BSN366 EXIT HESI 2026 ACTUAL
QUESTIONS WITH VERIFIED
ANSWERS.
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
- ANSWER-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
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D) Think about reasons the episodes occur - ANSWER-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 - ANSWER-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
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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 - ANSWER-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)
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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
_________________ - ANSWER-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