HESI BSN 366 EAQ P a g e | 1
HESI BSN 366 EAQ Practice Test Questions and
100% Correct Answers With Rationales/
Nightingale BSN 366 Concepts of Nursing IV HESI
Practice Exam Latest (New!) graded A+
GUARANTEED PASS– Correctly Answers
Questions with Rationales
A nurse is caring for a male client with paranoid schizophrenia who believes that his antipsychotic
medications are poison. Which intervention is best for the nurse to implement?
1. Describe the need for consistently taking medications.
2. Offer the medication in a concentrated form.
3. Discard the medication and document the client's refusal.
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4. Approach the client with the medication 30 minutes later. –
Correct Answer :4. Approach the client with the medication 30 minutes later.
Delusions of persecution and fear of being controlled by others are characteristic of those with
paranoid schizophrenia, but these feelings fluctuate, and in 30 minutes the client may be willing to
take the medications.
A male client who is two days postoperative for a bowel resection moves as little as possible and does
not use the incentive spirometer unless specifically reminded. The client reports his pain level at an 8
on a 10-point scale, but refuses a PRN dose of an opioid analgesic and tells the nurse that he can
"tough it out." What response is best for the nurse to provide?
1. Side effects are not a concern because they usually decrease over time.
2. Very few clients become addicted to opioids when using them for pain control.
3. There are multiple options of medications that can be offered if one drug does not relieve the pain.
4. Unrelieved pain impairs respiratory and gastrointestinal function and can impair recovery from
surgery. –
Correct Answer :4. Unrelieved pain impairs respiratory and gastrointestinal function and can impair
recovery from surgery.
Unrelieved pain can result in increased morbidity as a result of respiratory dysfunction, increased heart
rate, cardiac workload, increased muscular contraction and spasm, decreased gastrointestinal motility
and transit, and increased catabolism.
Parents of a toddler tell the nurse that their child eats little at mealtime, sits at the table with the
family only briefly, and wants snacks "all the time." What recommendation should the nurse provide?
1. Give the toddler nutritious snacks.
2. Offer rewards for eating at mealtimes.
3. Avoid snacks so the child is hungry at mealtimes.
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, HESI BSN 366 EAQ P a g e | 3
4. Explain to the child in a firm manner what is expected. –
Correct Answer :1. Give the toddler nutritious snacks.
At approximately 18 months of age, most toddlers manifest lower nutritional need and decreased
appetite, a phenomenon known as "physiologic anorexia" which is often manifested as a picky, fussy
eater with strong taste preferences, and erratic eating patterns. Toddlers are learning to differentiate
self and social boundaries and may be disruptive while sitting at the table, so offering nutritious finger
foods is a good way to ensure proper nutrition during this stage.
Which intervention should the school nurse implement to decrease the incidence of hepatitis A in a
preschool setting?
1. Promote hygiene by ensuring that children's faces and hair are kept clean.
2. Ensure that all enrolled children have been immunized for Hepatitis A.
3. Put a strip bandage on bleeding injuries to prevent contamination of others.
4. Teach children the correct handwashing technique to use after toileting. –
Correct Answer :2. Ensure that all enrolled children have been immunized for Hepatitis A.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine (HAV), so
follow-up of enrolled children's immunization status with HAV or human-immune gamma globulin
should be implemented. Preschoolers should be taught the importance of hygiene practices, such as
keeping themselves clean or correct handwashing technique, but hepatitis A is transmitted via the
fecal-oral route and immunization provides the best universal protection. Hepatitis A is not
transmitted through blood contact.
The unlicensed assistive personnel (UAP) informs the nurse that a client whose heart rhythm has been
stable is now exhibiting a rapid, irregular pulse. What action should the nurse implement first?
1. Document the change in pulse rate on the graphics sheet.
2. Review the client's medical history for cardiac problems.
3. Reassess the rate and characteristics of the client's pulse.
4. Ask the UAP to recheck the client's pulse in thirty minutes. –
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, HESI BSN 366 EAQ P a g e | 4
Correct Answer :3. Reassess the rate and characteristics of the client's pulse.
A change in heart rate or rhythm reflects a change in physiologic homeostasis that may be potentially
life threatening, so it is most important to immediately reassess the client's pulse rate and
characteristics. After reassessing the client, the nurse should document the findings, review the
client's medical record for related history, and determine further needed intervention, such as
rechecking the client's vital signs.
The blood pressure readings obtained by a unlicensed assistive personnel (UAP) are consistently
different from those obtained by other staff members. What action should the charge nurse take first?
1. Counsel the UAP about the inaccurate blood pressure readings.
2. Observe the UAP performing blood pressure measurements.
3. Make staff members aware of the possible errors in blood pressure readings.
4. Ask the education department to provide additional training for the UAP. –
Correct Answer :2. Observe the UAP performing blood pressure measurements.
The charge nurse should first observe the UAP's performance to determine if the UAP is performing
the task appropriately. If the UAP needs education, the charge nurse can provide instruction real time.
Which assessment is most important for the nurse to implement when performing a comprehensive
assessment for an older adult?
1. Chronic illnesses.
2. Functional abilities.
3. Immunologic function.
4. Physical signs of aging. –
Correct Answer :2. Functional abilities.
P a g e 4 | 96
HESI BSN 366 EAQ Practice Test Questions and
100% Correct Answers With Rationales/
Nightingale BSN 366 Concepts of Nursing IV HESI
Practice Exam Latest (New!) graded A+
GUARANTEED PASS– Correctly Answers
Questions with Rationales
A nurse is caring for a male client with paranoid schizophrenia who believes that his antipsychotic
medications are poison. Which intervention is best for the nurse to implement?
1. Describe the need for consistently taking medications.
2. Offer the medication in a concentrated form.
3. Discard the medication and document the client's refusal.
P a g e 1 | 96
, HESI BSN 366 EAQ P a g e | 2
4. Approach the client with the medication 30 minutes later. –
Correct Answer :4. Approach the client with the medication 30 minutes later.
Delusions of persecution and fear of being controlled by others are characteristic of those with
paranoid schizophrenia, but these feelings fluctuate, and in 30 minutes the client may be willing to
take the medications.
A male client who is two days postoperative for a bowel resection moves as little as possible and does
not use the incentive spirometer unless specifically reminded. The client reports his pain level at an 8
on a 10-point scale, but refuses a PRN dose of an opioid analgesic and tells the nurse that he can
"tough it out." What response is best for the nurse to provide?
1. Side effects are not a concern because they usually decrease over time.
2. Very few clients become addicted to opioids when using them for pain control.
3. There are multiple options of medications that can be offered if one drug does not relieve the pain.
4. Unrelieved pain impairs respiratory and gastrointestinal function and can impair recovery from
surgery. –
Correct Answer :4. Unrelieved pain impairs respiratory and gastrointestinal function and can impair
recovery from surgery.
Unrelieved pain can result in increased morbidity as a result of respiratory dysfunction, increased heart
rate, cardiac workload, increased muscular contraction and spasm, decreased gastrointestinal motility
and transit, and increased catabolism.
Parents of a toddler tell the nurse that their child eats little at mealtime, sits at the table with the
family only briefly, and wants snacks "all the time." What recommendation should the nurse provide?
1. Give the toddler nutritious snacks.
2. Offer rewards for eating at mealtimes.
3. Avoid snacks so the child is hungry at mealtimes.
P a g e 2 | 96
, HESI BSN 366 EAQ P a g e | 3
4. Explain to the child in a firm manner what is expected. –
Correct Answer :1. Give the toddler nutritious snacks.
At approximately 18 months of age, most toddlers manifest lower nutritional need and decreased
appetite, a phenomenon known as "physiologic anorexia" which is often manifested as a picky, fussy
eater with strong taste preferences, and erratic eating patterns. Toddlers are learning to differentiate
self and social boundaries and may be disruptive while sitting at the table, so offering nutritious finger
foods is a good way to ensure proper nutrition during this stage.
Which intervention should the school nurse implement to decrease the incidence of hepatitis A in a
preschool setting?
1. Promote hygiene by ensuring that children's faces and hair are kept clean.
2. Ensure that all enrolled children have been immunized for Hepatitis A.
3. Put a strip bandage on bleeding injuries to prevent contamination of others.
4. Teach children the correct handwashing technique to use after toileting. –
Correct Answer :2. Ensure that all enrolled children have been immunized for Hepatitis A.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine (HAV), so
follow-up of enrolled children's immunization status with HAV or human-immune gamma globulin
should be implemented. Preschoolers should be taught the importance of hygiene practices, such as
keeping themselves clean or correct handwashing technique, but hepatitis A is transmitted via the
fecal-oral route and immunization provides the best universal protection. Hepatitis A is not
transmitted through blood contact.
The unlicensed assistive personnel (UAP) informs the nurse that a client whose heart rhythm has been
stable is now exhibiting a rapid, irregular pulse. What action should the nurse implement first?
1. Document the change in pulse rate on the graphics sheet.
2. Review the client's medical history for cardiac problems.
3. Reassess the rate and characteristics of the client's pulse.
4. Ask the UAP to recheck the client's pulse in thirty minutes. –
P a g e 3 | 96
, HESI BSN 366 EAQ P a g e | 4
Correct Answer :3. Reassess the rate and characteristics of the client's pulse.
A change in heart rate or rhythm reflects a change in physiologic homeostasis that may be potentially
life threatening, so it is most important to immediately reassess the client's pulse rate and
characteristics. After reassessing the client, the nurse should document the findings, review the
client's medical record for related history, and determine further needed intervention, such as
rechecking the client's vital signs.
The blood pressure readings obtained by a unlicensed assistive personnel (UAP) are consistently
different from those obtained by other staff members. What action should the charge nurse take first?
1. Counsel the UAP about the inaccurate blood pressure readings.
2. Observe the UAP performing blood pressure measurements.
3. Make staff members aware of the possible errors in blood pressure readings.
4. Ask the education department to provide additional training for the UAP. –
Correct Answer :2. Observe the UAP performing blood pressure measurements.
The charge nurse should first observe the UAP's performance to determine if the UAP is performing
the task appropriately. If the UAP needs education, the charge nurse can provide instruction real time.
Which assessment is most important for the nurse to implement when performing a comprehensive
assessment for an older adult?
1. Chronic illnesses.
2. Functional abilities.
3. Immunologic function.
4. Physical signs of aging. –
Correct Answer :2. Functional abilities.
P a g e 4 | 96
