BSN366 EXIT HESI QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTION
While caring for a toddler receiving oxygen via facemask, the nurse observes that the
child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ✔️✔️A) use a water-soluble
lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse finds a moderate
amount of lochia rubra, with the uterus firm, and three finger breaths above the
umbilicus. What action should the nurse implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ✔️✔️D) Check for a distended bladder
The nurse is caring for a client on the first day post-operative for a descending aortic
aneurysm repair. Which assessment finding should the nurse prioritize reporting to the
healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ✔️✔️B) Electrocardiogram ST segment elevation
The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis.
Which food selection indicates to the nurse that the client understands the prescribed
diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
,C) Roasted turkey, canned vegetables.
D) Pancakes, whole-grain cereals. - ✔️✔️C) Roasted turkey, canned vegetables
The nurse is providing teaching to a client with type 2 DM about important points for
disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ✔️✔️B) Get an eye
exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations about
prescribed medications and administration, which instruction should the nurse include in
the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - ✔️✔️C) Practice using muscle relaxation
techniques
The charge nurse is planning for the shift and has a RN and a PN on the team. Which
client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago -
✔️✔️C) A 30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks. (For each
assessment finding, click to indicate whether the findings are associated with an infant
of a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
,Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - ✔️✔️Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ - ✔️✔️Hyperbilirubinemia , Resppiratory
Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk
via orogastric tube. If two feeding attempts failed to increase the glucose levels or if
symptoms of hypoglycemia develop, apply dextrose gel inside the babies cheek. If the
above are ineffective, IV glucose should be administered to maintain glucose levels
above 45. Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose perfusion of
6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ✔️✔️A) Feed Immedicately
, B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse ox - ✔️✔️A)
Keep infant in warmer with bili lights to maintain temp of 97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the warmer
G) Observe for signs of respiratory distress and monitor oxygenation by pulse ox
NGN: 1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous vaginal
birth, she received Apgar scores of seven at one minute and eight at five minutes. The
client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from the night
before. The nurse plans on providing health teaching for the client and her family in
preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or contraindicated. Only
one right option per row.
A) You will need to se - ✔️✔️A)
B)
C)
D) Indicated
E)
?????????
NGN: 1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous vaginal
birth, she received Apgar scores of seven at one minute and eight at five minutes. The
client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTION
While caring for a toddler receiving oxygen via facemask, the nurse observes that the
child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ✔️✔️A) use a water-soluble
lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse finds a moderate
amount of lochia rubra, with the uterus firm, and three finger breaths above the
umbilicus. What action should the nurse implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ✔️✔️D) Check for a distended bladder
The nurse is caring for a client on the first day post-operative for a descending aortic
aneurysm repair. Which assessment finding should the nurse prioritize reporting to the
healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ✔️✔️B) Electrocardiogram ST segment elevation
The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis.
Which food selection indicates to the nurse that the client understands the prescribed
diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
,C) Roasted turkey, canned vegetables.
D) Pancakes, whole-grain cereals. - ✔️✔️C) Roasted turkey, canned vegetables
The nurse is providing teaching to a client with type 2 DM about important points for
disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ✔️✔️B) Get an eye
exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations about
prescribed medications and administration, which instruction should the nurse include in
the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - ✔️✔️C) Practice using muscle relaxation
techniques
The charge nurse is planning for the shift and has a RN and a PN on the team. Which
client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago -
✔️✔️C) A 30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks. (For each
assessment finding, click to indicate whether the findings are associated with an infant
of a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
,Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - ✔️✔️Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ - ✔️✔️Hyperbilirubinemia , Resppiratory
Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk
via orogastric tube. If two feeding attempts failed to increase the glucose levels or if
symptoms of hypoglycemia develop, apply dextrose gel inside the babies cheek. If the
above are ineffective, IV glucose should be administered to maintain glucose levels
above 45. Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose perfusion of
6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ✔️✔️A) Feed Immedicately
, B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse ox - ✔️✔️A)
Keep infant in warmer with bili lights to maintain temp of 97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the warmer
G) Observe for signs of respiratory distress and monitor oxygenation by pulse ox
NGN: 1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous vaginal
birth, she received Apgar scores of seven at one minute and eight at five minutes. The
client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from the night
before. The nurse plans on providing health teaching for the client and her family in
preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or contraindicated. Only
one right option per row.
A) You will need to se - ✔️✔️A)
B)
C)
D) Indicated
E)
?????????
NGN: 1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous vaginal
birth, she received Apgar scores of seven at one minute and eight at five minutes. The
client weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
