1
BSN HESI 366 RN EXIT EXAM (NEW 2025-2026
UPDATE) QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT- GRADE A- NIGHTINGALE
An adult client experiences a gasoline tank fire when riding a motorcycle
| | | | | | | | | | |
and is admitted to the emergency department (ED) with full thickness
| | | | | | | | | | |
burns to all surfaces of both lower extremities. What percentage of body
| | | | | | | | | | | |
surface area should the nurse document in the electronic medical record
| | | | | | | | | | |
(EMR)?
|
A) 9%
|
B) 36%
|
C) 18%
|
D) 45% - ANS ✓B) 36%
| | | | |
An unlicensed assistive personnel leaves the unit without notifying the
| | | | | | | | |
staff. In which order should the unit manager implement these
| | | | | | | | | |
interventions to address the UP's behavior? (Please to actions in order
| | | | | | | | | | |
from first on top to last on bottom)
| | | | | | | |
Discuss the issue privately with the UAP
| | | | | |
Plan for scheduled break times
| | | |
Evaluate the UP for signs of improvement| | | | | | |
Note date and time of the behavior - ANS ✓Note date and time of the behavior.
| | | | | | | | | | | | | | | |
Discuss the issue privately with a UAP.
| | | | | | |
Plan for scheduled break times.
| | | | |
Evaluate the UPC for signs of improvement.
| | | | | |
NO QUESTION 32 - ANS ✓
| | | | |
BSN HESI|
, 2
What nursing intervention is particularly indicated for the second stage of
| | | | | | | | | |
labor?
| |
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
| | | | | | | | | | | |
B) Monitoring effects of oxytocin administration to help achieve cervical
| | | | | | | | |
dilation.
| |
C) Providing pain medication to increase the clients tolerance of labor
| | | | | | | | | |
pains.
|
D) Assisting the client to push effectively so that expulsion of the fetus can
| | | | | | | | | | | | |
be achieved. - ANS ✓D) Assisting the client to push effectively so that expulsion
| | | | | | | | | | | | | |
of the fetus can be achieved.
| | | | | |
A child with peripheral edema who weighs 44 pounds receives a
| | | | | | | | | |
prescription for furosemide 2 mg/kg IV every 12 hours. The vile is labeled
| | | | | | | | | | | | |
10 mg/mL. How many milliliters should the nurse administer? (Enter
| | | | | | | | | |
numeric value only) - ANS ✓4mL
| | | | | |
Laboratory results should the nurse closely monitor in a client who has
| | | | | | | | | | |
end-stage renal disease?
| | | |
A) Erythrocytes, hemoglobin, and hematocrit.
| | | | |
B) Serum potassium, calcium, and phosphorus.
| | | | | |
C) Blood pressure, heart rate, and temperature.
| | | | | | |
D) Leukocytes, neutrophils, and thyroxine. - ANS ✓B) Serum potassium,
| | | | | | | | |
calcium, and phosphorus.
| | |
A client with a history of dementia has become increasingly confused at
| | | | | | | | | | |
night and is picking at an abdominal surgical dressing and the tape
| | | | | | | | | | | |
securing the IV line. The abdominal dressing is no longer inclusive, and the
| | | | | | | | | | | | |
IV insertion site is pink. Which intervention should the nurse implement?
| | | | | | | | | | | |
BSN HESI |
, 3
A) Leave the lights on in the room at night.
| | | | | | | | | |
B) Re-dress the abdominal incision.
| | | | |
C) Apply soft bilateral wrist restraints.
| | | | | |
D) Replace the IV site with a smaller gauge. - ANS ✓B) Re-dress the abdominal
| | | | | | | | | | | | | |
incision.
|
The nurse is planning care for a client who admits to having suicidal
| | | | | | | | | | | |
thoughts. Which client behavior indicates the highest risk for the client
| | | | | | | | | | |
acting on the suicidal thoughts?
| | | | | |
A) Begins to show signs of improvement in effect.
| | | | | | | | |
B) Expresses feelings of sadness and loneliness.
| | | | | | |
C) Neglects personal hygiene and has no appetite.
| | | | | | | |
D) Lacks interest in the activities of family and friends. - ANS ✓A) Begins to
| | | | | | | | | | | | | |
show signs of improvement in effect.
| | | | | |
NGN: The client is a 42-year-old female who had a right above the knee
| | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in the surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day.
| | | | | | | | | | | | | |
(Choose the most likely options for the information missing from the
| | | | | | | | | |
statement.)
|
Morphine is a ______________ and it activates ________________ receptors and is
| | | | | | | | | |
used to relieve ______________. - ANS ✓Agonist-antagonist opioid , beta , pain?
| | | | | | | | | | | |
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (What
| | | | | | | | | | | | | |
actions should the nurse take to assure safety during morphine
| | | | | | | | | |
administration? SATA)
| |
A) Have a manual resuscitation bag at the bedside.
| | | | | | | | |
BSN HESI|
, 4
B) Ask the client about other medication's she takes.
| | | | | | | | |
C) Perform a 12 lead electro cardiogram.
| | | | | | |
D) Take an initial respiratory rate.
| | | | | |
E) Suction the client to clear the airway.
| | | | | | | |
F) Restrain the client with soft restraints. - ANS ✓B) Ask the client about other
| | | | | | | | | | | | | |
medication's she takes.
| | | |
D) Take an initial respiratory rate.
| | | | | |
??????
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (what
| | | | | | | | | | | | | |
other medication's would the nurse expect the surgeon to prescribe along
| | | | | | | | | | |
with morphine? SATA)
| | |
A) Docusate sodium
| |
B) Methadone
|
C) Propofol
|
D) Naloxone
|
E) Senna
|
F) Ibuprofen - ANS ✓A) Docusate sodium (for constipation)
| | | | | | | |
D) Naloxone (PRN for respiratory depression)
| | | | |
F) Ibuprofen (help maintain breakthrough pain)
| | | | |
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (what
| | | | | | | | | | | | | |
side effects of morphine could contribute to this client's fall risk?)
| | | | | | | | | | |
A) urinary retention
| |
B) seizures
|
BSN HESI|
BSN HESI 366 RN EXIT EXAM (NEW 2025-2026
UPDATE) QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT- GRADE A- NIGHTINGALE
An adult client experiences a gasoline tank fire when riding a motorcycle
| | | | | | | | | | |
and is admitted to the emergency department (ED) with full thickness
| | | | | | | | | | |
burns to all surfaces of both lower extremities. What percentage of body
| | | | | | | | | | | |
surface area should the nurse document in the electronic medical record
| | | | | | | | | | |
(EMR)?
|
A) 9%
|
B) 36%
|
C) 18%
|
D) 45% - ANS ✓B) 36%
| | | | |
An unlicensed assistive personnel leaves the unit without notifying the
| | | | | | | | |
staff. In which order should the unit manager implement these
| | | | | | | | | |
interventions to address the UP's behavior? (Please to actions in order
| | | | | | | | | | |
from first on top to last on bottom)
| | | | | | | |
Discuss the issue privately with the UAP
| | | | | |
Plan for scheduled break times
| | | |
Evaluate the UP for signs of improvement| | | | | | |
Note date and time of the behavior - ANS ✓Note date and time of the behavior.
| | | | | | | | | | | | | | | |
Discuss the issue privately with a UAP.
| | | | | | |
Plan for scheduled break times.
| | | | |
Evaluate the UPC for signs of improvement.
| | | | | |
NO QUESTION 32 - ANS ✓
| | | | |
BSN HESI|
, 2
What nursing intervention is particularly indicated for the second stage of
| | | | | | | | | |
labor?
| |
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
| | | | | | | | | | | |
B) Monitoring effects of oxytocin administration to help achieve cervical
| | | | | | | | |
dilation.
| |
C) Providing pain medication to increase the clients tolerance of labor
| | | | | | | | | |
pains.
|
D) Assisting the client to push effectively so that expulsion of the fetus can
| | | | | | | | | | | | |
be achieved. - ANS ✓D) Assisting the client to push effectively so that expulsion
| | | | | | | | | | | | | |
of the fetus can be achieved.
| | | | | |
A child with peripheral edema who weighs 44 pounds receives a
| | | | | | | | | |
prescription for furosemide 2 mg/kg IV every 12 hours. The vile is labeled
| | | | | | | | | | | | |
10 mg/mL. How many milliliters should the nurse administer? (Enter
| | | | | | | | | |
numeric value only) - ANS ✓4mL
| | | | | |
Laboratory results should the nurse closely monitor in a client who has
| | | | | | | | | | |
end-stage renal disease?
| | | |
A) Erythrocytes, hemoglobin, and hematocrit.
| | | | |
B) Serum potassium, calcium, and phosphorus.
| | | | | |
C) Blood pressure, heart rate, and temperature.
| | | | | | |
D) Leukocytes, neutrophils, and thyroxine. - ANS ✓B) Serum potassium,
| | | | | | | | |
calcium, and phosphorus.
| | |
A client with a history of dementia has become increasingly confused at
| | | | | | | | | | |
night and is picking at an abdominal surgical dressing and the tape
| | | | | | | | | | | |
securing the IV line. The abdominal dressing is no longer inclusive, and the
| | | | | | | | | | | | |
IV insertion site is pink. Which intervention should the nurse implement?
| | | | | | | | | | | |
BSN HESI |
, 3
A) Leave the lights on in the room at night.
| | | | | | | | | |
B) Re-dress the abdominal incision.
| | | | |
C) Apply soft bilateral wrist restraints.
| | | | | |
D) Replace the IV site with a smaller gauge. - ANS ✓B) Re-dress the abdominal
| | | | | | | | | | | | | |
incision.
|
The nurse is planning care for a client who admits to having suicidal
| | | | | | | | | | | |
thoughts. Which client behavior indicates the highest risk for the client
| | | | | | | | | | |
acting on the suicidal thoughts?
| | | | | |
A) Begins to show signs of improvement in effect.
| | | | | | | | |
B) Expresses feelings of sadness and loneliness.
| | | | | | |
C) Neglects personal hygiene and has no appetite.
| | | | | | | |
D) Lacks interest in the activities of family and friends. - ANS ✓A) Begins to
| | | | | | | | | | | | | |
show signs of improvement in effect.
| | | | | |
NGN: The client is a 42-year-old female who had a right above the knee
| | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in the surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day.
| | | | | | | | | | | | | |
(Choose the most likely options for the information missing from the
| | | | | | | | | |
statement.)
|
Morphine is a ______________ and it activates ________________ receptors and is
| | | | | | | | | |
used to relieve ______________. - ANS ✓Agonist-antagonist opioid , beta , pain?
| | | | | | | | | | | |
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (What
| | | | | | | | | | | | | |
actions should the nurse take to assure safety during morphine
| | | | | | | | | |
administration? SATA)
| |
A) Have a manual resuscitation bag at the bedside.
| | | | | | | | |
BSN HESI|
, 4
B) Ask the client about other medication's she takes.
| | | | | | | | |
C) Perform a 12 lead electro cardiogram.
| | | | | | |
D) Take an initial respiratory rate.
| | | | | |
E) Suction the client to clear the airway.
| | | | | | | |
F) Restrain the client with soft restraints. - ANS ✓B) Ask the client about other
| | | | | | | | | | | | | |
medication's she takes.
| | | |
D) Take an initial respiratory rate.
| | | | | |
??????
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (what
| | | | | | | | | | | | | |
other medication's would the nurse expect the surgeon to prescribe along
| | | | | | | | | | |
with morphine? SATA)
| | |
A) Docusate sodium
| |
B) Methadone
|
C) Propofol
|
D) Naloxone
|
E) Senna
|
F) Ibuprofen - ANS ✓A) Docusate sodium (for constipation)
| | | | | | | |
D) Naloxone (PRN for respiratory depression)
| | | | |
F) Ibuprofen (help maintain breakthrough pain)
| | | | |
NGN: a client is a 42 year old female who had a right above the knee
| | | | | | | | | | | | | | |
amputation for osteomyelitis. The client has a drain in place in a surgical
| | | | | | | | | | | | |
dressing that will need to be changed by the surgeon on postop day. (what
| | | | | | | | | | | | | |
side effects of morphine could contribute to this client's fall risk?)
| | | | | | | | | | |
A) urinary retention
| |
B) seizures
|
BSN HESI|
