BSN HESI 366 RN EXIT With NGN
BSN HESI 366 RN EXIT with NGN Test 2
Questions with 100% Correct Detailed
Answers Already Graded A+ Latest Versions
2025
In making client care assignment, which client is best to assign to the practical nurse (PN)
working on the unit with the nurse?
A. An immobile client receiving low molecular weight heparin q12h.
B. A client who is receiving a continuous infusion of heparin and gets out of bed BID.
C. A client who is being titrated off heparin infusion and started on PO warfarin (Coumadin).
D. An ambulatory client receiving warfarin (Coumadin) with INR of 5 seconds.
- Correct Answer :Answer
A. An immobile client receiving low molecular weight heparin q12h.
Rationale
(A) describes the most stable client. This client should be assigned to the PN. (B, C, and D) are
clients at high risk for bleeding problems and require the assessment skills, judgement, and
expertise of the RN.
A 6-year-old who has asthma is demonstrating a prolonged expiratory phase and wheezing, and
has 35% of personal best peak expiratory flow rate (PEFR). Based on these finding, which action
should the nurse implement first?
A. Administer a prescribed bronchodilator.
B. Report finding to the healthcare provider.
C. Encourage the child to cough and deep breath.
D. Determine what trigger precipitated this attack.
- Correct Answer :Answer
A. Administer a prescribed bronchodilator.
Rationale
If the PEFR is below 50% in an asthmatic child, there is severe narrowing of the airway, and a
bronchodilator should be administered immediately (A). (B) should be implemented, but not
A+ TEST BANK 1
, BSN HESI 366 RN EXIT With NGN
before a bronchodilator is administered. (C) will not alleviate the symptoms. (D) is not a priority
at this time.
A 60-year-old female client asks the nurse about hormones replacement therapy (HRT) as a
means preventing osteoporosis. Which factor in the client's history is a possible contraindication
for the use of HRT?
A. Her 60-year-old sister has Alzheimer's disease.
B. Her mother and sister have a history of breast cancer.
C. She is taking medication for high blood pressure.
D. She had problems with "hot flashes" several years ago.
- Correct Answer :Answer
B. Her mother and sister have a history of breast cancer.
Rationale
HRT may be contraindicated for a woman with a high risk for breast cancer (B). A woman whose
mother and sister had breast cancer may have the BRCA 1 & 2 gene (BReast CAncer genes,
discovered in 1994 and 1995), which indicate a tendency for development of breast and ovarian
cancer. (A) is not a contraindication for HRT because estrogen provides a protective effect
against Alzheimer's disease. Estrogen also protects against heart disease by increasing high
density lipids (C). "Hot flashes" (D) are relieved by estrogen.
The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also
experiences a loss of appetite. What instruction should the nurse provide?
A. Perform CPT after meals to increase appetite and improve food intake.
B. CPT should be performed more frequently, but at least an hour before meals.
C. Stop using CPT during the daytime until the child has regained an appetite.
D. Perform CPT only in the morning, but increase frequency when appetite improves.
- Correct Answer :Answer
B. CPT should be performed more frequently, but at least an hour before meals.
Rationale
CPT with inhalation therapy should be performed several times (B) a day to loosen the secretions
and move them from the peripheral airway into the central airways where they can be
expectorated. CPT should be done at least one hour before meals or two hours after meals. (A)
Will increase gastrointestinal upset. (C or D) will increase respiratory secretions and reduce
oxygenation.
A+ TEST BANK 2
, BSN HESI 366 RN EXIT With NGN
An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12
breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31. PaCO2 60,
PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding, which action is required?
A. Report the results to the healthcare provider.
B. Increase ventilator rate.
C. Administer a dose of sodium bicarbonate.
D. Decrease the flow rate of oxygen.
- Correct Answer :Answer
B. Increase ventilator rate.
Rationale
This client is experience respiratory acidosis. Increasing the ventilator rate (B) depletes CO2,
which returns the pH toward normal. Report findings (A) is important but only after increasing
ventilator rate. (C and D) are ineffective.
A male client, who is 24 hours postoperative for an exploratory laparotomy, complains that he is
"starving" because he has had no "real food" since before the surgery. Prior to advancing his
diet, which intervention should the nurse implement?
A. Discontinue intravenous therapy.
B. Obtain a prescription for a diet change.
C. Assess for abdominal distention and tenderness.
D. Auscultate bowel sounds in all four quadrants.
- Correct Answer :Answer
D. Auscultate bowel sounds in all four quadrants.
Rationale
Prior to advancing the client, the nurse should ensure that the client has active bowel sounds
(D). (A) should be continued until the client proves and ability to tolerate fluids. Assessment of
bowel sounds should be conducted prior to (B). (C) is part of an of an abdominal assessment, but
is not as important as determining the presence of bowel functioning.
The nurse working in the psychiatric clinic has phone messages from several clients. Which call
should the nurse return first?
A. A young man with schizophrenia who wants to stop taking his medications.
B. The mother of a child who was involved in a physical fight at school today.
C. A client diagnosed with depression who is experiencing sexual dysfunction.
D. A family member of a client with dementia who has been missing for five hours.
A+ TEST BANK 3
, BSN HESI 366 RN EXIT With NGN
- Correct Answer :Answer
D. A family member of a client with dementia who has been missing for five hours.
Rationale
Safety is always the priority concern, and the family member of the missing client with dementia
(D) needs assistance with contacting authorities as well as psychological support during this time.
(A, B, and C) do not have the priority of (D).
A mother brings her 3-year-old son to the emergency room and tells the nurse the he has had an
upper respiratory infection for the past two days. Assessment of the child reveals a rectal
temperature of 102° F. He is drooling and becoming increasingly more restless. What action
should the nurse take first?
A. Put a cold cloth on his head and administer acetaminophen.
B. Listen to Long sounds in place him in a mist tent.
C. Notify the healthcare provider and obtain a tracheostomy tray.
D. Assist a child to lie down and examine his throat.
- Correct Answer :Answer
C. Notify the healthcare provider and obtain a tracheostomy tray.
Rationale
This child is exhibiting signs and symptoms of epiglottitis, a bacterial infection causing acute
airway obstruction, so (C) is the immediate action to take. (A and B) are not the priority actions.
(D) is not indicated at this time.
An older male client with Type 2 diabetes mellitus reports that has experiences leg pain when
walking short distances, and that the pain is relieved by rest. Which client behavior indicates an
understanding of healthcare teaching to promote more effective arterial circulation?
A. Consistently applies TED hose before getting dressed in the morning.
B. Frequently elevated legs thorough the day.
C. Inspect the leg frequently for any irritation or skin breakdown.
D. Completely stop cigarette/ cigar smoking.
- Correct Answer :Answer
D. Completely stop cigarette/ cigar smoking.
Rationale
Stopping cigarette smoking helps to decrease vasoconstriction and improve arterial circulation to
the extremity (D). (A and B) may help to improve arterial circulation by decreasing venous
A+ TEST BANK 4
BSN HESI 366 RN EXIT with NGN Test 2
Questions with 100% Correct Detailed
Answers Already Graded A+ Latest Versions
2025
In making client care assignment, which client is best to assign to the practical nurse (PN)
working on the unit with the nurse?
A. An immobile client receiving low molecular weight heparin q12h.
B. A client who is receiving a continuous infusion of heparin and gets out of bed BID.
C. A client who is being titrated off heparin infusion and started on PO warfarin (Coumadin).
D. An ambulatory client receiving warfarin (Coumadin) with INR of 5 seconds.
- Correct Answer :Answer
A. An immobile client receiving low molecular weight heparin q12h.
Rationale
(A) describes the most stable client. This client should be assigned to the PN. (B, C, and D) are
clients at high risk for bleeding problems and require the assessment skills, judgement, and
expertise of the RN.
A 6-year-old who has asthma is demonstrating a prolonged expiratory phase and wheezing, and
has 35% of personal best peak expiratory flow rate (PEFR). Based on these finding, which action
should the nurse implement first?
A. Administer a prescribed bronchodilator.
B. Report finding to the healthcare provider.
C. Encourage the child to cough and deep breath.
D. Determine what trigger precipitated this attack.
- Correct Answer :Answer
A. Administer a prescribed bronchodilator.
Rationale
If the PEFR is below 50% in an asthmatic child, there is severe narrowing of the airway, and a
bronchodilator should be administered immediately (A). (B) should be implemented, but not
A+ TEST BANK 1
, BSN HESI 366 RN EXIT With NGN
before a bronchodilator is administered. (C) will not alleviate the symptoms. (D) is not a priority
at this time.
A 60-year-old female client asks the nurse about hormones replacement therapy (HRT) as a
means preventing osteoporosis. Which factor in the client's history is a possible contraindication
for the use of HRT?
A. Her 60-year-old sister has Alzheimer's disease.
B. Her mother and sister have a history of breast cancer.
C. She is taking medication for high blood pressure.
D. She had problems with "hot flashes" several years ago.
- Correct Answer :Answer
B. Her mother and sister have a history of breast cancer.
Rationale
HRT may be contraindicated for a woman with a high risk for breast cancer (B). A woman whose
mother and sister had breast cancer may have the BRCA 1 & 2 gene (BReast CAncer genes,
discovered in 1994 and 1995), which indicate a tendency for development of breast and ovarian
cancer. (A) is not a contraindication for HRT because estrogen provides a protective effect
against Alzheimer's disease. Estrogen also protects against heart disease by increasing high
density lipids (C). "Hot flashes" (D) are relieved by estrogen.
The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also
experiences a loss of appetite. What instruction should the nurse provide?
A. Perform CPT after meals to increase appetite and improve food intake.
B. CPT should be performed more frequently, but at least an hour before meals.
C. Stop using CPT during the daytime until the child has regained an appetite.
D. Perform CPT only in the morning, but increase frequency when appetite improves.
- Correct Answer :Answer
B. CPT should be performed more frequently, but at least an hour before meals.
Rationale
CPT with inhalation therapy should be performed several times (B) a day to loosen the secretions
and move them from the peripheral airway into the central airways where they can be
expectorated. CPT should be done at least one hour before meals or two hours after meals. (A)
Will increase gastrointestinal upset. (C or D) will increase respiratory secretions and reduce
oxygenation.
A+ TEST BANK 2
, BSN HESI 366 RN EXIT With NGN
An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12
breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31. PaCO2 60,
PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding, which action is required?
A. Report the results to the healthcare provider.
B. Increase ventilator rate.
C. Administer a dose of sodium bicarbonate.
D. Decrease the flow rate of oxygen.
- Correct Answer :Answer
B. Increase ventilator rate.
Rationale
This client is experience respiratory acidosis. Increasing the ventilator rate (B) depletes CO2,
which returns the pH toward normal. Report findings (A) is important but only after increasing
ventilator rate. (C and D) are ineffective.
A male client, who is 24 hours postoperative for an exploratory laparotomy, complains that he is
"starving" because he has had no "real food" since before the surgery. Prior to advancing his
diet, which intervention should the nurse implement?
A. Discontinue intravenous therapy.
B. Obtain a prescription for a diet change.
C. Assess for abdominal distention and tenderness.
D. Auscultate bowel sounds in all four quadrants.
- Correct Answer :Answer
D. Auscultate bowel sounds in all four quadrants.
Rationale
Prior to advancing the client, the nurse should ensure that the client has active bowel sounds
(D). (A) should be continued until the client proves and ability to tolerate fluids. Assessment of
bowel sounds should be conducted prior to (B). (C) is part of an of an abdominal assessment, but
is not as important as determining the presence of bowel functioning.
The nurse working in the psychiatric clinic has phone messages from several clients. Which call
should the nurse return first?
A. A young man with schizophrenia who wants to stop taking his medications.
B. The mother of a child who was involved in a physical fight at school today.
C. A client diagnosed with depression who is experiencing sexual dysfunction.
D. A family member of a client with dementia who has been missing for five hours.
A+ TEST BANK 3
, BSN HESI 366 RN EXIT With NGN
- Correct Answer :Answer
D. A family member of a client with dementia who has been missing for five hours.
Rationale
Safety is always the priority concern, and the family member of the missing client with dementia
(D) needs assistance with contacting authorities as well as psychological support during this time.
(A, B, and C) do not have the priority of (D).
A mother brings her 3-year-old son to the emergency room and tells the nurse the he has had an
upper respiratory infection for the past two days. Assessment of the child reveals a rectal
temperature of 102° F. He is drooling and becoming increasingly more restless. What action
should the nurse take first?
A. Put a cold cloth on his head and administer acetaminophen.
B. Listen to Long sounds in place him in a mist tent.
C. Notify the healthcare provider and obtain a tracheostomy tray.
D. Assist a child to lie down and examine his throat.
- Correct Answer :Answer
C. Notify the healthcare provider and obtain a tracheostomy tray.
Rationale
This child is exhibiting signs and symptoms of epiglottitis, a bacterial infection causing acute
airway obstruction, so (C) is the immediate action to take. (A and B) are not the priority actions.
(D) is not indicated at this time.
An older male client with Type 2 diabetes mellitus reports that has experiences leg pain when
walking short distances, and that the pain is relieved by rest. Which client behavior indicates an
understanding of healthcare teaching to promote more effective arterial circulation?
A. Consistently applies TED hose before getting dressed in the morning.
B. Frequently elevated legs thorough the day.
C. Inspect the leg frequently for any irritation or skin breakdown.
D. Completely stop cigarette/ cigar smoking.
- Correct Answer :Answer
D. Completely stop cigarette/ cigar smoking.
Rationale
Stopping cigarette smoking helps to decrease vasoconstriction and improve arterial circulation to
the extremity (D). (A and B) may help to improve arterial circulation by decreasing venous
A+ TEST BANK 4
