BSN 266 HESI UPDATED QUESTIONS AND ANSWERS 2026 EDITION
GRADE A+
1
An older adult client with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
Answer: B. Assist client to an upright position
2
A client with multiple sclerosis (MS) is admitted to the medical unit.
The client reports fatigue, muscle weakness, and diplopia. Which action
should the nurse implement to reduce the client's risk for falls? (SATA)
A. Provide assistance to bedside commode
B. Provide frequent rest periods
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
Answer: A. Provide assistance to bedside commode, B. Provide
frequent rest periods, E. Teach to patch one eye while walking
3
A client arrives to the ED following a motor vehicle collision. The nurse
observes the client experiencing increasing dyspnea and notes absent
breath sounds on the left side. Which procedure should the nurse prepare
for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
,D. Pulmonary function test
Answer: B. Chest tube insertion
4
Following a transurethral resection of the prostate (TURP), a client is
discharged from the hospital with an indwelling urinary catheter. Which
instruction is most important for the nurse to include in the discharge
teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
Answer: B. Drink 3 liters of water each day
5
An adult woman with Graves disease is admitted with severe
dehydration and malnutrition. She is currently restless and refusing to
eat. Which action is most important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the client's food preferences
C. Maintain a patent intravenous site
D. Keep room temperature cool
Answer: C. Maintain a patent intravenous site
6
A client tells the clinic nurse about experiencing burning on urination,
and assessment reveals that the client had sexual intercourse four days
ago with a person who was a casual acquaintance. Which action should
the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre-like lesion
C. Identify all sexual partners in the last four days
D. Assess for perineal itching, erythema, and excoriation
Answer: A. Obtain a specimen of urethral drainage for culture
, 7
The nurse is caring for a client admitted to the hospital with a tentative
diagnosis of bacterial meningitis. Which diagnostic procedure should the
nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
Answer: A. Lumbar puncture
8
An older adult client with long-term type 2 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. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection
Answer: A. Sensation in feet and legs, B. Skin condition of lower
extremities, C. Visual acuity, D. Serum creatinine and blood urea
nitrogen (BUN)
9
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of
the feet and legs, and massive ascites. Which mechanism contributes to
edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
C. Decreased renin angiotensin response related to an increase in renal
blood flow
D. Hyperaldosteronism causing an increased sodium absorption in renal
tubes
GRADE A+
1
An older adult client with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
Answer: B. Assist client to an upright position
2
A client with multiple sclerosis (MS) is admitted to the medical unit.
The client reports fatigue, muscle weakness, and diplopia. Which action
should the nurse implement to reduce the client's risk for falls? (SATA)
A. Provide assistance to bedside commode
B. Provide frequent rest periods
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
Answer: A. Provide assistance to bedside commode, B. Provide
frequent rest periods, E. Teach to patch one eye while walking
3
A client arrives to the ED following a motor vehicle collision. The nurse
observes the client experiencing increasing dyspnea and notes absent
breath sounds on the left side. Which procedure should the nurse prepare
for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
,D. Pulmonary function test
Answer: B. Chest tube insertion
4
Following a transurethral resection of the prostate (TURP), a client is
discharged from the hospital with an indwelling urinary catheter. Which
instruction is most important for the nurse to include in the discharge
teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
Answer: B. Drink 3 liters of water each day
5
An adult woman with Graves disease is admitted with severe
dehydration and malnutrition. She is currently restless and refusing to
eat. Which action is most important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the client's food preferences
C. Maintain a patent intravenous site
D. Keep room temperature cool
Answer: C. Maintain a patent intravenous site
6
A client tells the clinic nurse about experiencing burning on urination,
and assessment reveals that the client had sexual intercourse four days
ago with a person who was a casual acquaintance. Which action should
the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre-like lesion
C. Identify all sexual partners in the last four days
D. Assess for perineal itching, erythema, and excoriation
Answer: A. Obtain a specimen of urethral drainage for culture
, 7
The nurse is caring for a client admitted to the hospital with a tentative
diagnosis of bacterial meningitis. Which diagnostic procedure should the
nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
Answer: A. Lumbar puncture
8
An older adult client with long-term type 2 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. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection
Answer: A. Sensation in feet and legs, B. Skin condition of lower
extremities, C. Visual acuity, D. Serum creatinine and blood urea
nitrogen (BUN)
9
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of
the feet and legs, and massive ascites. Which mechanism contributes to
edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
C. Decreased renin angiotensin response related to an increase in renal
blood flow
D. Hyperaldosteronism causing an increased sodium absorption in renal
tubes
