BSN 266 HESI Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
A client with a completed ischemic stroke has a blood pressure of 180/90 mm
Hg. Which action should the nurse implement?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medication. - Answer✔✔-D. Give an
antihypertensive medication.
Rationale
Most ischemic strokes occur during sleep when baseline blood pressure
declines or blood viscosity increases due to minimal fluid intake. Completed
strokes usually produce neurologic deficits within an hour, and the client's
current elevated blood pressure requires antihypertensive medication.
A client who is receiving chemotherapy asks the nurse, "Why is so much of my
hair falling out each day?" Which response by the nurse best explains the
reason for alopecia?
A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant."
,B. "Alopecia is a common side effect you will experience during long-term
steroid therapy."
C. "Your hair will grow back completely after your course of chemotherapy is
completed."
D. "The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss." - Answer✔✔-A. "Chemotherapy affects the cells of the body
that grow rapidly, both normal and malignant."
Rationale
The common adverse effects of chemotherapy (nausea, vomiting, alopecia,
bone marrow depression) are due to chemotherapy's effect on the rapidly
reproducing cells, both normal and malignant.
After checking the urinary drainage system for kinks in the tubing, the nurse
determines that a client who has returned from the post-anesthesia care has a
dark, concentrated urinary output of 54 ml for the last 2 hours. What priority
nursing action should be implemented?
A. Report the findings to the surgeon.
B. Irrigate the indwelling urinary catheter.
C. Apply manual pressure to the bladder.
D. Increase the IV flow rate for 15 minutes. - Answer✔✔-A. Report the findings
to the surgeon.
Rationale
An adult who weighs 132 pounds (60 kg) should produce about 60 ml of urine
hourly (1 ml/kg/hour). Dark, concentrated, and low volume of urine output
should be reported to the surgeon.
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
,contributing to their difficulty. What information is best for the nurse to
provide? (Select all that apply.)
Select all that apply
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production. - Answer✔✔-B, C and D
Rationale
Use of tobacco, alcohol, and marijuana may affect sperm counts. Sperm count
is also negatively affected by low testerone levels and obesity.
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed on blocks. - Answer✔✔-D. Raising the head of
the bed on blocks.
Rationale
Raising the head of the bed on blocks (reverse Trendelenburg position) to
reduce reflux and subsequent aspiration is the most non-pharmacological
effective recommendation for a client experiencing severe gastroesophageal
reflux during sleep.
, A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30
pounds overweight is diagnosed with having a gastric ulcer. What content is
most important for the nurse to include in the discharge teaching for this
client?
A. Information about smoking cessation.
B. Diet instructions for a low-residue diet.
C. Instructions on a weight-loss program.
D. The importance of increasing milk in the diet. - Answer✔✔-A. Information
about smoking cessation.
Rationale
Smoking has been associated with ulcer formation, and stopping or decreasing
the number of cigarettes smoked per day is an important aspect of ulcer
management.
What types of medications should the nurse expect to administer to a client
during an acute respiratory distress episode?
A. Vasodilators and hormones.
B. Analgesics and sedatives.
C. Anticoagulants and expectorants.
D. Bronchodilators and steroids. - Answer✔✔-D. Bronchodilators and steroids.
Rationale
Besides supplemental oxygen, this client with ARDS needs medications to
widen air passages, increase air space, and reduce alveolar membrane
inflammation, such as bronchodilators and steroids.
A female client is brought to the clinic by her daughter for a flu shot. She has
lost significant weight since the last visit. She has poor personal hygiene and
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
A client with a completed ischemic stroke has a blood pressure of 180/90 mm
Hg. Which action should the nurse implement?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medication. - Answer✔✔-D. Give an
antihypertensive medication.
Rationale
Most ischemic strokes occur during sleep when baseline blood pressure
declines or blood viscosity increases due to minimal fluid intake. Completed
strokes usually produce neurologic deficits within an hour, and the client's
current elevated blood pressure requires antihypertensive medication.
A client who is receiving chemotherapy asks the nurse, "Why is so much of my
hair falling out each day?" Which response by the nurse best explains the
reason for alopecia?
A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant."
,B. "Alopecia is a common side effect you will experience during long-term
steroid therapy."
C. "Your hair will grow back completely after your course of chemotherapy is
completed."
D. "The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss." - Answer✔✔-A. "Chemotherapy affects the cells of the body
that grow rapidly, both normal and malignant."
Rationale
The common adverse effects of chemotherapy (nausea, vomiting, alopecia,
bone marrow depression) are due to chemotherapy's effect on the rapidly
reproducing cells, both normal and malignant.
After checking the urinary drainage system for kinks in the tubing, the nurse
determines that a client who has returned from the post-anesthesia care has a
dark, concentrated urinary output of 54 ml for the last 2 hours. What priority
nursing action should be implemented?
A. Report the findings to the surgeon.
B. Irrigate the indwelling urinary catheter.
C. Apply manual pressure to the bladder.
D. Increase the IV flow rate for 15 minutes. - Answer✔✔-A. Report the findings
to the surgeon.
Rationale
An adult who weighs 132 pounds (60 kg) should produce about 60 ml of urine
hourly (1 ml/kg/hour). Dark, concentrated, and low volume of urine output
should be reported to the surgeon.
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
,contributing to their difficulty. What information is best for the nurse to
provide? (Select all that apply.)
Select all that apply
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production. - Answer✔✔-B, C and D
Rationale
Use of tobacco, alcohol, and marijuana may affect sperm counts. Sperm count
is also negatively affected by low testerone levels and obesity.
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed on blocks. - Answer✔✔-D. Raising the head of
the bed on blocks.
Rationale
Raising the head of the bed on blocks (reverse Trendelenburg position) to
reduce reflux and subsequent aspiration is the most non-pharmacological
effective recommendation for a client experiencing severe gastroesophageal
reflux during sleep.
, A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30
pounds overweight is diagnosed with having a gastric ulcer. What content is
most important for the nurse to include in the discharge teaching for this
client?
A. Information about smoking cessation.
B. Diet instructions for a low-residue diet.
C. Instructions on a weight-loss program.
D. The importance of increasing milk in the diet. - Answer✔✔-A. Information
about smoking cessation.
Rationale
Smoking has been associated with ulcer formation, and stopping or decreasing
the number of cigarettes smoked per day is an important aspect of ulcer
management.
What types of medications should the nurse expect to administer to a client
during an acute respiratory distress episode?
A. Vasodilators and hormones.
B. Analgesics and sedatives.
C. Anticoagulants and expectorants.
D. Bronchodilators and steroids. - Answer✔✔-D. Bronchodilators and steroids.
Rationale
Besides supplemental oxygen, this client with ARDS needs medications to
widen air passages, increase air space, and reduce alveolar membrane
inflammation, such as bronchodilators and steroids.
A female client is brought to the clinic by her daughter for a flu shot. She has
lost significant weight since the last visit. She has poor personal hygiene and
