BSN366 EXIT HESI Questions and
Answers A+ Graded (2025)
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 .- .CORRECT
.ANSWER-B) .Get .an .eye .exam .with .an .opthalmologist .annually
The .nurse .is .providing .educations .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
D) .Think .about .reasons .the .episodes .occur .- .CORRECT .ANSWER-C) .Practice
.using .muscle .relaxation .techniques
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
D) .An .adolescent .with .multiple .contusions .due .to .a .fall .that .occurred .2 .days .ago
.- .CORRECT .ANSWER-C) .A .30-year .old .depresses .client .who .admits .to .suicide
.ideation
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 .spot .noted .on .lower
.back, .Ballard .maturity .rating .37 .weeks. .(For .each .assessment .finding, .click .to
.indicate .whether .the .findings .are .associated .with .an .infant .of .a .diabetic .mother
.or .normal .presentation.)
Soft .Fontanelles
Blood .Glucose .35
Axillary .temp. .96F
Acrocyanosis
Ballard .score .maturity .rating .37 .- .CORRECT .ANSWER-Diabetic .Findings:
BG .35
Axillary .temp .96
Ballard .score .maturity .rating .37
???????
Normal .Presentation:
Soft .Fontanelles
Acrocyanosis
(normal .findings .include .acrocyanosis, .soft .fontanelles, .mongolian .spots, .and
.Apgar .scores .7 .to .10)
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 .spot .noted .on .lower
.back, .Ballard .maturity .rating .37 .weeks. .
The .nurse .recognizes .that .the .infant .of .a .diabetic .mother .is .at .risk .for ._________
., ._____________ ., .and ._________________ .- .CORRECT .ANSWER-
Hyperbilirubinemia ., .Resppiratory .Distress .Syndrome ., .and .Cardiomyopathy
NGN: .Orders
Breast-feed .immediately .once .stable .then .on .demand. .If .unstable, .may .feed
.breastmilk .via .orogastric .tube. .If .two .feeding .attempts .failed .to .increase .the
.glucose .levels .or .if .symptoms .of .hypoglycemia .develop, .apply .dextrose .gel
.inside .the .babies .cheek. .If .the .above .are .ineffective, .IV .glucose .should .be
.administered .to .maintain .glucose .levels .above .45. .Bolus .of .2mL/kg .glucose .10%
.IV, . hello .by .a .continuous .glucose .perfusion .of .6 .to .8mg/kg/min, .maintain
.glycemic .levels .over .40.
Which .6 .orders .take .priority?
A) .Feed .Immediately
B) .Monitor .for .respiratory .distress
,C) .Apply .dextrose .gell .inside .the .baby's .cheek .
D) .Keep .in .warmer .with .bilirubin .lights
E) .Monitor .temp .every .30 .min
F) .Bolus .2 .mL/kg .glucose .10% .IV
G) .Contact .RT .for .ABG .and .oxygen .therapy
H) .Echo
I) .Transfer .to .NICU
J) .Blood .glucose .level .- .CORRECT .ANSWER-A) .Feed .Immedicately
B) .Monitor .for .Respiratory .Distress
D) .Keep .in .warmer .with .bili .lights
E) .Monitor .temp .q30min
G) .Contact .RT .for .ABG .and .O2 .therapy
J) .Blood .glucose .level
NGN .Laboratory .Results .(same .case .of .patient .who .just .gave .birth)
Which .actions .are .appropriate .for .the .nurse .to .take .at .this .time? .SATA
A) .Keep .infant .in .warmer .with .bili .lights .to .maintain .temp .of .97.6F
B) .Monitor .Temp
C) .Continue .to .monitor .glucose .level
D) .Tell .the .mother .that .she .will .need .to .discuss .this .with .the .neonatologist
E) .Explain .to .the .mother .that .the .babys .RR .needs .to .be .below .60
F) .Inform .the .mother .that .the .baby .is .stable .enought .to .take .out .of .the .warmer
G) .Observe .for .signs .of .respiratory .distress .and .monitor .O2 .with .pulse .ox .-
.CORRECT .ANSWER-A) .Keep .infant .in .warmer .with .bili .lights .to .maintain .temp .of
.97F
E) .Explain .to .the .mother .that .the .babys .RR .need .to .be .below .60
F) .Inform .the .mother .that .the .baby .is .stable .enough .to .take .out .of .the .warmer
G) .Observe .for .signs .of .respiratory .distress .and .monitor .oxygenation .by .pulse
.ox
NGN: .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 .spot
.noted .on .lower .back, .Ballard .maturity .rating .37 .weeks. .
(The .day .shift .nurse .reviews .the .nurses .notes, .labs, .and .flow .sheet .from .the
.night .before. .The .nurse .plans .on .providing .health .teaching .for .the .client .and .her
.family .in .preparation .for .discharge.)
For .each .teaching .point, .click .to .indicate .whether .it .is .indicated .or
.contraindicated. .Only .one .right .option .per .row.
A) .You .will .need .to .se .- .CORRECT .ANSWER-A)
B)
C)
D) .Indicated
, E)
?????????
NGN: .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 .spot
.noted .on .lower .back, .Ballard .maturity .rating .37 .weeks. .
(Click .to .highlight .notes .that .demonstrate .a .positive .outcome)
Day .2, .0630: .Vitals .have .remained .stable .throughout .the .night. .Oxygen .98% .on
.nasal .canal. .Mother .to .breastfeed .in .the .nursery .on .demand. . Able .to .tolerate
.breastmilk. .Glucose .after .feeding .was .60, .temp .97.8F, .when .returned .to .warmer
.and .bili .light. .CXR .and .echo .results .were .- .CORRECT .ANSWER-Glucose .after
.feeding .was .60
Direct .bili .5
Temp .97.8
Oxygen .98% .
Able .to .tolerate .breastmilk
??????????
A .client .with .pancreatitis .complains .of .severe .epigastric .pain, .so .the .nurse
.administers .a .prescribed .narcotic .analgesic. .Ten .minutes .later, .the .client .insists
.on .sitting .up .and .leaning .forward. .Which .intervention .should .the .nurse
.implement?
A) .Rains .HOB .to .90 .degrees
B) .Position .bedside .table .so .the .client .can .lean .across .it
C) .Place .bed .in .a .reverse .tren .posiiton
D) .Encourage .rest .until .the .analgesic .becomes .effective. .- .CORRECT .ANSWER-
B) .Position .bedside .table .so .the .client .can .lean .across .it
The .nurse .is .caring .for .a .client .who .arrives .to .the .ED .with .reports .of
.experiencing .dizziness .and .difficulty .walking .to .the .bathroom. .The .nurse
.observes .R-sided .weakness .and .sluggish .enunciation .of .speech. .The .nurse
.should .immediately .take .which .action?
A) .Maintain .elevated .positioning .of .the .dependent .joints .on .the .affected .side. .
B) .Keep .the .bed .in .the .lowest .position .and .initiate .seizure .and .fall .precautions
C) .Place .an .indwelling .urinary .catheter .and .measure .strict .I/Os
D) .Start .two .large-bore .IV .catheters .and .review .inclusion .criteria .for .IV
.fibrinolytic .therapy. .- .CORRECT .ANSWER-D) .Start .two .large-bore .IV .catheters
.and .review .inclusion .criteria .for .IV .fibrinolytic .therapy
A .male .client .with .a .brain .tumor .is .scheduled .for .a .biopsy .in .the .morning.
.During .the .admission .procedure, .the .client .has .a .tonic .colonic .seizure .that .last
.50 .seconds. .Following .the .seizure, .the .client .is .lethargic .and .confused, .and .his
Answers A+ Graded (2025)
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 .- .CORRECT
.ANSWER-B) .Get .an .eye .exam .with .an .opthalmologist .annually
The .nurse .is .providing .educations .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
D) .Think .about .reasons .the .episodes .occur .- .CORRECT .ANSWER-C) .Practice
.using .muscle .relaxation .techniques
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
D) .An .adolescent .with .multiple .contusions .due .to .a .fall .that .occurred .2 .days .ago
.- .CORRECT .ANSWER-C) .A .30-year .old .depresses .client .who .admits .to .suicide
.ideation
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 .spot .noted .on .lower
.back, .Ballard .maturity .rating .37 .weeks. .(For .each .assessment .finding, .click .to
.indicate .whether .the .findings .are .associated .with .an .infant .of .a .diabetic .mother
.or .normal .presentation.)
Soft .Fontanelles
Blood .Glucose .35
Axillary .temp. .96F
Acrocyanosis
Ballard .score .maturity .rating .37 .- .CORRECT .ANSWER-Diabetic .Findings:
BG .35
Axillary .temp .96
Ballard .score .maturity .rating .37
???????
Normal .Presentation:
Soft .Fontanelles
Acrocyanosis
(normal .findings .include .acrocyanosis, .soft .fontanelles, .mongolian .spots, .and
.Apgar .scores .7 .to .10)
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 .spot .noted .on .lower
.back, .Ballard .maturity .rating .37 .weeks. .
The .nurse .recognizes .that .the .infant .of .a .diabetic .mother .is .at .risk .for ._________
., ._____________ ., .and ._________________ .- .CORRECT .ANSWER-
Hyperbilirubinemia ., .Resppiratory .Distress .Syndrome ., .and .Cardiomyopathy
NGN: .Orders
Breast-feed .immediately .once .stable .then .on .demand. .If .unstable, .may .feed
.breastmilk .via .orogastric .tube. .If .two .feeding .attempts .failed .to .increase .the
.glucose .levels .or .if .symptoms .of .hypoglycemia .develop, .apply .dextrose .gel
.inside .the .babies .cheek. .If .the .above .are .ineffective, .IV .glucose .should .be
.administered .to .maintain .glucose .levels .above .45. .Bolus .of .2mL/kg .glucose .10%
.IV, . hello .by .a .continuous .glucose .perfusion .of .6 .to .8mg/kg/min, .maintain
.glycemic .levels .over .40.
Which .6 .orders .take .priority?
A) .Feed .Immediately
B) .Monitor .for .respiratory .distress
,C) .Apply .dextrose .gell .inside .the .baby's .cheek .
D) .Keep .in .warmer .with .bilirubin .lights
E) .Monitor .temp .every .30 .min
F) .Bolus .2 .mL/kg .glucose .10% .IV
G) .Contact .RT .for .ABG .and .oxygen .therapy
H) .Echo
I) .Transfer .to .NICU
J) .Blood .glucose .level .- .CORRECT .ANSWER-A) .Feed .Immedicately
B) .Monitor .for .Respiratory .Distress
D) .Keep .in .warmer .with .bili .lights
E) .Monitor .temp .q30min
G) .Contact .RT .for .ABG .and .O2 .therapy
J) .Blood .glucose .level
NGN .Laboratory .Results .(same .case .of .patient .who .just .gave .birth)
Which .actions .are .appropriate .for .the .nurse .to .take .at .this .time? .SATA
A) .Keep .infant .in .warmer .with .bili .lights .to .maintain .temp .of .97.6F
B) .Monitor .Temp
C) .Continue .to .monitor .glucose .level
D) .Tell .the .mother .that .she .will .need .to .discuss .this .with .the .neonatologist
E) .Explain .to .the .mother .that .the .babys .RR .needs .to .be .below .60
F) .Inform .the .mother .that .the .baby .is .stable .enought .to .take .out .of .the .warmer
G) .Observe .for .signs .of .respiratory .distress .and .monitor .O2 .with .pulse .ox .-
.CORRECT .ANSWER-A) .Keep .infant .in .warmer .with .bili .lights .to .maintain .temp .of
.97F
E) .Explain .to .the .mother .that .the .babys .RR .need .to .be .below .60
F) .Inform .the .mother .that .the .baby .is .stable .enough .to .take .out .of .the .warmer
G) .Observe .for .signs .of .respiratory .distress .and .monitor .oxygenation .by .pulse
.ox
NGN: .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 .spot
.noted .on .lower .back, .Ballard .maturity .rating .37 .weeks. .
(The .day .shift .nurse .reviews .the .nurses .notes, .labs, .and .flow .sheet .from .the
.night .before. .The .nurse .plans .on .providing .health .teaching .for .the .client .and .her
.family .in .preparation .for .discharge.)
For .each .teaching .point, .click .to .indicate .whether .it .is .indicated .or
.contraindicated. .Only .one .right .option .per .row.
A) .You .will .need .to .se .- .CORRECT .ANSWER-A)
B)
C)
D) .Indicated
, E)
?????????
NGN: .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 .spot
.noted .on .lower .back, .Ballard .maturity .rating .37 .weeks. .
(Click .to .highlight .notes .that .demonstrate .a .positive .outcome)
Day .2, .0630: .Vitals .have .remained .stable .throughout .the .night. .Oxygen .98% .on
.nasal .canal. .Mother .to .breastfeed .in .the .nursery .on .demand. . Able .to .tolerate
.breastmilk. .Glucose .after .feeding .was .60, .temp .97.8F, .when .returned .to .warmer
.and .bili .light. .CXR .and .echo .results .were .- .CORRECT .ANSWER-Glucose .after
.feeding .was .60
Direct .bili .5
Temp .97.8
Oxygen .98% .
Able .to .tolerate .breastmilk
??????????
A .client .with .pancreatitis .complains .of .severe .epigastric .pain, .so .the .nurse
.administers .a .prescribed .narcotic .analgesic. .Ten .minutes .later, .the .client .insists
.on .sitting .up .and .leaning .forward. .Which .intervention .should .the .nurse
.implement?
A) .Rains .HOB .to .90 .degrees
B) .Position .bedside .table .so .the .client .can .lean .across .it
C) .Place .bed .in .a .reverse .tren .posiiton
D) .Encourage .rest .until .the .analgesic .becomes .effective. .- .CORRECT .ANSWER-
B) .Position .bedside .table .so .the .client .can .lean .across .it
The .nurse .is .caring .for .a .client .who .arrives .to .the .ED .with .reports .of
.experiencing .dizziness .and .difficulty .walking .to .the .bathroom. .The .nurse
.observes .R-sided .weakness .and .sluggish .enunciation .of .speech. .The .nurse
.should .immediately .take .which .action?
A) .Maintain .elevated .positioning .of .the .dependent .joints .on .the .affected .side. .
B) .Keep .the .bed .in .the .lowest .position .and .initiate .seizure .and .fall .precautions
C) .Place .an .indwelling .urinary .catheter .and .measure .strict .I/Os
D) .Start .two .large-bore .IV .catheters .and .review .inclusion .criteria .for .IV
.fibrinolytic .therapy. .- .CORRECT .ANSWER-D) .Start .two .large-bore .IV .catheters
.and .review .inclusion .criteria .for .IV .fibrinolytic .therapy
A .male .client .with .a .brain .tumor .is .scheduled .for .a .biopsy .in .the .morning.
.During .the .admission .procedure, .the .client .has .a .tonic .colonic .seizure .that .last
.50 .seconds. .Following .the .seizure, .the .client .is .lethargic .and .confused, .and .his
