BSN 366 Exit HESI Study Guide 2025
Final Exam Q&A • Critical Concepts • High-Yield Nursing Review
Ace your BSN 366 Exit HESI with this all-in-one 2025 study guide! Packed with practice
questions, NGN case studies, rationales, and real exam prep content, this guide is perfect for
nursing students aiming to pass confidently on the first try.
✔ Covers adult health, pediatrics, maternal care, pharmacology, and psychiatric nursing
✔ Real-world clinical case applications and NGN format
✔ Designed for last-minute reviews and comprehensive prep alike
Join top-performing students—grab your advantage today and make nursing school success a reality.
, BSN 366 Exit HESI Study Guide | Comprehensive Final Exam Prep
The nurse is educating a client diagnosed with type 2 diabetes mellitus on essential aspects of disease
and symptom management. Which response from the client demonstrates comprehension?
A) Utilizing salt, herbs, and spices will enhance the taste of meals
B) Schedule an annual eye examination with an ophthalmologist
C) Organize dietary intake around three consistent meals each day
D) Conduct monthly inspections of feet for ingrown nails, cuts, and calluses
Answer: B) Schedule an annual eye examination with an ophthalmologist
The nurse is instructing a client who frequently experiences moderate anxiety in response to various
situations and perceived stressors. Besides providing information regarding prescribed medications
and their administration, which guidance should the nurse incorporate into the education?
A) Focus attention on uplifting and positive music
B) Seek opportunities for increased social engagement
C) Implement muscle relaxation techniques
D) Reflect on the reasons behind the anxiety episodes
Answer: C) Implement muscle relaxation techniques
The charge nurse is organizing the shift and has a registered nurse (RN) and a practical nurse (PN) on
the team. Which patient should the charge nurse delegate to the RN?
A) A 75-year-old patient with kidney stones requiring urine straining
B) A 64-year-old patient who underwent a total hip replacement the previous day
C) A 30-year-old patient experiencing depression who has expressed suicidal thoughts
D) An adolescent with multiple bruises resulting from a fall that occurred two days prior
Answer: C) A 30-year-old patient experiencing depression who has expressed suicidal thoughts
NGN: (Nurses Notes) At 1800 hours, the patient is a female neonate delivered at 37 weeks of
gestation to a mother with a history of gestational diabetes, classified as G 2 P 1. Following a
spontaneous vaginal delivery, the neonate received Apgar scores of seven at one minute and eight at
five minutes. The infant's weight is recorded at 4036.97 grams (8 pounds 9 ounces), presenting with a
pink complexion accompanied by acrocyanosis and a moderate layer of subcutaneous fat. At 30
minutes of age, the infant exhibits slight jitteriness. Vital signs include an axillary temperature of
96°F, a pulse rate of 140 beats per minute, and a respiratory rate of 80 breaths per minute. Blood
glucose levels are measured at 35 mg/dL, with a bilirubin level of seven. The fontanelles are soft, a
Mongolian spot is observed on the lower back, and the Ballard maturity assessment indicates a
maturity rating of 37 weeks. (For each assessment finding, please click to indicate whether the
findings are characteristic of an infant born to a diabetic mother or represent a normal presentation.)
-Soft Fontanelles
-Blood Glucose 35
-Axillary temp. 96F
-Acrocyanosis
-Ballard score maturity rating 37
-Diabetic Findings:
-BG 35
-Axillary temp 96
, -Ballard score maturity rating 37
Answers:
-Normal Presentation:
-Soft Fontanelles
-Acrocyanosis
(normal findings include
-acrocyanosis
-soft fontanelles
-mongolian spots
-Apgar scores 7 to 10)
NGN: (Nurses Notes) At 1800 hours, the patient is a female neonate delivered at 37 weeks of
gestation to a mother with a history of two pregnancies and one live birth, who was diagnosed with
gestational diabetes. After a spontaneous vaginal delivery, the neonate received Apgar scores of seven
at one minute and eight at five minutes. The infant's weight is recorded at 4036.97 grams (8 pounds 9
ounces) and presents with a pink complexion, accompanied by acrocyanosis and a moderate layer of
subcutaneous fat. At 30 minutes of age, she exhibits slight jitteriness. Vital signs include an axillary
temperature of 96°F, a pulse rate of 140 beats per minute, and a respiratory rate of 80 breaths per
minute. Blood glucose levels are at 35 mg/dL, bilirubin is measured at seven, fontanelles are soft, a
Mongolian spot is observed on the lower back, and the Ballard maturity rating indicates 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ , _____________ ,
and _________________
Answers:
-Hyperbilirubinemia
-Resppiratory Distress Syndrome
-Cardiomyopathy
NGN: Orders
Initiate breastfeeding as soon as the infant is stable, then continue on demand. If the infant is unstable,
breast milk may be administered through an orogastric tube. Should two attempts to feed fail to
elevate glucose levels, or if hypoglycemia symptoms arise, apply dextrose gel to the inside of the
baby's cheek. If these measures prove ineffective, intravenous glucose should be provided to ensure
glucose levels remain above 45. Administer a bolus of 2 mL/kg of 10% glucose intravenously,
followed by a continuous glucose infusion of 6 to 8 mg/kg/min to maintain glycemic levels above
40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level
Final Exam Q&A • Critical Concepts • High-Yield Nursing Review
Ace your BSN 366 Exit HESI with this all-in-one 2025 study guide! Packed with practice
questions, NGN case studies, rationales, and real exam prep content, this guide is perfect for
nursing students aiming to pass confidently on the first try.
✔ Covers adult health, pediatrics, maternal care, pharmacology, and psychiatric nursing
✔ Real-world clinical case applications and NGN format
✔ Designed for last-minute reviews and comprehensive prep alike
Join top-performing students—grab your advantage today and make nursing school success a reality.
, BSN 366 Exit HESI Study Guide | Comprehensive Final Exam Prep
The nurse is educating a client diagnosed with type 2 diabetes mellitus on essential aspects of disease
and symptom management. Which response from the client demonstrates comprehension?
A) Utilizing salt, herbs, and spices will enhance the taste of meals
B) Schedule an annual eye examination with an ophthalmologist
C) Organize dietary intake around three consistent meals each day
D) Conduct monthly inspections of feet for ingrown nails, cuts, and calluses
Answer: B) Schedule an annual eye examination with an ophthalmologist
The nurse is instructing a client who frequently experiences moderate anxiety in response to various
situations and perceived stressors. Besides providing information regarding prescribed medications
and their administration, which guidance should the nurse incorporate into the education?
A) Focus attention on uplifting and positive music
B) Seek opportunities for increased social engagement
C) Implement muscle relaxation techniques
D) Reflect on the reasons behind the anxiety episodes
Answer: C) Implement muscle relaxation techniques
The charge nurse is organizing the shift and has a registered nurse (RN) and a practical nurse (PN) on
the team. Which patient should the charge nurse delegate to the RN?
A) A 75-year-old patient with kidney stones requiring urine straining
B) A 64-year-old patient who underwent a total hip replacement the previous day
C) A 30-year-old patient experiencing depression who has expressed suicidal thoughts
D) An adolescent with multiple bruises resulting from a fall that occurred two days prior
Answer: C) A 30-year-old patient experiencing depression who has expressed suicidal thoughts
NGN: (Nurses Notes) At 1800 hours, the patient is a female neonate delivered at 37 weeks of
gestation to a mother with a history of gestational diabetes, classified as G 2 P 1. Following a
spontaneous vaginal delivery, the neonate received Apgar scores of seven at one minute and eight at
five minutes. The infant's weight is recorded at 4036.97 grams (8 pounds 9 ounces), presenting with a
pink complexion accompanied by acrocyanosis and a moderate layer of subcutaneous fat. At 30
minutes of age, the infant exhibits slight jitteriness. Vital signs include an axillary temperature of
96°F, a pulse rate of 140 beats per minute, and a respiratory rate of 80 breaths per minute. Blood
glucose levels are measured at 35 mg/dL, with a bilirubin level of seven. The fontanelles are soft, a
Mongolian spot is observed on the lower back, and the Ballard maturity assessment indicates a
maturity rating of 37 weeks. (For each assessment finding, please click to indicate whether the
findings are characteristic of an infant born to a diabetic mother or represent a normal presentation.)
-Soft Fontanelles
-Blood Glucose 35
-Axillary temp. 96F
-Acrocyanosis
-Ballard score maturity rating 37
-Diabetic Findings:
-BG 35
-Axillary temp 96
, -Ballard score maturity rating 37
Answers:
-Normal Presentation:
-Soft Fontanelles
-Acrocyanosis
(normal findings include
-acrocyanosis
-soft fontanelles
-mongolian spots
-Apgar scores 7 to 10)
NGN: (Nurses Notes) At 1800 hours, the patient is a female neonate delivered at 37 weeks of
gestation to a mother with a history of two pregnancies and one live birth, who was diagnosed with
gestational diabetes. After a spontaneous vaginal delivery, the neonate received Apgar scores of seven
at one minute and eight at five minutes. The infant's weight is recorded at 4036.97 grams (8 pounds 9
ounces) and presents with a pink complexion, accompanied by acrocyanosis and a moderate layer of
subcutaneous fat. At 30 minutes of age, she exhibits slight jitteriness. Vital signs include an axillary
temperature of 96°F, a pulse rate of 140 beats per minute, and a respiratory rate of 80 breaths per
minute. Blood glucose levels are at 35 mg/dL, bilirubin is measured at seven, fontanelles are soft, a
Mongolian spot is observed on the lower back, and the Ballard maturity rating indicates 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ , _____________ ,
and _________________
Answers:
-Hyperbilirubinemia
-Resppiratory Distress Syndrome
-Cardiomyopathy
NGN: Orders
Initiate breastfeeding as soon as the infant is stable, then continue on demand. If the infant is unstable,
breast milk may be administered through an orogastric tube. Should two attempts to feed fail to
elevate glucose levels, or if hypoglycemia symptoms arise, apply dextrose gel to the inside of the
baby's cheek. If these measures prove ineffective, intravenous glucose should be provided to ensure
glucose levels remain above 45. Administer a bolus of 2 mL/kg of 10% glucose intravenously,
followed by a continuous glucose infusion of 6 to 8 mg/kg/min to maintain glycemic levels above
40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level
