BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
Which action can be assigned to the unlicensed assistive personnel
(UAP)? -
correct answer ✅Measure the client's urinary output.
What is the best initial response by the nurse? -
correct answer ✅Describe the location and type of pain you are
having
Based on the nurse's assessment, which assessment data supports
the decision to administer pain medication as the first intervention?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Pain rating of 6/10 - Heart rate of 102
beats/minute - Blood pressure of 132/76 mmHg
Which action should the nurse implement first? -
correct answer ✅Administer an analgesic.
Which interventions are important to include in the client's plan of
care while receiving multiple immunosuppressants? (Select all that
apply. One, some, or all options may be correct.) -
correct answer ✅Instruct client to wear a mask when walking in
the halls. - Instruct visitors that fresh flowers should not be taken
into the room. - Monitor immunosuppression drug levels regularly.
,BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
Which intervention should the nurse ensure is included in the plan
of care during the immediate postoperative period?
a. Monitor Judy's urinary output hourly using an urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer daily. -
correct answer ✅a
Which is the priority nursing assessment during the first 24-hour
postoperative period? -
correct answer ✅Vital signs
The nurse is teaching the patient about fluid management between
dialysis treatments. Which instruction by the nurse is the most
accurate? -
correct answer ✅Limit fluids in between treatments to minimize
the amount of fluid that needs to be removed during dialysis.
Which expected outcome should be included in the nurse's
teaching plan? -
correct answer ✅Client will avoid canned and processed foods.
,BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
The nurse assesses the dialysis graft. Which assessment should be
reported to the healthcare provider (HCP) immediately? (Select all
that apply. One, some, or all options may be correct.) -
correct answer ✅Yellow, purulent drainage from graft incision site.
- Absence of a thrill over the graft site. - Capillary refill >10 seconds
in the hand where the graft is placed.
Which intervention should the nurse ensure has been include in the
client's plan of care? (Select all that apply. One, some, or all options
may be correct.)
A. Instruct lab personnel to obtain blood specimens from the dual-
lumen catheter.
B. Perform sterile dressing changes at the dual-lumen catheter site.
C. Empty and record the drainage from the graft tubing regularly.
D. Regularly rotate IV insertion sites above and below the graft site.
E. Assess Judy's distal pulses and circulation in the arm with the
access -
correct answer ✅B. Perform sterile dressing changes at the dual
lumen catheter site - E. Assess the client's distal pulses and
circulation in the arm with the access.
, BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
The nurse documents the assessment of the arteriovenous (AV)
graft. Which documentation best describes a properly functioning
AV graft? -
correct answer ✅Thrill present and palpated
The client asks the nurse to clarify what palliative care involves.
Which explanation provides the client the best education regarding
palliative care? (Select all that apply. One, some, or all options may
be correct.) -
correct answer ✅Palliative care provides relief from symptoms
including pain. - Palliative care supports holistic care and improves
quality of life. -
What complication would the client be most concerned about if
choosing peritoneal dialysis? -
correct answer ✅Abdominal infection/Peritonitis
The nurse prepares and instructs the client for hemodialysis. Which
statements by the client indicate the need for further education?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Hemodialysis will help restore kidney function
back to a normal level. - Bowel or bladder perforation may occur
with hemodialysis catheter placement.
ANSWERS
Which action can be assigned to the unlicensed assistive personnel
(UAP)? -
correct answer ✅Measure the client's urinary output.
What is the best initial response by the nurse? -
correct answer ✅Describe the location and type of pain you are
having
Based on the nurse's assessment, which assessment data supports
the decision to administer pain medication as the first intervention?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Pain rating of 6/10 - Heart rate of 102
beats/minute - Blood pressure of 132/76 mmHg
Which action should the nurse implement first? -
correct answer ✅Administer an analgesic.
Which interventions are important to include in the client's plan of
care while receiving multiple immunosuppressants? (Select all that
apply. One, some, or all options may be correct.) -
correct answer ✅Instruct client to wear a mask when walking in
the halls. - Instruct visitors that fresh flowers should not be taken
into the room. - Monitor immunosuppression drug levels regularly.
,BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
Which intervention should the nurse ensure is included in the plan
of care during the immediate postoperative period?
a. Monitor Judy's urinary output hourly using an urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer daily. -
correct answer ✅a
Which is the priority nursing assessment during the first 24-hour
postoperative period? -
correct answer ✅Vital signs
The nurse is teaching the patient about fluid management between
dialysis treatments. Which instruction by the nurse is the most
accurate? -
correct answer ✅Limit fluids in between treatments to minimize
the amount of fluid that needs to be removed during dialysis.
Which expected outcome should be included in the nurse's
teaching plan? -
correct answer ✅Client will avoid canned and processed foods.
,BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
The nurse assesses the dialysis graft. Which assessment should be
reported to the healthcare provider (HCP) immediately? (Select all
that apply. One, some, or all options may be correct.) -
correct answer ✅Yellow, purulent drainage from graft incision site.
- Absence of a thrill over the graft site. - Capillary refill >10 seconds
in the hand where the graft is placed.
Which intervention should the nurse ensure has been include in the
client's plan of care? (Select all that apply. One, some, or all options
may be correct.)
A. Instruct lab personnel to obtain blood specimens from the dual-
lumen catheter.
B. Perform sterile dressing changes at the dual-lumen catheter site.
C. Empty and record the drainage from the graft tubing regularly.
D. Regularly rotate IV insertion sites above and below the graft site.
E. Assess Judy's distal pulses and circulation in the arm with the
access -
correct answer ✅B. Perform sterile dressing changes at the dual
lumen catheter site - E. Assess the client's distal pulses and
circulation in the arm with the access.
, BSN 246 HESI EXAM QUESTIONS AND
ANSWERS
The nurse documents the assessment of the arteriovenous (AV)
graft. Which documentation best describes a properly functioning
AV graft? -
correct answer ✅Thrill present and palpated
The client asks the nurse to clarify what palliative care involves.
Which explanation provides the client the best education regarding
palliative care? (Select all that apply. One, some, or all options may
be correct.) -
correct answer ✅Palliative care provides relief from symptoms
including pain. - Palliative care supports holistic care and improves
quality of life. -
What complication would the client be most concerned about if
choosing peritoneal dialysis? -
correct answer ✅Abdominal infection/Peritonitis
The nurse prepares and instructs the client for hemodialysis. Which
statements by the client indicate the need for further education?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Hemodialysis will help restore kidney function
back to a normal level. - Bowel or bladder perforation may occur
with hemodialysis catheter placement.
