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HESI 215 Dosage Calculation Exam 1 (BSN –
Nightingale) 2026/2027 | Actual Exam | Verified
Answers | Grade A Study Guide.
1. A client is recovering from a transurethral prostatectomy (TURP). The nurse should
instruct the client to limit which activity until after the first postoperative visit?
A) Walking for 10 minutes three times daily.
B) Lifting objects heavier than 10 pounds.
C) Drinking 3 liters of fluid per day.
D) Taking stool softeners as prescribed.
CORRECT ANSWER: B
Rationale: Following a TURP, clients should avoid heavy lifting, straining, and strenuous
activity for several weeks to prevent postoperative bleeding and stress on the surgical
site. Increased fluid intake and walking are encouraged.
2. A client with Stage IV bone cancer is admitted with pain rated 8/10. Which
intervention should the nurse implement?
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A) Administer opioid and non-opioid analgesics concurrently as ordered.
B) Offer distraction techniques before administering medication.
C) Apply a cold pack to the most painful area.
D) Reassess pain in 30 minutes after non-pharmacological interventions.
CORRECT ANSWER: A
Rationale: For severe cancer pain, the World Health Organization analgesic ladder
recommends combining opioid and non-opioid (adjuvant) medications for a synergistic
effect to achieve adequate pain control.
3. A client experiences an acute hemolytic transfusion reaction. Which finding should
the nurse report immediately?
A) Low back pain and hypotension.
B) Rhinitis and nasal stuffiness.
C) Delayed painful rash with urticaria.
D) Arthritic joint changes and chronic pain.
CORRECT ANSWER: A
Rationale: Low back pain and hypotension are classic signs of an acute hemolytic
transfusion reaction, a medical emergency caused by ABO incompatibility leading to
intravascular hemolysis, DIC, and shock.
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4. A client diagnosed with diverticulosis is being discharged. Which diet instruction
should the nurse include?
A) "Have small, frequent meals and sit upright for two hours after eating."
B) "Eat a bland diet and avoid spicy foods."
C) "Eat a high-fiber diet and increase your fluid intake."
D) "Eat a soft diet with increased intake of milk products."
CORRECT ANSWER: C
Rationale: The primary management for diverticulosis is a high-fiber diet to increase
stool bulk and reduce intraluminal pressure, along with increased fluid intake to
prevent constipation and further diverticula formation.
5. Following a TURP, a nurse observes increased blood clots in the continuous bladder
irrigation (CBI) drainage tubing. What is the nurse's best initial action?
A) Provide additional oral fluids.
B) Measure the client's intake and output.
C) Increase the flow rate of the bladder irrigation.
D) Administer a PRN antispasmodic medication.
CORRECT ANSWER: C
Rationale: Clots in the tubing can obstruct flow and lead to bladder distention. The
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initial action is to increase the irrigation flow rate to flush out the clots and maintain
catheter patency. This is a standard protocol for CBI.
6. A client with lung cancer wearing a fentanyl patch is found short of breath and
difficult to arouse. The nurse discovers four analgesic patches on the client's skin.
What is the priority action?
A) Administer naloxone.
B) Remove all morphine patches.
C) Stimulate the client and apply oxygen.
D) Obtain a stat arterial blood gas.
CORRECT ANSWER: B
Rationale: Multiple transdermal patches can cause a dangerous opioid overdose. The
immediate action is to remove the source of the medication (all patches) while
supporting airway and breathing, and preparing to administer naloxone.
7. Following application of a leg cast, which assessment finding warrants the nurse's
immediate intervention?
A) Circumferential edema of the right foot.
B) Complaint of throbbing right leg pain.
C) Right foot pale with sluggish capillary refill.
D) Increased temperature of the lower extremity.
HESI 215 Dosage Calculation Exam 1 (BSN –
Nightingale) 2026/2027 | Actual Exam | Verified
Answers | Grade A Study Guide.
1. A client is recovering from a transurethral prostatectomy (TURP). The nurse should
instruct the client to limit which activity until after the first postoperative visit?
A) Walking for 10 minutes three times daily.
B) Lifting objects heavier than 10 pounds.
C) Drinking 3 liters of fluid per day.
D) Taking stool softeners as prescribed.
CORRECT ANSWER: B
Rationale: Following a TURP, clients should avoid heavy lifting, straining, and strenuous
activity for several weeks to prevent postoperative bleeding and stress on the surgical
site. Increased fluid intake and walking are encouraged.
2. A client with Stage IV bone cancer is admitted with pain rated 8/10. Which
intervention should the nurse implement?
,2|Page
A) Administer opioid and non-opioid analgesics concurrently as ordered.
B) Offer distraction techniques before administering medication.
C) Apply a cold pack to the most painful area.
D) Reassess pain in 30 minutes after non-pharmacological interventions.
CORRECT ANSWER: A
Rationale: For severe cancer pain, the World Health Organization analgesic ladder
recommends combining opioid and non-opioid (adjuvant) medications for a synergistic
effect to achieve adequate pain control.
3. A client experiences an acute hemolytic transfusion reaction. Which finding should
the nurse report immediately?
A) Low back pain and hypotension.
B) Rhinitis and nasal stuffiness.
C) Delayed painful rash with urticaria.
D) Arthritic joint changes and chronic pain.
CORRECT ANSWER: A
Rationale: Low back pain and hypotension are classic signs of an acute hemolytic
transfusion reaction, a medical emergency caused by ABO incompatibility leading to
intravascular hemolysis, DIC, and shock.
,3|Page
4. A client diagnosed with diverticulosis is being discharged. Which diet instruction
should the nurse include?
A) "Have small, frequent meals and sit upright for two hours after eating."
B) "Eat a bland diet and avoid spicy foods."
C) "Eat a high-fiber diet and increase your fluid intake."
D) "Eat a soft diet with increased intake of milk products."
CORRECT ANSWER: C
Rationale: The primary management for diverticulosis is a high-fiber diet to increase
stool bulk and reduce intraluminal pressure, along with increased fluid intake to
prevent constipation and further diverticula formation.
5. Following a TURP, a nurse observes increased blood clots in the continuous bladder
irrigation (CBI) drainage tubing. What is the nurse's best initial action?
A) Provide additional oral fluids.
B) Measure the client's intake and output.
C) Increase the flow rate of the bladder irrigation.
D) Administer a PRN antispasmodic medication.
CORRECT ANSWER: C
Rationale: Clots in the tubing can obstruct flow and lead to bladder distention. The
, 4|Page
initial action is to increase the irrigation flow rate to flush out the clots and maintain
catheter patency. This is a standard protocol for CBI.
6. A client with lung cancer wearing a fentanyl patch is found short of breath and
difficult to arouse. The nurse discovers four analgesic patches on the client's skin.
What is the priority action?
A) Administer naloxone.
B) Remove all morphine patches.
C) Stimulate the client and apply oxygen.
D) Obtain a stat arterial blood gas.
CORRECT ANSWER: B
Rationale: Multiple transdermal patches can cause a dangerous opioid overdose. The
immediate action is to remove the source of the medication (all patches) while
supporting airway and breathing, and preparing to administer naloxone.
7. Following application of a leg cast, which assessment finding warrants the nurse's
immediate intervention?
A) Circumferential edema of the right foot.
B) Complaint of throbbing right leg pain.
C) Right foot pale with sluggish capillary refill.
D) Increased temperature of the lower extremity.
