1|Page
BSN HESI 366 RN EXIT Test Bank Actual Exam Newest
2025/2026 With Complete 450 Questions And Correct
Answers |Already Graded A+||Brand New
Version!|NIGHTGALE
The healthcare provider prescribes methylergonovine maleate for a postpa
b b b b b b b b
rtum client with uterine atony. What findings should indicate to the nurse to w
b b b b b b b b b b b b b
ithhold the next dose of the medication?
b b b b b b
A. Excessive lochia.
b b
B. Saturation of more than one pad per hour.
b b b b b b b b
C. Hypertension.
b
D. Difficulty locating the uterine fundus. - ..........ANSWER.......Answer
b b b b b b b
C. Hypertension.
b
Rationale b
Methylergonovine, an ergot alkaloid, has vasoconstrictive effects that can e
b b b b b b b b b
xaggerate primary hypertension. The nurse should withhold the medication i
b b b b b b b b b
f the client's blood pressure is elevated (C) and notify the healthcare provid
b b b b b b b b b b b b
er. (A, B, and D) are signs of uterine atony and are indications for the use of t
b b b b b b b b b b b b b b b b b
he medication.
b
,2|Page
The nurse has completed the diet teaching of a male client who is being disch
b b b b b b b b b b b b b b
arged following treatment of a leg wound. A high protein diet is encourage
b b b b b b b b b b b b
d to promote wound healing. Which lunch choice by the client indicates that t
b b b b b b b b b b b b b
he teaching was effective?
b b b b
A. A peanut butter sandwich with soda and cookies.
b b b b b b b b
B. A tunafish sandwich with chips and ice cream.
b b b b b b b b
C. A salad with three kinds of lettuce and fruit.
b b b b b b b b b
D. Vegetable soup, crackers, and milk. - ..........ANSWER.......Answer
b b b b b b b
B. A tunafish sandwich with chips and ice cream.
b b b b b b b b
Rationale
(B) contains the highest amount of protein. Four ounces of tuna contains 11 g
b b b b b b b b b b b b b b
of protein, and ice cream 5 g of protein per cup. Chips are a fat with virtuall
b b b b b b b b b b b b b b b b
y no protein value. (A) contains 4 grams of protein per tablespoon. (C) conta
b b b b b b b b b b b b b
ins only 1 gram of protein per 1 cup serving. (D) may have beef flavoring bu
b b b b b b b b b b b b b b b
t it consist mostly of vegetables and would therefore be low in protein.
b b b b b b b b b b b b
The nurse discontinues a continuous IV heparin infusion for a male client on str
b b b b b b b b b b b b b
ict bed rest, and is now preparing to administer the client's first dose of in en
b b b b b b b b b b b b b b b
,3|Page
oxaparin (Lovenox). Prior to giving this subcutaneous injection, which assess
b b b b b b b b b
ment finding requires additional intervention by the nurse?
b b b b b b b
A. Current lab report indicates an aPTT at 1.5 times the client's control.
b b b b b b b b b b b b
B. Several bruised areas are noted on the client's upper extremities bilatera
b b b b b b b b b b b
lly.
C. The client states that his right calf is aching, and wants pain medicatio
b b b b b b b b b b b b b
n.
D. The spouse is assisting the client who is shaving with an electric razor. -
b b b b b b b b b b b b b b
..........ANSWER.......Answer
b
C. The client states that his right calf is aching, and wants pain medication.
b b b b b b b b b b b b b
Rationale
A calf ache severe enough for the client to request pain medication (C) shoul
b b b b b b b b b b b b b
d be reported to the healthcare provider immediately so that an adjustment
b b b b b b b b b b b
in the anticoagulation therapy can be made. Calf pain may be a sign of de
b b b b b b b b b b b b b b b
ep vein thrombosis indicative of ineffective anticoagulant heparin therapy. (
b b b b b b b b b
A and B) are expected findings. Shaving with an electric razor is recommend
b b b b b b b b b b b b
ed to reduce the possibility of bleeding (D) and does not require interventio
b b b b b b b b b b b b
n.
, 4|Page
While the nurse is providing morning care for a client with chronic obstructiv
b b b b b b b b b b b b
e pulmonary disease (COPD), the client becomes very dyspneic and starts to
b b b b b b b b b b b
panic. What action should the nurse implement first?
b b b b b b b b b
A. Instruct the client to perform diaphragmatic breathing.
b b b b b b b
B. Use a calm voice to tell the client to breathe slowly.
b b b b b b b b b b b
C. Administer two puffs of a metered-dose inhaler.
b b b b b b b b
D. Assist the client to an upright position. - ..........ANSWER.......Answer
b b b b b b b b b
D. Assist the client to an upright position.
b b b b b b b
Rationale
The nurse should first assist the client to an upright position (D), which allows t
b b b b b b b b b b b b b b
he lungs to expand fully. After this, the nurse can implement (A, B, and C) as n
b b b b b b b b b b b b b b b b
eeded.
A female client's estranged husband arrives at the hospital and demands th
b b b b b b b b b b b
at his wife have no other visitors. The client becomes angry and insists that th
b b b b b b b b b b b b b b
e estranged husband be barred from visiting her. Which intervention should
b b b b b b b b b b b
the nurse implement?
b b
A. Obtain a prescription to allow client to dictate who can visit.
b b b b b b b b b b b
BSN HESI 366 RN EXIT Test Bank Actual Exam Newest
2025/2026 With Complete 450 Questions And Correct
Answers |Already Graded A+||Brand New
Version!|NIGHTGALE
The healthcare provider prescribes methylergonovine maleate for a postpa
b b b b b b b b
rtum client with uterine atony. What findings should indicate to the nurse to w
b b b b b b b b b b b b b
ithhold the next dose of the medication?
b b b b b b
A. Excessive lochia.
b b
B. Saturation of more than one pad per hour.
b b b b b b b b
C. Hypertension.
b
D. Difficulty locating the uterine fundus. - ..........ANSWER.......Answer
b b b b b b b
C. Hypertension.
b
Rationale b
Methylergonovine, an ergot alkaloid, has vasoconstrictive effects that can e
b b b b b b b b b
xaggerate primary hypertension. The nurse should withhold the medication i
b b b b b b b b b
f the client's blood pressure is elevated (C) and notify the healthcare provid
b b b b b b b b b b b b
er. (A, B, and D) are signs of uterine atony and are indications for the use of t
b b b b b b b b b b b b b b b b b
he medication.
b
,2|Page
The nurse has completed the diet teaching of a male client who is being disch
b b b b b b b b b b b b b b
arged following treatment of a leg wound. A high protein diet is encourage
b b b b b b b b b b b b
d to promote wound healing. Which lunch choice by the client indicates that t
b b b b b b b b b b b b b
he teaching was effective?
b b b b
A. A peanut butter sandwich with soda and cookies.
b b b b b b b b
B. A tunafish sandwich with chips and ice cream.
b b b b b b b b
C. A salad with three kinds of lettuce and fruit.
b b b b b b b b b
D. Vegetable soup, crackers, and milk. - ..........ANSWER.......Answer
b b b b b b b
B. A tunafish sandwich with chips and ice cream.
b b b b b b b b
Rationale
(B) contains the highest amount of protein. Four ounces of tuna contains 11 g
b b b b b b b b b b b b b b
of protein, and ice cream 5 g of protein per cup. Chips are a fat with virtuall
b b b b b b b b b b b b b b b b
y no protein value. (A) contains 4 grams of protein per tablespoon. (C) conta
b b b b b b b b b b b b b
ins only 1 gram of protein per 1 cup serving. (D) may have beef flavoring bu
b b b b b b b b b b b b b b b
t it consist mostly of vegetables and would therefore be low in protein.
b b b b b b b b b b b b
The nurse discontinues a continuous IV heparin infusion for a male client on str
b b b b b b b b b b b b b
ict bed rest, and is now preparing to administer the client's first dose of in en
b b b b b b b b b b b b b b b
,3|Page
oxaparin (Lovenox). Prior to giving this subcutaneous injection, which assess
b b b b b b b b b
ment finding requires additional intervention by the nurse?
b b b b b b b
A. Current lab report indicates an aPTT at 1.5 times the client's control.
b b b b b b b b b b b b
B. Several bruised areas are noted on the client's upper extremities bilatera
b b b b b b b b b b b
lly.
C. The client states that his right calf is aching, and wants pain medicatio
b b b b b b b b b b b b b
n.
D. The spouse is assisting the client who is shaving with an electric razor. -
b b b b b b b b b b b b b b
..........ANSWER.......Answer
b
C. The client states that his right calf is aching, and wants pain medication.
b b b b b b b b b b b b b
Rationale
A calf ache severe enough for the client to request pain medication (C) shoul
b b b b b b b b b b b b b
d be reported to the healthcare provider immediately so that an adjustment
b b b b b b b b b b b
in the anticoagulation therapy can be made. Calf pain may be a sign of de
b b b b b b b b b b b b b b b
ep vein thrombosis indicative of ineffective anticoagulant heparin therapy. (
b b b b b b b b b
A and B) are expected findings. Shaving with an electric razor is recommend
b b b b b b b b b b b b
ed to reduce the possibility of bleeding (D) and does not require interventio
b b b b b b b b b b b b
n.
, 4|Page
While the nurse is providing morning care for a client with chronic obstructiv
b b b b b b b b b b b b
e pulmonary disease (COPD), the client becomes very dyspneic and starts to
b b b b b b b b b b b
panic. What action should the nurse implement first?
b b b b b b b b b
A. Instruct the client to perform diaphragmatic breathing.
b b b b b b b
B. Use a calm voice to tell the client to breathe slowly.
b b b b b b b b b b b
C. Administer two puffs of a metered-dose inhaler.
b b b b b b b b
D. Assist the client to an upright position. - ..........ANSWER.......Answer
b b b b b b b b b
D. Assist the client to an upright position.
b b b b b b b
Rationale
The nurse should first assist the client to an upright position (D), which allows t
b b b b b b b b b b b b b b
he lungs to expand fully. After this, the nurse can implement (A, B, and C) as n
b b b b b b b b b b b b b b b b
eeded.
A female client's estranged husband arrives at the hospital and demands th
b b b b b b b b b b b
at his wife have no other visitors. The client becomes angry and insists that th
b b b b b b b b b b b b b b
e estranged husband be barred from visiting her. Which intervention should
b b b b b b b b b b b
the nurse implement?
b b
A. Obtain a prescription to allow client to dictate who can visit.
b b b b b b b b b b b
