BSN 366 HESI RN EXIT EXAM V3 |
QUESTIONS AND 100% CORRECT
ANSWERS RATED A+ | 2025/2026
GUIDE
A client who is receiving chemotherapy through a central line is admitted
to the hospital with a diagnosis of sepsis. Which of the following nursing
interventions should receive priority?
- Correct Answer - Inspect all sites that may serve as entry ports for
bacteria
The nurse is caring for a client with Parkinson's disease who has
developed hallucinations. Which of the following medications that the
client is receiving may have been a contributing factor?
- Correct Answer - L-Dopa
The nurse is caring for a child receiving albuterol (Proventil) for asthma.
The parents ask the nurse why their child is receiving this medication.
Which explanation is correct?
- Correct Answer - relax the smooth muscles in the airways.
,The nurse prepares to give a one year-old child an intramuscular
injection. Where is the best site for this injection?
- Correct Answer - Vastus lateralis muscle
The nurse is administering albuterol (Proventil) to a child with asthma.
Which of the following assessments by the nurse indicate the need for
an adjustment of the medication?
- Correct Answer - Apical Pulse of 112
To which of the following nursing home residents could the nurse safely
administer tricyclic antidepressants without questioning the health care
provider's order?
- Correct Answer - A 65 year-old female with mild hypertension
The nurse is teaching a client about precautions with Coumadin. The
nurse should instruct the client to avoid foods with excessive amounts of
which nutrient
- Correct Answer - Vitamin K
The nurse is caring for a 15 month-old child with a first episode of otitis
media. Which of the following interventions should the nurse include in
instructions to the child's parents?
- Correct Answer - Emphasize the importance of a return visit after
completion of antibiotics
,The nurse is caring for an 81 year-old client with colorectal cancer. The
client's pain has been managed until now with acetaminophen with
codeine. Because of increased pain, intravenous morphine is added.
What should the nurse recognize about the validity of this order?
- Correct Answer - Appropriate pain management around-the-clock
Before administering digoxin (Lanoxin) to a client, which of the following
nursing assessments is a priority?
- Correct Answer - Monitor the heart rate
When teaching a client about the use of sublingual nitroglycerin, the
nurse should emphasize that which of these is the most common side
effect? - Correct Answer - Headache
What would the nurse expect to see in a client who is experiencing
symptoms of tardive dyskinesia?
- Correct Answer - Rapid tongue movements
The nurse is teaching a client who has a new prescription for sublingual
nitroglycerin. Which of the following must be emphasized?
- Correct Answer - Carry the nitroglycerine with you at all times
, The home care nurse has been managing a client for 6 weeks. What is
the best method to determine the quality of care provided by a home
health care aide assigned to assist with the care of this client?
- Correct Answer - Determine if the home health aide's care is
consistent with the plan of care
The nurse in the same day surgery unit assigns the unlicensed assistive
personnel (UAP) to give a 1000 ml soap solution enema (SSE) to a
client scheduled for an abdominal hysterectomy. Which statement by the
nurse is most appropriate?
- Correct Answer - "Slow the flow of the solution if cramping occurs."
An RN from the women's health clinic is temporarily reassigned to a
medical-surgical unit. Which of these client assignments would be most
appropriate for this nurse?
- Correct Answer - A client from a motor vehicle accident with an
external fixation device on the leg
Which client data should the nurse act upon when a home health aide
calls the nurse from the client's home to report these items?
- Correct Answer - The urine in the urinary catheter bag is of a deeper
amber, almost brown color
QUESTIONS AND 100% CORRECT
ANSWERS RATED A+ | 2025/2026
GUIDE
A client who is receiving chemotherapy through a central line is admitted
to the hospital with a diagnosis of sepsis. Which of the following nursing
interventions should receive priority?
- Correct Answer - Inspect all sites that may serve as entry ports for
bacteria
The nurse is caring for a client with Parkinson's disease who has
developed hallucinations. Which of the following medications that the
client is receiving may have been a contributing factor?
- Correct Answer - L-Dopa
The nurse is caring for a child receiving albuterol (Proventil) for asthma.
The parents ask the nurse why their child is receiving this medication.
Which explanation is correct?
- Correct Answer - relax the smooth muscles in the airways.
,The nurse prepares to give a one year-old child an intramuscular
injection. Where is the best site for this injection?
- Correct Answer - Vastus lateralis muscle
The nurse is administering albuterol (Proventil) to a child with asthma.
Which of the following assessments by the nurse indicate the need for
an adjustment of the medication?
- Correct Answer - Apical Pulse of 112
To which of the following nursing home residents could the nurse safely
administer tricyclic antidepressants without questioning the health care
provider's order?
- Correct Answer - A 65 year-old female with mild hypertension
The nurse is teaching a client about precautions with Coumadin. The
nurse should instruct the client to avoid foods with excessive amounts of
which nutrient
- Correct Answer - Vitamin K
The nurse is caring for a 15 month-old child with a first episode of otitis
media. Which of the following interventions should the nurse include in
instructions to the child's parents?
- Correct Answer - Emphasize the importance of a return visit after
completion of antibiotics
,The nurse is caring for an 81 year-old client with colorectal cancer. The
client's pain has been managed until now with acetaminophen with
codeine. Because of increased pain, intravenous morphine is added.
What should the nurse recognize about the validity of this order?
- Correct Answer - Appropriate pain management around-the-clock
Before administering digoxin (Lanoxin) to a client, which of the following
nursing assessments is a priority?
- Correct Answer - Monitor the heart rate
When teaching a client about the use of sublingual nitroglycerin, the
nurse should emphasize that which of these is the most common side
effect? - Correct Answer - Headache
What would the nurse expect to see in a client who is experiencing
symptoms of tardive dyskinesia?
- Correct Answer - Rapid tongue movements
The nurse is teaching a client who has a new prescription for sublingual
nitroglycerin. Which of the following must be emphasized?
- Correct Answer - Carry the nitroglycerine with you at all times
, The home care nurse has been managing a client for 6 weeks. What is
the best method to determine the quality of care provided by a home
health care aide assigned to assist with the care of this client?
- Correct Answer - Determine if the home health aide's care is
consistent with the plan of care
The nurse in the same day surgery unit assigns the unlicensed assistive
personnel (UAP) to give a 1000 ml soap solution enema (SSE) to a
client scheduled for an abdominal hysterectomy. Which statement by the
nurse is most appropriate?
- Correct Answer - "Slow the flow of the solution if cramping occurs."
An RN from the women's health clinic is temporarily reassigned to a
medical-surgical unit. Which of these client assignments would be most
appropriate for this nurse?
- Correct Answer - A client from a motor vehicle accident with an
external fixation device on the leg
Which client data should the nurse act upon when a home health aide
calls the nurse from the client's home to report these items?
- Correct Answer - The urine in the urinary catheter bag is of a deeper
amber, almost brown color
