BSN HESI 366 – RN With NGN Exit Exam (Nightingale
College, 2026-2027– Verified Questions and Answers,
Grade A
The nurse is caring for a client who arrives to the ED with reports of
experiencing dizziness and difficulty walking to the bathroom. The nurse
observes R-sided weakness and sluggish enunciation of speech. The nurse
should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy.
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the morning.
During the admission procedure, the client has a tonic colonic seizure that
last 50 seconds.
Following the seizure, the client is lethargic and confused, and his wife tells
the
nurse that her husband has never had a seizure before and has always
been alert and communicative. Which action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures
D) explain the postical state that usually follows seizures
,A nurse is providing lifestyle change education for a client to slow the
progression of coronary artery disease. Which statement made by the
client should the nurse recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
E) Include oatmeal for breakfast.
F) Use a salt substitute
B) Eat more canned vegetables.
C) Consume foods with saturated fats.
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 psychiatric nurse is caring for clients in an adolescent unit. Which client
requires the nurse's immediate attention?
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
B) A 17-year-old client diagnosed with bipolar disorder who is pacing
around the lobby.
C) A 16-year-old client diagnosed with major depression who refuses to
participate in a room.
D) A 14-year-old client with anorexia nervosa who is refusing to eat the
evening snack
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
A client recovering from pneumonia who has a history of severe chronic
obstructive pulmonary disease and peripheral vascular disease is being
discharged from the
skilled nursing facility. Which action is most important for the nurse to
implement?
A) Explain exercise daily regimen.
B) Demonstrate specific strengthening exercises.
C) Provide typed instructions for healthy diet selection.
D) Reinforce need for adequate hydration.
C) Provide typed instructions for healthy diet selection.
College, 2026-2027– Verified Questions and Answers,
Grade A
The nurse is caring for a client who arrives to the ED with reports of
experiencing dizziness and difficulty walking to the bathroom. The nurse
observes R-sided weakness and sluggish enunciation of speech. The nurse
should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy.
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the morning.
During the admission procedure, the client has a tonic colonic seizure that
last 50 seconds.
Following the seizure, the client is lethargic and confused, and his wife tells
the
nurse that her husband has never had a seizure before and has always
been alert and communicative. Which action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures
D) explain the postical state that usually follows seizures
,A nurse is providing lifestyle change education for a client to slow the
progression of coronary artery disease. Which statement made by the
client should the nurse recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
E) Include oatmeal for breakfast.
F) Use a salt substitute
B) Eat more canned vegetables.
C) Consume foods with saturated fats.
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 psychiatric nurse is caring for clients in an adolescent unit. Which client
requires the nurse's immediate attention?
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
B) A 17-year-old client diagnosed with bipolar disorder who is pacing
around the lobby.
C) A 16-year-old client diagnosed with major depression who refuses to
participate in a room.
D) A 14-year-old client with anorexia nervosa who is refusing to eat the
evening snack
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
A client recovering from pneumonia who has a history of severe chronic
obstructive pulmonary disease and peripheral vascular disease is being
discharged from the
skilled nursing facility. Which action is most important for the nurse to
implement?
A) Explain exercise daily regimen.
B) Demonstrate specific strengthening exercises.
C) Provide typed instructions for healthy diet selection.
D) Reinforce need for adequate hydration.
C) Provide typed instructions for healthy diet selection.
