BSN 225 HESI ULTIMATE EXAM PREP - VERIFIED ANSWERS
AND QUESTIONS - MOST RECENT EDITION 2026/2027
1. Which health pattern in Gordon's model describes the patient's spiritual
attitude? A. Value-belief pattern B. Role-relationship pattern C. Cognitive-
perceptual pattern D. Self-perception-- self-concept pattern ANSWER A.
Value-belief pattern According to Gordon's model, there are 11 health
patterns. Each pattern describes a particular characteristic. The value-belief
pattern describes a patient's spiritual attitude, the values and beliefs that
guide the choices or decisions of the patient. The role-relationship pattern
describes a patient's pattern of role engagements and relationships. The
cognitive-perceptual pattern describes memory, decision-making ability,
language adequacy, and sensory-perceptual patterns. A patient's concept of
self or perception of self is described by the self-perception--self-concept
pattern.
2. Which standard of practice is the nurse performing when applying a cold
compress to a patient's sprained ankle and instructing the patient to elevate
the leg? A. Diagnosis B. Evaluation C. Assessment D. Implementation ANSWER
C. Implementation The nurse is delivering care to the patient; therefore the
standard practiced by the nurse is implementation. Developing a nursing
diagnosis involves analyzing the assessed data. Evaluation refers to
determining the effectiveness of the implemented patient care in meeting the
patient goals. Assessment is the process of collecting data related to the health
and illness of the patient.
3. Which standard of practice is being performed when a nurse administers
the prescribed medicated nebulizer treatment to a patient who has developed
wheezing and shortness of breath in the emergency department? A. Planning
B. Evaluation C. Assessment D. Implementation ANSWER D. Implementation
,The implementation phase is where the nurse follows through on the decided
plan of action. Once the patient and the nurse agree on the diagnosis, a plan of
action can be developed. Each problem is assigned a clear, measurable goal for
the expected outcome. Once all nursing intervention actions have taken place,
the nurse completes an evaluation to determine if the patient goals have been
met. The first step of the nursing process is assessment. During this phase, the
nurse gathers information about a patient's psychological, physiologic,
sociologic, and spiritual status.
4. Which trait of critical thinking is the nurse exhibiting when instructing
the parents of a malnourished child to make the child's food colorful and
attractive? A. Fairness B. Curiosity C. Discipline D. Creativity ANSWER D.
Creativity Nurses require various traits such as creativity, fairness, risk taking,
curiosity, discipline, and perseverance. In this case the nurse is trying to
stimulate the appetite of the child by instructing the parents to make the food
colorful and attractive. This shows that the nurse is using the trait of creativity.
Fairness is the trait of a nurse who avoids personal bias while caring for a
patient. Curiosity is the trait of a critical thinking nurse who always tries to ask
"why?" A disciplined nurse follows a systematic approach to plan and achieve
goals.
5. Which Quality and Safety in the Education of Nurses (QSEN) competency
is the nurse exhibiting by working with a couple to determine what they know
about their medications and helping them decide on one care provider rather
than two when caring for an older-adult couple in a community-based assisted
living facility? A. Safety B. Informatics C. Patient-centered care D. Teamwork
and collaboration ANSWER B. Safety Helping patients understand the
consequences and complications of multiple health care providers and
multiple medications helps ensure patient safety. Informatics is a
multidisciplinary field that uses health information technology to improve
health care via any combination of high quality, higher efficiency, and new
opportunities. Patient-centered care focuses on direct care rendered to
patients. Teamwork and collaboration seeks information or help from other
health care professions and disciplines.
, 6. A 40-year-old patient is experiencing poorly controlled hypertension.
The dietitian recommends several dietary modifications to the patient. The
patient tries to explain the reason for her poor dietary compliance; she says
she works extra hours and does not have the time to cook. The patient further
adds that she has diabetes. The patient expresses that it is difficult for her to
choose a diet that is low in sugar and low in salt and carbohydrates. The nurse
communicates this to the dietitian using SBAR technique. Which patient
information would be addressed first? A. The need for a diet revision B. The
desire for a dietary consult C. Current medical conditions of chronic diabetes
with hypertension D. The need for the patient to eat low-salt, low-sugar meals
ANSWER C. Current medical conditions of chronic diabetes with hypertension
When using the SBAR communication protocol, the nurse should first identify
the patient's situation. In this case, that means the nurse should convey that
the patient is suffering from chronic diabetes and hypertension. The nurse
then should further address the breakdown of the situation and ask the
dietitian to consider revising the diet. Following the dietary assessment and
consult, the recommendations for dietary changes--including low-salt and low-
sugar meals--should be made.
7. Which body mass index (BMI) would require hospitalization? A. 12.5
kg/m2 B. 18.9 kg/m2 C. 21.2 kg/m2 D. 24.6 kg/m2 ANSWER A. 12.5 kg/m2
Patients whose BMI is less than 13 kg/m2 are considered severely
malnourished and require highly skilled nursing care with hospitalization. A
BMI of 18.5 to 24.9 kg/m2 indicates that the patient has normal weight and
does not require nursing care and hospitalization.
8. Which action would the nurse take when unable to find information
about the medication in any of the hospital databases or electronic health
records when attempting to decrease the patient's adverse reactions to
prescribed medications? A. Avoid administering medication B. Contact the
hospital pharmacist C. Contact the primary health care provider D. Ask the
patient for written consent before administering ANSWER B. Contact the
hospital pharmacist When a primary health care provider prescribes a
medication, the nurse is knowledgeable of its use, the expected outcome, and
any adverse effects and drug interactions. The nurse requests the information
AND QUESTIONS - MOST RECENT EDITION 2026/2027
1. Which health pattern in Gordon's model describes the patient's spiritual
attitude? A. Value-belief pattern B. Role-relationship pattern C. Cognitive-
perceptual pattern D. Self-perception-- self-concept pattern ANSWER A.
Value-belief pattern According to Gordon's model, there are 11 health
patterns. Each pattern describes a particular characteristic. The value-belief
pattern describes a patient's spiritual attitude, the values and beliefs that
guide the choices or decisions of the patient. The role-relationship pattern
describes a patient's pattern of role engagements and relationships. The
cognitive-perceptual pattern describes memory, decision-making ability,
language adequacy, and sensory-perceptual patterns. A patient's concept of
self or perception of self is described by the self-perception--self-concept
pattern.
2. Which standard of practice is the nurse performing when applying a cold
compress to a patient's sprained ankle and instructing the patient to elevate
the leg? A. Diagnosis B. Evaluation C. Assessment D. Implementation ANSWER
C. Implementation The nurse is delivering care to the patient; therefore the
standard practiced by the nurse is implementation. Developing a nursing
diagnosis involves analyzing the assessed data. Evaluation refers to
determining the effectiveness of the implemented patient care in meeting the
patient goals. Assessment is the process of collecting data related to the health
and illness of the patient.
3. Which standard of practice is being performed when a nurse administers
the prescribed medicated nebulizer treatment to a patient who has developed
wheezing and shortness of breath in the emergency department? A. Planning
B. Evaluation C. Assessment D. Implementation ANSWER D. Implementation
,The implementation phase is where the nurse follows through on the decided
plan of action. Once the patient and the nurse agree on the diagnosis, a plan of
action can be developed. Each problem is assigned a clear, measurable goal for
the expected outcome. Once all nursing intervention actions have taken place,
the nurse completes an evaluation to determine if the patient goals have been
met. The first step of the nursing process is assessment. During this phase, the
nurse gathers information about a patient's psychological, physiologic,
sociologic, and spiritual status.
4. Which trait of critical thinking is the nurse exhibiting when instructing
the parents of a malnourished child to make the child's food colorful and
attractive? A. Fairness B. Curiosity C. Discipline D. Creativity ANSWER D.
Creativity Nurses require various traits such as creativity, fairness, risk taking,
curiosity, discipline, and perseverance. In this case the nurse is trying to
stimulate the appetite of the child by instructing the parents to make the food
colorful and attractive. This shows that the nurse is using the trait of creativity.
Fairness is the trait of a nurse who avoids personal bias while caring for a
patient. Curiosity is the trait of a critical thinking nurse who always tries to ask
"why?" A disciplined nurse follows a systematic approach to plan and achieve
goals.
5. Which Quality and Safety in the Education of Nurses (QSEN) competency
is the nurse exhibiting by working with a couple to determine what they know
about their medications and helping them decide on one care provider rather
than two when caring for an older-adult couple in a community-based assisted
living facility? A. Safety B. Informatics C. Patient-centered care D. Teamwork
and collaboration ANSWER B. Safety Helping patients understand the
consequences and complications of multiple health care providers and
multiple medications helps ensure patient safety. Informatics is a
multidisciplinary field that uses health information technology to improve
health care via any combination of high quality, higher efficiency, and new
opportunities. Patient-centered care focuses on direct care rendered to
patients. Teamwork and collaboration seeks information or help from other
health care professions and disciplines.
, 6. A 40-year-old patient is experiencing poorly controlled hypertension.
The dietitian recommends several dietary modifications to the patient. The
patient tries to explain the reason for her poor dietary compliance; she says
she works extra hours and does not have the time to cook. The patient further
adds that she has diabetes. The patient expresses that it is difficult for her to
choose a diet that is low in sugar and low in salt and carbohydrates. The nurse
communicates this to the dietitian using SBAR technique. Which patient
information would be addressed first? A. The need for a diet revision B. The
desire for a dietary consult C. Current medical conditions of chronic diabetes
with hypertension D. The need for the patient to eat low-salt, low-sugar meals
ANSWER C. Current medical conditions of chronic diabetes with hypertension
When using the SBAR communication protocol, the nurse should first identify
the patient's situation. In this case, that means the nurse should convey that
the patient is suffering from chronic diabetes and hypertension. The nurse
then should further address the breakdown of the situation and ask the
dietitian to consider revising the diet. Following the dietary assessment and
consult, the recommendations for dietary changes--including low-salt and low-
sugar meals--should be made.
7. Which body mass index (BMI) would require hospitalization? A. 12.5
kg/m2 B. 18.9 kg/m2 C. 21.2 kg/m2 D. 24.6 kg/m2 ANSWER A. 12.5 kg/m2
Patients whose BMI is less than 13 kg/m2 are considered severely
malnourished and require highly skilled nursing care with hospitalization. A
BMI of 18.5 to 24.9 kg/m2 indicates that the patient has normal weight and
does not require nursing care and hospitalization.
8. Which action would the nurse take when unable to find information
about the medication in any of the hospital databases or electronic health
records when attempting to decrease the patient's adverse reactions to
prescribed medications? A. Avoid administering medication B. Contact the
hospital pharmacist C. Contact the primary health care provider D. Ask the
patient for written consent before administering ANSWER B. Contact the
hospital pharmacist When a primary health care provider prescribes a
medication, the nurse is knowledgeable of its use, the expected outcome, and
any adverse effects and drug interactions. The nurse requests the information
