BSN 266 HESI: EXAM QUESTIONS WITH ACCURATE
SOLUTIONS
1) The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for renal
calculi.?
A) Jogs more frequently than usual daily routine.
B) Eats a vegetarian diet with cheese 2 to 3 times a day.
C) Experiences additional stress since adopting a child.
D) Drinks several bottles of carbonated water daily -- Answer ✔✔ b.
Eats a vegetarian diet with cheese 2 to 3 times a day.
2) An older male client tells the nurse that he is losing sleep because he has to get
up several times at night to go to the bathroom, that he has trouble starting his
urinary system, and that he does not feel like his bladder is ever completely
empty. Which intervention should the nurse implement?
A) Review the client's fluid intake prior to bedtime.
B) Obtain a finger stick blood glucose level.
C) Palpate the bladder above the symphysis pubis.
D) Collect a urine specimen for culture analysis -- Answer ✔✔ c.
Palpate the bladder above the symphysis pubis.
3) A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
, A) Nephrotic syndrome history.
B) Latent hepatitis C.
C) Crohn's disease with colectomy.
D) Type 2 diabetes mellitus -- Answer ✔✔ c. Crohn's disease with
colectomy.
4) When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential?
A) Maintain the client in a semi-Fowler's position.
B) Keep the room at a comfortable temperature.
C) Ensure oral suction is available.
D) Provide frequent mouth care -- Answer ✔✔ c. Ensure oral suction
is available.
5) A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.Which medication
should the nurse anticipate being prescribed by the healthcare provider?
A) Fentanyl.
B) Hydromorphone.
C) Oxycodone.
D) Morphine -- Answer ✔✔ d. Morphine
6) An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I
am driving through a tunnel." The client expresses great concern about going
blind. Which nursing instruction is most important for the nurses to provide this
client?
A) Maintain prescribed eye drop regimen
B) Eat a diet high in carotene.
C) Wear prescription glasses.
D) Avoid frequent eye pressure measurement. -- Answer ✔✔ a.
Maintain prescribed eye drop regimen
7) Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A) Adjust food intake to three full meals per day and no snacks.
, B) Sleep without pillows at night to maintain neck alignment.
C) Minimize symptoms by wearing loose, comfortable clothing.
D) Avoid participation in any aerobic exercise programs -- Answer
✔✔ c. Minimize symptoms by wearing loose, comfortable clothing.
8) A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood. Which intervention should the nurse
prioritize?
A) Move into airborne isolation
B) Collect specimens for blood cultures.
C) Arrange transport for radiographic imaging.
D) Obtain a sputum sample -- Answer ✔✔ a. Move into airborne
isolation
9) A client receives a prescription for 1 liter of Ringer's intravenously to be infused
over 6 hours. How many mL/hr should the nurse program the infusion pump to
deliver? (Enter numerical value only. If rounding is required, round to the nearest
whole number.) -- Answer ✔✔ 167 mL
1000mL/6(hours) =166.6=167mL
10) The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment
data is most important for the nurse to obtain?
A) Activity level of bowel sounds.
B) Eating patterns of dietary intake.
C) Level and amount of physical activity
D) Color and consistency of feces -- Answer ✔✔ b. Eating patterns
of dietary intake.
11) An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough.
The client is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement?
A) Apply a tight flow venturi mask.
SOLUTIONS
1) The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for renal
calculi.?
A) Jogs more frequently than usual daily routine.
B) Eats a vegetarian diet with cheese 2 to 3 times a day.
C) Experiences additional stress since adopting a child.
D) Drinks several bottles of carbonated water daily -- Answer ✔✔ b.
Eats a vegetarian diet with cheese 2 to 3 times a day.
2) An older male client tells the nurse that he is losing sleep because he has to get
up several times at night to go to the bathroom, that he has trouble starting his
urinary system, and that he does not feel like his bladder is ever completely
empty. Which intervention should the nurse implement?
A) Review the client's fluid intake prior to bedtime.
B) Obtain a finger stick blood glucose level.
C) Palpate the bladder above the symphysis pubis.
D) Collect a urine specimen for culture analysis -- Answer ✔✔ c.
Palpate the bladder above the symphysis pubis.
3) A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
, A) Nephrotic syndrome history.
B) Latent hepatitis C.
C) Crohn's disease with colectomy.
D) Type 2 diabetes mellitus -- Answer ✔✔ c. Crohn's disease with
colectomy.
4) When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential?
A) Maintain the client in a semi-Fowler's position.
B) Keep the room at a comfortable temperature.
C) Ensure oral suction is available.
D) Provide frequent mouth care -- Answer ✔✔ c. Ensure oral suction
is available.
5) A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.Which medication
should the nurse anticipate being prescribed by the healthcare provider?
A) Fentanyl.
B) Hydromorphone.
C) Oxycodone.
D) Morphine -- Answer ✔✔ d. Morphine
6) An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I
am driving through a tunnel." The client expresses great concern about going
blind. Which nursing instruction is most important for the nurses to provide this
client?
A) Maintain prescribed eye drop regimen
B) Eat a diet high in carotene.
C) Wear prescription glasses.
D) Avoid frequent eye pressure measurement. -- Answer ✔✔ a.
Maintain prescribed eye drop regimen
7) Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A) Adjust food intake to three full meals per day and no snacks.
, B) Sleep without pillows at night to maintain neck alignment.
C) Minimize symptoms by wearing loose, comfortable clothing.
D) Avoid participation in any aerobic exercise programs -- Answer
✔✔ c. Minimize symptoms by wearing loose, comfortable clothing.
8) A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood. Which intervention should the nurse
prioritize?
A) Move into airborne isolation
B) Collect specimens for blood cultures.
C) Arrange transport for radiographic imaging.
D) Obtain a sputum sample -- Answer ✔✔ a. Move into airborne
isolation
9) A client receives a prescription for 1 liter of Ringer's intravenously to be infused
over 6 hours. How many mL/hr should the nurse program the infusion pump to
deliver? (Enter numerical value only. If rounding is required, round to the nearest
whole number.) -- Answer ✔✔ 167 mL
1000mL/6(hours) =166.6=167mL
10) The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment
data is most important for the nurse to obtain?
A) Activity level of bowel sounds.
B) Eating patterns of dietary intake.
C) Level and amount of physical activity
D) Color and consistency of feces -- Answer ✔✔ b. Eating patterns
of dietary intake.
11) An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough.
The client is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement?
A) Apply a tight flow venturi mask.
