BSN 366 Exit HESI (Spring '25) With complete solu on
Newest RATED A+ 2025/2026 NEW!!
The nurse is planning discharge instruc ons for a client with type 2 diabetes who will be star ng
Exena de. Which informa on should be included in the discharge instruc ons?
A. Exena de acts in the same way as insulin in lowering blood glucose.
B. Inject exena de within 30 minutes before or a$er a meal.
C. There are no precau ons when taking Exena de with other medica ons.
D. No fy your healthcare provider if you start having abdominal pain. - Correct Answers D.
No fy your healthcare provider if you start having abdominal pain.
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
1. Click to highlight the aspects of the assessment that require urgent a0en on:
The client's pain is 2/10. The client requests sleeping medica on for the night. She states she
has horrible thoughts and memories about the house collapsing all the me, and that it is
keeping her from falling asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses sta on and hears talking and alarms constantly.
- Correct Answers -She states she has horrible thoughts and memories about the house
collapsing all the me.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
,2. Drag from the op ons to complete the sentence:
A$er listening to the clients symptoms, the nurse realizes that she likely has______________
related to _______________ - Correct Answers Acute Stress Disorder, Trauma c Stress
exposure
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
3. Click to specify which client statement of behaviors is most likely associated with each of the
listed defense mechanism. Some statements or behaviors may be consistent with more than
one mechanism. Each column must have at least one but may have more than one answer
selected. - Correct Answers
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
4. What nursing reviews the physicians orders for Clonazepam and gives the medica on as
ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthosta c hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside - Correct Answers b. assist the client to the bathroom
d. assess mental status regularly
,Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administra on of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cogni ve behavioral therapy - Correct Answers a. animal therapy
c. consciousness-raising
f. cogni ve behavioral therapy
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
6. For each client statement, click to highlight the statement(s) below that require follow up
teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts be0er through therapy"
c. "I can use holis c approaches like medica on to help my symptoms"
d. "Many people have the same response to a stressful situa on as I am having right"
e. "I am at high risk for post-trauma c-stress disorder because I have acute stress disorder"
f. " I will probably need to be on medica on for the rest of my life" - Correct Answers a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts be0er through therapy"
, f. " I will probably need to be on medica on for the rest of my life"
A client with foul-smelling drainage from an incision on the upper le$ arm is admi0ed with a
suspected methicillin-resistant Staphylococcus aureus (MRSA). What nursing interven ons
should the nurse include in the plan of care? Select all that apply
a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensi vity
c. Ins tute contact precau ons for staff and visitors
d. Use standard precau ons and wear a mask
e. Monitor the clients white blood cell count - Correct Answers b. Send wound drainage for
culture and sensi vity
c. Ins tute contact precau ons for staff and visitors
e. Monitor the clients white blood cell count
An older adult client who has difficulty hearing is being discharged form surgery following
cataract extrac on and lens implanta on. Which interven on is most important for the nurse to
implement to ensure the clients compliance with self-care.
a. Provide wri0en instruc ons for eye drop administra on
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instruc ons provided
d. Ensure that someone will stay with the client for 24 hours - Correct Answers a. Provide
wri0en instruc ons for eye drop administra on
When assessing a client with an ionized calcium level of 15 mg/dL (4.25 mmol/L), which
interven on is most important for the nurse to implement Reference Range Ionized calcium [
adult 4.6 to 5.1 mg/dL (1.15 to 1.35 mmol/L)
Newest RATED A+ 2025/2026 NEW!!
The nurse is planning discharge instruc ons for a client with type 2 diabetes who will be star ng
Exena de. Which informa on should be included in the discharge instruc ons?
A. Exena de acts in the same way as insulin in lowering blood glucose.
B. Inject exena de within 30 minutes before or a$er a meal.
C. There are no precau ons when taking Exena de with other medica ons.
D. No fy your healthcare provider if you start having abdominal pain. - Correct Answers D.
No fy your healthcare provider if you start having abdominal pain.
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
1. Click to highlight the aspects of the assessment that require urgent a0en on:
The client's pain is 2/10. The client requests sleeping medica on for the night. She states she
has horrible thoughts and memories about the house collapsing all the me, and that it is
keeping her from falling asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses sta on and hears talking and alarms constantly.
- Correct Answers -She states she has horrible thoughts and memories about the house
collapsing all the me.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
,2. Drag from the op ons to complete the sentence:
A$er listening to the clients symptoms, the nurse realizes that she likely has______________
related to _______________ - Correct Answers Acute Stress Disorder, Trauma c Stress
exposure
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
3. Click to specify which client statement of behaviors is most likely associated with each of the
listed defense mechanism. Some statements or behaviors may be consistent with more than
one mechanism. Each column must have at least one but may have more than one answer
selected. - Correct Answers
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
4. What nursing reviews the physicians orders for Clonazepam and gives the medica on as
ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthosta c hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside - Correct Answers b. assist the client to the bathroom
d. assess mental status regularly
,Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administra on of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cogni ve behavioral therapy - Correct Answers a. animal therapy
c. consciousness-raising
f. cogni ve behavioral therapy
Case Study: The client is in the hospital a$er her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to con nue
monitoring her respiratory func on and to complete intravenous an bio c administra on.
6. For each client statement, click to highlight the statement(s) below that require follow up
teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts be0er through therapy"
c. "I can use holis c approaches like medica on to help my symptoms"
d. "Many people have the same response to a stressful situa on as I am having right"
e. "I am at high risk for post-trauma c-stress disorder because I have acute stress disorder"
f. " I will probably need to be on medica on for the rest of my life" - Correct Answers a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts be0er through therapy"
, f. " I will probably need to be on medica on for the rest of my life"
A client with foul-smelling drainage from an incision on the upper le$ arm is admi0ed with a
suspected methicillin-resistant Staphylococcus aureus (MRSA). What nursing interven ons
should the nurse include in the plan of care? Select all that apply
a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensi vity
c. Ins tute contact precau ons for staff and visitors
d. Use standard precau ons and wear a mask
e. Monitor the clients white blood cell count - Correct Answers b. Send wound drainage for
culture and sensi vity
c. Ins tute contact precau ons for staff and visitors
e. Monitor the clients white blood cell count
An older adult client who has difficulty hearing is being discharged form surgery following
cataract extrac on and lens implanta on. Which interven on is most important for the nurse to
implement to ensure the clients compliance with self-care.
a. Provide wri0en instruc ons for eye drop administra on
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instruc ons provided
d. Ensure that someone will stay with the client for 24 hours - Correct Answers a. Provide
wri0en instruc ons for eye drop administra on
When assessing a client with an ionized calcium level of 15 mg/dL (4.25 mmol/L), which
interven on is most important for the nurse to implement Reference Range Ionized calcium [
adult 4.6 to 5.1 mg/dL (1.15 to 1.35 mmol/L)
