BSN366 Exam 1 Actual Exam Style V1 |
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is planning to implement a new evidence-based practice on a unit. Which
action should the nurse take first?
A. Determine the availability of resources and equipment.
B. Conduct a literature review of recent studies.
C. Educate staff on the proposed change.
D. Identify the clinical problem or question.
Answer: D
Rationale: The first step in the evidence-based practice process is to identify a clear
clinical problem or question. Once the problem is defined, the nurse can then proceed to
search for and evaluate literature. Implementation and education occur much later in the
process after the evidence has been appraised.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Performing a sterile dressing change on a post-operative wound.
B. Assisting a stable client with ambulation in the hallway.
C. Administering a scheduled oral pain medication.
,D. Updating the care plan for a client with new symptoms.
Answer: B
Rationale: Assisting a stable client with ambulation is a standard task that falls within the
scope of practice for UAPs. UAPs are not permitted to perform sterile procedures or
administer medications. Clinical judgment and updating care plans are strictly the
responsibility of the RN.
3. A nurse is caring for a client who refuses a blood transfusion due to religious beliefs. The
nurse supports the client’s decision. Which ethical principle is being applied?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the client to make their own decisions about
their healthcare. By supporting the refusal, the nurse respects the client’s self-
determination and personal beliefs. This principle is fundamental to patient-centered care
and legal rights.
4. A charge nurse is managing a conflict between two staff nurses. Which conflict resolution
strategy involves both parties giving up something to reach a solution?
A. Collaborating
, B. Compromising
C. Avoiding
D. Smoothing
Answer: B
Rationale: Compromising occurs when both parties make concessions to resolve a dispute.
While it achieves a quick resolution, neither party may be fully satisfied with the outcome.
This differs from collaboration where both parties work toward a win-win solution.
5. Which client should the nurse assess first after receiving the shift report?
A. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 91%.
B. A client with diabetes mellitus who has a fasting blood glucose of 140 mg/dL.
C. A client with a urinary tract infection who is requesting pain medication for dysuria.
D. A client who is 2 hours post-thyroidectomy and has reports of tingling in the fingers.
Answer: D
Rationale: Tingling in the fingers after a thyroidectomy may indicate hypocalcemia, which
can lead to life-threatening laryngospasm. This client is the priority because they are at risk
for airway compromise. The other clients are stable or have expected findings for their
conditions.
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is planning to implement a new evidence-based practice on a unit. Which
action should the nurse take first?
A. Determine the availability of resources and equipment.
B. Conduct a literature review of recent studies.
C. Educate staff on the proposed change.
D. Identify the clinical problem or question.
Answer: D
Rationale: The first step in the evidence-based practice process is to identify a clear
clinical problem or question. Once the problem is defined, the nurse can then proceed to
search for and evaluate literature. Implementation and education occur much later in the
process after the evidence has been appraised.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Performing a sterile dressing change on a post-operative wound.
B. Assisting a stable client with ambulation in the hallway.
C. Administering a scheduled oral pain medication.
,D. Updating the care plan for a client with new symptoms.
Answer: B
Rationale: Assisting a stable client with ambulation is a standard task that falls within the
scope of practice for UAPs. UAPs are not permitted to perform sterile procedures or
administer medications. Clinical judgment and updating care plans are strictly the
responsibility of the RN.
3. A nurse is caring for a client who refuses a blood transfusion due to religious beliefs. The
nurse supports the client’s decision. Which ethical principle is being applied?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the client to make their own decisions about
their healthcare. By supporting the refusal, the nurse respects the client’s self-
determination and personal beliefs. This principle is fundamental to patient-centered care
and legal rights.
4. A charge nurse is managing a conflict between two staff nurses. Which conflict resolution
strategy involves both parties giving up something to reach a solution?
A. Collaborating
, B. Compromising
C. Avoiding
D. Smoothing
Answer: B
Rationale: Compromising occurs when both parties make concessions to resolve a dispute.
While it achieves a quick resolution, neither party may be fully satisfied with the outcome.
This differs from collaboration where both parties work toward a win-win solution.
5. Which client should the nurse assess first after receiving the shift report?
A. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 91%.
B. A client with diabetes mellitus who has a fasting blood glucose of 140 mg/dL.
C. A client with a urinary tract infection who is requesting pain medication for dysuria.
D. A client who is 2 hours post-thyroidectomy and has reports of tingling in the fingers.
Answer: D
Rationale: Tingling in the fingers after a thyroidectomy may indicate hypocalcemia, which
can lead to life-threatening laryngospasm. This client is the priority because they are at risk
for airway compromise. The other clients are stable or have expected findings for their
conditions.
