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BSN366 Exit Hesi Latest 2025 Questions
With Correct Answers And Rationales |
Graded A+
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.-correct-answer-D) Assisting the client to push effectively so that
expulsion of the fetus can be achieved.
A child with peripheral edema who weighs 44 pounds receives a prescription for
furosemide 2 mg/kg IV every 12 hours. The vile is labeled 10 mg/mL. How many
milliliters should the nurse administer? (Enter numeric value only)-correct-
answer-4mL
Laboratory results should the nurse closely monitor in a client who has end-stage
renal disease?
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A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine.-correct-answer-B) Serum potassium,
calcium, and phosphorus.
A client with a history of dementia has become increasingly confused at night and
is picking at an abdominal surgical dressing and the tape securing the IV line. The
abdominal dressing is no longer inclusive, and the IV insertion site is pink. Which
intervention should the nurse implement?
A) Leave the lights on in the room at night.
B) Re-dress the abdominal incision.
C) Apply soft bilateral wrist restraints.
D) Replace the IV site with a smaller gauge.-correct-answer-B) Re-dress the
abdominal incision.
The nurse is planning care for a client who admits to having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on the suicidal
thoughts?
A) Begins to show signs of improvement in effect.
B) Expresses feelings of sadness and loneliness.
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C) Neglects personal hygiene and has no appetite.
D) Lacks interest in the activities of family and friends.-correct-answer-A) Begins
to show signs of improvement in effect.
NGN: The client is a 42-year-old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in the surgical
dressing that will need to be changed by the surgeon on postop day.
(Choose the most likely options for the information missing from the statement.)
Morphine is a ______________ and it activates ________________ receptors and
is used to relieve ______________.-correct-answer-Agonist-antagonist opioid ,
beta , pain?
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (What actions should the nurse
take to assure safety during morphine administration? SATA)
A) Have a manual resuscitation bag at the bedside.
B) Ask the client about other medication's she takes.
C) Perform a 12 lead electro cardiogram.
D) Take an initial respiratory rate.
E) Suction the client to clear the airway.
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F) Restrain the client with soft restraints.-correct-answer-B) Ask the client about
other medication's she takes.
D) Take an initial respiratory rate.
??????
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (what other medication's
would the nurse expect the surgeon to prescribe along with morphine? SATA)
A) Docusate sodium
B) Methadone
C) Propofol
D) Naloxone
E) Senna
F) Ibuprofen-correct-answer-A) Docusate sodium (for constipation)
D) Naloxone (PRN for respiratory depression)
F) Ibuprofen (help maintain breakthrough pain)
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (what side effects of morphine
could contribute to this client's fall risk?)
BSN366 Exit Hesi Latest 2025 Questions
With Correct Answers And Rationales |
Graded A+
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.-correct-answer-D) Assisting the client to push effectively so that
expulsion of the fetus can be achieved.
A child with peripheral edema who weighs 44 pounds receives a prescription for
furosemide 2 mg/kg IV every 12 hours. The vile is labeled 10 mg/mL. How many
milliliters should the nurse administer? (Enter numeric value only)-correct-
answer-4mL
Laboratory results should the nurse closely monitor in a client who has end-stage
renal disease?
,2|Page
A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine.-correct-answer-B) Serum potassium,
calcium, and phosphorus.
A client with a history of dementia has become increasingly confused at night and
is picking at an abdominal surgical dressing and the tape securing the IV line. The
abdominal dressing is no longer inclusive, and the IV insertion site is pink. Which
intervention should the nurse implement?
A) Leave the lights on in the room at night.
B) Re-dress the abdominal incision.
C) Apply soft bilateral wrist restraints.
D) Replace the IV site with a smaller gauge.-correct-answer-B) Re-dress the
abdominal incision.
The nurse is planning care for a client who admits to having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on the suicidal
thoughts?
A) Begins to show signs of improvement in effect.
B) Expresses feelings of sadness and loneliness.
,3|Page
C) Neglects personal hygiene and has no appetite.
D) Lacks interest in the activities of family and friends.-correct-answer-A) Begins
to show signs of improvement in effect.
NGN: The client is a 42-year-old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in the surgical
dressing that will need to be changed by the surgeon on postop day.
(Choose the most likely options for the information missing from the statement.)
Morphine is a ______________ and it activates ________________ receptors and
is used to relieve ______________.-correct-answer-Agonist-antagonist opioid ,
beta , pain?
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (What actions should the nurse
take to assure safety during morphine administration? SATA)
A) Have a manual resuscitation bag at the bedside.
B) Ask the client about other medication's she takes.
C) Perform a 12 lead electro cardiogram.
D) Take an initial respiratory rate.
E) Suction the client to clear the airway.
, 4|Page
F) Restrain the client with soft restraints.-correct-answer-B) Ask the client about
other medication's she takes.
D) Take an initial respiratory rate.
??????
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (what other medication's
would the nurse expect the surgeon to prescribe along with morphine? SATA)
A) Docusate sodium
B) Methadone
C) Propofol
D) Naloxone
E) Senna
F) Ibuprofen-correct-answer-A) Docusate sodium (for constipation)
D) Naloxone (PRN for respiratory depression)
F) Ibuprofen (help maintain breakthrough pain)
NGN: a client is a 42 year old female who had a right above the knee amputation
for osteomyelitis. The client has a drain in place in a surgical dressing that will
need to be changed by the surgeon on postop day. (what side effects of morphine
could contribute to this client's fall risk?)
