BSN 266 HESI Final Exam (03-26-2025) | Complete Nursing Practice Questions &
Verified Answers | HESI Exit Exam Study Guide | Score A+
1. When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN) which instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates: B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of the kidneys. This can manifest as
nephritic syndrome, where there is significant hematuria, and/or nephrotic syndrome, where edema is pronounced.
In this disease the nurse should include restriction of sodium intake as part of dietary adjustments because the kidneys
are not able to filter blood well if inflamed. Thus buildup of sodium may occur if intake is not lowered.
2. An older client with long term type 2 diabetes mellitus (DM) is seen in the
clinic for a routine health assessment. Which assessment would the nurse
complete to determine if a patient with type 2 DM is experiencing long term
complications? SATA
A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN): A: Helps identify complications like
diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
3. NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emer-
gency medical services (EMS) with reports of chest pain. The client was mowing
his lawn and noticed chest pain presenting as tightness and pressure. The pain
continued to increase over about 30 minutes when the client decided to rest.
The clients wife called EMS when the pain was unrelieved after 20 minutes
of rest. The client reports no other incidents of experiencing this pain, The
clients medical history includes hypertension, obesity, and a 20 year history of
,BSN 266 HESI Final Exam (03-26-2025) | Complete Nursing Practice Questions &
Verified Answers | HESI Exit Exam Study Guide | Score A+
smoking, having quite about 5 years ago. Medications: Metoprolol 25 mg PO
once daily.: Answer on next card
4. Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that
is unrelieved with rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capil-
lary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilat-
eral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest,
started approximately 2 hours ago and got progressively worse, unrelieved by
rest.: *Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
5. Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin: Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
, BSN 266 HESI Final Exam (03-26-2025) | Complete Nursing Practice Questions &
Verified Answers | HESI Exit Exam Study Guide | Score A+
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
6. Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement
by selecting from the list of options provided. The nurse determines that the
client has as evidenced by ST depression on electrocardiogram and
normal : New onset angina
Troponin
7. Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while performing a percu-
taneous coronary intervention (PIC), they may perform a balloon angioplasty
to compress the plaque against the vessel and hold it there with a stent, which
will lessen and : Vaso
Pain
8. Scenario 1 Chest pain:
For each medication, choose the drug classification and medication action:
A. Amlodipine
B. Aspirin
C. Lisinopril
D. Nitroglycerin
Classification
Nitrate
Ace Inhibitor
Calcium channel blocker
antiplatelet
Verified Answers | HESI Exit Exam Study Guide | Score A+
1. When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN) which instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates: B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of the kidneys. This can manifest as
nephritic syndrome, where there is significant hematuria, and/or nephrotic syndrome, where edema is pronounced.
In this disease the nurse should include restriction of sodium intake as part of dietary adjustments because the kidneys
are not able to filter blood well if inflamed. Thus buildup of sodium may occur if intake is not lowered.
2. An older client with long term type 2 diabetes mellitus (DM) is seen in the
clinic for a routine health assessment. Which assessment would the nurse
complete to determine if a patient with type 2 DM is experiencing long term
complications? SATA
A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN): A: Helps identify complications like
diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
3. NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emer-
gency medical services (EMS) with reports of chest pain. The client was mowing
his lawn and noticed chest pain presenting as tightness and pressure. The pain
continued to increase over about 30 minutes when the client decided to rest.
The clients wife called EMS when the pain was unrelieved after 20 minutes
of rest. The client reports no other incidents of experiencing this pain, The
clients medical history includes hypertension, obesity, and a 20 year history of
,BSN 266 HESI Final Exam (03-26-2025) | Complete Nursing Practice Questions &
Verified Answers | HESI Exit Exam Study Guide | Score A+
smoking, having quite about 5 years ago. Medications: Metoprolol 25 mg PO
once daily.: Answer on next card
4. Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that
is unrelieved with rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capil-
lary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilat-
eral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest,
started approximately 2 hours ago and got progressively worse, unrelieved by
rest.: *Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
5. Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin: Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
, BSN 266 HESI Final Exam (03-26-2025) | Complete Nursing Practice Questions &
Verified Answers | HESI Exit Exam Study Guide | Score A+
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
6. Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement
by selecting from the list of options provided. The nurse determines that the
client has as evidenced by ST depression on electrocardiogram and
normal : New onset angina
Troponin
7. Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while performing a percu-
taneous coronary intervention (PIC), they may perform a balloon angioplasty
to compress the plaque against the vessel and hold it there with a stent, which
will lessen and : Vaso
Pain
8. Scenario 1 Chest pain:
For each medication, choose the drug classification and medication action:
A. Amlodipine
B. Aspirin
C. Lisinopril
D. Nitroglycerin
Classification
Nitrate
Ace Inhibitor
Calcium channel blocker
antiplatelet
