BSN 266 HESI V2 Exam Questions &
Answers (Grade A+)
While caring for a client with full thickness burns covering 40% of
the body, the nurse observes purulent drainage from the wounds.
Before reporting the finding, what is the best lab value to evaluate?
-
correct answer ✅Neutrophil count- The patient is experiencing
infection, so a nurse should review the neutrophil count before
contacting the HCP.
An older woman who experienced a cerebrovascular accident (CVA)
has difficulty with visual perception and she only eats half of the
food on her meal tray. Her family expresses concern about her
nutritional status. How should the nurse respond to the family's
concern? -
correct answer ✅Demonstrate the use of visual scanning during
meals to the client and family.
Best position for respiratory distress? -
correct answer ✅High Fowler's Position- High fowlers helps to
decrease venous return, which decreases fluid volume in the heart
that results in decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral
neuropath. An appropriate nursing diagnosis for the patient is -
correct answer ✅High risk for injury
, BSN 266 HESI V2 Exam Questions &
Answers (Grade A+)
Type 2 diabetes patient discharge teaching patient and family -
correct answer ✅Check feet every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with
possible MRSA. SATA -
correct answer ✅Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given low-dose
aspirin. The medication is related to which problem and HCP should
be notified? -
correct answer ✅Hematemesis- - Contact HCP if blood is visible in
body fluids such as hematemesis.
For a patient with SLE exacerbation what is the most important to
report which assessment finding? -
correct answer ✅Elevated blood urea nitrogen (BUN)
Before selecting a medication to administer, which action should
the nurse implement in the post-op patient who reports incisional
Answers (Grade A+)
While caring for a client with full thickness burns covering 40% of
the body, the nurse observes purulent drainage from the wounds.
Before reporting the finding, what is the best lab value to evaluate?
-
correct answer ✅Neutrophil count- The patient is experiencing
infection, so a nurse should review the neutrophil count before
contacting the HCP.
An older woman who experienced a cerebrovascular accident (CVA)
has difficulty with visual perception and she only eats half of the
food on her meal tray. Her family expresses concern about her
nutritional status. How should the nurse respond to the family's
concern? -
correct answer ✅Demonstrate the use of visual scanning during
meals to the client and family.
Best position for respiratory distress? -
correct answer ✅High Fowler's Position- High fowlers helps to
decrease venous return, which decreases fluid volume in the heart
that results in decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral
neuropath. An appropriate nursing diagnosis for the patient is -
correct answer ✅High risk for injury
, BSN 266 HESI V2 Exam Questions &
Answers (Grade A+)
Type 2 diabetes patient discharge teaching patient and family -
correct answer ✅Check feet every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with
possible MRSA. SATA -
correct answer ✅Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given low-dose
aspirin. The medication is related to which problem and HCP should
be notified? -
correct answer ✅Hematemesis- - Contact HCP if blood is visible in
body fluids such as hematemesis.
For a patient with SLE exacerbation what is the most important to
report which assessment finding? -
correct answer ✅Elevated blood urea nitrogen (BUN)
Before selecting a medication to administer, which action should
the nurse implement in the post-op patient who reports incisional
