BSN HESI 366 RN EXIT With NGN
Test Bank Actual Exam With 1-100
Questions And Correct Answers
Having Rationale [Graded A+].
HESI RN Exit Exam Sample Questions
1. Post-IV Pyelography (IVP) Teaching
• Question: Which information is a priority for the RN to reinforce to an older
client after intravenous pyelography (IVP)?
• Answer: During waking hours, drink at least one 8-ounce glass of fluid every
hour for the next 24 hours.
• Rationale: The contrast dye used in IVP can be nephrotoxic, especially in older
adults. Increased fluid intake helps flush the dye from the kidneys to prevent
contrast-induced nephropathy.
2. Fractured Femur: Post-Cast Application
• Question: The nurse is caring for a client with a fractured femur following
removal of traction and the application of a full leg cast. Which action should the
nurse prioritize?
• Answer: Neurovascular checks.
• Rationale: After applying a new cast, the primary concern is compartment
syndrome. Assessing neurovascular status (pulse, sensation, movement, color,
and temperature) distal to the cast is critical to detect compromised circulation.
3. Osteomalacia: Environmental Factor
• Question: Which environmental factor is most significant when planning care for
a client with osteomalacia?
• Answer: Adequate sunlight.
• Rationale: Osteomalacia is often caused by Vitamin D deficiency. Sunlight
exposure is essential for Vitamin D synthesis, which is crucial for calcium
absorption and bone health.
,4. Enoxaparin (Lovenox) Dosage Calculation
• Question: A client who weighs 176 pounds receives a prescription for enoxaparin
sodium 1.5 mg/kg/day subcutaneously. The medication is available in a 120
mg/0.8 mL prefilled syringe. How many milliliters should the nurse administer?
(Enter numerical value only.)
• Answer: 0.8
• Rationale: First, convert pounds to kilograms: 176 lbs / 2.2 = 80 kg. Then
calculate the dose: 80 kg × 1.5 mg/kg = 120 mg. Since the syringe contains 120
mg/0.8 mL, the nurse would administer 0.8 mL.
5. School Nursing: Secondary Prevention
• Question: Which action should the school nurse implement to provide secondary
prevention for school-age children?
• Answer: Initiate a hearing and vision screening program for first graders.
• Rationale: Secondary prevention focuses on early detection and intervention.
Screening programs identify health issues before they become serious.
6. Type 2 Diabetes: Client Understanding
• Question: The nurse is providing teaching to a client with type 2 DM about
important points for disease and symptom management. Which statement by the
client indicates understanding?
• Answer: "Get an eye exam with an ophthalmologist annually."
• Rationale: Annual dilated eye exams are crucial for clients with diabetes to detect
early signs of diabetic retinopathy.
7. Prednisone Discontinuation: Priority Intervention
• Question: A female client has been taking a high dose of prednisone for several
months. After stopping the medication abruptly, the client reports feeling "very
tired". Which nursing intervention is most important?
• Answer: Measure vital signs.
• Rationale: Abrupt cessation of corticosteroids can precipitate adrenal
insufficiency (adrenal crisis). Hypotension and tachycardia are key signs of this
crisis.
8. Medication Safety: Unlabeled Syringe
• Question: The nurse is preparing to administer a medication from an unlabeled
syringe found at the bedside. What should the nurse do?
, • Answer: Discard the medication and prepare a new, properly labeled dose.
• Rationale: An unlabeled syringe is a serious medication safety violation. It is
impossible to confirm the contents, and administering it could lead to a fatal
error.
9. Medication Discrepancy: Client Report
• Question: When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic, the client tells the nurse that the usual
dosage taken is different from the dose the nurse is giving. Which action should
the nurse take?
• Answer: Withhold the medication until the dosage can be confirmed.
• Rationale: When a client reports a discrepancy in their medication dosage, the
nurse's priority is to ensure safety. The medication should be withheld and the
order verified.
10. Medication Administration Verification
• Question: The client reports that the usual dosage taken is different from the
dose the nurse is giving. Which action should the nurse take?
• Answer: Withhold the medication until the dosage can be confirmed.
• Rationale: When a client reports a discrepancy in their medication dosage, the
nurse's priority is to ensure safety. The medication should be withheld and the
order verified.
11. Delegation to Practical Nurse (PN)
• Question: Which client is best to assign to the practical nurse (PN) working on
the unit with the nurse?
• Answer: An immobile client receiving low molecular weight heparin q12h.
• Rationale: A PN can administer prescribed medications, including subcutaneous
injections, to a stable client. Continuous IV infusions that require monitoring or
complex assessments should be assigned to an RN.
12. Diabetes Management: Additional Teaching
• Question: Which statement by the client indicates understanding of diabetes
management?
• Answer: "Get an eye exam with an ophthalmologist annually."
• Rationale: Annual dilated eye exams are crucial for clients with diabetes to detect
early signs of diabetic retinopathy.
Test Bank Actual Exam With 1-100
Questions And Correct Answers
Having Rationale [Graded A+].
HESI RN Exit Exam Sample Questions
1. Post-IV Pyelography (IVP) Teaching
• Question: Which information is a priority for the RN to reinforce to an older
client after intravenous pyelography (IVP)?
• Answer: During waking hours, drink at least one 8-ounce glass of fluid every
hour for the next 24 hours.
• Rationale: The contrast dye used in IVP can be nephrotoxic, especially in older
adults. Increased fluid intake helps flush the dye from the kidneys to prevent
contrast-induced nephropathy.
2. Fractured Femur: Post-Cast Application
• Question: The nurse is caring for a client with a fractured femur following
removal of traction and the application of a full leg cast. Which action should the
nurse prioritize?
• Answer: Neurovascular checks.
• Rationale: After applying a new cast, the primary concern is compartment
syndrome. Assessing neurovascular status (pulse, sensation, movement, color,
and temperature) distal to the cast is critical to detect compromised circulation.
3. Osteomalacia: Environmental Factor
• Question: Which environmental factor is most significant when planning care for
a client with osteomalacia?
• Answer: Adequate sunlight.
• Rationale: Osteomalacia is often caused by Vitamin D deficiency. Sunlight
exposure is essential for Vitamin D synthesis, which is crucial for calcium
absorption and bone health.
,4. Enoxaparin (Lovenox) Dosage Calculation
• Question: A client who weighs 176 pounds receives a prescription for enoxaparin
sodium 1.5 mg/kg/day subcutaneously. The medication is available in a 120
mg/0.8 mL prefilled syringe. How many milliliters should the nurse administer?
(Enter numerical value only.)
• Answer: 0.8
• Rationale: First, convert pounds to kilograms: 176 lbs / 2.2 = 80 kg. Then
calculate the dose: 80 kg × 1.5 mg/kg = 120 mg. Since the syringe contains 120
mg/0.8 mL, the nurse would administer 0.8 mL.
5. School Nursing: Secondary Prevention
• Question: Which action should the school nurse implement to provide secondary
prevention for school-age children?
• Answer: Initiate a hearing and vision screening program for first graders.
• Rationale: Secondary prevention focuses on early detection and intervention.
Screening programs identify health issues before they become serious.
6. Type 2 Diabetes: Client Understanding
• Question: The nurse is providing teaching to a client with type 2 DM about
important points for disease and symptom management. Which statement by the
client indicates understanding?
• Answer: "Get an eye exam with an ophthalmologist annually."
• Rationale: Annual dilated eye exams are crucial for clients with diabetes to detect
early signs of diabetic retinopathy.
7. Prednisone Discontinuation: Priority Intervention
• Question: A female client has been taking a high dose of prednisone for several
months. After stopping the medication abruptly, the client reports feeling "very
tired". Which nursing intervention is most important?
• Answer: Measure vital signs.
• Rationale: Abrupt cessation of corticosteroids can precipitate adrenal
insufficiency (adrenal crisis). Hypotension and tachycardia are key signs of this
crisis.
8. Medication Safety: Unlabeled Syringe
• Question: The nurse is preparing to administer a medication from an unlabeled
syringe found at the bedside. What should the nurse do?
, • Answer: Discard the medication and prepare a new, properly labeled dose.
• Rationale: An unlabeled syringe is a serious medication safety violation. It is
impossible to confirm the contents, and administering it could lead to a fatal
error.
9. Medication Discrepancy: Client Report
• Question: When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic, the client tells the nurse that the usual
dosage taken is different from the dose the nurse is giving. Which action should
the nurse take?
• Answer: Withhold the medication until the dosage can be confirmed.
• Rationale: When a client reports a discrepancy in their medication dosage, the
nurse's priority is to ensure safety. The medication should be withheld and the
order verified.
10. Medication Administration Verification
• Question: The client reports that the usual dosage taken is different from the
dose the nurse is giving. Which action should the nurse take?
• Answer: Withhold the medication until the dosage can be confirmed.
• Rationale: When a client reports a discrepancy in their medication dosage, the
nurse's priority is to ensure safety. The medication should be withheld and the
order verified.
11. Delegation to Practical Nurse (PN)
• Question: Which client is best to assign to the practical nurse (PN) working on
the unit with the nurse?
• Answer: An immobile client receiving low molecular weight heparin q12h.
• Rationale: A PN can administer prescribed medications, including subcutaneous
injections, to a stable client. Continuous IV infusions that require monitoring or
complex assessments should be assigned to an RN.
12. Diabetes Management: Additional Teaching
• Question: Which statement by the client indicates understanding of diabetes
management?
• Answer: "Get an eye exam with an ophthalmologist annually."
• Rationale: Annual dilated eye exams are crucial for clients with diabetes to detect
early signs of diabetic retinopathy.
