HESI BSN 366 RN Exit Exam
Questions and Answers
2026/2027 | Complete Nursing
Exit Exam Study Guide
The nurse is providing teaching to a client with type 2 DM about important points
for disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ANSWER-B) Get
an eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations
about prescribed medications and administration, which instruction should the
nurse include in the teaching?
A) Center attention on positive upbeat music
,B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - ANSWER-C) Practice using muscle
relaxation techniques
The charge nurse is planning for the shift and has a RN and a PN on the team.
Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago -
ANSWER-C) A 30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous
vaginal birth, she received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcutaneous fat. She is noted to be
slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower
back, Ballard maturity rating 37 weeks. (For each assessment finding, click to
indicate whether the findings are associated with an infant of a diabetic mother or
normal presentation.)
Soft Fontanelles
,Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - ANSWER-Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and
Apgar scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous
vaginal birth, she received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcutaneous fat. She is noted to be
slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower
back, Ballard maturity rating 37 weeks.
, The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ - ANSWER-Hyperbilirubinemia ,
Resppiratory Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel inside
the babies cheek. If the above are ineffective, IV glucose should be administered
to maintain glucose levels above 45. Bolus of 2mL/kg glucose 10% IV, hello by a
continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic levels over
40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ANSWER-A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
Questions and Answers
2026/2027 | Complete Nursing
Exit Exam Study Guide
The nurse is providing teaching to a client with type 2 DM about important points
for disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ANSWER-B) Get
an eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations
about prescribed medications and administration, which instruction should the
nurse include in the teaching?
A) Center attention on positive upbeat music
,B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - ANSWER-C) Practice using muscle
relaxation techniques
The charge nurse is planning for the shift and has a RN and a PN on the team.
Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago -
ANSWER-C) A 30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous
vaginal birth, she received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcutaneous fat. She is noted to be
slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower
back, Ballard maturity rating 37 weeks. (For each assessment finding, click to
indicate whether the findings are associated with an infant of a diabetic mother or
normal presentation.)
Soft Fontanelles
,Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - ANSWER-Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and
Apgar scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a spontaneous
vaginal birth, she received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcutaneous fat. She is noted to be
slightly jittery at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on lower
back, Ballard maturity rating 37 weeks.
, The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ - ANSWER-Hyperbilirubinemia ,
Resppiratory Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel inside
the babies cheek. If the above are ineffective, IV glucose should be administered
to maintain glucose levels above 45. Bolus of 2mL/kg glucose 10% IV, hello by a
continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic levels over
40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ANSWER-A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
