1 || |P |a |g | e
BSN 366 HESI EXIT EXAM 2025 ACTUAL EXAM
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+
Four hours following surgical repair of a compound fracture of the right ulna, the
| | | | | | | | | | | | |
nurse is unable to palpate the client's right radial pulse. Which action should the nurse
| | | | | | | | | | | | | | |
take first
| |
Elevate the client's right hand on one or two pillows
| | | | | | | | |
After placing a 36- week- gestation newborn in an isolette and drying the infant with
| | | | | | | | | | | | | |
several blankets, what should the nurse implement next?
| | | | | | | |
Remove the wet blankets and linen from the isolette
| | | | | | | |
A client in the third trimester of pregnancy complains of frequent nasal stiffness and
| | | | | | | | | | | | |
occasional nosebleeds. Her chest circumference has increased by 5 cm during the
| | | | | | | | | | | |
pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she has an
| | | | | | | | | | | | | |
increased costal angle. Which intervention should the nurse implement?
| | | | | | | | |
Record the respiratory finding in the clients chart as normal
| | | | | | | | |
A terminally ill male hospice client who is at home is showing decreased awareness
| | | | | | | | | | | | |
of his surroundings. His appetite is poor and he often refuses oral intake of solids and
| | | | | | | | | | | | | | | |
liquids. For the past several days he has been unable to get out of bed. Which action
| | | | | | | | | | | | | | | | |
should the hospice nurse implement?
| | | | |
Instruct family to offer client only soft bland foods
| | | | | | | |
,2 || |P |a |g | e
We have an expert-written solution to this problem!
| | | | | | |
A woman was admitted yesterday afternoon with severe abdominal pain. Her
| | | | | | | | | |
pregnancy test and ultrasound were negative, so an exploratory laparotomy was
| | | | | | | | | | |
completed during the night. When coffee ground materials is observed in the
| | | | | | | | | | | |
drainage from the nasogastric tube (NGT), which intervention should the nurse
| | | | | | | | | | |
implement?
|
Verify correct placement of the nasogastric tube
| | | | | |
We have an expert-written solution to this problem!
| | | | | | |
The nurse is reviewing the laboratory values for a client with acute pancreatitis who
| | | | | | | | | | | | |
reports of the abdominal pain is not as severe as it was on admission. Which
| | | | | | | | | | | | | | |
laboratory test should the nurse review to evaluate the clients clinical recovery?
| | | | | | | | | | | |
Lipase
While assessing a client who had a laparotomy the previous day, the nurse notices
| | | | | | | | | | | | |
that 300 mL of dark red fluid has drained from the nasogastric tube in the last hour.
| | | | | | | | | | | | | | | | |
Which action should the nurse take first?
| | | | | | |
take vital signs | |
We have an expert-written solution to this problem!
| | | | | | |
The nurse is reviewing the recommended preventative care for clients with asthma,
| | | | | | | | | | |
chronic bronchitis, and emphysema. Which health care measure is most important
| | | | | | | | | | |
for the nurse to recommend to these clients?
| | | | | | | |
Avoid large crowded areas during the colder months of the year
| | | | | | | | | |
,3 || |P |a |g | e
The mother of a one-moth-old infant calls the clinic to report that the back of her infant's
| | | | | | | | | | | | | | | |
head is flat. How should the nurse respond?
| | | | | | | |
Position the infant on the stomach occasionally when awake and active
| | | | | | | | | |
A woman is brought to the labor and delivery unti after delivering a term infant and
| | | | | | | | | | | | | | |
the placenta in the hospital parking lot 10 minutes ago. Which action should the nurse
| | | | | | | | | | | | | | |
perform first?
| |
Perform a fundal massage | | |
A client has a new prescription for the maximum recommended dosage of
| | | | | | | | | | |
pipercillin/tazobactam for nosocomial pneumonia. The nurse should report which
| | | | | | | | |
laboratory finding to the healthcare provider before administering the prescribed
| | | | | | | | | |
dose?
|
Decrease serum creatine | |
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
| | | | | | | | | |
Kussmaul breathing and has a severe headache along with nausea. Her arterial blood
| | | | | | | | | | | | |
gases (ABG) are: pH 7.50; PaCO2 30 mmHg; HCO3 24 mEq/L (24mmol/L). Which
| | | | | | | | | | | | |
assessment finding warrants immediate intervention by the nurse?
| | | | | | | |
Fruity breath |
, 4 || |P |a |g | e
When performing postural drainage on a client with Chronic Obstructive Pulmonary
| | | | | | | | | |
disease (COPD), which approach should the nurse use?
| | | | | | | |
Explain that the client may be placed in five positions
| | | | | | | | |
We have an expert-written solution to this problem!
| | | | | | |
A young male client with testicular cancer has a living will that describes his desire
| | | | | | | | | | | | | |
that no extraordinary measures be taken to save his life. The healthcare provider
| | | | | | | | | | | | |
knows the client has a good prognosis and refuses to write a "do not resuscitate"
| | | | | | | | | | | | | | |
(DNR) prescription. Which action should the nurse take?
| | | | | | | |
Initiate an ethics committee review | | | |
In observing a clients face, which assessment finding requires the most immediate
| | | | | | | | | | |
intervention by the nurse?
| | | |
Oral mucosa is cyanotic Blue lips
| | | | |
The nurse is assessing a client with cirrhosis and notes that the client has a positive
| | | | | | | | | | | | | | |
Babinski reflex. Which action should the nurse take in response to the finding?
| | | | | | | | | | | | |
Complete a thorough neurological assessment | | | |
Which action should the nurse take first after obtaining a urine specimen for culture
| | | | | | | | | | | | |
and sensitivity from an indwelling urinary catheter?
| | | | | | |
Ensure continued sterility of the specimen container
| | | | | |
BSN 366 HESI EXIT EXAM 2025 ACTUAL EXAM
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+
Four hours following surgical repair of a compound fracture of the right ulna, the
| | | | | | | | | | | | |
nurse is unable to palpate the client's right radial pulse. Which action should the nurse
| | | | | | | | | | | | | | |
take first
| |
Elevate the client's right hand on one or two pillows
| | | | | | | | |
After placing a 36- week- gestation newborn in an isolette and drying the infant with
| | | | | | | | | | | | | |
several blankets, what should the nurse implement next?
| | | | | | | |
Remove the wet blankets and linen from the isolette
| | | | | | | |
A client in the third trimester of pregnancy complains of frequent nasal stiffness and
| | | | | | | | | | | | |
occasional nosebleeds. Her chest circumference has increased by 5 cm during the
| | | | | | | | | | | |
pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she has an
| | | | | | | | | | | | | |
increased costal angle. Which intervention should the nurse implement?
| | | | | | | | |
Record the respiratory finding in the clients chart as normal
| | | | | | | | |
A terminally ill male hospice client who is at home is showing decreased awareness
| | | | | | | | | | | | |
of his surroundings. His appetite is poor and he often refuses oral intake of solids and
| | | | | | | | | | | | | | | |
liquids. For the past several days he has been unable to get out of bed. Which action
| | | | | | | | | | | | | | | | |
should the hospice nurse implement?
| | | | |
Instruct family to offer client only soft bland foods
| | | | | | | |
,2 || |P |a |g | e
We have an expert-written solution to this problem!
| | | | | | |
A woman was admitted yesterday afternoon with severe abdominal pain. Her
| | | | | | | | | |
pregnancy test and ultrasound were negative, so an exploratory laparotomy was
| | | | | | | | | | |
completed during the night. When coffee ground materials is observed in the
| | | | | | | | | | | |
drainage from the nasogastric tube (NGT), which intervention should the nurse
| | | | | | | | | | |
implement?
|
Verify correct placement of the nasogastric tube
| | | | | |
We have an expert-written solution to this problem!
| | | | | | |
The nurse is reviewing the laboratory values for a client with acute pancreatitis who
| | | | | | | | | | | | |
reports of the abdominal pain is not as severe as it was on admission. Which
| | | | | | | | | | | | | | |
laboratory test should the nurse review to evaluate the clients clinical recovery?
| | | | | | | | | | | |
Lipase
While assessing a client who had a laparotomy the previous day, the nurse notices
| | | | | | | | | | | | |
that 300 mL of dark red fluid has drained from the nasogastric tube in the last hour.
| | | | | | | | | | | | | | | | |
Which action should the nurse take first?
| | | | | | |
take vital signs | |
We have an expert-written solution to this problem!
| | | | | | |
The nurse is reviewing the recommended preventative care for clients with asthma,
| | | | | | | | | | |
chronic bronchitis, and emphysema. Which health care measure is most important
| | | | | | | | | | |
for the nurse to recommend to these clients?
| | | | | | | |
Avoid large crowded areas during the colder months of the year
| | | | | | | | | |
,3 || |P |a |g | e
The mother of a one-moth-old infant calls the clinic to report that the back of her infant's
| | | | | | | | | | | | | | | |
head is flat. How should the nurse respond?
| | | | | | | |
Position the infant on the stomach occasionally when awake and active
| | | | | | | | | |
A woman is brought to the labor and delivery unti after delivering a term infant and
| | | | | | | | | | | | | | |
the placenta in the hospital parking lot 10 minutes ago. Which action should the nurse
| | | | | | | | | | | | | | |
perform first?
| |
Perform a fundal massage | | |
A client has a new prescription for the maximum recommended dosage of
| | | | | | | | | | |
pipercillin/tazobactam for nosocomial pneumonia. The nurse should report which
| | | | | | | | |
laboratory finding to the healthcare provider before administering the prescribed
| | | | | | | | | |
dose?
|
Decrease serum creatine | |
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
| | | | | | | | | |
Kussmaul breathing and has a severe headache along with nausea. Her arterial blood
| | | | | | | | | | | | |
gases (ABG) are: pH 7.50; PaCO2 30 mmHg; HCO3 24 mEq/L (24mmol/L). Which
| | | | | | | | | | | | |
assessment finding warrants immediate intervention by the nurse?
| | | | | | | |
Fruity breath |
, 4 || |P |a |g | e
When performing postural drainage on a client with Chronic Obstructive Pulmonary
| | | | | | | | | |
disease (COPD), which approach should the nurse use?
| | | | | | | |
Explain that the client may be placed in five positions
| | | | | | | | |
We have an expert-written solution to this problem!
| | | | | | |
A young male client with testicular cancer has a living will that describes his desire
| | | | | | | | | | | | | |
that no extraordinary measures be taken to save his life. The healthcare provider
| | | | | | | | | | | | |
knows the client has a good prognosis and refuses to write a "do not resuscitate"
| | | | | | | | | | | | | | |
(DNR) prescription. Which action should the nurse take?
| | | | | | | |
Initiate an ethics committee review | | | |
In observing a clients face, which assessment finding requires the most immediate
| | | | | | | | | | |
intervention by the nurse?
| | | |
Oral mucosa is cyanotic Blue lips
| | | | |
The nurse is assessing a client with cirrhosis and notes that the client has a positive
| | | | | | | | | | | | | | |
Babinski reflex. Which action should the nurse take in response to the finding?
| | | | | | | | | | | | |
Complete a thorough neurological assessment | | | |
Which action should the nurse take first after obtaining a urine specimen for culture
| | | | | | | | | | | | |
and sensitivity from an indwelling urinary catheter?
| | | | | | |
Ensure continued sterility of the specimen container
| | | | | |
