BSN 246 HESI (1& 2) EXAM 2025-2026 VERIFIED
QUESTIONS AND CORRECT ANSWERS GRADED
A+ NIGHTINGALE COLLEGE
The registered nurse (RN) is assessing a client who was discharged home after management of
chronic hypertension. Which equipment should the RN instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension, so the client should
obtain a sphygmomanometer and learn how to monitor blood pressure daily and maintain a
record.
,The registered nurse (RN) is teaching a client who is newly diagnosed with emphysema how to
perform pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination.
Promotes CO2 elimination.
Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it easier for the O2 and CO2 gas exchange to
occur .
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the RN to assess?
,Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.
Blood pressure and pulse prior to taking each dose.
Consumption of any alcohol or tyramine-rich foods
Rationale
The consumption of any type of tyramine containing foods such as aged cheeses, fermented
fruits and vegetables, smoked or cured meats, dark wines and other alcoholic products should be
avoided when a client is prescribed a MAOIs due to the a food-drug interaction causing a
hypertensive crisis which can lead to a hemorrhagic stroke.
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance
tests (OGTT). Which laboratory result should the RN assess as a normal value for the two hour
postprandial result?
, 140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl.
140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a young adult client.
The registered nurse (RN) is caring for a client who has a closed head injury from a motor
vehicle collision. Which finding should the RN assess the client for the risk of diabetes insipidus
(DI)?
High fever.
Low blood pressure.
QUESTIONS AND CORRECT ANSWERS GRADED
A+ NIGHTINGALE COLLEGE
The registered nurse (RN) is assessing a client who was discharged home after management of
chronic hypertension. Which equipment should the RN instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension, so the client should
obtain a sphygmomanometer and learn how to monitor blood pressure daily and maintain a
record.
,The registered nurse (RN) is teaching a client who is newly diagnosed with emphysema how to
perform pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination.
Promotes CO2 elimination.
Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it easier for the O2 and CO2 gas exchange to
occur .
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the RN to assess?
,Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.
Blood pressure and pulse prior to taking each dose.
Consumption of any alcohol or tyramine-rich foods
Rationale
The consumption of any type of tyramine containing foods such as aged cheeses, fermented
fruits and vegetables, smoked or cured meats, dark wines and other alcoholic products should be
avoided when a client is prescribed a MAOIs due to the a food-drug interaction causing a
hypertensive crisis which can lead to a hemorrhagic stroke.
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance
tests (OGTT). Which laboratory result should the RN assess as a normal value for the two hour
postprandial result?
, 140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl.
140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a young adult client.
The registered nurse (RN) is caring for a client who has a closed head injury from a motor
vehicle collision. Which finding should the RN assess the client for the risk of diabetes insipidus
(DI)?
High fever.
Low blood pressure.
