NIGHTINGALE BSN 366 RN EXIT HESI – FINAL EXAM
4|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1–10
1.
A patient suddenly becomes confused and restless. What is the nurse’s first action?
A. Check oxygen saturation
B. Give sedative
C. Document change
D. Call family
Answer: A
Rationale: Acute confusion often indicates hypoxia.
2.
Which assessment finding requires immediate intervention?
A. SpO₂ 86%
B. Temp 37.1°C
C. BP 118/76
D. RR 18
Answer: A
Rationale: Hypoxemia is life-threatening.
3.
Priority nursing action for chest pain:
A. Obtain ECG
B. Offer food
C. Encourage rest only
D. Document
,Answer: A
Rationale: ECG identifies myocardial ischemia.
4.
A post-op patient has tachycardia and low BP. Nurse suspects:
A. Hemorrhage
B. Healing process
C. Infection resolved
D. Constipation
Answer: A
Rationale: Signs of internal bleeding.
5.
Best indicator of kidney perfusion:
A. Urine output
B. Hair growth
C. Nail color
D. Appetite
Answer: A
Rationale: Kidneys require adequate blood flow.
6.
Priority intervention in shock:
A. Oxygen
B. Oral fluids only
C. Bed rest
D. Food
Answer: A
Rationale: Oxygen supports tissue perfusion.
, 7.
Early sign of sepsis:
A. Fever
B. Bradycardia
C. Hypothermia only
D. Rash
Answer: A
Rationale: Infection triggers immune response.
8.
Sepsis priority treatment:
A. IV antibiotics
B. Antacids
C. Antihistamines
D. Diuretics
Answer: A
Rationale: Early antibiotics reduce mortality.
9.
Which patient is priority?
A. Chest pain + diaphoresis
B. Stable fracture
C. Mild headache
D. Controlled diabetes
Answer: A
Rationale: Possible myocardial infarction.
10.
Best sign of adequate circulation:
4|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1–10
1.
A patient suddenly becomes confused and restless. What is the nurse’s first action?
A. Check oxygen saturation
B. Give sedative
C. Document change
D. Call family
Answer: A
Rationale: Acute confusion often indicates hypoxia.
2.
Which assessment finding requires immediate intervention?
A. SpO₂ 86%
B. Temp 37.1°C
C. BP 118/76
D. RR 18
Answer: A
Rationale: Hypoxemia is life-threatening.
3.
Priority nursing action for chest pain:
A. Obtain ECG
B. Offer food
C. Encourage rest only
D. Document
,Answer: A
Rationale: ECG identifies myocardial ischemia.
4.
A post-op patient has tachycardia and low BP. Nurse suspects:
A. Hemorrhage
B. Healing process
C. Infection resolved
D. Constipation
Answer: A
Rationale: Signs of internal bleeding.
5.
Best indicator of kidney perfusion:
A. Urine output
B. Hair growth
C. Nail color
D. Appetite
Answer: A
Rationale: Kidneys require adequate blood flow.
6.
Priority intervention in shock:
A. Oxygen
B. Oral fluids only
C. Bed rest
D. Food
Answer: A
Rationale: Oxygen supports tissue perfusion.
, 7.
Early sign of sepsis:
A. Fever
B. Bradycardia
C. Hypothermia only
D. Rash
Answer: A
Rationale: Infection triggers immune response.
8.
Sepsis priority treatment:
A. IV antibiotics
B. Antacids
C. Antihistamines
D. Diuretics
Answer: A
Rationale: Early antibiotics reduce mortality.
9.
Which patient is priority?
A. Chest pain + diaphoresis
B. Stable fracture
C. Mild headache
D. Controlled diabetes
Answer: A
Rationale: Possible myocardial infarction.
10.
Best sign of adequate circulation:
