BSN 366 Exit HESI Complete Questions and
Answers (Spring '27)
Question 1
The nurse is preparing to obtain a rapid coronavirus test for a client who was exposed
to the virus eight days ago. The client is experiencing fever, cough, and shortness of
breath. Which action is most important for the nurse to take?
a. place the nasal swab specimen for COVID-19 direction into a biohazard bag
b. maintain a 6 feet distance from the client unless wearing a N95
c. start an intravenous infusion for an antiviral drug to be administer for positive
COVID-19 tests
d. Notify the charge nurse the client will need assignment to the covid-19 specified
area of the facility. (Similar question)
Correct Answer
b. maintain a 6 feet distance from the client unless wearing a N95
Question 2
When developing a teaching plan for a client newly diagnosed with type 1 diabetes,
the nurse should explain that increased thirst is an early sign of diabetes ketoacidosis
(DKA). Which action should the nurse instruct the client to implement if this sign of
DKA occurs?
a. Drink electrolyte fluids
b. Measure urine output over the next 24 hours.
c. Give a dose of regular insulin as prescribed.
d. Resume normal physical activity.
Correct Answer
c. Give a dose of regular insulin as prescribed.
Page 1 of 80
,Question 3
NGN continued:68-year-old
Click to highlight assessment findings that require immediate follow up.
The client is a 68-year-old female with a history of diabetes, hypertension (HTN),
coronary artery disease (CAD), and recently diagnosed with end stage renal disease
(ERSD). She has been placed on hemodialysis three times a week for one month. She
presents to the Emergency Department (ED) with fatigue, generalized weakness,
muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3
days of illness during which her husband reports she has had nausea and a poor
appetite and was not able to go for her scheduled dialysis 2 days ago. Initial vital
signs Temperature 98.2° F (36.8° C) orally Heart rate 114 beats/minute Respiratory
rate 18 breaths/minute Blood pressure 146/82 mm Hg Oxygen saturation 98% on
room air
Correct Answer
-muscle cramps, tingling sensation in arms and legs, and lightheadedness
-not able to go for her scheduled dialysis 2 days ago
-Heart rate 114 beats/minute
Question 4
**In assessing a client 48 hours following a fracture, the nurse observes ecchymosis at
the fracture site, and recognizes hematoma formation at the bone fragment site has
occurred. What action should the nurse implement?
A. Document the extent of the bruising in the medical record
B. Immediately call the provider
C. Contact physical therapy
D. Prepare client for amputation.
Correct Answer
A. Document the extend of the bruising in the medical record
Page 2 of 80
,Question 5
The nurse is caring for 4 clients:
Client A- emphysema and O2 sat is 94%
Client B- postoperative hemoglobin of 8.2
Client C- newly admitted with potassium level of 3.8
Client D- scheduled for appendectomy with wbc count of 14,000
What intervention should nurse implement?
A. Move Client D into an isolation room 24 hours before Surgery (WBC normal 4500-
11000)
B. Increase Client A's oxygen to 4L/min via nasal cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available (Hgb 11-13)
Correct Answer
D. Verify that Client B has two units of packed cells available (Hgb 11-13)
Question 6
NGN: The client is 26 year old female who fell from a apartment balcony she was
transported to hospital via the ambulance the client enters the emergency
department on a stretcher and is met in the trauma bay by the nurse for the primary
survey
Temperature 96 Fahrenheit oral heart rate 106 beats per minute respiratory rate 14
breaths per minute blood pressure and O2 saturation is 82% on room air
3. Click to specify the client's findings below that are of immediate concern to the
nurse Respiratory:
oxygen saturation 82% on room air's. respiratory rate 14 breaths per minute
Cardiovascular: blood pressure BP heart rate 106 beats per minute
Correct Answer
-oxygen saturation 82% on room air.
-blood pressure -BP heart rate 106 beats per minute
Page 3 of 80
, Question 7
The nurses assisting the health care provider with a sterile procedure at the client's
bedside. Which action should the nurse implement?
A. Pour out and Discard a small amount of sterile solution before using it.
B. Hold the sterile solution bottle by the label when pouring.
C. Set up the sterile field before the healthcare provider arrives in the room. D. Place
an open dressing packs within easy reach on the sterile field.
Correct Answer
A. Pour out and Discard a small amount of sterile solution before using it.
Question 8
NGN continued: 38-year-old...
1. Click to highlight the pieces of data that require priority interventions by the nurse.
Correct Answer
-nausea, vomiting, and intermittent abdominal cramping pain every four to five
minutes.
-moderate diffuse tenderness with palpation, soft though mildly distended
abdomen
-High-pitched bowel sounds are heard in the upper bowel quadrants.
- last bowel movement was four days prior.
-increased thirst
-history of cholecystectomy and abdominal hernia
Question 9
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi-organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan of
care?
a. Maintain a strict intake and output
b. Keep head of bed raised to 45 degrees
c. Assess warmth in extremities
d. Monitor blood glucose levels
Correct Answer
a. Maintain a strict intake and output
Page 4 of 80
Answers (Spring '27)
Question 1
The nurse is preparing to obtain a rapid coronavirus test for a client who was exposed
to the virus eight days ago. The client is experiencing fever, cough, and shortness of
breath. Which action is most important for the nurse to take?
a. place the nasal swab specimen for COVID-19 direction into a biohazard bag
b. maintain a 6 feet distance from the client unless wearing a N95
c. start an intravenous infusion for an antiviral drug to be administer for positive
COVID-19 tests
d. Notify the charge nurse the client will need assignment to the covid-19 specified
area of the facility. (Similar question)
Correct Answer
b. maintain a 6 feet distance from the client unless wearing a N95
Question 2
When developing a teaching plan for a client newly diagnosed with type 1 diabetes,
the nurse should explain that increased thirst is an early sign of diabetes ketoacidosis
(DKA). Which action should the nurse instruct the client to implement if this sign of
DKA occurs?
a. Drink electrolyte fluids
b. Measure urine output over the next 24 hours.
c. Give a dose of regular insulin as prescribed.
d. Resume normal physical activity.
Correct Answer
c. Give a dose of regular insulin as prescribed.
Page 1 of 80
,Question 3
NGN continued:68-year-old
Click to highlight assessment findings that require immediate follow up.
The client is a 68-year-old female with a history of diabetes, hypertension (HTN),
coronary artery disease (CAD), and recently diagnosed with end stage renal disease
(ERSD). She has been placed on hemodialysis three times a week for one month. She
presents to the Emergency Department (ED) with fatigue, generalized weakness,
muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3
days of illness during which her husband reports she has had nausea and a poor
appetite and was not able to go for her scheduled dialysis 2 days ago. Initial vital
signs Temperature 98.2° F (36.8° C) orally Heart rate 114 beats/minute Respiratory
rate 18 breaths/minute Blood pressure 146/82 mm Hg Oxygen saturation 98% on
room air
Correct Answer
-muscle cramps, tingling sensation in arms and legs, and lightheadedness
-not able to go for her scheduled dialysis 2 days ago
-Heart rate 114 beats/minute
Question 4
**In assessing a client 48 hours following a fracture, the nurse observes ecchymosis at
the fracture site, and recognizes hematoma formation at the bone fragment site has
occurred. What action should the nurse implement?
A. Document the extent of the bruising in the medical record
B. Immediately call the provider
C. Contact physical therapy
D. Prepare client for amputation.
Correct Answer
A. Document the extend of the bruising in the medical record
Page 2 of 80
,Question 5
The nurse is caring for 4 clients:
Client A- emphysema and O2 sat is 94%
Client B- postoperative hemoglobin of 8.2
Client C- newly admitted with potassium level of 3.8
Client D- scheduled for appendectomy with wbc count of 14,000
What intervention should nurse implement?
A. Move Client D into an isolation room 24 hours before Surgery (WBC normal 4500-
11000)
B. Increase Client A's oxygen to 4L/min via nasal cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available (Hgb 11-13)
Correct Answer
D. Verify that Client B has two units of packed cells available (Hgb 11-13)
Question 6
NGN: The client is 26 year old female who fell from a apartment balcony she was
transported to hospital via the ambulance the client enters the emergency
department on a stretcher and is met in the trauma bay by the nurse for the primary
survey
Temperature 96 Fahrenheit oral heart rate 106 beats per minute respiratory rate 14
breaths per minute blood pressure and O2 saturation is 82% on room air
3. Click to specify the client's findings below that are of immediate concern to the
nurse Respiratory:
oxygen saturation 82% on room air's. respiratory rate 14 breaths per minute
Cardiovascular: blood pressure BP heart rate 106 beats per minute
Correct Answer
-oxygen saturation 82% on room air.
-blood pressure -BP heart rate 106 beats per minute
Page 3 of 80
, Question 7
The nurses assisting the health care provider with a sterile procedure at the client's
bedside. Which action should the nurse implement?
A. Pour out and Discard a small amount of sterile solution before using it.
B. Hold the sterile solution bottle by the label when pouring.
C. Set up the sterile field before the healthcare provider arrives in the room. D. Place
an open dressing packs within easy reach on the sterile field.
Correct Answer
A. Pour out and Discard a small amount of sterile solution before using it.
Question 8
NGN continued: 38-year-old...
1. Click to highlight the pieces of data that require priority interventions by the nurse.
Correct Answer
-nausea, vomiting, and intermittent abdominal cramping pain every four to five
minutes.
-moderate diffuse tenderness with palpation, soft though mildly distended
abdomen
-High-pitched bowel sounds are heard in the upper bowel quadrants.
- last bowel movement was four days prior.
-increased thirst
-history of cholecystectomy and abdominal hernia
Question 9
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi-organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan of
care?
a. Maintain a strict intake and output
b. Keep head of bed raised to 45 degrees
c. Assess warmth in extremities
d. Monitor blood glucose levels
Correct Answer
a. Maintain a strict intake and output
Page 4 of 80
