HESI BSN 266 PRACTICE QUESTIONS AND ANSWERS

HESI BSN 266 PRACTICE QUESTIONS AND ANSWERS
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should
the nurse implement?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medication. - ANSWER - D. Give an antihypertensive medication.
Rationale
A client taking a thiazide diuretic for the pastsix months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client?
A. The dosage of the diuretic will be decreased.
B. The diuretic will be discontinued.
C. A potassium supplement will be prescribed.
D. The dosage of the diuretic will be increased. - ANSWER - C. A potassium supplement will be
prescribed.
Rationale
This client's potassium level is too low (normal is 3.5 to 5). Taking a thiazide diuretic often results in a loss
of potassium, so a potassium supplement needs to be prescribed to restore a normal serum potassium
level.
Which milestone indicates to the nurse successful achievement of young adulthood?
A. Demonstrates a conceptualization of death and dying. 

B. Completes education and becomesself-supporting.
C. Creates a new definition of self and roles with others.
D. Develops a strong need for parental support and approval. - ANSWER - B. Completes education and
becomes self-supporting.
Rationale
Transitioning through young adulthood is characterized by establishing independence as an adult, and
includes developmental tasks such as completing education, beginning a career, and becoming selfsupporting (B). (A and C) are characteristic of adolescence. Although strong bonds with parents are an
expected finding for this age group, the need forsupport and approval (D) indicates dependency, which
is a developmental delay.
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The
client's history indicates the infarction occurred ten hours ago. Which laboratory test result would the
nurse expect this client to exhibit?
A. Elevated LDH.
B. Elevated serum amylase.
C. Elevated CK-MB.
D. Elevated hematocrit. - ANSWER - C. Elevated CK-MB.
Rationale
The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial damage in the
presence of MI symptoms and after a positive troponin. The troponin levels will elevate within 2-3 hours
indicating myocardial ischemia, followed by the CK-MB cardiac markers within 6-9 hours, peaking within
12 to 20 hours after myocardial infarction (MI).
A client who is fully awake after a gastroscopy asks the nurse forsomething to drink. After confirming
that liquids are allowed, which assessment action should the nurse consider a priority?
A. Listen to bilateral lung and bowel sounds.
B. Obtain the client's pulse and blood pressure.
C. Assist the client to the bathroom to void.
D. Check the client's gag and swallow reflexes. - ANSWER - D. Check the client's gag and swallow reflexes.
Rationale
Following gastroscopy, a clientshould remain nothing by mouth until the effects of local anesthesia have
dissipated and the airway's protective reflexes, gag and swallow reflexes have returned. 

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