BSN 266 HESI V2 (Nightingale college) EXAM:PRACTICE QUESTIONS AND
ANSWERS LATEST 2025
Study online at https://quizlet.com/_j5mo9n
1. While caring for a client with full Neutrophil count- The patient is experiencing infection,
thickness burns covering 40% of so a nurse should review the neutrophil count before
the body, the nurse observes pu- contacting the HCP.
rulent drainage from the wounds.
Before reporting the finding, what
is the best lab value to evaluate?
2. An older woman who experienced Demonstrate the use of visual scanning during meals to
a cerebrovascular accident (CVA) the client and family.
has difficulty with visual percep-
tion and she only eats half of the
food on her meal tray. Her fam-
ily expresses concern about her
nutritional status. How should the
nurse respond to the family's con-
cern?
3. Best position for respiratory dis- High Fowler's Position- High fowlers helps to decrease
tress? venous return, which decreases fluid volume in the heart
that results in decreased cardiac workload.
4. A patient with peripheral artery High risk for injury
disease has marked peripheral
neuropath. An appropriate nurs-
ing diagnosis for the patient is
5. Type 2 diabetes patient discharge Check feet every day for cuts or injuries.
teaching patient and family
6. Plan of care for patient with skin Institute Contact precautions for staff and visitors
lesions of lower extremities with Send wound drainage for culture and sensitivity
possible MRSA. SATA Monitor the clients WBC count
, BSN 266 HESI V2 (Nightingale college) EXAM:PRACTICE QUESTIONS AND
ANSWERS LATEST 2025
Study online at https://quizlet.com/_j5mo9n
7. A patient with acute anterior wall Hematemesis- - Contact HCP if blood is visible in body
MI 1 week ago is given low-dose fluids such as hematemesis.
aspirin. The medication is related
to which problem and HCP should
be notified?
8. For a patient with SLE exacerba- Elevated blood urea nitrogen (BUN)
tion what is the most important to
report which assessment finding?
9. Before selecting a medication to Rate of pain on a scale from 0-10.
administer, which action should
the nurse implement in the
post-op patient who reports inci-
sional pain and has 2 PRN analge-
sia available in MAR?
10. Patient had bariatric surgery Keep patient NPO- Patient should be kept NPO until
2 months ago who developed procedure is successfully completed. The patient should
post-op strictures who is experi- not take anything by mouth.
encing nausea and vomiting and
anorexia who is admitted for fluid
resuscitation. Which intervention
should the nurse implement?
11. Acute Kidney Injury due to amino- Vital sign changes and ECGs- Priority parameters are vital
glycoside antibiotic moved from sign changes related to hypovolemia and ECG changes
oliguric phase to the diuret- due to serum electrolyte loss, which can be life threaten-
ic phase. Which parameters are ing.
most important to monitor?
ANSWERS LATEST 2025
Study online at https://quizlet.com/_j5mo9n
1. While caring for a client with full Neutrophil count- The patient is experiencing infection,
thickness burns covering 40% of so a nurse should review the neutrophil count before
the body, the nurse observes pu- contacting the HCP.
rulent drainage from the wounds.
Before reporting the finding, what
is the best lab value to evaluate?
2. An older woman who experienced Demonstrate the use of visual scanning during meals to
a cerebrovascular accident (CVA) the client and family.
has difficulty with visual percep-
tion and she only eats half of the
food on her meal tray. Her fam-
ily expresses concern about her
nutritional status. How should the
nurse respond to the family's con-
cern?
3. Best position for respiratory dis- High Fowler's Position- High fowlers helps to decrease
tress? venous return, which decreases fluid volume in the heart
that results in decreased cardiac workload.
4. A patient with peripheral artery High risk for injury
disease has marked peripheral
neuropath. An appropriate nurs-
ing diagnosis for the patient is
5. Type 2 diabetes patient discharge Check feet every day for cuts or injuries.
teaching patient and family
6. Plan of care for patient with skin Institute Contact precautions for staff and visitors
lesions of lower extremities with Send wound drainage for culture and sensitivity
possible MRSA. SATA Monitor the clients WBC count
, BSN 266 HESI V2 (Nightingale college) EXAM:PRACTICE QUESTIONS AND
ANSWERS LATEST 2025
Study online at https://quizlet.com/_j5mo9n
7. A patient with acute anterior wall Hematemesis- - Contact HCP if blood is visible in body
MI 1 week ago is given low-dose fluids such as hematemesis.
aspirin. The medication is related
to which problem and HCP should
be notified?
8. For a patient with SLE exacerba- Elevated blood urea nitrogen (BUN)
tion what is the most important to
report which assessment finding?
9. Before selecting a medication to Rate of pain on a scale from 0-10.
administer, which action should
the nurse implement in the
post-op patient who reports inci-
sional pain and has 2 PRN analge-
sia available in MAR?
10. Patient had bariatric surgery Keep patient NPO- Patient should be kept NPO until
2 months ago who developed procedure is successfully completed. The patient should
post-op strictures who is experi- not take anything by mouth.
encing nausea and vomiting and
anorexia who is admitted for fluid
resuscitation. Which intervention
should the nurse implement?
11. Acute Kidney Injury due to amino- Vital sign changes and ECGs- Priority parameters are vital
glycoside antibiotic moved from sign changes related to hypovolemia and ECG changes
oliguric phase to the diuret- due to serum electrolyte loss, which can be life threaten-
ic phase. Which parameters are ing.
most important to monitor?
