BSN 366 HESI RN EXIT EXAM NGN REVIEW (VERSION
B) 2024–2025 – COMPREHENSIVE PRACTICE
QUESTIONS WITH ANSWERS
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention by the
nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL
C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment
with her healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at home alone
and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
,B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information about prescribed
medication and administration, which instruction should the nurse include in the
teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur
B. Practice using muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations in preparation
for moving into a college dormitory. Two days later, she reports to the nurse that she is
experiencing increasing fatigue and visual problems. What teaching should the nurse
provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
,The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal
retractions. After administering surfactant, which assessment is most important for the
nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate
A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What
intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids
B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee amputation
(AKA) for a severe traumatic injury. He is in the commons room and anxiously calls out to
the nurse, stating that his "right foot is aching". The nurse offers reassurance and support.
Which additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax
A. Encourage discussion of feelings about the loss of his limb
, A combination multi-drug cocktail is being considered for an asymptomatic HIV-infected
client with a CD4 cell count of 500. Which nursing assessment of the client is most crucial
in determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents
A. Willing to comply with complex drug schedules
The nurse is caring for a seated client who is experiencing a tonic-clonic seizure. Which
actions should the nurse implement? (Select all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client
A. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
On admission to the Emergency Department, a female client who was diagnosed with
bipolar disorder 3 years ago reports that this morning she took a handful of medications
and left a suicide note for her family. Which information is most important for the nurse to
obtain?
B) 2024–2025 – COMPREHENSIVE PRACTICE
QUESTIONS WITH ANSWERS
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention by the
nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL
C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her
breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment
with her healthcare provider in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at home alone
and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
,B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information about prescribed
medication and administration, which instruction should the nurse include in the
teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur
B. Practice using muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations in preparation
for moving into a college dormitory. Two days later, she reports to the nurse that she is
experiencing increasing fatigue and visual problems. What teaching should the nurse
provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
,The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal
retractions. After administering surfactant, which assessment is most important for the
nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate
A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What
intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids
B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee amputation
(AKA) for a severe traumatic injury. He is in the commons room and anxiously calls out to
the nurse, stating that his "right foot is aching". The nurse offers reassurance and support.
Which additional intervention is most important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax
A. Encourage discussion of feelings about the loss of his limb
, A combination multi-drug cocktail is being considered for an asymptomatic HIV-infected
client with a CD4 cell count of 500. Which nursing assessment of the client is most crucial
in determining whether therapy should be initiated?
A. Willing to comply with complex drug schedules
B. Maintains an adequate social support system
C. Qualifies for a prescription assistance program
D. States various side effects of retroviral agents
A. Willing to comply with complex drug schedules
The nurse is caring for a seated client who is experiencing a tonic-clonic seizure. Which
actions should the nurse implement? (Select all that apply)
A. Loosen restrictive clothing
B. Insert a bite block
C. Ease the client to the floor
D. Note the duration of the seizure
E. Restrain the client
A. Loosen restrictive clothing
C. Ease the client to the floor
D. Note the duration of the seizure
On admission to the Emergency Department, a female client who was diagnosed with
bipolar disorder 3 years ago reports that this morning she took a handful of medications
and left a suicide note for her family. Which information is most important for the nurse to
obtain?
