BSN 366 EXIT HESI V1 EXAM STUDY
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
NIGHTINGALE
1. The nurse is performing preoperative care of a client for an open reduction
and internal fixation (ORIF) of a fractured right tibia before the procedure,
which action should the nurse prioritize? - ANSWER ✔ Verify clients
signed consent.
2. A client receives a prescription for acetaminophen 1,000 mg by mouth every
8 hours as needed for pain. The bottle is labeled "Acetaminophen for Oral
Suspension, USP 500 mg per 15 mL." How many tablespoons should the
nurse instruct the client to take with each dose? (Enter numerical value
only.) - ANSWER ✔ 2
3. the nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. which behaviors indicate the client understands
how to maintain balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - ANSWER ✔ a. brings
a heavy can close to body before lifting
c. widens stance while working near the sink
,4. The RN is assigned to care for four surgical clients. After receiving the
report, which client should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder
irrigation infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain
medication.
c. Three days postoperative colon resection receiving a transfusion of
packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty
within the next 12 hours - ANSWER ✔ c. Three days postoperative
colon resection receiving a transfusion of packed RBCs. .
5. A client is receiving a continuous infusion of the anticoagulant, heparin, for
treatment of a deep vein thrombosis of the right calf. Which goal should the
nurse include in this client's plan of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the
client's right calf will decrease. - ANSWER ✔ a. No further
thrombus will form.
6. Which information is more important for the nurse to obtain when
determining a client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER ✔ a. Body mass index
7. Post knee replacement care - ANSWER ✔ The nurse should determine if
the wound drainage device is functioning correctly when the dressing on the
client's right knee is saturated with serosanguineous drainage.
8. Lorazepam dosage calculation - ANSWER ✔ For a client weighing 65kg
receiving lorazepam 44mcg/kg IV, the nurse should administer 1.4ml.
,9. Priority nursing problem - ANSWER ✔ For an older adult client
experiencing diarrhea and fecal incontinence, the highest priority nursing
problem is fluid volume deficit.
10.Leukemia patient care - ANSWER ✔ For a client with leukemia and a
platelet count of 25,000/mm3, the most important intervention is to assess
urine and stool for occult blood.
11.Zidovudine side effects - ANSWER ✔ The nurse should report the
complete blood count when a client receiving zidovudine shows pinpoint,
red, round spots on the skin.
12.Cushing's syndrome interventions - ANSWER ✔ Weigh the client and
report any weight gain, report any client complaints of pain or discomfort,
note and report the client's food and liquid intake during meals and snacks.
13.Highest priority nursing problem for older adult with diarrhea - ANSWER
✔ Fluid volume deficit.
14.Effective epidural anesthesia indicators - ANSWER ✔ Pain relief, labor
augmentation, stable vital signs.
15.Ionized calcium level intervention - ANSWER ✔ Determine apical pulse
rate and rhythm.
16.IV site assessment for tenderness - ANSWER ✔ Streak tracking the vein.
17.Postoperative complication prevention for immobile client - ANSWER ✔
Apply intermittent pneumatic compression devices.
18.Risk factor for adverse reactions to penicillin G potassium - ANSWER ✔
Daily use of spironolactone for hypertension or documented allergy to sulfa.
19.The nurse is providing discharge teaching for an old client who had
phacoemulsification of the left eye. Which instruction should the nurse
provide?
A. Keep eye drops close at hand for use when vision is cloudy.
B. Avoid straining at stool, stooping, or lifting heavy objects.
, C. Do not try to read for at least six weeks.
D. Have someone stay with you at all times for six weeks
following surgery. - ANSWER ✔
20.A client who underwent an uncomplicated gastric bypass surgery has
difficulty with diet management. What dietary instruction is most important
for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food - ANSWER
✔ b. Plan volume-controlled evenly-spaced meals throughout the
day
21.The nurse is assessing the feet of a client with type 1 diabetes mellitus.
Which finding requires immediate intervention by the nurse?
A. Decreased response to pain discrimination on dorsal surface
of foot.
B. Erythema and edema at the base of the left great toe.
C. Hard, painless nodule over metatarsophalangeal joint of first
toe.
D. Painful corns and calluses over hammer toes on both feet. -
ANSWER ✔ A. Decreased response to pain discrimination
on dorsal surface of foot.
22.The nurse is planning to assess the client's oxygen saturation to determine if
additional oxygen is needed via nasal
cannula. The client has bilateral below-the-knee amputations and radial
pulses that are weak and thready. What action
should the nurse take?
A. Document that an accurate oxygen saturation reading cannot
be obtained.
B. Elevate the client's hands for five minutes prior to obtaining a
reading from the finger.
C. Increase the oxygen based on the client's breathing patterns
and lung sounds.
D. Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading. - ANSWER ✔ D. Place the oximeter clip
on the earlobe to obtain the oxygen saturation reading.
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
NIGHTINGALE
1. The nurse is performing preoperative care of a client for an open reduction
and internal fixation (ORIF) of a fractured right tibia before the procedure,
which action should the nurse prioritize? - ANSWER ✔ Verify clients
signed consent.
2. A client receives a prescription for acetaminophen 1,000 mg by mouth every
8 hours as needed for pain. The bottle is labeled "Acetaminophen for Oral
Suspension, USP 500 mg per 15 mL." How many tablespoons should the
nurse instruct the client to take with each dose? (Enter numerical value
only.) - ANSWER ✔ 2
3. the nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. which behaviors indicate the client understands
how to maintain balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - ANSWER ✔ a. brings
a heavy can close to body before lifting
c. widens stance while working near the sink
,4. The RN is assigned to care for four surgical clients. After receiving the
report, which client should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder
irrigation infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain
medication.
c. Three days postoperative colon resection receiving a transfusion of
packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty
within the next 12 hours - ANSWER ✔ c. Three days postoperative
colon resection receiving a transfusion of packed RBCs. .
5. A client is receiving a continuous infusion of the anticoagulant, heparin, for
treatment of a deep vein thrombosis of the right calf. Which goal should the
nurse include in this client's plan of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the
client's right calf will decrease. - ANSWER ✔ a. No further
thrombus will form.
6. Which information is more important for the nurse to obtain when
determining a client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER ✔ a. Body mass index
7. Post knee replacement care - ANSWER ✔ The nurse should determine if
the wound drainage device is functioning correctly when the dressing on the
client's right knee is saturated with serosanguineous drainage.
8. Lorazepam dosage calculation - ANSWER ✔ For a client weighing 65kg
receiving lorazepam 44mcg/kg IV, the nurse should administer 1.4ml.
,9. Priority nursing problem - ANSWER ✔ For an older adult client
experiencing diarrhea and fecal incontinence, the highest priority nursing
problem is fluid volume deficit.
10.Leukemia patient care - ANSWER ✔ For a client with leukemia and a
platelet count of 25,000/mm3, the most important intervention is to assess
urine and stool for occult blood.
11.Zidovudine side effects - ANSWER ✔ The nurse should report the
complete blood count when a client receiving zidovudine shows pinpoint,
red, round spots on the skin.
12.Cushing's syndrome interventions - ANSWER ✔ Weigh the client and
report any weight gain, report any client complaints of pain or discomfort,
note and report the client's food and liquid intake during meals and snacks.
13.Highest priority nursing problem for older adult with diarrhea - ANSWER
✔ Fluid volume deficit.
14.Effective epidural anesthesia indicators - ANSWER ✔ Pain relief, labor
augmentation, stable vital signs.
15.Ionized calcium level intervention - ANSWER ✔ Determine apical pulse
rate and rhythm.
16.IV site assessment for tenderness - ANSWER ✔ Streak tracking the vein.
17.Postoperative complication prevention for immobile client - ANSWER ✔
Apply intermittent pneumatic compression devices.
18.Risk factor for adverse reactions to penicillin G potassium - ANSWER ✔
Daily use of spironolactone for hypertension or documented allergy to sulfa.
19.The nurse is providing discharge teaching for an old client who had
phacoemulsification of the left eye. Which instruction should the nurse
provide?
A. Keep eye drops close at hand for use when vision is cloudy.
B. Avoid straining at stool, stooping, or lifting heavy objects.
, C. Do not try to read for at least six weeks.
D. Have someone stay with you at all times for six weeks
following surgery. - ANSWER ✔
20.A client who underwent an uncomplicated gastric bypass surgery has
difficulty with diet management. What dietary instruction is most important
for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food - ANSWER
✔ b. Plan volume-controlled evenly-spaced meals throughout the
day
21.The nurse is assessing the feet of a client with type 1 diabetes mellitus.
Which finding requires immediate intervention by the nurse?
A. Decreased response to pain discrimination on dorsal surface
of foot.
B. Erythema and edema at the base of the left great toe.
C. Hard, painless nodule over metatarsophalangeal joint of first
toe.
D. Painful corns and calluses over hammer toes on both feet. -
ANSWER ✔ A. Decreased response to pain discrimination
on dorsal surface of foot.
22.The nurse is planning to assess the client's oxygen saturation to determine if
additional oxygen is needed via nasal
cannula. The client has bilateral below-the-knee amputations and radial
pulses that are weak and thready. What action
should the nurse take?
A. Document that an accurate oxygen saturation reading cannot
be obtained.
B. Elevate the client's hands for five minutes prior to obtaining a
reading from the finger.
C. Increase the oxygen based on the client's breathing patterns
and lung sounds.
D. Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading. - ANSWER ✔ D. Place the oximeter clip
on the earlobe to obtain the oxygen saturation reading.
