BSN 366 EXIT HESI V2 EXAM
STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED
SOLUTIONS || 100%
GUARANTEED PASS NEWEST
VERSION NIGHTINGALE
The nurse knows that which statement by the mother indicates that the
mother understands safety precautions with her four month-old infant
and her 4 year-old child? - ANSWER ✔✔I have the four year-old hold
and help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87
year-old client does not have an advance directive. What action should
,the nurse take? - ANSWER ✔✔Give information about advance
directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy
and watery eyes, increased anxiety, and difficulty breathing. The nurse
expects that the first action in the sequence of care for this client will be
to: - ANSWER ✔✔Administer epinephrine 1:1000 as ordered
Which of these children at the site of a disaster at a child day care center
would the triage nurse put in the "treat last" category? - ANSWER
✔✔A toddler with severe deep abrasions over 98% of the body
When admitting a client to an acute care facility, an identification bracelet
is sent up with the admission form. In the event these do not match, the
nurse's best action is to - ANSWER ✔✔Notify the admissions office
and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written
order that was written right before the shift change. What action should
be taken? - ANSWER ✔✔Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After
checking for responsiveness and calling for help, the next action that
,should be taken by the nurse is to: - ANSWER ✔✔Open the client's
airway
A client has an order for 1000 ml of D5W over an 8 hour period. The
nurse discovers that 800 ml has been infused after 4 hours. What is the
priority nursing action? - ANSWER ✔✔Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client
should the nurse see first? - ANSWER ✔✔72 year old recovering
from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by
having the client lie on the left side for the administration. The family
member pushed the suppository until the finger went up to the second
knuckle. After 10 minutes the client was told by the family member to
turn to the right side and the client did this. What is the appropriate
comment for the nurse to make? - ANSWER ✔✔That was done
correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus
(MRSA) has died. Which type of precautions is the appropriate type to
use when performing postmortem care? - ANSWER ✔✔Contact
Precautions
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse is reviewing with a client how to collect a clean catch urine
specimen. Which sequence is appropriate teaching? - ANSWER
✔✔Clean the meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 125 mg PO and furosomide 40 mg
everyday. Which of these foods would the nurse reinforce for the client to
eat at least daily? - ANSWER ✔✔watermelon
A nurse is stuck in the hand by an exposed needle. What immediate
action should the nurse take? - ANSWER ✔✔Immediately wash the
hands with vigor
As the nurse observes the student nurse during the administration of a
narcotic analgesic IM injection, the nurse notes that the student begins
to give the medication without first aspirating. What should the nurse do?
- ANSWER ✔✔Walk up and whisper in the student's ear "Stop.
Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs
are stable and breathing is independent. What should the nurse
document to most accurately describe the client's condition? -
ANSWER ✔✔Glascow Coma Scale 8, respirations regular
STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED
SOLUTIONS || 100%
GUARANTEED PASS NEWEST
VERSION NIGHTINGALE
The nurse knows that which statement by the mother indicates that the
mother understands safety precautions with her four month-old infant
and her 4 year-old child? - ANSWER ✔✔I have the four year-old hold
and help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87
year-old client does not have an advance directive. What action should
,the nurse take? - ANSWER ✔✔Give information about advance
directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy
and watery eyes, increased anxiety, and difficulty breathing. The nurse
expects that the first action in the sequence of care for this client will be
to: - ANSWER ✔✔Administer epinephrine 1:1000 as ordered
Which of these children at the site of a disaster at a child day care center
would the triage nurse put in the "treat last" category? - ANSWER
✔✔A toddler with severe deep abrasions over 98% of the body
When admitting a client to an acute care facility, an identification bracelet
is sent up with the admission form. In the event these do not match, the
nurse's best action is to - ANSWER ✔✔Notify the admissions office
and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written
order that was written right before the shift change. What action should
be taken? - ANSWER ✔✔Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After
checking for responsiveness and calling for help, the next action that
,should be taken by the nurse is to: - ANSWER ✔✔Open the client's
airway
A client has an order for 1000 ml of D5W over an 8 hour period. The
nurse discovers that 800 ml has been infused after 4 hours. What is the
priority nursing action? - ANSWER ✔✔Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client
should the nurse see first? - ANSWER ✔✔72 year old recovering
from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by
having the client lie on the left side for the administration. The family
member pushed the suppository until the finger went up to the second
knuckle. After 10 minutes the client was told by the family member to
turn to the right side and the client did this. What is the appropriate
comment for the nurse to make? - ANSWER ✔✔That was done
correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus
(MRSA) has died. Which type of precautions is the appropriate type to
use when performing postmortem care? - ANSWER ✔✔Contact
Precautions
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse is reviewing with a client how to collect a clean catch urine
specimen. Which sequence is appropriate teaching? - ANSWER
✔✔Clean the meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 125 mg PO and furosomide 40 mg
everyday. Which of these foods would the nurse reinforce for the client to
eat at least daily? - ANSWER ✔✔watermelon
A nurse is stuck in the hand by an exposed needle. What immediate
action should the nurse take? - ANSWER ✔✔Immediately wash the
hands with vigor
As the nurse observes the student nurse during the administration of a
narcotic analgesic IM injection, the nurse notes that the student begins
to give the medication without first aspirating. What should the nurse do?
- ANSWER ✔✔Walk up and whisper in the student's ear "Stop.
Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs
are stable and breathing is independent. What should the nurse
document to most accurately describe the client's condition? -
ANSWER ✔✔Glascow Coma Scale 8, respirations regular
