BSN 266 HESI V2 (Nightingale college)
EXAM:PRACTICE QUESTIONS AND
ANSWERS LATEST 2025
While caring for a client with full thickness burns covering 40% of the body, the nurse observes
purulent drainage from the wounds. Before reporting the finding, what is the best lab value to
evaluate? - CORRECT ANSWER-Neutrophil count- The patient is experiencing infection, so a
nurse should review the neutrophil count before contacting the HCP.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual
perception and she only eats half of the food on her meal tray. Her family expresses concern
about her nutritional status. How should the nurse respond to the family's concern? - CORRECT
ANSWER-Demonstrate the use of visual scanning during meals to the client and family.
Best position for respiratory distress? - CORRECT ANSWER-High Fowler's Position- High fowlers
helps to decrease venous return, which decreases fluid volume in the heart that results in
decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral neuropath. An appropriate
nursing diagnosis for the patient is - CORRECT ANSWER-High risk for injury
Type 2 diabetes patient discharge teaching patient and family - CORRECT ANSWER-Check feet
every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA -
CORRECT ANSWER-Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
, A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is
related to which problem and HCP should be notified? - CORRECT ANSWER-Hematemesis- -
Contact HCP if blood is visible in body fluids such as hematemesis.
For a patient with SLE exacerbation what is the most important to report which assessment
finding? - CORRECT ANSWER-Elevated blood urea nitrogen (BUN)
Before selecting a medication to administer, which action should the nurse implement in the
post-op patient who reports incisional pain and has 2 PRN analgesia available in MAR? -
CORRECT ANSWER-Rate of pain on a scale from 0-10.
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which
intervention should the nurse implement? - CORRECT ANSWER-Keep patient NPO- Patient
should be kept NPO until procedure is successfully completed. The patient should not take
anything by mouth.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the diuretic
phase. Which parameters are most important to monitor? - CORRECT ANSWER-Vital sign
changes and ECGs- Priority parameters are vital sign changes related to hypovolemia and ECG
changes due to serum electrolyte loss, which can be life threatening.
Patient has a calcium oxalate renal stone. Which food are you going to teach the patient to
avoid? - CORRECT ANSWER-Nuts, chocolate, dark greens, and spinach.
A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain radiating to
the back and has had 3 episodes of vomiting in the last 8 hours. The patient is exhibiting
symptoms for which condition? - CORRECT ANSWER-Pancreatitis- complications include
pancreatitis that may manifest with upper left quadrant or mid-epigastric pain which radiates to
the back and accompanied by nausea, vomiting, and fever.
EXAM:PRACTICE QUESTIONS AND
ANSWERS LATEST 2025
While caring for a client with full thickness burns covering 40% of the body, the nurse observes
purulent drainage from the wounds. Before reporting the finding, what is the best lab value to
evaluate? - CORRECT ANSWER-Neutrophil count- The patient is experiencing infection, so a
nurse should review the neutrophil count before contacting the HCP.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual
perception and she only eats half of the food on her meal tray. Her family expresses concern
about her nutritional status. How should the nurse respond to the family's concern? - CORRECT
ANSWER-Demonstrate the use of visual scanning during meals to the client and family.
Best position for respiratory distress? - CORRECT ANSWER-High Fowler's Position- High fowlers
helps to decrease venous return, which decreases fluid volume in the heart that results in
decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral neuropath. An appropriate
nursing diagnosis for the patient is - CORRECT ANSWER-High risk for injury
Type 2 diabetes patient discharge teaching patient and family - CORRECT ANSWER-Check feet
every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA -
CORRECT ANSWER-Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
, A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is
related to which problem and HCP should be notified? - CORRECT ANSWER-Hematemesis- -
Contact HCP if blood is visible in body fluids such as hematemesis.
For a patient with SLE exacerbation what is the most important to report which assessment
finding? - CORRECT ANSWER-Elevated blood urea nitrogen (BUN)
Before selecting a medication to administer, which action should the nurse implement in the
post-op patient who reports incisional pain and has 2 PRN analgesia available in MAR? -
CORRECT ANSWER-Rate of pain on a scale from 0-10.
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which
intervention should the nurse implement? - CORRECT ANSWER-Keep patient NPO- Patient
should be kept NPO until procedure is successfully completed. The patient should not take
anything by mouth.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the diuretic
phase. Which parameters are most important to monitor? - CORRECT ANSWER-Vital sign
changes and ECGs- Priority parameters are vital sign changes related to hypovolemia and ECG
changes due to serum electrolyte loss, which can be life threatening.
Patient has a calcium oxalate renal stone. Which food are you going to teach the patient to
avoid? - CORRECT ANSWER-Nuts, chocolate, dark greens, and spinach.
A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain radiating to
the back and has had 3 episodes of vomiting in the last 8 hours. The patient is exhibiting
symptoms for which condition? - CORRECT ANSWER-Pancreatitis- complications include
pancreatitis that may manifest with upper left quadrant or mid-epigastric pain which radiates to
the back and accompanied by nausea, vomiting, and fever.
