BSN 266 Practice HESI TEST BANK
BSN 266 PRACTICE HESI TEST BANK NEWEST 2025/2026 COMPLETE
ALL 200 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The healthcare provider prescribes aluminum and magnesium hydroxide
(Maalox), 1 tablet PO PRN, for a client with chronic kidney disease (CKD) who is
complaining of indigestion. What intervention should the nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription. - ANSWER-D. Question the
healthcare provider's prescription.
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of
hypermagnesemia, so this prescription should be questioned by the nurse.
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. What response is best for the nurse to provide?
A. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
B. Infrequent intercourse results in the vaginal tissues losing their elasticity.
C. Dehydration from inadequate fluid intake causes vulva tissue dryness.
D. Lack of adequate stimulation is the most common reason for dyspareunia. -
ANSWER-A. Estrogen deficiency causes the vaginal tissues to become dry and
thinner.
Rationale
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, BSN 266 Practice HESI TEST BANK
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so
vaginal tissues tend to become thinner, drier, and the rugae become smoother
which reduces vaginal stretching that contributes to dyspareunia. The discomfort
during intercourse, primary cause can be contributed to the decrease in estrogen
hormone levels.
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because
A. they occur in the lower lobe alveoli which are more sensitive to infection.
B. gram-negative organisms are more resistant to antibiotic therapy.
C. they occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
D. gram-negative pneumonias usually affect infants and small children. - ANSWER-
B. gram-negative organisms are more resistant to antibiotic therapy.
Rationale
The gram-negative organisms are very resistant to drug therapy which makes
recovery very difficult and has become a world-wide concern in which the World
Health Organization is keeping a very close surveillance on these occurrences.
An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices
that his tongue is somewhat cracked and his eyeballs are sunken into his head.
What nursing intervention is indicated?
A. Help the client to determine ways to increase his fluid intake.
B. Obtain an appointment for the client to see an ear, nose, and throat specialist.
2|Page
, BSN 266 Practice HESI TEST BANK
C. Schedule an appointment with an allergist to determine if the client is allergic
to the cat.
D. Encourage the client to slightly increase his use of oxygen at night and to always
use humidified oxygen. - ANSWER-A. Help the client to determine ways to
increase his fluid intake.
Rationale
The nurse should suggest creative methods to increase the intake of fluids, such as
having disposable fruit juices readily available. Clients with COPD should be
encouraged to have at least three liters of fluids a day to help keep their mucus
thin. As the disease progresses, these clients often reduce fluid intake because of
shortness of breath experience while drinking and due to the fact, they may be on
diuretics related to heart involvement with the disease and may purposely limit
their fluid intake to decrease the need for elimination.
When teaching diaphragmatic breathing to a client with chronic obstructive
pulmonary disease (COPD), which information should the nurse provide?
A. Place a small book or magazine on the abdomen and make it rise while inhaling
deeply.
B. Purse the lips while inhaling as deeply as possible and then exhale through the
nose.
C. Wrap a towel around the abdomen and push against the towel while forcefully
exhaling.
D. Place one hand on the chest, one hand the abdomen and make both hands
move outward. - ANSWER-A. Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.
Rationale
Diaphragmatic or abdominal breathing uses the diaphragm instead of accessory
muscles to achieve maximum inhalation and to slow the respiratory rate. The
3|Page
, BSN 266 Practice HESI TEST BANK
client should protrude the abdomen on inhalation and contract it with exhalation,
so placing a book or magazine, helps the client visualize the rise and fall of the
abdomen.
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session?
A. Present knowledge related to the skill of injection.
B. Intelligence and developmental level of the client.
C. Willingness of the client to learn the injection sites.
D. Financial resources available for the equipment. - ANSWER-C. Willingness of the
client to learn the injection sites.
Rationale
If a client is incapable or does not want to learn, it is unlikely that learning will
occur, so motivation is the first factor the nurse should assess before teaching.
A client with a 16-year history of diabetes mellitus is having renal function tests
because of recent fatigue, weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse conclude as an early symptom of
renal insufficiency?
A. Dyspnea.
B. Nocturia.
C. Confusion.
D. Stomatitis. - ANSWER-B. Nocturia.
Rationale
4|Page
BSN 266 PRACTICE HESI TEST BANK NEWEST 2025/2026 COMPLETE
ALL 200 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The healthcare provider prescribes aluminum and magnesium hydroxide
(Maalox), 1 tablet PO PRN, for a client with chronic kidney disease (CKD) who is
complaining of indigestion. What intervention should the nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription. - ANSWER-D. Question the
healthcare provider's prescription.
Rationale
Magnesium agents are not usually used for clients with CKD due to the risk of
hypermagnesemia, so this prescription should be questioned by the nurse.
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. What response is best for the nurse to provide?
A. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
B. Infrequent intercourse results in the vaginal tissues losing their elasticity.
C. Dehydration from inadequate fluid intake causes vulva tissue dryness.
D. Lack of adequate stimulation is the most common reason for dyspareunia. -
ANSWER-A. Estrogen deficiency causes the vaginal tissues to become dry and
thinner.
Rationale
1|Page
, BSN 266 Practice HESI TEST BANK
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so
vaginal tissues tend to become thinner, drier, and the rugae become smoother
which reduces vaginal stretching that contributes to dyspareunia. The discomfort
during intercourse, primary cause can be contributed to the decrease in estrogen
hormone levels.
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because
A. they occur in the lower lobe alveoli which are more sensitive to infection.
B. gram-negative organisms are more resistant to antibiotic therapy.
C. they occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
D. gram-negative pneumonias usually affect infants and small children. - ANSWER-
B. gram-negative organisms are more resistant to antibiotic therapy.
Rationale
The gram-negative organisms are very resistant to drug therapy which makes
recovery very difficult and has become a world-wide concern in which the World
Health Organization is keeping a very close surveillance on these occurrences.
An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices
that his tongue is somewhat cracked and his eyeballs are sunken into his head.
What nursing intervention is indicated?
A. Help the client to determine ways to increase his fluid intake.
B. Obtain an appointment for the client to see an ear, nose, and throat specialist.
2|Page
, BSN 266 Practice HESI TEST BANK
C. Schedule an appointment with an allergist to determine if the client is allergic
to the cat.
D. Encourage the client to slightly increase his use of oxygen at night and to always
use humidified oxygen. - ANSWER-A. Help the client to determine ways to
increase his fluid intake.
Rationale
The nurse should suggest creative methods to increase the intake of fluids, such as
having disposable fruit juices readily available. Clients with COPD should be
encouraged to have at least three liters of fluids a day to help keep their mucus
thin. As the disease progresses, these clients often reduce fluid intake because of
shortness of breath experience while drinking and due to the fact, they may be on
diuretics related to heart involvement with the disease and may purposely limit
their fluid intake to decrease the need for elimination.
When teaching diaphragmatic breathing to a client with chronic obstructive
pulmonary disease (COPD), which information should the nurse provide?
A. Place a small book or magazine on the abdomen and make it rise while inhaling
deeply.
B. Purse the lips while inhaling as deeply as possible and then exhale through the
nose.
C. Wrap a towel around the abdomen and push against the towel while forcefully
exhaling.
D. Place one hand on the chest, one hand the abdomen and make both hands
move outward. - ANSWER-A. Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.
Rationale
Diaphragmatic or abdominal breathing uses the diaphragm instead of accessory
muscles to achieve maximum inhalation and to slow the respiratory rate. The
3|Page
, BSN 266 Practice HESI TEST BANK
client should protrude the abdomen on inhalation and contract it with exhalation,
so placing a book or magazine, helps the client visualize the rise and fall of the
abdomen.
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session?
A. Present knowledge related to the skill of injection.
B. Intelligence and developmental level of the client.
C. Willingness of the client to learn the injection sites.
D. Financial resources available for the equipment. - ANSWER-C. Willingness of the
client to learn the injection sites.
Rationale
If a client is incapable or does not want to learn, it is unlikely that learning will
occur, so motivation is the first factor the nurse should assess before teaching.
A client with a 16-year history of diabetes mellitus is having renal function tests
because of recent fatigue, weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse conclude as an early symptom of
renal insufficiency?
A. Dyspnea.
B. Nocturia.
C. Confusion.
D. Stomatitis. - ANSWER-B. Nocturia.
Rationale
4|Page
