BSN 266 HESI EXAM Questions and Answers
1. Question 1 of 55
The nurse is evaluating a client's understanding about the DASH
(Dietary Ap- proaches to Stop Hypertension) eating plan. Which
behavior indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.: - D Enjoys fat-free
yogurt as an occasional snack food.
2. Question 2 of 55
A client who has a history of hypothyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the
most immediate action by the nurse? [Hematocrit (Reference Range:
Male: 42% to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema: - A Further decline in level of
consciousness.
,3. Question 3 of 55
The nurse is caring for a client with a burn that is severely
edematous with a wound bed that is brown and yellow in
appearance. The client expresses feeling no pain. Which
classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.: - B Full thickness.
4. Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and using
accessory mus- cles to breathe is admitted for further treatment.
Initial assessment includes
a heart rate 128 beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100 mm Hg, wheezes and
crackles in all lung fields. An hour after the administration of
furosemide 60 mg intravenous (IV), which assessment(s) should
the nurse obtain to determine the client's response to treatment?
(Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
,- C Pain scale.
- D Lung sounds.
- E Skin elasticity.: - A Urinary output.
-B Oxygen saturation.
-D Lung sounds.
Orthopneic position, sometimes called tripod position, is a sitting position where an individual leans
slightly forward with their arms propped up on an overbed table or their knees.
Orthopnea is the sensation of breathlessness in the recumbent (lying down) position, relieved by sitting or
standing.
5. Question 5 of 55
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 rec- ognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.: - B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with colectomy.
, The nurse should recognize that clients with extensive intra-abdominal surgical history are not candidates
for peritoneal dialysis, as these clients may have decreased peritoneal membrane surface areas and
scar tissue formation, which would make it insuflcient for adequate dialysis exchange.
6. Question 6 of 55
The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites. Which mechanism
contributes to edema and ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation.
- B Hyperaldosteronism causing an increased sodium reabsorption
in renal tubules.
- C Decreased renin-angiotensin response related to an increase in
renal blood flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.: - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
The three main things that the liver produces are albumin, bile (digestive enzymes), and prothrombin (clotting
factors). Albumin plays many important roles including maintenance of appropriate osmotic pressure,
binding and transport of various substances like hormones, drugs etc. in blood, and neutralisation of free
radicals. It prevents fluid from leaking out of blood vessels into your tissues. Albumin is also responsible
for transporting vitamins, enzymes and hormones throughout your body. Albumin makes up 50% of
the proteins found in your plasma.
7. Question 7 of 55
1. Question 1 of 55
The nurse is evaluating a client's understanding about the DASH
(Dietary Ap- proaches to Stop Hypertension) eating plan. Which
behavior indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.: - D Enjoys fat-free
yogurt as an occasional snack food.
2. Question 2 of 55
A client who has a history of hypothyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the
most immediate action by the nurse? [Hematocrit (Reference Range:
Male: 42% to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema: - A Further decline in level of
consciousness.
,3. Question 3 of 55
The nurse is caring for a client with a burn that is severely
edematous with a wound bed that is brown and yellow in
appearance. The client expresses feeling no pain. Which
classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.: - B Full thickness.
4. Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and using
accessory mus- cles to breathe is admitted for further treatment.
Initial assessment includes
a heart rate 128 beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100 mm Hg, wheezes and
crackles in all lung fields. An hour after the administration of
furosemide 60 mg intravenous (IV), which assessment(s) should
the nurse obtain to determine the client's response to treatment?
(Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
,- C Pain scale.
- D Lung sounds.
- E Skin elasticity.: - A Urinary output.
-B Oxygen saturation.
-D Lung sounds.
Orthopneic position, sometimes called tripod position, is a sitting position where an individual leans
slightly forward with their arms propped up on an overbed table or their knees.
Orthopnea is the sensation of breathlessness in the recumbent (lying down) position, relieved by sitting or
standing.
5. Question 5 of 55
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 rec- ognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.: - B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with colectomy.
, The nurse should recognize that clients with extensive intra-abdominal surgical history are not candidates
for peritoneal dialysis, as these clients may have decreased peritoneal membrane surface areas and
scar tissue formation, which would make it insuflcient for adequate dialysis exchange.
6. Question 6 of 55
The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites. Which mechanism
contributes to edema and ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation.
- B Hyperaldosteronism causing an increased sodium reabsorption
in renal tubules.
- C Decreased renin-angiotensin response related to an increase in
renal blood flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.: - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
The three main things that the liver produces are albumin, bile (digestive enzymes), and prothrombin (clotting
factors). Albumin plays many important roles including maintenance of appropriate osmotic pressure,
binding and transport of various substances like hormones, drugs etc. in blood, and neutralisation of free
radicals. It prevents fluid from leaking out of blood vessels into your tissues. Albumin is also responsible
for transporting vitamins, enzymes and hormones throughout your body. Albumin makes up 50% of
the proteins found in your plasma.
7. Question 7 of 55
