fat
B. protein
C. carbohydrate
D. Vitamin - Correct Answer - B. Protein
The home health nurse visits a 40-year-old client with metastatic breast
cancer who is receiving palliative care. The client is experiencing pain at
a level of 7 (0-10 point scale). In prioritizing activities for the visit, what
should the nurse do first?
A.Auscultate for breath sounds.
B.Administer PRN pain medication.
C.Check pressure points for skin breakdown.
D.Ask family about client's food and fluid intake. - Correct Answer - B.
Administer PRN pain medication
A female client with a terminal illness is in denial. Indicators of denial
include:
pg. 4
BSN 225 HESI EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| BSN 225 HESI EXAM PREP
(BRAND NEW!!)
Which action by the nurse demonstrates humility?
A. a willingness to try new ideas
B. admission of mistakes
C. upholding high standards of care
D. always taking the suggestions of others - Correct Answer - B.
Admission of mistakes
A nurse who can admit mistakes and is aware of their own limitation
reflects humility. A nurse who is willing to try new ideas is a risk taker.
A nurse always follows the highest standards for patient care even in the
face of adversity; this is integrity. Nurses must be open-minded and
listen to others' opinions but also must be able to think independently
before coming to a final conclusion.
Which assessment finding is consistent with hypovolemia?
A. A 1lb (0.5kg) weight loss in 1-week, pale-yellow urine
B. Engorged neck veins when upright, bradycardia
C. Dry mucous membranes, thready pulse, tachycardia
D. Bounding radial puls, flat neck veins when supine - Correct Answer -
C. Dry mucous membranes, thready pulse, tachycardia.
pg. 1
,Page 2 of 102
Hypovolemia (isotonic fluid volume deficit) is characterized by dry
mucous membranes, thready pulse, and tachycardia, among other
indicators. Weight loss of 1 lb (0.5kg) in 1 week with pale-yellow urine
could indicate fat loss instead of fluid loss. Hypovolemia causes dark-
yellow urine rather than pale yellow. Engorged neck veins when upright,
bradycardia, bounding radial pulse, and flat neck veins when supine are
not clinical manifestations of fluid volume deficit.
The nurse identifies a patient w/ diabetes has been skipping the
prescribed hypoglycemic drugs and is noncompliant with the diet
schedule provided by the dietician. Which cues suggests peripheral
neuropathy in this patient?
A. thickend toenails
B. decreased temperature sensitivity
C. decreased hair growth on the feet
D. paleness of the skin on limb elevation - Correct Answer - B.
decreased temperature sensitivity
when blood sugar is poorly controlled, diabetic patients may develop
peripheral neuropathy. Patients w/ neurologic deficits, such as peripheral
neuropathy secondary to diabetes, may not be able to identify extremes
of hot and cold. Thickened toenails, decreased hair growth on the feet,
and paleness of skin on elevating the limb are signs of vascular
insufficiency. These symptoms are caused when the circulation to the
extremities is compromised.
Which need is a PRIORITY, according to Maslow's hierarchy of needs,
for a patient who is an active businessperson who is worried about
getting back to work and is admitted to an acute care area with severe
diarrhea, vomiting, dyspnea, and weakness?
pg. 2
,Page 3 of 102
A. safety
B. self-actualization
C. air, water, and nutrition
D. esteem, and self-esteem needs - Correct Answer - C. Air, Water, and
Nutrition
the patient's physiologic needs are priorit: air, water, and nutrition. The
patient needs to have sufficient air exchange, which may require oxygen
administration. In addition, the patient needs to have appropriate fluid
balance and some nutritional supplement. Safey and security should be
the secon tier of Masolw's hierarchy of needs. This would include safety
from threats, protection, stability, and lack of danger. Self-actualization
is the recognition and realization of one's potential growth, health, and
autonomy. Self-esteem or self-worth is the fourth tier of Maslow's
hierarchy of needs.
Doctor's Order: Kanamycin 7.5 mg/kg IM q 12 hr; Available:
Kanamycin 0.35 Gm/mL. How many mL will you administer for each
dose to a 157 lb patient? Round to 1 decimal place. - Correct Answer -
7.5 mg/Kg x 1 gm/1000mg x 1mL/0.35gm x 1 kg/2.2lbs x 157 lbs/1 =
1.5 mL
Doctor's order says; "0.4 L of D5W in NS to infuse over 3 hours." Drip
factor: 10 gtt/mL. What is the drop per min rate? Round to the nearst
whole number. - Correct Answer - 0.4L/3hrs x 1000mL/ 1L x 10 gtts/
1mL x 1 hr/60min =
22gtt/min
pg. 3
, Page 4 of 102
Doctor orders a Lidocaine infusion to be started at 30mcg/kg/min. The
patient weighs 298 lbs. You are supplied w/ a bag of Lidocaine that reads
4 mg/mL. How many mL/hr will you administer? Round to the nearest
whole number. - Correct Answer - 30mcg/Kg x 1 g/2.2 lbs x 298 lbs/1 x
1mg/1000 mcg x 1mL/4mg x 1/1min x 60 min/ 1hr =
61mL/hr
The nurse teaching a client who has had surgery will instruct that
increasing which nutrient will help with tissue repair?
A. fat
B. protein
C. carbohydrate
D. Vitamin - Correct Answer - B. Protein
The home health nurse visits a 40-year-old client with metastatic breast
cancer who is receiving palliative care. The client is experiencing pain at
a level of 7 (0-10 point scale). In prioritizing activities for the visit, what
should the nurse do first?
A.Auscultate for breath sounds.
B.Administer PRN pain medication.
C.Check pressure points for skin breakdown.
D.Ask family about client's food and fluid intake. - Correct Answer - B.
Administer PRN pain medication
A female client with a terminal illness is in denial. Indicators of denial
include:
pg. 4
