BSN. HESI 366 RN EXIT EXAM (NEW 2026 UPDATE) QUESTIONS
AND VERIFIED ANSWERS|100% CORRECT| GRADE A
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A client who had a caesarean section two weeks ago is admitted to the
hospital for an infected surgical abdominal wound. Which room is best for the
nurse to assign this client?
1. A negative pressure room.
2. A semi-private room on a surgical unit.
3. A postpartum room in the birthing center.
4. A private room on a medical unit. - ANS ✓4. A private room on a medical unit.
A client with glaucoma is scheduled for surgery. Which pre-operative
prescription should the nurse question?
1. Morphine sulfate 5 mg IV on call to operating room.
2. Atropine sulfate 0.4 mg IM on call to operating room.
3. Betaxolol (Betoptic) one drop in each eye the morning of surgery.
4. Benzodiazepine (Valium) 5 mg by mouth the morning of surgery. - ANS ✓2.
Atropine sulfate 0.4 mg IM on call to operating room.
What assessment findings should the nurse identify before referring a client for
further
evaluation to rule out skin cancer? (Select all that apply.)
Select all that apply
Some correct answers were not selected
1. White patches.
2. Cherry angiomas.
3. Border irregularity.
4. Lesion with asymmetry.
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5. Lesion with color variations.
6. Lesion of 3 to 5 mm diameter. - ANS ✓3. Border irregularity.
5. Lesion with color variations.
A client is receiving a continuous bladder irrigation at 1000 ml/hour after a
prostatectomy. The nurse determines the client's urine output for the past hour is
200 ml. What action should the nurse implement first?
1. Notify the healthcare provider.
2. Stop the irrigation flow.
3. Document the finding and continue to observe.
4. Irrigate the catheter with a large piston syringe. - ANS ✓2. Stop the irrigation
flow.
After receiving chemotherapy 2 weeks ago, a male client with acute leukemia is
admitted for blood transfusions because his hemoglobin is 6 gm/dl. After
toileting, the client returns to bed and his oxygen saturation is measured at 82%.
The nurse increases the O2 per nasal cannula from 3 to 4 liters per minute. What
intervention should the nurse implement next?
1. Collect blood for hemoglobin and hematocrit.
2. Start the first transfusion of blood.
3. Insert an indwelling urinary catheter.
4. Encourage alternate rest periods with activity. - ANS ✓2. Start the first transfusion
of blood.
The nurse observes an empty secondary infusion of diltiazem (Cardizem) is
attached to
the client's IV pump, but realizes that this client has no prescription for
Cardizem. In what sequence, from first to last, should the following
interventions be implemented?
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(Place the first action on top and last action on the bottom.)
1. Measure the client's vital signs.
2. Review medications client is taking.
3. Complete an incident report.
4. Notify the healthcare provider. - ANS ✓1. Measure the client's vital signs.
2. Review medications client is taking.
3. Notify the healthcare provider.
4. Complete an incident report.
About mid-morning, a 10-year-old child reports to the school nurse complaining
of nausea, dizziness, and chills. Further assessment reveals that this child is
sweating profusely and has a blood glucose level of 57 mg/dl. Based on these
assessment findings, which food is best for the nurse to encourage the child to
eat?
1. A chocolate bar.
2. A soft drink.
3. Peanut butter crackers.
4. A piece of buble gum. - ANS ✓3. Peanut butter crackers.
A client with a markedly distended bladder is diagnosed with hydronephrosis and
left
hydroureter after an IV pyelogram. The nurse catheterizes the client and obtains
a residual urine volume of 1650 ml. This finding supports which
pathophysiological cause of the client's urinary tract obstruction?
1. Obstruction at the urinary bladder neck.
2. Ureteral calculi obstruction.
3. Ureteropelvic junction stricture.
4. Partial post-renal obstruction due to ureteral stricture. - ANS ✓1. Obstruction at
the urinary bladder neck.
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