BSNl 366l HESIl RNl Exitl Practicel Examl
(Latestl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Nightingale
Q:l Thel nursel preparesl tol administerl acetaminophenl orall suspensionl tol al childl whol
weighsl 66l pounds.l Thel prescriptionl reads:l Administerl 15l mg/kgl everyl 6l hoursl byl
mouth.l Thel Tylenoll isl availablel 150l mg/5l ml.l Whichl isl thel correctl dosagel indicatedl onl
thel image?l
A.l 30ml
B.l 15ml
C.l 10ml
D.l 5ml
Answer:
B
Rationale:
66l lb/(2.l 2l kg/lb)l =l 30l kg
30l kgl ×l (15l mg/kg)l =l 450l mg
(5l mL/150l mg)l ×l 450l mgl =l 15l mL
or
(450l mg/150l mg)l ×l 5l mLl =l 15l mL
Q:l Whenl assessingl thel laboratoryl findingsl ofl al 38-year-oldl clientl withl tuberculosisl
whol isl takingl rifampinl (Rifadin),l whichl laboratoryl findingl wouldl bel mostl importantl tol
reportl tol thel primaryl healthl carel providerl immediately?
A.l Orange-coloredl urine
B.l Potassiuml level,l 4.l 9l mEq/L
C.l Elevatedl liverl enzymel levels
D.l Bloodl ureal nitrogenl (BUN)l level,l 12l mg/dL
Answer:
C
Rationale:
,Rifampinl canl causel hepatoxicity,l sol elevatedl liverl enzymel levelsl needl tol bel closelyl
monitoredl andl reportedl tol thel healthl carel providerl (C).l Orangel discolorationl ofl thel
urinel isl anl expectedl sidel effectl ofl thisl medicationl (A).l Thel potassiuml levell (B)l isl
normal.l Al BUNl levell ofl 12l mg/dLl isl withinl definedl parametersl (D).l
Q:l Al clientl isl receivingl propylthiouracill (PTU)l priorl tol thyroidl surgery.l Whichl
diagnosticl testl resultsl indicatel thatl thel medicationl isl producingl thel desiredl effect?l
A.l Increasedl hemoglobinl andl hematocritl levels
B.l Increasedl seruml calciuml level
C.l Decreasedl whitel bloodl celll (WBC)l count
D.l Decreasedl triiodothyroninel (T3)l andl thyroxinel (T4)l levels
Answer:
D
Rationale:
Propylthiouracill (PTU)l isl anl adjunctl therapyl usedl tol controll hyperthyroidisml byl
inhibitingl thel productionl ofl thyroidl hormonesl (D).l Itl isl oftenl prescribedl inl preparationl
forl thyroidectomyl orl radioactivel iodinel therapy.l Itl isl doesl notl affectl (A).l (B)l mustl bel
monitoredl afterl surgeryl inl casel thel parathyroidl glandsl werel removed,l butl preoperativel
PTUl doesl notl increasel thel seruml calciuml level.l Ifl thel clientl hasl anl infectionl
preoperatively,l antibioticsl willl bel givenl andl (C)l monitored.l
Q:l Thel nursel teachesl al classl onl bioterrorism.l Whichl method(s)l ofl transmissionl is(are)l
possiblel withl thel biologicl agentl Bacillusl anthracisl (Anthrax)?l (Selectl alll thatl apply.l )
A.l Inhalationl ofl powderl form
B.l Handlingl ofl infectedl animals
C.l Spreadl froml personl tol personl throughl coughing
D.l Eatingl undercookedl meatl froml infectedl animals
E.l Directl cutaneousl contactl withl thel powder
Answer:
A,B,D,E
Rationale:
Anthraxl canl bel transmittedl byl thel inhalation,l cutaneous,l andl digestivel routesl (A,l B,l D,l
andl E);l however,l thel diseasel isl notl spreadl froml personl tol personl (C).l
,Q:l Thel nursel assessesl al womanl inl thel emergencyl rooml whol isl inl herl thirdl trimesterl
ofl pregnancy.l Whichl finding(s)l is(are)l indicativel ofl abruptiol placentae?l (Selectl alll thatl
apply.l )l
A.l Darkl redl vaginall bleeding
B.l Rigidl boardlikel abdomen
C.l Softl abdomenl onl palpation
D.l Complaintsl ofl severel abdominall pain
E.l Painlessl brightl redl vaginall bleeding
Answer:
A,B,D
Rationale:
Thesel arel alll signsl ofl abruptiol placentael (A,l B,l andl D).l Thel othersl arel signsl ofl
placental previal (Cl andl E).l
Q:l Whichl vitall signl inl al pediatricl clientl isl mostl importantl tol reportl tol thel primaryl
healthl carel provider?
A.l Newbornl withl al heartl ratel ofl 140l beats/min
B.l Three-year-oldl withl al respiratoryl ratel ofl 28l breaths/min
C.l Six-year-oldl withl al heartl ratel ofl 130l beats/min
D.l Twelve-year-oldl withl al respiratoryl ratel ofl 16l breaths/min
Answer:
C
Rationale:
Thel normall heartl ratel forl al 6-l tol 10-year-oldl isl 70l tol 110l beats/minl (C).l Thel othersl
arel alll withinl normall rangel forl thosel agesl (A,l B,l andl D).l
Q:l Whichl findingl shouldl bel reportedl tol thel primaryl healthl carel providerl whenl caringl
forl al clientl whol hasl al continuousl bladderl irrigationl afterl al transurethrall resectionl ofl
thel prostatel glandl (TURP)?
A.l Thel clientl reportsl al continuousl feelingl ofl needingl tol void.l
B.l Urinaryl drainagel isl pinkl 24l hoursl afterl surgery.l
C.l Thel hemoglobinl levell isl 8.l 4l g/dLl 3l daysl postoperatively.l
D.l Sterilel salinel isl beingl usedl forl bladderl irrigation.l
Answer:
C
, Rationale:
Al hemoglobinl levell ofl 8.l 4l g/dLl isl abnormallyl lowl andl mayl indicatel hemorrhagel (C).l
Thel othersl arel alll expectedl findingsl afterl al TURPl (A,l B,l andl D).l
Q:l Whichl ofl thel followingl cardiacl rhythmsl isl representedl inl thel image?
A.l Normall sinusl rhythm
B.l Sinusl tachycardia
C.l Ventricularl fibrillation
D.l Atriall fibrillation
Answer:
C
Rationale:
Ventricularl fibrillationl (C)l isl al life-threateningl arrhythmial characterizedl byl irregularl
undulationsl ofl varyingl amplitudes.l (A,l B,l andl D)l arel notl representedl inl thel image.l
Q:l Anl adultl clientl withl al medicall diagnosisl ofl substancel abusel andl schizophrenial
wasl recentlyl switchedl froml orall fluphenazinel HCll (Prolixin)l tol IMl fluphenazinel
decanoatel (Prolixinl Decanoate)l becausel ofl medicationl noncompliance.l Whatl shouldl thel
nursel teachl thel clientl andl familyl aboutl thisl changel inl medicationl regimen?
A.l Long-actingl medicationl isl morel effectivel thanl dailyl medication.l
B.l Al clientl withl substancel abusel mustl notl takel anyl orall medications.l
C.l Therel willl continuel tol bel al riskl ofl alcoholl andl drugl interaction.l
D.l Supportl groupsl arel onlyl helpfull forl substancel abusel treatment.l
Answer:
C
Rationale:
Alcoholl enhancesl thel sidel effectsl ofl Prolixin.l Thel half-lifel ofl Prolixinl POl isl 8l hours,l
whereasl thel half-lifel ofl thel Prolixinl Decanoatel IMl isl 2l tol 4l weeks.l Therefore,l thel sidel
effectsl ofl drinkingl alcoholl arel farl morel severel whenl thel clientl drinksl alcoholl afterl
takingl thel long-actingl Prolixinl Decanoatel IMl (C).l (A,l B,l andl D)l providel incorrectl
information.l
(Latestl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Nightingale
Q:l Thel nursel preparesl tol administerl acetaminophenl orall suspensionl tol al childl whol
weighsl 66l pounds.l Thel prescriptionl reads:l Administerl 15l mg/kgl everyl 6l hoursl byl
mouth.l Thel Tylenoll isl availablel 150l mg/5l ml.l Whichl isl thel correctl dosagel indicatedl onl
thel image?l
A.l 30ml
B.l 15ml
C.l 10ml
D.l 5ml
Answer:
B
Rationale:
66l lb/(2.l 2l kg/lb)l =l 30l kg
30l kgl ×l (15l mg/kg)l =l 450l mg
(5l mL/150l mg)l ×l 450l mgl =l 15l mL
or
(450l mg/150l mg)l ×l 5l mLl =l 15l mL
Q:l Whenl assessingl thel laboratoryl findingsl ofl al 38-year-oldl clientl withl tuberculosisl
whol isl takingl rifampinl (Rifadin),l whichl laboratoryl findingl wouldl bel mostl importantl tol
reportl tol thel primaryl healthl carel providerl immediately?
A.l Orange-coloredl urine
B.l Potassiuml level,l 4.l 9l mEq/L
C.l Elevatedl liverl enzymel levels
D.l Bloodl ureal nitrogenl (BUN)l level,l 12l mg/dL
Answer:
C
Rationale:
,Rifampinl canl causel hepatoxicity,l sol elevatedl liverl enzymel levelsl needl tol bel closelyl
monitoredl andl reportedl tol thel healthl carel providerl (C).l Orangel discolorationl ofl thel
urinel isl anl expectedl sidel effectl ofl thisl medicationl (A).l Thel potassiuml levell (B)l isl
normal.l Al BUNl levell ofl 12l mg/dLl isl withinl definedl parametersl (D).l
Q:l Al clientl isl receivingl propylthiouracill (PTU)l priorl tol thyroidl surgery.l Whichl
diagnosticl testl resultsl indicatel thatl thel medicationl isl producingl thel desiredl effect?l
A.l Increasedl hemoglobinl andl hematocritl levels
B.l Increasedl seruml calciuml level
C.l Decreasedl whitel bloodl celll (WBC)l count
D.l Decreasedl triiodothyroninel (T3)l andl thyroxinel (T4)l levels
Answer:
D
Rationale:
Propylthiouracill (PTU)l isl anl adjunctl therapyl usedl tol controll hyperthyroidisml byl
inhibitingl thel productionl ofl thyroidl hormonesl (D).l Itl isl oftenl prescribedl inl preparationl
forl thyroidectomyl orl radioactivel iodinel therapy.l Itl isl doesl notl affectl (A).l (B)l mustl bel
monitoredl afterl surgeryl inl casel thel parathyroidl glandsl werel removed,l butl preoperativel
PTUl doesl notl increasel thel seruml calciuml level.l Ifl thel clientl hasl anl infectionl
preoperatively,l antibioticsl willl bel givenl andl (C)l monitored.l
Q:l Thel nursel teachesl al classl onl bioterrorism.l Whichl method(s)l ofl transmissionl is(are)l
possiblel withl thel biologicl agentl Bacillusl anthracisl (Anthrax)?l (Selectl alll thatl apply.l )
A.l Inhalationl ofl powderl form
B.l Handlingl ofl infectedl animals
C.l Spreadl froml personl tol personl throughl coughing
D.l Eatingl undercookedl meatl froml infectedl animals
E.l Directl cutaneousl contactl withl thel powder
Answer:
A,B,D,E
Rationale:
Anthraxl canl bel transmittedl byl thel inhalation,l cutaneous,l andl digestivel routesl (A,l B,l D,l
andl E);l however,l thel diseasel isl notl spreadl froml personl tol personl (C).l
,Q:l Thel nursel assessesl al womanl inl thel emergencyl rooml whol isl inl herl thirdl trimesterl
ofl pregnancy.l Whichl finding(s)l is(are)l indicativel ofl abruptiol placentae?l (Selectl alll thatl
apply.l )l
A.l Darkl redl vaginall bleeding
B.l Rigidl boardlikel abdomen
C.l Softl abdomenl onl palpation
D.l Complaintsl ofl severel abdominall pain
E.l Painlessl brightl redl vaginall bleeding
Answer:
A,B,D
Rationale:
Thesel arel alll signsl ofl abruptiol placentael (A,l B,l andl D).l Thel othersl arel signsl ofl
placental previal (Cl andl E).l
Q:l Whichl vitall signl inl al pediatricl clientl isl mostl importantl tol reportl tol thel primaryl
healthl carel provider?
A.l Newbornl withl al heartl ratel ofl 140l beats/min
B.l Three-year-oldl withl al respiratoryl ratel ofl 28l breaths/min
C.l Six-year-oldl withl al heartl ratel ofl 130l beats/min
D.l Twelve-year-oldl withl al respiratoryl ratel ofl 16l breaths/min
Answer:
C
Rationale:
Thel normall heartl ratel forl al 6-l tol 10-year-oldl isl 70l tol 110l beats/minl (C).l Thel othersl
arel alll withinl normall rangel forl thosel agesl (A,l B,l andl D).l
Q:l Whichl findingl shouldl bel reportedl tol thel primaryl healthl carel providerl whenl caringl
forl al clientl whol hasl al continuousl bladderl irrigationl afterl al transurethrall resectionl ofl
thel prostatel glandl (TURP)?
A.l Thel clientl reportsl al continuousl feelingl ofl needingl tol void.l
B.l Urinaryl drainagel isl pinkl 24l hoursl afterl surgery.l
C.l Thel hemoglobinl levell isl 8.l 4l g/dLl 3l daysl postoperatively.l
D.l Sterilel salinel isl beingl usedl forl bladderl irrigation.l
Answer:
C
, Rationale:
Al hemoglobinl levell ofl 8.l 4l g/dLl isl abnormallyl lowl andl mayl indicatel hemorrhagel (C).l
Thel othersl arel alll expectedl findingsl afterl al TURPl (A,l B,l andl D).l
Q:l Whichl ofl thel followingl cardiacl rhythmsl isl representedl inl thel image?
A.l Normall sinusl rhythm
B.l Sinusl tachycardia
C.l Ventricularl fibrillation
D.l Atriall fibrillation
Answer:
C
Rationale:
Ventricularl fibrillationl (C)l isl al life-threateningl arrhythmial characterizedl byl irregularl
undulationsl ofl varyingl amplitudes.l (A,l B,l andl D)l arel notl representedl inl thel image.l
Q:l Anl adultl clientl withl al medicall diagnosisl ofl substancel abusel andl schizophrenial
wasl recentlyl switchedl froml orall fluphenazinel HCll (Prolixin)l tol IMl fluphenazinel
decanoatel (Prolixinl Decanoate)l becausel ofl medicationl noncompliance.l Whatl shouldl thel
nursel teachl thel clientl andl familyl aboutl thisl changel inl medicationl regimen?
A.l Long-actingl medicationl isl morel effectivel thanl dailyl medication.l
B.l Al clientl withl substancel abusel mustl notl takel anyl orall medications.l
C.l Therel willl continuel tol bel al riskl ofl alcoholl andl drugl interaction.l
D.l Supportl groupsl arel onlyl helpfull forl substancel abusel treatment.l
Answer:
C
Rationale:
Alcoholl enhancesl thel sidel effectsl ofl Prolixin.l Thel half-lifel ofl Prolixinl POl isl 8l hours,l
whereasl thel half-lifel ofl thel Prolixinl Decanoatel IMl isl 2l tol 4l weeks.l Therefore,l thel sidel
effectsl ofl drinkingl alcoholl arel farl morel severel whenl thel clientl drinksl alcoholl afterl
takingl thel long-actingl Prolixinl Decanoatel IMl (C).l (A,l B,l andl D)l providel incorrectl
information.l
