HESI 266 – Nightingale College Questions & Answers |
Latest Update 2026 | 100% Pass Guarantee | Exam Prep
1. A patient with a history of Crohn's disease who has undergone a colectomy is
considering peritoneal dialysis. What should the healthcare team prioritize in
their assessment?
Check for active Hepatitis C infection.
Evaluate for potential complications related to the peritoneal cavity.
Monitor for signs of nephrotic syndrome.
Assess the patient's blood sugar levels.
2. What is one of the key nursing interventions for a client with skeletal traction
applied?
Assess the pulse proximal to the fracture site.
Assess the pin sites for signs of infection.
Remove traction to provide skin care.
Administer pain medication at designated intervals.
3. The nurse notes a patient with Parkinson's who seems to have become frozen
in place. What is the best intervention for this finding?
Encourage marching in place until he can move forward.
Encourage a shuffling gait
Assist the patient to a sitting position
Help the fatigued patient back to bed
4. Describe why certain foods, such as liver and sardines, are discouraged in
the diet of a person with gout.
, These foods are recommended for their anti-inflammatory properties.
Foods like liver and sardines are high in purines, which can increase
uric acid levels and exacerbate gout symptoms.
Liver and sardines are high in fiber, which is beneficial for gout.
These foods are low in nutrients and should be avoided for overall
health.
5. If a nurse identifies airway obstruction as the priority problem during an
acute asthma attack, what immediate action should they take?
Assess for pain levels.
Provide oxygen therapy.
Initiate IV fluids.
Administer a bronchodilator.
6. The nurse has given dietary instructions to a client diagnosed with acute
glomerulonephritis. The nurse determines that the client understands the
information presented if the client states the intention to do which of the
following?
Increase intake of high-fiber foods.
Limit protein intake.
Increase intake of potassium-rich foods.
Limit intake of magnesium-rich foods.
7. Which patient problem would most likely be considered a high priority?
Disturbed personal identity
Impaired gas exchange
, Activity intolerance
Risk for powerlessness
8. Which diet choice by a person who has gout indicates understanding of
management of the condition?
Chicken sandwich, potato chips, coffee.
Tossed salad, carrot sticks, iced tea.
Fried shrimp, rice, tea.
Oatmeal, omelet, orange juice.
9. Why is 'risk for aspiration related to vomiting' considered the highest priority
nursing problem in this scenario?
Because impaired renal function is a common issue in all patients with
renal calculus.
Because nutritional deficits are less urgent than pain management.
Because managing pain is more critical than preventing aspiration.
Because vomiting increases the risk of aspiration, which can lead to
serious respiratory complications.
10. If a patient presents with visible tophi and renal dysfunction, which type of
gout are they most likely experiencing?
Acute gout
Chronic gout
Both acute and chronic gout
Neither acute nor chronic gout
Latest Update 2026 | 100% Pass Guarantee | Exam Prep
1. A patient with a history of Crohn's disease who has undergone a colectomy is
considering peritoneal dialysis. What should the healthcare team prioritize in
their assessment?
Check for active Hepatitis C infection.
Evaluate for potential complications related to the peritoneal cavity.
Monitor for signs of nephrotic syndrome.
Assess the patient's blood sugar levels.
2. What is one of the key nursing interventions for a client with skeletal traction
applied?
Assess the pulse proximal to the fracture site.
Assess the pin sites for signs of infection.
Remove traction to provide skin care.
Administer pain medication at designated intervals.
3. The nurse notes a patient with Parkinson's who seems to have become frozen
in place. What is the best intervention for this finding?
Encourage marching in place until he can move forward.
Encourage a shuffling gait
Assist the patient to a sitting position
Help the fatigued patient back to bed
4. Describe why certain foods, such as liver and sardines, are discouraged in
the diet of a person with gout.
, These foods are recommended for their anti-inflammatory properties.
Foods like liver and sardines are high in purines, which can increase
uric acid levels and exacerbate gout symptoms.
Liver and sardines are high in fiber, which is beneficial for gout.
These foods are low in nutrients and should be avoided for overall
health.
5. If a nurse identifies airway obstruction as the priority problem during an
acute asthma attack, what immediate action should they take?
Assess for pain levels.
Provide oxygen therapy.
Initiate IV fluids.
Administer a bronchodilator.
6. The nurse has given dietary instructions to a client diagnosed with acute
glomerulonephritis. The nurse determines that the client understands the
information presented if the client states the intention to do which of the
following?
Increase intake of high-fiber foods.
Limit protein intake.
Increase intake of potassium-rich foods.
Limit intake of magnesium-rich foods.
7. Which patient problem would most likely be considered a high priority?
Disturbed personal identity
Impaired gas exchange
, Activity intolerance
Risk for powerlessness
8. Which diet choice by a person who has gout indicates understanding of
management of the condition?
Chicken sandwich, potato chips, coffee.
Tossed salad, carrot sticks, iced tea.
Fried shrimp, rice, tea.
Oatmeal, omelet, orange juice.
9. Why is 'risk for aspiration related to vomiting' considered the highest priority
nursing problem in this scenario?
Because impaired renal function is a common issue in all patients with
renal calculus.
Because nutritional deficits are less urgent than pain management.
Because managing pain is more critical than preventing aspiration.
Because vomiting increases the risk of aspiration, which can lead to
serious respiratory complications.
10. If a patient presents with visible tophi and renal dysfunction, which type of
gout are they most likely experiencing?
Acute gout
Chronic gout
Both acute and chronic gout
Neither acute nor chronic gout
