BSN 266 Practice HESI Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
A client with a completed ischemic D. Give an antihypertensive medication.
stroke has a blood pressure of Rationale
180/90 mm Hg. Which action Most ischemic strokes occur during sleep
should when
the nurse implement? baseline blood pressure declines or blood
A. Position the head of the bed viscosity increases due to minimal fluid
(HOB) flat. intake.
B. Withhold intravenous fluids. Completed strokes usually produce
C. Administer a bolus of IV fluids. neurologic
D. Give an antihypertensive deficits within an hour, and the client's
medication. current
elevated blood pressure requires
antihypertensive
medication.
,A client who is receiving A. "Chemotherapy affects the cells of the
chemotherapy asks the nurse, body that
"Why grow rapidly, both normal and malignant."
is so much of my hair falling out Rationale
each The common adverse effects of
day?" Which response by the chemotherapy
nurse (nausea, vomiting, alopecia, bone marrow
best explains the reason for depression) are due to chemotherapy's
alopecia? effect on
A. "Chemotherapy affects the cells the rapidly reproducing cells, both normal
of and
the body that grow rapidly, both malignant.
normal and malignant."
B. "Alopecia is a common side
effect
you will experience during long-
term steroid therapy."
C. "Your hair will grow back
completely after your course of
chemotherapy is completed."
D. "The chemotherapy causes
permanent alterations in your hair
follicles that lead to hair loss."
,After checking the urinary A. Report the findings to the surgeon.
drainage Rationale
system for kinks in the tubing, the An adult who weighs 132 pounds (60 kg)
nurse determines that a client who should
has returned from the post- produce about 60 ml of urine hourly (1
anesthesia care has a dark, ml/kg/hour). Dark, concentrated, and low
concentrated urinary output of 54 volume
ml of urine output should be reported to the
for the last 2 hours. What priority surgeon.
nursing action should be
implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the
bladder.
D. Increase the IV flow rate for 15
minutes.
, A male client who smokes two B, C and D
packs Rationale
of cigarettes a day states he Use of tobacco, alcohol, and marijuana
understands that smoking may affect
cigarettes sperm counts. Sperm count is also
is contributing to the difficulty that negatively
he and his wife are having in affected by low testerone levels and
getting obesity.
pregnant and wants to know if
other
factors could be contributing to
their
difficulty. What information is best
for
the nurse to provide? (Select all
that
apply.)
Select all that apply
A. Marijuana cigarettes do not
affect
sperm count.
B. Alcohol consumption can cause
erectile dysfunction.
C. Low testosterone levels affect
sperm production.
D. Cessation of smoking improves
general health and fertility.
E. Obesity has no effect on sperm
production.
Answers with Verified Solutions | Latest
Updated 2026
A client with a completed ischemic D. Give an antihypertensive medication.
stroke has a blood pressure of Rationale
180/90 mm Hg. Which action Most ischemic strokes occur during sleep
should when
the nurse implement? baseline blood pressure declines or blood
A. Position the head of the bed viscosity increases due to minimal fluid
(HOB) flat. intake.
B. Withhold intravenous fluids. Completed strokes usually produce
C. Administer a bolus of IV fluids. neurologic
D. Give an antihypertensive deficits within an hour, and the client's
medication. current
elevated blood pressure requires
antihypertensive
medication.
,A client who is receiving A. "Chemotherapy affects the cells of the
chemotherapy asks the nurse, body that
"Why grow rapidly, both normal and malignant."
is so much of my hair falling out Rationale
each The common adverse effects of
day?" Which response by the chemotherapy
nurse (nausea, vomiting, alopecia, bone marrow
best explains the reason for depression) are due to chemotherapy's
alopecia? effect on
A. "Chemotherapy affects the cells the rapidly reproducing cells, both normal
of and
the body that grow rapidly, both malignant.
normal and malignant."
B. "Alopecia is a common side
effect
you will experience during long-
term steroid therapy."
C. "Your hair will grow back
completely after your course of
chemotherapy is completed."
D. "The chemotherapy causes
permanent alterations in your hair
follicles that lead to hair loss."
,After checking the urinary A. Report the findings to the surgeon.
drainage Rationale
system for kinks in the tubing, the An adult who weighs 132 pounds (60 kg)
nurse determines that a client who should
has returned from the post- produce about 60 ml of urine hourly (1
anesthesia care has a dark, ml/kg/hour). Dark, concentrated, and low
concentrated urinary output of 54 volume
ml of urine output should be reported to the
for the last 2 hours. What priority surgeon.
nursing action should be
implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the
bladder.
D. Increase the IV flow rate for 15
minutes.
, A male client who smokes two B, C and D
packs Rationale
of cigarettes a day states he Use of tobacco, alcohol, and marijuana
understands that smoking may affect
cigarettes sperm counts. Sperm count is also
is contributing to the difficulty that negatively
he and his wife are having in affected by low testerone levels and
getting obesity.
pregnant and wants to know if
other
factors could be contributing to
their
difficulty. What information is best
for
the nurse to provide? (Select all
that
apply.)
Select all that apply
A. Marijuana cigarettes do not
affect
sperm count.
B. Alcohol consumption can cause
erectile dysfunction.
C. Low testosterone levels affect
sperm production.
D. Cessation of smoking improves
general health and fertility.
E. Obesity has no effect on sperm
production.
