BSN 366 - HESI Exit Exam V3– Verified Questions
and Answers, Grade A| Latest Update 2026
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set
of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
Ask the client if the preference would be to remove the dentures in the operating room receiving
area
The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
Encourage the child to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to Arizona
to get away from the pollution and crowding in southern California. The nurse explains
that
Such fantasies can gratify unconscious wishes or prepare for anticipated future events
An appropriate goal for a client with anxiety would be to
Learn self-help techniques
,While the nurse is administering medications to a client, the client states "I do not want to
take that medicine today." Which of the following responses by the nurse would be best?
"Is there a reason why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform?
Auscultate the mass
A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which
statement would provide the best reality orientation for this client?
"Good morning. You're in the hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main
source of fluids for an infant until about 12 months of age?
Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be
affected by the injury. Which statement is true concerning long bone fractures in children?
Epiphyseal fractures often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16, and she
has missed one period. She reports episodes of nausea and vomiting. Pregnancy is
confirmed by a urine test. What will the nurse calculate as the estimated date of delivery
(EDD)?
, December 23
When screening children for scoliosis, at what time of development would the nurse expect
early signs to appear?
During the preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health care. The nurse
discovers that the client has not been following the prescribed diet. What would be the most
appropriate nursing action?
Discuss diet with the client to learn the reasons for not following the diet
A client states, "People think I'm no good, you know what I mean?" Which of these
responses would be most therapeutic?
"I'm not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic for follow up. The
client says, "I know these pills are important, but I just can't take these water pills
anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the
bathroom." Which of these is the best nursing diagnosis?
Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour before surgery,
which of the following should the nurse recommend?
Deep breathing
and Answers, Grade A| Latest Update 2026
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set
of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
Ask the client if the preference would be to remove the dentures in the operating room receiving
area
The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
Encourage the child to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to Arizona
to get away from the pollution and crowding in southern California. The nurse explains
that
Such fantasies can gratify unconscious wishes or prepare for anticipated future events
An appropriate goal for a client with anxiety would be to
Learn self-help techniques
,While the nurse is administering medications to a client, the client states "I do not want to
take that medicine today." Which of the following responses by the nurse would be best?
"Is there a reason why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform?
Auscultate the mass
A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which
statement would provide the best reality orientation for this client?
"Good morning. You're in the hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main
source of fluids for an infant until about 12 months of age?
Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be
affected by the injury. Which statement is true concerning long bone fractures in children?
Epiphyseal fractures often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16, and she
has missed one period. She reports episodes of nausea and vomiting. Pregnancy is
confirmed by a urine test. What will the nurse calculate as the estimated date of delivery
(EDD)?
, December 23
When screening children for scoliosis, at what time of development would the nurse expect
early signs to appear?
During the preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health care. The nurse
discovers that the client has not been following the prescribed diet. What would be the most
appropriate nursing action?
Discuss diet with the client to learn the reasons for not following the diet
A client states, "People think I'm no good, you know what I mean?" Which of these
responses would be most therapeutic?
"I'm not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic for follow up. The
client says, "I know these pills are important, but I just can't take these water pills
anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the
bathroom." Which of these is the best nursing diagnosis?
Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour before surgery,
which of the following should the nurse recommend?
Deep breathing
