BSN 366 EXIT HESI COMPREHENSIVE SCRIPT
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ An older adult client presents to the emergency department with
abdominal pain due to constipation. The nurse is providing a list of
high-fiber foods to the client that the healthcare provider has
recommended. Which action should the nurse implement when
reviewing the list of foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
c. Turn on overhead lights while giving instructions.
d. Stand behind the client to avoid intimidation. Answer: c. Turn on
overhead lights while giving instructions.
◉ After receiving report on an inpatient acute care unit , which
client should the nurse assess first ?
a. The client with an obstruction of the large intestine who is
experiencing abdominal distention.
b. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
,c. The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: d. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ A client who underwent an uncomplicated gastric bypass surgery
has difficulty with diet management. What dietary instruction is
most important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food Answer:
b. Plan volume-controlled evenly-spaced meals throughout the day
◉ The nurse is assessing the feet of a client with type 1 diabetes
mellitus. Which finding requires immediate intervention by the
nurse?
a. Decreased response to pain discrimination on the dorsal surface
of the foot.
b. Erythema and edema at the base of the left great toe.
, c. Hard, painless nodule over the metatarsophalangeal joint of the
first toe.
d. Painful corns and calluses over hammer toes on both feet. Answer:
a. Decreased response to pain discrimination on the dorsal surface
of the foot.
◉ The nurse is planning to assess the client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The
client has bilateral below the-knee amputations and radial pulses
that are weak and thready. What action should the nurse take?
a. Document that an accurate oxygen saturation reading cannot be
obtained. b. Elevate the client's hands for five minutes prior to
obtaining a reading from the finger.
c. Increase the oxygen based on the client's breathing patterns and
lung sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading. Answer: d. Place the oximeter clip on the earlobe
to obtain the oxygen saturation reading.
◉ While completing an admission assessment for a client with
unstable angina, which closed questions should the nurse ask about
the client's pain?
a. tell me about the activities that cause your pain
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ An older adult client presents to the emergency department with
abdominal pain due to constipation. The nurse is providing a list of
high-fiber foods to the client that the healthcare provider has
recommended. Which action should the nurse implement when
reviewing the list of foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
c. Turn on overhead lights while giving instructions.
d. Stand behind the client to avoid intimidation. Answer: c. Turn on
overhead lights while giving instructions.
◉ After receiving report on an inpatient acute care unit , which
client should the nurse assess first ?
a. The client with an obstruction of the large intestine who is
experiencing abdominal distention.
b. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
,c. The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: d. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ A client who underwent an uncomplicated gastric bypass surgery
has difficulty with diet management. What dietary instruction is
most important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food Answer:
b. Plan volume-controlled evenly-spaced meals throughout the day
◉ The nurse is assessing the feet of a client with type 1 diabetes
mellitus. Which finding requires immediate intervention by the
nurse?
a. Decreased response to pain discrimination on the dorsal surface
of the foot.
b. Erythema and edema at the base of the left great toe.
, c. Hard, painless nodule over the metatarsophalangeal joint of the
first toe.
d. Painful corns and calluses over hammer toes on both feet. Answer:
a. Decreased response to pain discrimination on the dorsal surface
of the foot.
◉ The nurse is planning to assess the client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The
client has bilateral below the-knee amputations and radial pulses
that are weak and thready. What action should the nurse take?
a. Document that an accurate oxygen saturation reading cannot be
obtained. b. Elevate the client's hands for five minutes prior to
obtaining a reading from the finger.
c. Increase the oxygen based on the client's breathing patterns and
lung sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading. Answer: d. Place the oximeter clip on the earlobe
to obtain the oxygen saturation reading.
◉ While completing an admission assessment for a client with
unstable angina, which closed questions should the nurse ask about
the client's pain?
a. tell me about the activities that cause your pain
