BSN 366 HESI RN Exit Exam
Questions and Answers
2025/2026
The nurse is performing preoperative care of a client for an open reduction and
internal fixation (ORIF) of a fractured right tibia before the procedure, which
action should the nurse prioritize? - ANSWER Verify clients signed
consent.
A client receives a prescription for acetaminophen 1,000 mg by mouth every 8
hours as needed for pain. The bottle is labeled "Acetaminophen for Oral
Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse
instruct the client to take with each dose? (Enter numerical value only.) -
ANSWER 2
the nurse observes a client prepare a meal in the kitchen of a rehabilitation facility
prior to discharge. which behaviors indicate the client understands how to maintain
balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - ANSWER a. brings a
heavy can close to body before lifting
c. widens stance while working near the sink
,The RN is assigned to care for four surgical clients. After receiving the report,
which client should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder irrigation
infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain
medication.
c. Three days postoperative colon resection receiving a transfusion of packed
RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the
next 12 hours - ANSWER c. Three days postoperative colon resection
receiving a transfusion of packed RBCs. .
A client is receiving a continuous infusion of the anticoagulant, heparin, for
treatment of a deep vein thrombosis of the right calf. Which goal should the nurse
include in this client's plan of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right
calf will decrease. - ANSWER a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a
client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
, c. The client's need for pain medication should be determined
d. The nurse manager should be updated on the client's status - ANSWER
c. The client's need for pain medication should be determined
Which information is more important for the nurse to obtain when determining a
client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was
exposed to the virus eight days ago. The client is experiencing fever, cough, and
shortness of breath. Which action is the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last
contact with patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive
COVID-19 test results.
d. Move the client to a private room, keep the door closed, and initiate droplet
precautions. - ANSWER d. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
The nurse is preparing an adult with Addison's disease for self-management.
Which information should the nurse include in the client's instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - ANSWER a. events
requiring steroid dose adjustments
Questions and Answers
2025/2026
The nurse is performing preoperative care of a client for an open reduction and
internal fixation (ORIF) of a fractured right tibia before the procedure, which
action should the nurse prioritize? - ANSWER Verify clients signed
consent.
A client receives a prescription for acetaminophen 1,000 mg by mouth every 8
hours as needed for pain. The bottle is labeled "Acetaminophen for Oral
Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse
instruct the client to take with each dose? (Enter numerical value only.) -
ANSWER 2
the nurse observes a client prepare a meal in the kitchen of a rehabilitation facility
prior to discharge. which behaviors indicate the client understands how to maintain
balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - ANSWER a. brings a
heavy can close to body before lifting
c. widens stance while working near the sink
,The RN is assigned to care for four surgical clients. After receiving the report,
which client should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder irrigation
infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain
medication.
c. Three days postoperative colon resection receiving a transfusion of packed
RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the
next 12 hours - ANSWER c. Three days postoperative colon resection
receiving a transfusion of packed RBCs. .
A client is receiving a continuous infusion of the anticoagulant, heparin, for
treatment of a deep vein thrombosis of the right calf. Which goal should the nurse
include in this client's plan of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right
calf will decrease. - ANSWER a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a
client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs
of impending death. After notifying the family of the client's status, what priority
action should the nurse implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
, c. The client's need for pain medication should be determined
d. The nurse manager should be updated on the client's status - ANSWER
c. The client's need for pain medication should be determined
Which information is more important for the nurse to obtain when determining a
client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANSWER Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was
exposed to the virus eight days ago. The client is experiencing fever, cough, and
shortness of breath. Which action is the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last
contact with patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive
COVID-19 test results.
d. Move the client to a private room, keep the door closed, and initiate droplet
precautions. - ANSWER d. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
The nurse is preparing an adult with Addison's disease for self-management.
Which information should the nurse include in the client's instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - ANSWER a. events
requiring steroid dose adjustments
