BSN 246 Practice HESI (1 & 2) | QUESTIONS AND
ANSWERS | 2025/2026| LATEST UPDATE
Terms in this set (51)
The registered nurse (RN) is 140 mg/dl.
caring for a young adult who is
having an oral glucose tolerance Rationale
tests (OGTT). Which laboratory The two hour postprandial level should be less 140 mg/dl for a young adult
client.
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.
The registered nurse (RN) is Polydipsia.
caring for a client who has a
closed head injury from a motor Rationale
vehicle collision. Which finding A characteristic finding of DI is excretion of large quantities of
should the RN assess the client urine (5 to 20L/day), and most clients compensate for fluid loss
for the risk of diabetes insipidus by drinking large amounts of water (polydipsia). DI can occur
(DI)? when there has been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or an illness
High fever. such as meningitis. This damage interrupts the ADH production,
Low blood storage and release causing the excessive urination and thirst.
pressure.
Muscle
rigidity.
Polydipsia.
,The registered nurse (RN) is Urine output of 40 mL/hour.
caring for a client who
developed oliguria and was Rationale
diagnosed with sepsis and A decrease in urinary output is a sign of dehydration. When the
dehydration 48 hours ago. Which urine output returns to a normal range, 40 mL/hour, the client's
assessment finding indicates to kidneys are perfusing adequately and indicates the client's
the RN that the client is status is stablizing.
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood
pressure 76/42. Urine specific
gravity 1.001.
Tented skin on dorsal surface of
hands.
A client who is uses ipratropium Withhold medication and report symptoms and vital signs to
reports having nausea, blurred healthcare provider.
vision, headaches, and insomnia
Rationale
after using the inhaler.
Headache, nausea, blurred vision and insomnia are symptoms of
Which action should the
excessive use of ipratropium, so withholding the medication
registered nurse (RN) implement
until the healthcare provider is notified should be initiated to
first?
maintain client safety.
Withhold medication and
report symptoms and vital
signs to healthcare provider.
Give PRN medication for
nausea and vomiting and
evaluate client in 30 minutes.
Reassure client that the
ipratropium given will
alleviate the symptoms.
Delay administration of
ipratropium until next
maintenance medication is
scheduled.
The registered nurse (RN) is Sphygmomanometer.
assessing a client who was
discharged home after Rationale
management of chronic Self-awareness is the best way for a client to manage chronic
hypertension, so the client should obtain a
, hypertension. Which equipment sphygmomanometer and learn how to monitor blood
should the RN instruct the client pressure daily and maintain a record.
to use at home?
Exercise bicycle.
Sphygmomanome
ter. Blood glucose
monitor. Weekly
medication box.
The registered nurse (RN) is Promotes CO2 elimination.
teaching a client who is newly
diagnosed with emphysema how Rationale
to perform pursed lip breathing. Pursed lip breathing helps eliminate CO2 by increasing
What is the primary reason for positive pressure within the alveoli increasing the surface area
teaching the client this method of the alveoli making it easier for the O2 and CO2 gas
of breathing? exchange to occur .
Decreases respiratory rate.
Increases O2 saturation
throughout the body.
Conserves energy while
ambulating. Promotes CO2
elimination.
ANSWERS | 2025/2026| LATEST UPDATE
Terms in this set (51)
The registered nurse (RN) is 140 mg/dl.
caring for a young adult who is
having an oral glucose tolerance Rationale
tests (OGTT). Which laboratory The two hour postprandial level should be less 140 mg/dl for a young adult
client.
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.
The registered nurse (RN) is Polydipsia.
caring for a client who has a
closed head injury from a motor Rationale
vehicle collision. Which finding A characteristic finding of DI is excretion of large quantities of
should the RN assess the client urine (5 to 20L/day), and most clients compensate for fluid loss
for the risk of diabetes insipidus by drinking large amounts of water (polydipsia). DI can occur
(DI)? when there has been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or an illness
High fever. such as meningitis. This damage interrupts the ADH production,
Low blood storage and release causing the excessive urination and thirst.
pressure.
Muscle
rigidity.
Polydipsia.
,The registered nurse (RN) is Urine output of 40 mL/hour.
caring for a client who
developed oliguria and was Rationale
diagnosed with sepsis and A decrease in urinary output is a sign of dehydration. When the
dehydration 48 hours ago. Which urine output returns to a normal range, 40 mL/hour, the client's
assessment finding indicates to kidneys are perfusing adequately and indicates the client's
the RN that the client is status is stablizing.
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood
pressure 76/42. Urine specific
gravity 1.001.
Tented skin on dorsal surface of
hands.
A client who is uses ipratropium Withhold medication and report symptoms and vital signs to
reports having nausea, blurred healthcare provider.
vision, headaches, and insomnia
Rationale
after using the inhaler.
Headache, nausea, blurred vision and insomnia are symptoms of
Which action should the
excessive use of ipratropium, so withholding the medication
registered nurse (RN) implement
until the healthcare provider is notified should be initiated to
first?
maintain client safety.
Withhold medication and
report symptoms and vital
signs to healthcare provider.
Give PRN medication for
nausea and vomiting and
evaluate client in 30 minutes.
Reassure client that the
ipratropium given will
alleviate the symptoms.
Delay administration of
ipratropium until next
maintenance medication is
scheduled.
The registered nurse (RN) is Sphygmomanometer.
assessing a client who was
discharged home after Rationale
management of chronic Self-awareness is the best way for a client to manage chronic
hypertension, so the client should obtain a
, hypertension. Which equipment sphygmomanometer and learn how to monitor blood
should the RN instruct the client pressure daily and maintain a record.
to use at home?
Exercise bicycle.
Sphygmomanome
ter. Blood glucose
monitor. Weekly
medication box.
The registered nurse (RN) is Promotes CO2 elimination.
teaching a client who is newly
diagnosed with emphysema how Rationale
to perform pursed lip breathing. Pursed lip breathing helps eliminate CO2 by increasing
What is the primary reason for positive pressure within the alveoli increasing the surface area
teaching the client this method of the alveoli making it easier for the O2 and CO2 gas
of breathing? exchange to occur .
Decreases respiratory rate.
Increases O2 saturation
throughout the body.
Conserves energy while
ambulating. Promotes CO2
elimination.
