BSN 266 HESI V2 FINAL REVIEW SHEET 2026
QUESTIONS AND VERIFIED SOLUTIONS
GUARANTEED TO PASS
◉ Demonstrate the use of visual scanning during meals to the client and
family. Answer: 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?
◉ High Fowler's Position- High fowlers helps to decrease venous return,
which decreases fluid volume in the heart that results in decreased
cardiac workload. Answer: Best position for respiratory distress?
◉ High risk for injury Answer: A patient with peripheral artery disease
has marked peripheral neuropath. An appropriate nursing diagnosis for
the patient is
◉ Check feet every day for cuts or injuries. Answer: Type 2 diabetes
patient discharge teaching patient and family
◉ Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count Answer: Plan of care for patient with
skin lesions of lower extremities with possible MRSA. SATA
, ◉ Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. Answer: 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?
◉ Elevated blood urea nitrogen (BUN) Answer: For a patient with SLE
exacerbation what is the most important to report which assessment
finding?
◉ Rate of pain on a scale from 0-10. Answer: Before selecting a
medication to administer, which action should the nurse implement in
the post-op patient who reports incisional pain and has 2 PRN analgesia
available in MAR?
◉ Keep patient NPO- Patient should be kept NPO until procedure is
successfully completed. The patient should not take anything by mouth.
Answer: Patient had bariatric surgery 2 months ago who developed post-
op strictures who is experiencing nausea and vomiting and anorexia who
is admitted for fluid resuscitation. Which intervention should the nurse
implement?
◉ Vital sign changes and ECGs- Priority parameters are vital sign
changes related to hypovolemia and ECG changes due to serum
electrolyte loss, which can be life threatening. Answer: Acute Kidney
Injury due to aminoglycoside antibiotic moved from oliguric phase to
the diuretic phase. Which parameters are most important to monitor?
QUESTIONS AND VERIFIED SOLUTIONS
GUARANTEED TO PASS
◉ Demonstrate the use of visual scanning during meals to the client and
family. Answer: 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?
◉ High Fowler's Position- High fowlers helps to decrease venous return,
which decreases fluid volume in the heart that results in decreased
cardiac workload. Answer: Best position for respiratory distress?
◉ High risk for injury Answer: A patient with peripheral artery disease
has marked peripheral neuropath. An appropriate nursing diagnosis for
the patient is
◉ Check feet every day for cuts or injuries. Answer: Type 2 diabetes
patient discharge teaching patient and family
◉ Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count Answer: Plan of care for patient with
skin lesions of lower extremities with possible MRSA. SATA
, ◉ Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis. Answer: 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?
◉ Elevated blood urea nitrogen (BUN) Answer: For a patient with SLE
exacerbation what is the most important to report which assessment
finding?
◉ Rate of pain on a scale from 0-10. Answer: Before selecting a
medication to administer, which action should the nurse implement in
the post-op patient who reports incisional pain and has 2 PRN analgesia
available in MAR?
◉ Keep patient NPO- Patient should be kept NPO until procedure is
successfully completed. The patient should not take anything by mouth.
Answer: Patient had bariatric surgery 2 months ago who developed post-
op strictures who is experiencing nausea and vomiting and anorexia who
is admitted for fluid resuscitation. Which intervention should the nurse
implement?
◉ Vital sign changes and ECGs- Priority parameters are vital sign
changes related to hypovolemia and ECG changes due to serum
electrolyte loss, which can be life threatening. Answer: Acute Kidney
Injury due to aminoglycoside antibiotic moved from oliguric phase to
the diuretic phase. Which parameters are most important to monitor?
