BSN366 EXIT HESI| FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses Answer: B) Get an eye exam
with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to informations about prescribed
medications and administration, which instruction should the nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur Answer: C) Practice using muscle relaxation
techniques
The charge nurse is planning for the shift and has a RN and a PN on the team. Which client
should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago Answer: C) A
30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was
diagnosed with gestational diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is noted to
be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower back, Ballard maturity
rating 37 weeks. (For each assessment finding, click to indicate whether the findings are
associated with an infant of a diabetic mother or normal presentation.)
Soft Fontanelles
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 Answer: Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar scores 7 to
10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was
diagnosed with gestational diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is noted to
be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower back, Ballard maturity
rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ Answer: Hyperbilirubinemia , Resppiratory
Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk via
orogastric tube. If two feeding attempts failed to increase the glucose levels or if symptoms of
hypoglycemia develop, apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45. Bolus of 2mL/kg
glucose 10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic
levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses Answer: B) Get an eye exam
with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to informations about prescribed
medications and administration, which instruction should the nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur Answer: C) Practice using muscle relaxation
techniques
The charge nurse is planning for the shift and has a RN and a PN on the team. Which client
should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago Answer: C) A
30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was
diagnosed with gestational diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is noted to
be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower back, Ballard maturity
rating 37 weeks. (For each assessment finding, click to indicate whether the findings are
associated with an infant of a diabetic mother or normal presentation.)
Soft Fontanelles
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 Answer: Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar scores 7 to
10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother, who was
diagnosed with gestational diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of subcutaneous fat. She is noted to
be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower back, Ballard maturity
rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ Answer: Hyperbilirubinemia , Resppiratory
Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk via
orogastric tube. If two feeding attempts failed to increase the glucose levels or if symptoms of
hypoglycemia develop, apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45. Bolus of 2mL/kg
glucose 10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic
levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
