BSN366
BSN366 EXIT HESI EXAM QUESTIONS
AND 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 - B) Get an eye exam
with an opthalmologist annually.
-
Choice B reason: Arranging diet schedule around 3-regular meals a day is not a sufficient
point for disease & symptom management for a client w/ DM2. Diabetes mellitus is a
condition that affects the body's ability to produce or use insulin, a hormone that
regulates blood glucose levels. Eating 3-regular meals a day may not be enough to
control blood glucose levels & prevent complications such as hypoglycemia or
hyperglycemia. The nurse should teach the client to follow a balanced diet that includes
BSN366
,BSN366
carbohydrates, proteins, fats, vitamins, minerals, & fiber, & to eat smaller portions more
frequently throughout the day.
Choice C reason: Using garlic, herbs, & spices will improve the flavor of food is not a
specific point for disease & symptom management for a client w/ DM2. Garlic, herbs, &
spices are natural ingredients that can enhance the taste & aroma of food, but they do not
have a direct impact on blood glucose levels or diabetes complications. The nurse should
teach the client to limit the intake of salt, sugar, & saturated fats, & to choose foods that
are low in glycemic index & high in antioxidants.
Choice D reason: Inspecting feet every month for ingrown nails, cuts, & calluses is not a
frequent enough point for disease & symptom management for a client w/ DM2. Diabetes
mellitus can cause damage to the blood vessels & nerves in the feet, leading to reduced
sensation, poor circulation, infection, ulceration, & amputation. The nurse should teach
the client to inspect feet every day for any signs of injury or infection, & to wash, dry,
moisturize, & protect them properly. The nurse should also advise the client to wear
comfortable shoes & socks, avoid walking barefoot, & seek medical attention for any
foot problems.
The nurse is providing education 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
BSN366
,BSN366
D) Think about reasons the episodes occur. - C) Practice using muscle relaxation
techniques.
-Choice C: Practicing using muscle relaxation techniques is an appropriate instruction for
the nurse to include, as this can help reduce physical tension and promote calmness and
relaxation for this client. Therefore, this is the correct choice.
Choice A: Centering attention on positive upbeat music is not a specific instruction for
the nurse to include, as this is a general coping strategy that may or may not be helpful
for this client. This is a distractor choice.
Choice B: Finding outlets for more social interaction is not a relevant instruction for the
nurse to include, as this may not address the underlying causes of anxiety or stress for
this client. This is another distractor choice.
Choice D: Thinking about reasons the episodes occur is not a helpful instruction for the
nurse to include, as this can increase rumination and anxiety for this client. This is
another distractor choice.
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.
BSN366
, BSN366
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago. - C) A
30-year old depresses client who ad ideation.
-Choice C: A 30-year-old depressed client who admits to suicide ideation is a client that
the charge nurse should assign to the RN, as this is an unstable and high-risk client who
requires close monitoring, assessment, and intervention by the RN. Therefore, this is the
correct choice.
Choice A: An adolescent with multiple contusions due to a fall that occurred 2 days ago is
not a client that the charge nurse should assign to the RN, as this is a stable and low-
acuity client who can be safely cared for by the PN. This is a distractor choice.
Choice B: A 75-year-old client with renal calculi who requires urine straining is not a
client that the charge nurse should assign to the RN, as this is a routine and non-complex
task that can be performed by the PN. This is another distractor choice.
Choice D: A 64-year-old client who had a total hip replacement the previous day is not a
client that the charge nurse should assign to the RN, as this is a postoperative and
moderate-acuity client who can be managed by the PN under the supervision of the RN.
This is another distractor choice.
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 35, Billy Rubin seven, fontanelles soft, mongolian
BSN366
BSN366 EXIT HESI EXAM QUESTIONS
AND 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 - B) Get an eye exam
with an opthalmologist annually.
-
Choice B reason: Arranging diet schedule around 3-regular meals a day is not a sufficient
point for disease & symptom management for a client w/ DM2. Diabetes mellitus is a
condition that affects the body's ability to produce or use insulin, a hormone that
regulates blood glucose levels. Eating 3-regular meals a day may not be enough to
control blood glucose levels & prevent complications such as hypoglycemia or
hyperglycemia. The nurse should teach the client to follow a balanced diet that includes
BSN366
,BSN366
carbohydrates, proteins, fats, vitamins, minerals, & fiber, & to eat smaller portions more
frequently throughout the day.
Choice C reason: Using garlic, herbs, & spices will improve the flavor of food is not a
specific point for disease & symptom management for a client w/ DM2. Garlic, herbs, &
spices are natural ingredients that can enhance the taste & aroma of food, but they do not
have a direct impact on blood glucose levels or diabetes complications. The nurse should
teach the client to limit the intake of salt, sugar, & saturated fats, & to choose foods that
are low in glycemic index & high in antioxidants.
Choice D reason: Inspecting feet every month for ingrown nails, cuts, & calluses is not a
frequent enough point for disease & symptom management for a client w/ DM2. Diabetes
mellitus can cause damage to the blood vessels & nerves in the feet, leading to reduced
sensation, poor circulation, infection, ulceration, & amputation. The nurse should teach
the client to inspect feet every day for any signs of injury or infection, & to wash, dry,
moisturize, & protect them properly. The nurse should also advise the client to wear
comfortable shoes & socks, avoid walking barefoot, & seek medical attention for any
foot problems.
The nurse is providing education 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
BSN366
,BSN366
D) Think about reasons the episodes occur. - C) Practice using muscle relaxation
techniques.
-Choice C: Practicing using muscle relaxation techniques is an appropriate instruction for
the nurse to include, as this can help reduce physical tension and promote calmness and
relaxation for this client. Therefore, this is the correct choice.
Choice A: Centering attention on positive upbeat music is not a specific instruction for
the nurse to include, as this is a general coping strategy that may or may not be helpful
for this client. This is a distractor choice.
Choice B: Finding outlets for more social interaction is not a relevant instruction for the
nurse to include, as this may not address the underlying causes of anxiety or stress for
this client. This is another distractor choice.
Choice D: Thinking about reasons the episodes occur is not a helpful instruction for the
nurse to include, as this can increase rumination and anxiety for this client. This is
another distractor choice.
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.
BSN366
, BSN366
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago. - C) A
30-year old depresses client who ad ideation.
-Choice C: A 30-year-old depressed client who admits to suicide ideation is a client that
the charge nurse should assign to the RN, as this is an unstable and high-risk client who
requires close monitoring, assessment, and intervention by the RN. Therefore, this is the
correct choice.
Choice A: An adolescent with multiple contusions due to a fall that occurred 2 days ago is
not a client that the charge nurse should assign to the RN, as this is a stable and low-
acuity client who can be safely cared for by the PN. This is a distractor choice.
Choice B: A 75-year-old client with renal calculi who requires urine straining is not a
client that the charge nurse should assign to the RN, as this is a routine and non-complex
task that can be performed by the PN. This is another distractor choice.
Choice D: A 64-year-old client who had a total hip replacement the previous day is not a
client that the charge nurse should assign to the RN, as this is a postoperative and
moderate-acuity client who can be managed by the PN under the supervision of the RN.
This is another distractor choice.
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 35, Billy Rubin seven, fontanelles soft, mongolian
BSN366
