BSN 266 HESI V2 EXAM COMPREHENSIVE
EXAM SCRIPT QUESTIONS AND
SOLUTIONS 2026
◉ Radiation therapy consequences
Answer: Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer.
◉ Pathologic fracture
Answer: Fractures that occur without evidence of trauma, often due
to loss of bone density from radiation damage.
◉ Sexual activity after myocardial infarction
Answer: Sexual intercourse after an MI requires no more energy
expenditure or cardiac stress than walking briskly up two flights of
stairs.
◉ Percutaneous endoscopic gastrostomy (PEG) tube
Answer: A type of feeding tube that differs from a gastrostomy tube
primarily in the method of insertion.
,◉ PEG tube
Answer: A tube inserted endoscopically through the esophagus into
the stomach, held in place by a bumper and a water-filled balloon.
◉ GT
Answer: A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
◉ Proctosigmoidoscopy preparation
Answer: Includes obtaining consent, a clear-liquid diet for 24 to 48
hours prior, administration of an enema, and fasting on the morning
of the procedure.
◉ Dysuria in diabetes
Answer: Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to
be reported to adjust the care plan.
◉ Right renal calculi nursing diagnosis priority
Answer: Acute pain related to movement of the stone.
◉ Chemotherapy initiation
Answer: Starting chemotherapy early increases the chance of
eradicating cancer cells, as 50% of tumor cells are killed with each
dose.
,◉ Asterixis
Answer: A clinical sign of liver disease characterized by a flapping
tremor of the hands.
◉ Clear-liquid diet
Answer: A diet consisting of clear fluids, often required 24 to 48
hours before certain medical procedures.
◉ Enema
Answer: A procedure to introduce liquid into the rectum to stimulate
a bowel movement or cleanse the bowel before a procedure.
◉ Fasting protocol
Answer: Refraining from all food and drink for a specified period,
often required before medical procedures.
◉ Suprapubic pain
Answer: Pain located in the lower abdomen, often associated with
urinary issues.
◉ Bounding pulse
, Answer: A pulse that feels strong and full, often measured at 100
beats/minute in this context.
◉ Small vesicular perineal lesions
Answer: Fluid-filled blisters in the perineal area, which may indicate
an infection or other medical condition.
◉ Acute pain
Answer: Severe discomfort that arises suddenly, often related to
conditions like renal calculi.
◉ Impaired urinary elimination
Answer: Difficulty in passing urine, often due to obstruction.
◉ Risk for infection
Answer: Increased likelihood of developing an infection, often due to
conditions like urinary stasis.
◉ Deficient knowledge
Answer: A lack of understanding or information regarding a specific
health condition or its management.
◉ Collateral circulation
EXAM SCRIPT QUESTIONS AND
SOLUTIONS 2026
◉ Radiation therapy consequences
Answer: Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer.
◉ Pathologic fracture
Answer: Fractures that occur without evidence of trauma, often due
to loss of bone density from radiation damage.
◉ Sexual activity after myocardial infarction
Answer: Sexual intercourse after an MI requires no more energy
expenditure or cardiac stress than walking briskly up two flights of
stairs.
◉ Percutaneous endoscopic gastrostomy (PEG) tube
Answer: A type of feeding tube that differs from a gastrostomy tube
primarily in the method of insertion.
,◉ PEG tube
Answer: A tube inserted endoscopically through the esophagus into
the stomach, held in place by a bumper and a water-filled balloon.
◉ GT
Answer: A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
◉ Proctosigmoidoscopy preparation
Answer: Includes obtaining consent, a clear-liquid diet for 24 to 48
hours prior, administration of an enema, and fasting on the morning
of the procedure.
◉ Dysuria in diabetes
Answer: Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to
be reported to adjust the care plan.
◉ Right renal calculi nursing diagnosis priority
Answer: Acute pain related to movement of the stone.
◉ Chemotherapy initiation
Answer: Starting chemotherapy early increases the chance of
eradicating cancer cells, as 50% of tumor cells are killed with each
dose.
,◉ Asterixis
Answer: A clinical sign of liver disease characterized by a flapping
tremor of the hands.
◉ Clear-liquid diet
Answer: A diet consisting of clear fluids, often required 24 to 48
hours before certain medical procedures.
◉ Enema
Answer: A procedure to introduce liquid into the rectum to stimulate
a bowel movement or cleanse the bowel before a procedure.
◉ Fasting protocol
Answer: Refraining from all food and drink for a specified period,
often required before medical procedures.
◉ Suprapubic pain
Answer: Pain located in the lower abdomen, often associated with
urinary issues.
◉ Bounding pulse
, Answer: A pulse that feels strong and full, often measured at 100
beats/minute in this context.
◉ Small vesicular perineal lesions
Answer: Fluid-filled blisters in the perineal area, which may indicate
an infection or other medical condition.
◉ Acute pain
Answer: Severe discomfort that arises suddenly, often related to
conditions like renal calculi.
◉ Impaired urinary elimination
Answer: Difficulty in passing urine, often due to obstruction.
◉ Risk for infection
Answer: Increased likelihood of developing an infection, often due to
conditions like urinary stasis.
◉ Deficient knowledge
Answer: A lack of understanding or information regarding a specific
health condition or its management.
◉ Collateral circulation
