BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
The registered nurse (RN) is caring for a young adult who is having
an oral glucose tolerance tests (OGTT). Which laboratory result
should the RN assess as a normal value for the two hour
postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl. -
correct answer ✅140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a
young adult client.
The registered nurse (RN) is caring for a client who has a closed
head injury from a motor vehicle collision. Which finding should the
RN assess the client for the risk of diabetes insipidus (DI)?
High fever.
Low blood pressure.
,BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Muscle rigidity.
Polydipsia. -
correct answer ✅Polydipsia.
Rationale
A characteristic finding of DI is excretion of large quantities of urine
(5 to 20L/day), and most clients compensate for fluid loss by
drinking large amounts of water (polydipsia). DI can occur when
there has been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or an illness such
as meningitis. This damage interrupts the ADH production, storage
and release causing the excessive urination and thirst.
The registered nurse (RN) is caring for a client who developed
oliguria and was diagnosed with sepsis and dehydration 48 hours
ago. Which assessment finding indicates to the RN that the client is
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure 76/42.
Urine specific gravity 1.001.
,BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Tented skin on dorsal surface of hands. -
correct answer ✅Urine output of 40 mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the
urine output returns to a normal range, 40 mL/hour, the client's
kidneys are perfusing adequately and indicates the client's status is
stablizing.
A client who is uses ipratropium reports having nausea, blurred
vision, headaches, and insomnia after using the inhaler. Which
action should the registered nurse (RN) implement first?
Withhold medication and report symptoms and vital signs to
healthcare provider.
Give PRN medication for nausea and vomiting and evaluate client in
30 minutes.
Reassure client that the ipratropium given will alleviate the
symptoms.
, BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Delay administration of ipratropium until next maintenance
medication is scheduled. -
correct answer ✅Withhold medication and report symptoms and
vital signs to healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication until
the healthcare provider is notified should be initiated to maintain
client safety.
The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which
equipment should the RN instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box. -
correct answer ✅Sphygmomanometer.
Rationale
Questions & Answers (Grade A+)
The registered nurse (RN) is caring for a young adult who is having
an oral glucose tolerance tests (OGTT). Which laboratory result
should the RN assess as a normal value for the two hour
postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl. -
correct answer ✅140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a
young adult client.
The registered nurse (RN) is caring for a client who has a closed
head injury from a motor vehicle collision. Which finding should the
RN assess the client for the risk of diabetes insipidus (DI)?
High fever.
Low blood pressure.
,BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Muscle rigidity.
Polydipsia. -
correct answer ✅Polydipsia.
Rationale
A characteristic finding of DI is excretion of large quantities of urine
(5 to 20L/day), and most clients compensate for fluid loss by
drinking large amounts of water (polydipsia). DI can occur when
there has been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or an illness such
as meningitis. This damage interrupts the ADH production, storage
and release causing the excessive urination and thirst.
The registered nurse (RN) is caring for a client who developed
oliguria and was diagnosed with sepsis and dehydration 48 hours
ago. Which assessment finding indicates to the RN that the client is
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure 76/42.
Urine specific gravity 1.001.
,BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Tented skin on dorsal surface of hands. -
correct answer ✅Urine output of 40 mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the
urine output returns to a normal range, 40 mL/hour, the client's
kidneys are perfusing adequately and indicates the client's status is
stablizing.
A client who is uses ipratropium reports having nausea, blurred
vision, headaches, and insomnia after using the inhaler. Which
action should the registered nurse (RN) implement first?
Withhold medication and report symptoms and vital signs to
healthcare provider.
Give PRN medication for nausea and vomiting and evaluate client in
30 minutes.
Reassure client that the ipratropium given will alleviate the
symptoms.
, BSN 246 Practice HESI (1 & 2) Exam
Questions & Answers (Grade A+)
Delay administration of ipratropium until next maintenance
medication is scheduled. -
correct answer ✅Withhold medication and report symptoms and
vital signs to healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication until
the healthcare provider is notified should be initiated to maintain
client safety.
The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which
equipment should the RN instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box. -
correct answer ✅Sphygmomanometer.
Rationale
