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BSN 366 Exit HESI Exam 2026/2027 – 100+ Questions & Answers, NGN, Med-Surg, Pharmacology, Pediatrics & Mental Health | BSN 366 | Nightingale College

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This comprehensive BSN 366 Exit HESI Exam 2026/2027 study guide provides 100+ exam questions and answers across 82 pages, combining traditional multiple-choice questions, Select All That Apply (SATA), nursing calculations, prioritization scenarios, and Next Generation Nursing (NGN) case studies. The document provides extensive preparation across medical-surgical nursing, pharmacology, maternity and newborn care, pediatrics, psychiatric and mental health nursing, emergency care, infection prevention, nursing leadership, delegation, patient safety, and clinical judgment. A major component is clinical judgment and NGN-style application. The guide opens with diabetes education, anxiety management, RN/PN assignment decisions, and a detailed neonatal NGN case involving a 37-week infant born to a mother with gestational diabetes. Students review neonatal hypoglycemia, respiratory distress, temperature regulation, hyperbilirubinemia, feeding, oxygenation, glucose monitoring, and evaluation of positive outcomes. This format encourages learners to interpret clinical findings rather than rely solely on memorization. The medical-surgical nursing material addresses pancreatitis, stroke, coronary artery disease, myocardial infarction, systemic inflammatory response syndrome, pulmonary embolism, COPD, asthma, pneumonia, diabetes mellitus, end-stage renal disease, cirrhosis, hepatic encephalopathy, ulcerative colitis, tumor lysis syndrome, thyroidectomy care, burns, fractures, osteomalacia, postoperative complications, suprapubic catheters, wound and drain assessment, and neurovascular monitoring. Priority questions repeatedly require students to identify unstable patients, recognize significant assessment findings, and determine the most appropriate immediate nursing intervention. Pharmacology and medication safety are integrated throughout the exam material. The document includes metformin, morphine, naloxone, dopamine, norepinephrine, warfarin, linezolid, lactulose, furosemide, enoxaparin, teriparatide, tadalafil, buspirone, diphenhydramine, dextrose, lisinopril, simvastatin, and other commonly tested therapies. Students encounter medication teaching, therapeutic monitoring, adverse effects, opioid safety, anticoagulant precautions, IV administration, and weight-based or infusion-rate calculations. The maternal-newborn and pediatric nursing content includes gestational diabetes, neonatal hypoglycemia, hyperbilirubinemia, respiratory distress, postpartum assessment, stages of labor, infant phototherapy, pyloric stenosis, Duchenne muscular dystrophy, sudden infant death syndrome prevention, childhood infections, pediatric medication calculations, and family education. The neonatal NGN material is especially detailed, incorporating assessment findings, orders, laboratory interpretation, priority interventions, discharge teaching, and evaluation of outcomes. The guide also provides strong coverage of psychiatric and mental health nursing, including anxiety, depression, bipolar disorder, lithium monitoring, schizophrenia, auditory hallucinations, post-traumatic stress disorder, grief, suicidal ideation, suicide-risk assessment, therapeutic relationships, substance withdrawal, and therapeutic communication. An extended NGN scenario follows a client experiencing depression and PTSD after a fatal motor vehicle accident and examines symptoms, therapeutic relationships, suicide prevention, treatment strategies, and evaluation of outcomes. Nursing leadership, delegation, safety, and infection control are another important part of the material. Students encounter RN and practical-nurse assignments, UAP supervision, staff management, SBAR communication, medication verification, MRSA precautions, airborne isolation, hand hygiene, influenza precautions, hospice and end-of-life nursing, DNR care, and management of impaired healthcare personnel. These questions reinforce professional responsibility alongside direct clinical care. For academic reference, the topics covered correspond broadly with established nursing resources such as Hinkle & Cheever’s Brunner & Suddarth’s Textbook of Medical-Surgical Nursing for adult health nursing, Hockenberry & Wilson’s Wong’s Nursing Care of Infants and Children for pediatric nursing, and Varcarolis’ Foundations of Psychiatric-Mental Health Nursing for behavioral and mental health nursing. These texts provide useful supplementary reading for the major subject areas represented in the study material. Relevant Students This document is particularly relevant for BSN 366 students, Nightingale College nursing students, Bachelor of Science in Nursing candidates, senior nursing students, Exit HESI candidates, comprehensive nursing examination students, NGN and clinical judgment learners, and students preparing for NCLEX-style assessments. It is also useful for nursing learners seeking concentrated revision in medical-surgical nursing, pharmacology, pediatrics, maternity-newborn care, psychiatric nursing, dosage calculations, prioritization, delegation, infection control, and patient safety. Keywords BSN 366 Exit HESI Exam 2026/2027, BSN366 Exit HESI, Exit HESI 2026, HESI Exit Exam questions and answers, HESI Exit Exam study guide, BSN 366 exam questions, Nightingale College BSN 366, Nightingale College Exit HESI, HESI practice questions, NGN HESI questions, Next Generation HESI, NGN case studies, medical surgical nursing, pharmacology nursing, pediatric nursing, maternity nursing, newborn nursing, psychiatric nursing, mental health nursing, nursing prioritization, nursing delegation, clinical judgment nursing, dosage calculations, IV calculations, medication safety, patient safety, infection control nursing, diabetes nursing, cardiac nursing, respiratory nursing, renal nursing, COPD nursing, stroke nursing, pneumonia nursing, neonatal hypoglycemia, postpartum nursing, suicide risk assessment, PTSD nursing, schizophrenia nursing, nursing leadership, SATA nursing questions, comprehensive nursing exam, NCLEX style questions

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BSN366 EXIT HESI 2026/2027
EXAM QUESTIONS AND
ANSWERS | 100% PASS



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

Blood Glucose 35

Axillary temp. 96F

Acrocyanosis


Ballard score maturity rating 37 - ANSWER ✔✔Diabetic Findings:


BG 35

3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, 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.

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