BSN 366 HESI RN EXIT EXAM V1 (2026/2027)
QUESTIONS AND CORRECT ANSWERS GRADED
A+ NIGHTINGALE
The nurse is using a straight urinary catheter kit to collect a sterile urine specimen
from a female client. After positioning and prepping the client, rank the actions in
the sequence they should be implemented. (place the first action at the top, and last
action at the bottom)
a. Place the distal end of the catheter in a sterile specimen cup and insert catheter
into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum
d. the sterile catheter kit close to the clients perineum
c. Don sterile gloves and prepare the sterile field
b. Cleans the urinary meatus using the solution, swabs, and forceps
a. Place the distal end of the catheter in a sterile specimen cup and insert the
catheter into the meatus Open
An older adult client presents to the emergency department with abdominal pain
due to constipation. The nurse is providing a list of high-fiber foods to the client
that the healthcare provider has recommended. Which action should the nurse
implement when reviewing the list of foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
,c. Turn on overhead lights while giving instructions.
d. Stand behind the client to avoid intimidation.
c. Turn on overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client should the
nurse assess first ?
a. The client with an obstruction of the large intestine who is experiencing
abdominal distention.
b. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
c. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
d. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
A client who underwent an uncomplicated gastric bypass surgery has difficulty
with diet management. What dietary instruction is most important for the nurse to
explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food
,b. Plan volume-controlled evenly-spaced meals throughout the day
The nurse is assessing the feet of a client with type 1 diabetes mellitus. Which
finding requires immediate intervention by the nurse?
a. Decreased response to pain discrimination on the dorsal surface of the foot.
b. Erythema and edema at the base of the left great toe.
c. Hard, painless nodule over the metatarsophalangeal joint of the first toe.
d. Painful corns and calluses over hammer toes on both feet.
a. Decreased response to pain discrimination on the dorsal surface of the foot.
The nurse is planning to assess the client's oxygen saturation to determine if
additional oxygen is needed via nasal cannula. The client has bilateral below the-
knee amputations and radial pulses that are weak and thready. What action should
the nurse take?
a. Document that an accurate oxygen saturation reading cannot be obtained. b.
Elevate the client's hands for five minutes prior to obtaining a reading from the
finger.
c. Increase the oxygen based on the client's breathing patterns and lung sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
While completing an admission assessment for a client with unstable angina,
which closed questions should the nurse ask about the client's pain?
, a. tell me about the activities that cause your pain
b. does your pain occur when walking short distances?
c. when did you first notice the pain in your chest
d. how did you feel when the pain becomes noticeable
B. does your pain occur when walking short distances?
assessment findings for a client following a colectomy for familial polyposis
include an ileostomy bag that contains large amount of fecal liquid and an IV
infusion of dextrose 5% in lactated ringer's infusing at a rate of 100ml/hour. Which
assessment is most important for the nurse monitor? Serum electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor
b. serum electrolytes
surgical unit following a left hip replacement. When reviewing the client's
prescribed medications, which intervention should the nurse implement FIRST?
a. reconcile prescribed medication dosages with published recommended dosage
ranges
b. compare admission prescriptions with the list of medications previously taken
by the client
QUESTIONS AND CORRECT ANSWERS GRADED
A+ NIGHTINGALE
The nurse is using a straight urinary catheter kit to collect a sterile urine specimen
from a female client. After positioning and prepping the client, rank the actions in
the sequence they should be implemented. (place the first action at the top, and last
action at the bottom)
a. Place the distal end of the catheter in a sterile specimen cup and insert catheter
into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum
d. the sterile catheter kit close to the clients perineum
c. Don sterile gloves and prepare the sterile field
b. Cleans the urinary meatus using the solution, swabs, and forceps
a. Place the distal end of the catheter in a sterile specimen cup and insert the
catheter into the meatus Open
An older adult client presents to the emergency department with abdominal pain
due to constipation. The nurse is providing a list of high-fiber foods to the client
that the healthcare provider has recommended. Which action should the nurse
implement when reviewing the list of foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
,c. Turn on overhead lights while giving instructions.
d. Stand behind the client to avoid intimidation.
c. Turn on overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client should the
nurse assess first ?
a. The client with an obstruction of the large intestine who is experiencing
abdominal distention.
b. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
c. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
d. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
A client who underwent an uncomplicated gastric bypass surgery has difficulty
with diet management. What dietary instruction is most important for the nurse to
explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food
,b. Plan volume-controlled evenly-spaced meals throughout the day
The nurse is assessing the feet of a client with type 1 diabetes mellitus. Which
finding requires immediate intervention by the nurse?
a. Decreased response to pain discrimination on the dorsal surface of the foot.
b. Erythema and edema at the base of the left great toe.
c. Hard, painless nodule over the metatarsophalangeal joint of the first toe.
d. Painful corns and calluses over hammer toes on both feet.
a. Decreased response to pain discrimination on the dorsal surface of the foot.
The nurse is planning to assess the client's oxygen saturation to determine if
additional oxygen is needed via nasal cannula. The client has bilateral below the-
knee amputations and radial pulses that are weak and thready. What action should
the nurse take?
a. Document that an accurate oxygen saturation reading cannot be obtained. b.
Elevate the client's hands for five minutes prior to obtaining a reading from the
finger.
c. Increase the oxygen based on the client's breathing patterns and lung sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
While completing an admission assessment for a client with unstable angina,
which closed questions should the nurse ask about the client's pain?
, a. tell me about the activities that cause your pain
b. does your pain occur when walking short distances?
c. when did you first notice the pain in your chest
d. how did you feel when the pain becomes noticeable
B. does your pain occur when walking short distances?
assessment findings for a client following a colectomy for familial polyposis
include an ileostomy bag that contains large amount of fecal liquid and an IV
infusion of dextrose 5% in lactated ringer's infusing at a rate of 100ml/hour. Which
assessment is most important for the nurse monitor? Serum electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor
b. serum electrolytes
surgical unit following a left hip replacement. When reviewing the client's
prescribed medications, which intervention should the nurse implement FIRST?
a. reconcile prescribed medication dosages with published recommended dosage
ranges
b. compare admission prescriptions with the list of medications previously taken
by the client
