11/2/25, 11:55 PM BSN 366 exit HESI
BSN 366 HESI RN EXIT Test Questions And
Answers 2025/2026 Latest Update
This document contains BSN 366 HESI RN Exit test questions with accurate and
verified answers for the 2025/2026 academic year. It comprehensively covers all
essential nursing areas, including medical-surgical nursing, pharmacology, maternal-
newborn and pediatric care, psychiatric nursing, leadership, prioritization, and patient
safety. Each question mirrors the official HESI RN Exit exam format and includes
detailed rationales to improve critical thinking, clinical judgment, and exam
performance. Ideal for BSN nursing students preparing for the HESI RN Exit exam and
NCLEX readiness.
A client has a new Decrease serum creatine
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?
/ 1/98
,11/2/25, 11:55 PM BSN 366 exit HESI
A client who is admitted Fruity breath
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?
When performing postural Explain that the client may be placed in five positions
drainage on a client with
Chronic Obstructive
Pulmonary disease
(COPD), which approach
should
the nurse use?
A young male client with Initiate an ethics committee review
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?
In observing a clients face, Oral mucosa is cyanotic Blue lips
which
assessment finding requires
the most immediate
/ 2/98
,11/2/25, 11:55 PM BSN 366 exit HESI
intervention by the nurse?
The nurse is assessing a client Complete a thorough neurological assessment
with cirrhosis and notes that
the client has a positive
Babinski reflex. Which
action should the
nurse take in response to the
finding?
Which action should the nurse Ensure continued sterility of the specimen container
take first
after obtaining a urine
specimen for culture and
sensitivity from an
indwelling urinary
catheter?
The home health nurse Hold the walker securely to prevent slipping while the client
observes an older client raises
with unilateral weakness
place the walker in front
of the chair for support
while rising to a standing
position. Which action
should the nurse take?
A client with cancer Monitor lab values for an increase in WBCs
complains of fever, chills,
malaise, and headache
following administration
of a colony-stimulating
factor. Which nursing
intervention is most
beneficial in helping to
reduce the flu like
symptoms?
Which laboratory value Serum liver enzymes
should the nurse review
prior to administering the
initial dose of a statin
medication?
/ 3/98
, 11/2/25, 11:55 PM BSN 366 exit HESI
Following a lumbar I have a headache that gets worse when I sit up
puncture, a client voices
several concerns. Which
concern indicates to the
nurse that the client is
experiencing a
complication of the
procedure?
The nurse is caring for a Advise to sit up slowly from a reclining position
client withdrawing from a
fentanyl citrate addiction.
The client receives a
prescription for clonidine 0.2
mg PO taken twice daily.
Which action should the
nurse take?
A 7-year-old child is admitted Sore throat
to the
hospital with a diagnosis of
acute rheumatic fever. In
obtaining a health history
form the child's mother, the
recent occurrence of
what illness is most significant?
Following discharge Review with the client the need to avoid foods that are rich in
teaching, a client with a milk and cream
duodenal ulcer tells the
nurse of plans to eat plenty
of dairy products, such as
milk, to help coat and
protect their ulcer. Which
is the best follow-up action by
the nurse?
/ 4/98
BSN 366 HESI RN EXIT Test Questions And
Answers 2025/2026 Latest Update
This document contains BSN 366 HESI RN Exit test questions with accurate and
verified answers for the 2025/2026 academic year. It comprehensively covers all
essential nursing areas, including medical-surgical nursing, pharmacology, maternal-
newborn and pediatric care, psychiatric nursing, leadership, prioritization, and patient
safety. Each question mirrors the official HESI RN Exit exam format and includes
detailed rationales to improve critical thinking, clinical judgment, and exam
performance. Ideal for BSN nursing students preparing for the HESI RN Exit exam and
NCLEX readiness.
A client has a new Decrease serum creatine
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?
/ 1/98
,11/2/25, 11:55 PM BSN 366 exit HESI
A client who is admitted Fruity breath
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?
When performing postural Explain that the client may be placed in five positions
drainage on a client with
Chronic Obstructive
Pulmonary disease
(COPD), which approach
should
the nurse use?
A young male client with Initiate an ethics committee review
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?
In observing a clients face, Oral mucosa is cyanotic Blue lips
which
assessment finding requires
the most immediate
/ 2/98
,11/2/25, 11:55 PM BSN 366 exit HESI
intervention by the nurse?
The nurse is assessing a client Complete a thorough neurological assessment
with cirrhosis and notes that
the client has a positive
Babinski reflex. Which
action should the
nurse take in response to the
finding?
Which action should the nurse Ensure continued sterility of the specimen container
take first
after obtaining a urine
specimen for culture and
sensitivity from an
indwelling urinary
catheter?
The home health nurse Hold the walker securely to prevent slipping while the client
observes an older client raises
with unilateral weakness
place the walker in front
of the chair for support
while rising to a standing
position. Which action
should the nurse take?
A client with cancer Monitor lab values for an increase in WBCs
complains of fever, chills,
malaise, and headache
following administration
of a colony-stimulating
factor. Which nursing
intervention is most
beneficial in helping to
reduce the flu like
symptoms?
Which laboratory value Serum liver enzymes
should the nurse review
prior to administering the
initial dose of a statin
medication?
/ 3/98
, 11/2/25, 11:55 PM BSN 366 exit HESI
Following a lumbar I have a headache that gets worse when I sit up
puncture, a client voices
several concerns. Which
concern indicates to the
nurse that the client is
experiencing a
complication of the
procedure?
The nurse is caring for a Advise to sit up slowly from a reclining position
client withdrawing from a
fentanyl citrate addiction.
The client receives a
prescription for clonidine 0.2
mg PO taken twice daily.
Which action should the
nurse take?
A 7-year-old child is admitted Sore throat
to the
hospital with a diagnosis of
acute rheumatic fever. In
obtaining a health history
form the child's mother, the
recent occurrence of
what illness is most significant?
Following discharge Review with the client the need to avoid foods that are rich in
teaching, a client with a milk and cream
duodenal ulcer tells the
nurse of plans to eat plenty
of dairy products, such as
milk, to help coat and
protect their ulcer. Which
is the best follow-up action by
the nurse?
/ 4/98
