BSN 366 EXIT HESI V2 EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS || 100%
GUARANTEED PASS NEWEST VERSION
NIGHTINGALE
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Terms in this set (160)
The nurse knows that which I have the four year-old hold and help feed the
statement by the mother indicates four month-old a bottle in the kitchen
that the mother understands safety
precautions with her four month-old
infant and her 4 year-old child?
Upon completing the admission Give information about advance directives
documents, the nurse learns that the
87 year-old client does not have an
advance directive. What action
should the nurse take?
,A nurse administers the influenza Administer epinephrine 1:1000 as ordered
vaccine to a client in a clinic. Within
15 minutes after the immunization
was given, the client complains of
itchy and watery eyes, increased
anxiety, and difficulty breathing. The
nurse expects that the first action in
the sequence of care for this client
will be to:
Which of these children at the site of A toddler with severe deep abrasions over 98% of
a disaster at a child day care center the body
would the triage nurse put in the
"treat last" category?
When admitting a client to an acute Notify the admissions office and wait to apply the
care facility, an identification bracelet
bracelet is sent up with the admission
form. In the event these do not
match, the nurse's best action is to
The nurse is having difficulty reading Call the provider for clarification
the health care provider's written
order that was written right before
the shift change. What action should
be taken?
An adult client is found to be Open the client's airway
unresponsive on morning rounds.
After checking for responsiveness
and calling for help, the next action
that should be taken by the nurse is
to:
, A client has an order for 1000 ml of Auscultate the lungs
D5W over an 8 hour period. The
nurse discovers that 800 ml has been
infused after 4 hours. What is the
priority nursing action?
Following change-of-shift report on 72 year old recovering from surgery after a hip
an orthopedic unit, which client replacement 2 hours ago
should the nurse see first?
A nurse observes a family member That was done correctly. Did you have any
administer a rectal suppository by problems with the insertion?
having the client lie on the left side
for the administration. The family
member pushed the suppository
until the finger went up to the
second knuckle. After 10 minutes the
client was told by the family member
to turn to the right side and the client
did this. What is the appropriate
comment for the nurse to make?
A client with a diagnosis of Contact Precautions
Methicillin resistant Staphylococcus
aureus (MRSA) has died. Which type
of precautions is the appropriate
type to use when performing
postmortem care?
The nurse is reviewing with a client Clean the meatus, begin voiding, then catch urine
how to collect a clean catch urine stream
specimen. Which sequence is
appropriate teaching?
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS || 100%
GUARANTEED PASS NEWEST VERSION
NIGHTINGALE
Save
Terms in this set (160)
The nurse knows that which I have the four year-old hold and help feed the
statement by the mother indicates four month-old a bottle in the kitchen
that the mother understands safety
precautions with her four month-old
infant and her 4 year-old child?
Upon completing the admission Give information about advance directives
documents, the nurse learns that the
87 year-old client does not have an
advance directive. What action
should the nurse take?
,A nurse administers the influenza Administer epinephrine 1:1000 as ordered
vaccine to a client in a clinic. Within
15 minutes after the immunization
was given, the client complains of
itchy and watery eyes, increased
anxiety, and difficulty breathing. The
nurse expects that the first action in
the sequence of care for this client
will be to:
Which of these children at the site of A toddler with severe deep abrasions over 98% of
a disaster at a child day care center the body
would the triage nurse put in the
"treat last" category?
When admitting a client to an acute Notify the admissions office and wait to apply the
care facility, an identification bracelet
bracelet is sent up with the admission
form. In the event these do not
match, the nurse's best action is to
The nurse is having difficulty reading Call the provider for clarification
the health care provider's written
order that was written right before
the shift change. What action should
be taken?
An adult client is found to be Open the client's airway
unresponsive on morning rounds.
After checking for responsiveness
and calling for help, the next action
that should be taken by the nurse is
to:
, A client has an order for 1000 ml of Auscultate the lungs
D5W over an 8 hour period. The
nurse discovers that 800 ml has been
infused after 4 hours. What is the
priority nursing action?
Following change-of-shift report on 72 year old recovering from surgery after a hip
an orthopedic unit, which client replacement 2 hours ago
should the nurse see first?
A nurse observes a family member That was done correctly. Did you have any
administer a rectal suppository by problems with the insertion?
having the client lie on the left side
for the administration. The family
member pushed the suppository
until the finger went up to the
second knuckle. After 10 minutes the
client was told by the family member
to turn to the right side and the client
did this. What is the appropriate
comment for the nurse to make?
A client with a diagnosis of Contact Precautions
Methicillin resistant Staphylococcus
aureus (MRSA) has died. Which type
of precautions is the appropriate
type to use when performing
postmortem care?
The nurse is reviewing with a client Clean the meatus, begin voiding, then catch urine
how to collect a clean catch urine stream
specimen. Which sequence is
appropriate teaching?
