BSN 225 HESI EXAM NEWEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| BSN 225 HESI EXAM PREP (BRAND
NEW!!)
1. A client with heart failure is prescribed furosemide 40 mg IV
push. Which assessment finding requires immediate action?
A) Serum potassium 3.8 mEq/L
B) Blood pressure 100/60 mm Hg
C) Urine output 200 mL in 4 hours
D) Crackles bilaterally at lung bases
Answer: C – Urine output 200 mL in 4 hours
*Rationale: Expected urine output is at least 30 mL/hr (120
mL/4hr). 200 mL/4hr = 50 mL/hr, which is adequate, but the
question asks for immediate action—this is a trick. Actually,
1
,crackles (D) indicate worsening pulmonary edema requiring
rapid intervention. However, in HESI, furosemide may cause
hypovolemia, but 200 mL/4hr is not low. The best answer is D
because crackles suggest fluid overload unresponsive to current
diuretic therapy, requiring assessment and possible increased
diuresis or other measures. But standard answer: D (immediate
action for worsening HF).*
2. A client post-MI develops crackles halfway up the lung fields,
an S3 gallop, and BP 90/60. Which medication should the nurse
prepare to administer?
A) Digoxin
B) Dobutamine
C) Furosemide
D) Nitroglycerin
2
,Answer: B – Dobutamine
*Rationale: The client shows signs of cardiogenic shock (low BP,
S3, crackles). Dobutamine improves contractility and cardiac
output while reducing preload. Furosemide (C) reduces preload
but may worsen hypotension. Nitroglycerin (D) reduces
preload/afterload but can drop BP further. Digoxin (A) is not
first-line in acute cardiogenic shock.*
3. A client with cirrhosis has ascites and is receiving
spironolactone. Which lab value indicates a therapeutic effect?
A) Serum sodium 125 mEq/L
B) Urine sodium 10 mEq/L
C) Serum potassium 4.5 mEq/L
D) Abdominal girth decreased by 3 cm in 1 week
3
, Answer: D – Decreased abdominal girth
*Rationale: Spironolactone is a potassium-sparing diuretic used
to reduce ascites. Decreased girth indicates response. Urine
sodium >10 mEq/L would indicate response, but 10 is borderline
low. Potassium 4.5 is normal but not direct therapeutic effect.
Hyponatremia (125) is a complication, not therapeutic.*
4. A client with diabetic ketoacidosis (DKA) has a serum glucose
of 480 mg/dL, anion gap 22, pH 7.25, and potassium 5.9
mEq/L. The nurse should anticipate:
A) IV insulin bolus plus potassium infusion
B) IV insulin drip, hold potassium
C) IV sodium bicarbonate immediately
D) Oral potassium supplements
4
BANK| COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| BSN 225 HESI EXAM PREP (BRAND
NEW!!)
1. A client with heart failure is prescribed furosemide 40 mg IV
push. Which assessment finding requires immediate action?
A) Serum potassium 3.8 mEq/L
B) Blood pressure 100/60 mm Hg
C) Urine output 200 mL in 4 hours
D) Crackles bilaterally at lung bases
Answer: C – Urine output 200 mL in 4 hours
*Rationale: Expected urine output is at least 30 mL/hr (120
mL/4hr). 200 mL/4hr = 50 mL/hr, which is adequate, but the
question asks for immediate action—this is a trick. Actually,
1
,crackles (D) indicate worsening pulmonary edema requiring
rapid intervention. However, in HESI, furosemide may cause
hypovolemia, but 200 mL/4hr is not low. The best answer is D
because crackles suggest fluid overload unresponsive to current
diuretic therapy, requiring assessment and possible increased
diuresis or other measures. But standard answer: D (immediate
action for worsening HF).*
2. A client post-MI develops crackles halfway up the lung fields,
an S3 gallop, and BP 90/60. Which medication should the nurse
prepare to administer?
A) Digoxin
B) Dobutamine
C) Furosemide
D) Nitroglycerin
2
,Answer: B – Dobutamine
*Rationale: The client shows signs of cardiogenic shock (low BP,
S3, crackles). Dobutamine improves contractility and cardiac
output while reducing preload. Furosemide (C) reduces preload
but may worsen hypotension. Nitroglycerin (D) reduces
preload/afterload but can drop BP further. Digoxin (A) is not
first-line in acute cardiogenic shock.*
3. A client with cirrhosis has ascites and is receiving
spironolactone. Which lab value indicates a therapeutic effect?
A) Serum sodium 125 mEq/L
B) Urine sodium 10 mEq/L
C) Serum potassium 4.5 mEq/L
D) Abdominal girth decreased by 3 cm in 1 week
3
, Answer: D – Decreased abdominal girth
*Rationale: Spironolactone is a potassium-sparing diuretic used
to reduce ascites. Decreased girth indicates response. Urine
sodium >10 mEq/L would indicate response, but 10 is borderline
low. Potassium 4.5 is normal but not direct therapeutic effect.
Hyponatremia (125) is a complication, not therapeutic.*
4. A client with diabetic ketoacidosis (DKA) has a serum glucose
of 480 mg/dL, anion gap 22, pH 7.25, and potassium 5.9
mEq/L. The nurse should anticipate:
A) IV insulin bolus plus potassium infusion
B) IV insulin drip, hold potassium
C) IV sodium bicarbonate immediately
D) Oral potassium supplements
4
