BSN 266 HESI V2 EXAM FINAL EXAM
SCRIPT QUESTIONS AND ANSWERS
REVIEW PACK 2026
◉ 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?
Answer: Demonstrate the use of visual scanning during meals to the
client and family.
◉ Best position for respiratory distress?
Answer: High Fowler's Position- High fowlers helps to decrease
venous return, which decreases fluid volume in the heart that results
in decreased cardiac workload.
◉ A patient with peripheral artery disease has marked peripheral
neuropath. An appropriate nursing diagnosis for the patient is
Answer: High risk for injury
◉ Type 2 diabetes patient discharge teaching patient and family
, Answer: Check feet every day for cuts or injuries.
◉ Plan of care for patient with skin lesions of lower extremities with
possible MRSA. SATA
Answer: Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
◉ 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?
Answer: Hematemesis- - Contact HCP if blood is visible in body
fluids such as hematemesis.
◉ For a patient with SLE exacerbation what is the most important to
report which assessment finding?
Answer: Elevated blood urea nitrogen (BUN)
◉ 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?
Answer: Rate of pain on a scale from 0-10.
SCRIPT QUESTIONS AND ANSWERS
REVIEW PACK 2026
◉ 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?
Answer: Demonstrate the use of visual scanning during meals to the
client and family.
◉ Best position for respiratory distress?
Answer: High Fowler's Position- High fowlers helps to decrease
venous return, which decreases fluid volume in the heart that results
in decreased cardiac workload.
◉ A patient with peripheral artery disease has marked peripheral
neuropath. An appropriate nursing diagnosis for the patient is
Answer: High risk for injury
◉ Type 2 diabetes patient discharge teaching patient and family
, Answer: Check feet every day for cuts or injuries.
◉ Plan of care for patient with skin lesions of lower extremities with
possible MRSA. SATA
Answer: Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
◉ 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?
Answer: Hematemesis- - Contact HCP if blood is visible in body
fluids such as hematemesis.
◉ For a patient with SLE exacerbation what is the most important to
report which assessment finding?
Answer: Elevated blood urea nitrogen (BUN)
◉ 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?
Answer: Rate of pain on a scale from 0-10.
