BSN 366 EXIT HESI STUDY NOTES
NIGHTINGALE COLLEGE STUDY GUIDE
2026 COMPREHENSIVE QUESTIONS AND
DETAILED RATIONALES GRADED A+
⩥ A client with a prescription for do not resuscitate begins to manifest
signs of impending death. After notifying the family of the client status,
what priority action should the nurse implement?
A) The nurse manager should be updated on the client status.
B) The client status should be conveyed to the chaplain.
C) The impending signs of death should be documented.
D) The clients need for pain medication should be determined..
Answer: D) The clients need for pain medication should be determined.
⩥ A 46 year old male client who had a myocardial infarction 24 hours
ago comes to the nurses station fully dressed and wanting to go home.
He tells the nurse that he is feeling much better at this time. Based on
this behavior, which client problem should the nurse include in the plan
of care?
A) Anxiety related to treatment plan.
B) Decisional conflict due to stress.
,C) Deficient knowledge of lifestyle changes.
D) Ineffective coping related to denial..
Answer: D) Ineffective coping related to denial.
⩥ A client receives a prescription for norepinephrine three MCG per
minute IV. The IV bag contains norepinephrine 4 mg in dextrose 5% in
water 1000 mL (D5W). How many milliliters per hour should the nurse
program the infusion pump? (Enter numerical value only).
Answer: 45
⩥ The nurse is performing a routine assessment of an IV site for a client
receiving both IV fluids and medication's through the line. The client
reports tenderness when the nurse touches the arm above the site. Which
finding should the nurse expect which will require immediate
intervention?
A) Circumferential skin irritation.
B) Red streak tracking the vein.
C) Cool sensation above the site.
D) A sluggish blood return..
Answer: B) Red streak tracking the vein.
⩥ A client with influenza needs help in transferring to the bedside
commode. The nurse observes the unlicensed assistive personnel
,donning gloves and a gown to assist the client. Which action should the
nurse take?
A) Remind the UP to apply a fitted respirator mask before entering the
clients room.
B) Assign the UP to provide care for another client and assume full care
of the client.
C) Instruct the UP to notify the nurse of any changes in the clients
respiratory status.
D) Review the need for the UPA to wear a facemask while in close
contact with the client.
Answer: D) Review the need for the UPA to wear a facemask while in
close contact with the client
⩥ An older adult with a terminal illness is receiving hospice care and is
having difficulty coping with feelings related to death and dying. Which
interventions should the nurse include in the clients plan of care? SATA.
A) Record the clients desire to live.
B) Teach clients how to use guided imagery.
C) Instruct client and family to reconsider end of life choices.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently..
Answer: B) Teach clients how to use guided imagery.
, D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently.
⩥ I'm making rounds the charge nurse notices that a young adult client
with asthma who was admitted yesterday is sitting on the side of the bed
and leaning over the bedside table. The client is currently receiving
oxygen at 2 L per minute via nasal cannula. The client is wheezing and
is using pursed lip breathing. Which intervention should the nurse
implement?
A) Administer a nebulizer treatment.
B) Call for an Ambu resuscitation bag.
C) Increase oxygen to 6 L per minute.
D) Assist the client to lie back in bed..
Answer: A) Administer a nebulizer treatment.
⩥ A client with schizophrenia reports auditory hallucinations when
admitted to the hospital. What question is most important for the nurse
to include in the assessment of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices?.
NIGHTINGALE COLLEGE STUDY GUIDE
2026 COMPREHENSIVE QUESTIONS AND
DETAILED RATIONALES GRADED A+
⩥ A client with a prescription for do not resuscitate begins to manifest
signs of impending death. After notifying the family of the client status,
what priority action should the nurse implement?
A) The nurse manager should be updated on the client status.
B) The client status should be conveyed to the chaplain.
C) The impending signs of death should be documented.
D) The clients need for pain medication should be determined..
Answer: D) The clients need for pain medication should be determined.
⩥ A 46 year old male client who had a myocardial infarction 24 hours
ago comes to the nurses station fully dressed and wanting to go home.
He tells the nurse that he is feeling much better at this time. Based on
this behavior, which client problem should the nurse include in the plan
of care?
A) Anxiety related to treatment plan.
B) Decisional conflict due to stress.
,C) Deficient knowledge of lifestyle changes.
D) Ineffective coping related to denial..
Answer: D) Ineffective coping related to denial.
⩥ A client receives a prescription for norepinephrine three MCG per
minute IV. The IV bag contains norepinephrine 4 mg in dextrose 5% in
water 1000 mL (D5W). How many milliliters per hour should the nurse
program the infusion pump? (Enter numerical value only).
Answer: 45
⩥ The nurse is performing a routine assessment of an IV site for a client
receiving both IV fluids and medication's through the line. The client
reports tenderness when the nurse touches the arm above the site. Which
finding should the nurse expect which will require immediate
intervention?
A) Circumferential skin irritation.
B) Red streak tracking the vein.
C) Cool sensation above the site.
D) A sluggish blood return..
Answer: B) Red streak tracking the vein.
⩥ A client with influenza needs help in transferring to the bedside
commode. The nurse observes the unlicensed assistive personnel
,donning gloves and a gown to assist the client. Which action should the
nurse take?
A) Remind the UP to apply a fitted respirator mask before entering the
clients room.
B) Assign the UP to provide care for another client and assume full care
of the client.
C) Instruct the UP to notify the nurse of any changes in the clients
respiratory status.
D) Review the need for the UPA to wear a facemask while in close
contact with the client.
Answer: D) Review the need for the UPA to wear a facemask while in
close contact with the client
⩥ An older adult with a terminal illness is receiving hospice care and is
having difficulty coping with feelings related to death and dying. Which
interventions should the nurse include in the clients plan of care? SATA.
A) Record the clients desire to live.
B) Teach clients how to use guided imagery.
C) Instruct client and family to reconsider end of life choices.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently..
Answer: B) Teach clients how to use guided imagery.
, D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently.
⩥ I'm making rounds the charge nurse notices that a young adult client
with asthma who was admitted yesterday is sitting on the side of the bed
and leaning over the bedside table. The client is currently receiving
oxygen at 2 L per minute via nasal cannula. The client is wheezing and
is using pursed lip breathing. Which intervention should the nurse
implement?
A) Administer a nebulizer treatment.
B) Call for an Ambu resuscitation bag.
C) Increase oxygen to 6 L per minute.
D) Assist the client to lie back in bed..
Answer: A) Administer a nebulizer treatment.
⩥ A client with schizophrenia reports auditory hallucinations when
admitted to the hospital. What question is most important for the nurse
to include in the assessment of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices?.
