BSN 266 HESI V2 (Nightingale college)
EXAM; PRACTICE QUESTIONS AND
ANSWERS LATEST 2026
Which action should the nurse take next in a patient with right ulnar fracture and cast
who reports increase in arm pain? - Answer-**
Patient reports the nodes are painful in degenerative joint disease observed Heberden's
nodes, large and prominence on patient fingers that are red? - Answer-Chronic pain
management strategies- Patient may require chronic pain management strategies such
as use of analgesic therapy.
The patient has a sever headache, fever, nuchal rigidity, and a petichia rash on arms
and legs. The nurse recognizes the patient is exhibiting symptoms of which condition? -
Answer-**
A patient who has cancer and the nurse is teaching patient about skin care for site
receiving external beam radiation. Which client action about skincare indicated a need
for further teaching? - Answer-**
M patient with chronic myelogenous leukemia (CML) with long-term corticosteroid
therapy develops oral candidiasis and is experiencing pain when chew or swallow.
Which action should the nurse implement first? - Answer-Administer topical analgesic
as prescribed- relief of the pain associated with oral candidiasis is the highest priority for
the client and the nurse should administer topical analgesic as prescribed.
Patient is an obese adult, and the nurse is calculating BMI. Which additional
assessment finding place the client at high risk for cardiac disease? - Answer-Large
waist Circumference with central fat.
What is the nurses actions in finding abdominal obesity and high waist-hip ratio with a
BMI of 32? SATA - Answer-Discuss the importance of a regular exercise program
Measure the client's BP in both arms
Screen for a family history of diabetes mellitus.
A patient who is an adult woman with Graves' disease admitted with severe dehydration
and malnutrition & restlessness refuses to eat. What action is most important for the
nurse to implement? - Answer-**
, A patient is hospitalized with IBD exacerbation and treated with coritcosteroid. The
patient develops a rigid abdomen with rebound tenderness. Which action should the
nurse take? - Answer-Measure vital signs
A patient with obstructive sleep apnea has difficulty wearing CPAP due to it being
uncomfortable. The patient asks about alternative ways to manage sleep apnea. Which
recommendation should the nurse provide? - Answer-*
Which outcome should the nurse include in the plan of care for a patient with
hypertension who reports chest pain on exertion? - Answer-**
Which instructions is most important for the nurse to emphasize in discharge teaching in
patients with COPD? - Answer-Report any changes in sputum color- This is a sign of
infection. It is a common problem in COPD patients and request immediate antibiotic
therapy to prevent an acute and prolonged exacerbation of COPD.
An overweight young adult diagnosed with type 2 diabetes is admitted for hernia repair,
the patient feels weak and jittery. Which actions should the nurse implement? SATA -
Answer-check his fingerstick glucose level
assess his skin temperature and moisture
measure his pulse and BP
O- 8 mg q 4h PRN. A- 10 mg/2 mL. How many mL should the nurse administer? -
Answer-8/10 x 2= 1.6 mL
A patient is suspected of having TB is in a private room with airborne precautions
pending test results. Which diagnostic test should the nurse review to confirm the
diagnosis of TB? - Answer-Sputum culture
Which instructions should the nurse include in the discharge teaching plan of a patient
started treatment for newly diagnosed diabetes insipidus? - Answer-Monitor weight gain
Which additional nursing assessments takes priority in response to a patient with
Parkinson's disease exhibiting a mask like facial appearance? - Answer-Assess
swallowing abilities is a high priority for patients.
A patient is recently diagnosed with Addison's disease. Which instructions is most
important for the nurse to include in discharge teaching? - Answer-Take prescribed
cortisone accurately
Which instructions is most important for the nurse to emphasize during discharge for a
patient with GERD? - Answer-Teach the client to elevate the head of the bed on blocks
Which steps should the nurse instruct the client to follow when collecting sputum? -
Answer-Breath deeply and cough to produce sputum.
EXAM; PRACTICE QUESTIONS AND
ANSWERS LATEST 2026
Which action should the nurse take next in a patient with right ulnar fracture and cast
who reports increase in arm pain? - Answer-**
Patient reports the nodes are painful in degenerative joint disease observed Heberden's
nodes, large and prominence on patient fingers that are red? - Answer-Chronic pain
management strategies- Patient may require chronic pain management strategies such
as use of analgesic therapy.
The patient has a sever headache, fever, nuchal rigidity, and a petichia rash on arms
and legs. The nurse recognizes the patient is exhibiting symptoms of which condition? -
Answer-**
A patient who has cancer and the nurse is teaching patient about skin care for site
receiving external beam radiation. Which client action about skincare indicated a need
for further teaching? - Answer-**
M patient with chronic myelogenous leukemia (CML) with long-term corticosteroid
therapy develops oral candidiasis and is experiencing pain when chew or swallow.
Which action should the nurse implement first? - Answer-Administer topical analgesic
as prescribed- relief of the pain associated with oral candidiasis is the highest priority for
the client and the nurse should administer topical analgesic as prescribed.
Patient is an obese adult, and the nurse is calculating BMI. Which additional
assessment finding place the client at high risk for cardiac disease? - Answer-Large
waist Circumference with central fat.
What is the nurses actions in finding abdominal obesity and high waist-hip ratio with a
BMI of 32? SATA - Answer-Discuss the importance of a regular exercise program
Measure the client's BP in both arms
Screen for a family history of diabetes mellitus.
A patient who is an adult woman with Graves' disease admitted with severe dehydration
and malnutrition & restlessness refuses to eat. What action is most important for the
nurse to implement? - Answer-**
, A patient is hospitalized with IBD exacerbation and treated with coritcosteroid. The
patient develops a rigid abdomen with rebound tenderness. Which action should the
nurse take? - Answer-Measure vital signs
A patient with obstructive sleep apnea has difficulty wearing CPAP due to it being
uncomfortable. The patient asks about alternative ways to manage sleep apnea. Which
recommendation should the nurse provide? - Answer-*
Which outcome should the nurse include in the plan of care for a patient with
hypertension who reports chest pain on exertion? - Answer-**
Which instructions is most important for the nurse to emphasize in discharge teaching in
patients with COPD? - Answer-Report any changes in sputum color- This is a sign of
infection. It is a common problem in COPD patients and request immediate antibiotic
therapy to prevent an acute and prolonged exacerbation of COPD.
An overweight young adult diagnosed with type 2 diabetes is admitted for hernia repair,
the patient feels weak and jittery. Which actions should the nurse implement? SATA -
Answer-check his fingerstick glucose level
assess his skin temperature and moisture
measure his pulse and BP
O- 8 mg q 4h PRN. A- 10 mg/2 mL. How many mL should the nurse administer? -
Answer-8/10 x 2= 1.6 mL
A patient is suspected of having TB is in a private room with airborne precautions
pending test results. Which diagnostic test should the nurse review to confirm the
diagnosis of TB? - Answer-Sputum culture
Which instructions should the nurse include in the discharge teaching plan of a patient
started treatment for newly diagnosed diabetes insipidus? - Answer-Monitor weight gain
Which additional nursing assessments takes priority in response to a patient with
Parkinson's disease exhibiting a mask like facial appearance? - Answer-Assess
swallowing abilities is a high priority for patients.
A patient is recently diagnosed with Addison's disease. Which instructions is most
important for the nurse to include in discharge teaching? - Answer-Take prescribed
cortisone accurately
Which instructions is most important for the nurse to emphasize during discharge for a
patient with GERD? - Answer-Teach the client to elevate the head of the bed on blocks
Which steps should the nurse instruct the client to follow when collecting sputum? -
Answer-Breath deeply and cough to produce sputum.