BSN 366- HESI EXIT EXAM QUESTIONS
] ] ] ] ] ]
AND CORRECT ANSWERS 100% 2025-
] ] ] ]
2026
Following ]discharge ]teaching, ]a ]male ]client ]with ]duodenal ]ulcer ]tells ]the ]nurse ]the ]he ]will ]drink ]
plenty ]of ]dairy ]products, ]such ]as ]milk, ]to ]help ]coat ]and ]protect ]his ]ulcer. ]What ]is ]the ]best ]follow-
up ]action ]by ]the ]nurse?
a. ]Remind ]the ]client ]that ]it ]is ]also ]important ]to ]switch ]to ]decaffeinated ]coffee ]and ]tea.
b. ]Suggest ]that ]the ]client ]also ]plan ]to ]eat ]frequent ]small ]meals ]to ]reduce ]discomfort
c. ]Review ]with ]the ]client ]the ]need ]to ]avoid ]foods ]that ]are ]rich ]in ]milk ]and ]cream.
d. ]Reinforce ]this ]teaching ]by ]asking ]the ]client ]to ]list ]a ]dairy ]food ]that ]he ]might ]select. ]- ]correct ]a
nswer: ]c. ]Review ]with ]the ]client ]the ]need ]to ]avoid ]foods ]that ]are ]rich ]in ]milk ]and ]cream.
The ]nurse ]observes ]an ]unlicensed ]assistive ]personnel ]
(UAP) ]positioning ]a ]newly ]admitted ]client ]who ]has ]a ]seizure ]disorder. ]The ]client ]is ]supine ]and ]th
e ]UAP ]is ]placing ]soft ]pillows ]along ]the ]side ]rails. ]What ]action ]should ]the ]nurse ]implement?
a. ]Ensure ]that ]the ]UAP ]has ]placed ]the ]pillows ]effectively ]to ]protect ]the ]client.
b. ]Instruct ]the ]UAP ]to ]obtain ]soft ]blankets ]to ]secure ]to ]the ]side ]rails ]instead ]of ]pillows.
c. ]Assume ]responsibility ]for ]placing ]the ]pillows ]while ]the ]UAP ]completes ]another ]task.
d. ]Ask ]the ]UAP ]to ]use ]some ]of ]the ]pillows ]to ]prop ]the ]client ]in ]a ]side ]lying ]position. ]- ]correct ]ans
wer: ]b. ]Instruct ]the ]UAP ]to ]obtain ]soft ]blankets ]to ]secure ]to ]the ]side ]rails ]instead ]of ]pillows.
A ]male ]client ]with ]hypertension, ]who ]received ]new ]antihypertensive ]prescriptions ]at ]his ]last ]visi
t ]returns ]to ]the ]clinic ]two ]weeks ]later ]to ]evaluate ]his ]blood ]pressure ]
(BP). ]His ]BP ]is ]158/106 ]and ]he ]admits ]that ]he ]has ]not ]been ]taking ]the ]prescribed ]medication ]bec
ause ]the ]drugs ]make ]him ]"feel ]bad". ]In ]explaining ]the ]need ]for ]hypertension ]control, ]the ]nurse ]s
hould ]stress ]that ]an ]elevated ]BP ]places ]the ]client ]at ]risk ]for ]which ]pathophysiological ]condition?
a. ]Blindness ]secondary ]to ]cataracts
,b. ]Acute ]kidney ]injury ]due ]to ]glomerular ]damage
c. ]Stroke ]secondary ]to ]hemorrhage
d. ]Heart ]block ]due ]to ]myocardial ]damage ]- ]correct ]answer: ]c. ]Stroke ]secondary ]to ]hemorrhage
An ]adolescent ]with ]major ]depressive ]disorder ]has ]been ]taking ]duloxetine ]
(Cymbalta) ]for ]the ]past ]12 ]days. ]Which ]assessment ]finding ]requires ]immediate ]follow-up
a. ]Describes ]life ]without ]purpose
b. ]Complains ]of ]nausea ]and ]loss ]of ]appetite
c. ]States ]is ]often ]fatigued ]and ]drowsy
d. ]Exhibits ]an ]increase ]in ]sweating. ]- ]correct ]answer: ]a. ]Describes ]life ]without ]purpose
A ]60-year-
old ]female ]client ]with ]a ]positive ]family ]history ]of ]ovarian ]cancer ]has ]developed ]an ]abdominal ]m
ass ]and ]is ]being ]evaluated ]for ]possible ]ovarian ]cancer. ]Her ]Papanicolau ]
(Pap) ]smear ]results ]are ]negative. ]What ]information ]should ]the ]nurse ]include ]in ]the ]client's ]teach
ing ]plan
a. ]Further ]evaluation ]involving ]surgery ]may ]be ]needed
b. ]A ]pelvic ]exam ]is ]also ]needed ]before ]cancer ]is ]ruled ]out
c. ]Pap ]smear ]evaluation ]should ]be ]continued ]every ]six ]month
d. ]One ]additional ]negative ]pap ]smear ]in ]six ]months ]is ]needed. ]- ]correct ]answer: ]a. ]Further ]evalu
ation ]involving ]surgery ]may ]be ]needed
A ]client ]who ]recently ]underwent ]a ]tracheostomy ]is ]being ]prepared ]for ]discharge ]to ]home. ]Whic
h ]instructions ]is ]most ]important ]for ]the ]nurse ]to ]include ]in ]the ]discharge ]plan?
a. ]Explain ]how ]to ]use ]communication ]tools.
b. ]Teach ]tracheal ]suctioning ]techniques
c. ]Encourage ]self-care ]and ]independence.
d. ]Demonstrate ]how ]to ]clean ]tracheostomy ]site. ]- ]correct ]answer: ]b. ]Teach ]tracheal ]suctioning ]t
echniques
,In ]assessing ]an ]adult ]client ]with ]a ]partial ]rebreather ]mask, ]the ]nurse ]notes ]that ]the ]oxygen ]reser
voir ]bag ]does ]not ]deflate ]completely ]during ]inspiration ]and ]the ]client's ]respiratory ]rate ]is ]14 ]bre
aths ]/ ]minute. ]What ]action ]should ]the ]nurse ]implement
a. ]Encourage ]the ]client ]to ]take ]deep ]breaths
b. ]Remove ]the ]mask ]to ]deflate ]the ]bag
c. ]Increase ]the ]liter ]flow ]of ]oxygen
d. ]Document ]the ]assessment ]data ]- ]correct ]answer: ]d. ]Document ]the ]assessment ]data
During ]shift ]report, ]the ]central ]electrocardiogram ]
(EKG) ]monitoring ]system ]alarms. ]Which ]client ]alarm ]should ]the ]nurse ]investigate ]first?
a. ]Respiratory ]apnea ]of ]30 ]seconds
b. ]Oxygen ]saturation ]rate ]of ]88%
c. ]Eight ]premature ]ventricular ]beats ]every ]minute
d. ]Disconnected ]monitor ]signal ]for ]the ]last ]6 ]minutes. ]- ]correct ]answer: ]a. ]Respiratory ]apnea ]of ]
30 ]seconds
During ]a ]home ]visit, ]the ]nurse ]observed ]an ]elderly ]client ]with ]diabetes ]slip ]and ]fall. ]What ]action ]
should ]the ]nurse ]take ]first?
a. ]Give ]the ]client ]4 ]ounces ]of ]orange ]juice
b. ]Call ]911 ]to ]summon ]emergency ]assistance
c. ]Check ]the ]client ]for ]lacerations ]or ]fractures
d. ]Asses ]clients ]blood ]sugar ]level ]- ]correct ]answer: ]c. ]Check ]the ]client ]for ]lacerations ]or ]fractures
At ]0600 ]while ]admitting ]a ]woman ]for ]a ]schedule ]repeat ]cesarean ]section ](C-
Section), ]the ]client ]tells ]the ]nurse ]that ]she ]drank ]a ]cup ]a ]coffee ]at ]0400 ]because ]she ]wanted ]to ]a
void ]getting ]a ]headache. ]Which ]action ]should ]the ]nurse ]take ]first?
, a. ]Ensure ]preoperative ]lab ]results ]are ]available
b. ]Start ]prescribed ]IV ]with ]lactated ]Ringer's
c. ]Inform ]the ]anesthesia ]care ]provider
d. ]Contact ]the ]client's ]obstetrician. ]- ]correct ]answer: ]c. ]Inform ]the ]anesthesia ]care ]provider
After ]placing ]a ]stethoscope ]as ]seen ]in ]the ]picture, ]the ]nurse ]auscultates ]S1 ]and ]S2 ]heart ]sounds.
]To ]determine ]if ]an ]S3 ]heart ]sound ]is ]present, ]what ]action ]should ]the ]nurse ]take ]first
a. ]Side ]the ]stethoscope ]across ]the ]sternum.
b. ]Move ]the ]stethoscope ]to ]the ]mitral ]site
c. ]Listen ]with ]the ]bell ]at ]the ]same ]location
d. ]Observe ]the ]cardiac ]telemetry ]monitor ]- ]correct ]answer: ]c. ]Listen ]with ]the ]bell ]at ]the ]same ]lo
cation
A ]66-year-
old ]woman ]is ]retiring ]and ]will ]no ]longer ]have ]a ]health ]insurance ]through ]her ]place ]of ]employme
nt. ]Which ]agency ]should ]the ]client ]be ]referred ]to ]by ]the ]employee ]health ]nurse ]for ]health ]insur
ance ]needs?
a. ]Woman, ]Infant, ]and ]Children ]program
b. ]Medicaid
c. ]Medicare
d. ]Consolidated ]Omnibus ]Budget ]Reconciliation ]Act ]provision. ]- ]correct ]answer: ]c. ]Medicare
A ]client ]who ]is ]taking ]an ]oral ]dose ]of ]a ]tetracycline ]complains ]of ]gastrointestinal ]upset. ]What ]sn
ack ]should ]the ]nurse ]instruct ]the ]client ]to ]take ]with ]the ]tetracycline?
a. ]Fruit-flavored ]yogurt.
b. ]Cheese ]and ]crackers.
c. ]Cold ]cereal ]with ]skim ]milk.
d. ]Toasted ]wheat ]bread ]and ]jelly ]- ]correct ]answer: ]d. ]Toasted ]wheat ]bread ]and ]jelly
] ] ] ] ] ]
AND CORRECT ANSWERS 100% 2025-
] ] ] ]
2026
Following ]discharge ]teaching, ]a ]male ]client ]with ]duodenal ]ulcer ]tells ]the ]nurse ]the ]he ]will ]drink ]
plenty ]of ]dairy ]products, ]such ]as ]milk, ]to ]help ]coat ]and ]protect ]his ]ulcer. ]What ]is ]the ]best ]follow-
up ]action ]by ]the ]nurse?
a. ]Remind ]the ]client ]that ]it ]is ]also ]important ]to ]switch ]to ]decaffeinated ]coffee ]and ]tea.
b. ]Suggest ]that ]the ]client ]also ]plan ]to ]eat ]frequent ]small ]meals ]to ]reduce ]discomfort
c. ]Review ]with ]the ]client ]the ]need ]to ]avoid ]foods ]that ]are ]rich ]in ]milk ]and ]cream.
d. ]Reinforce ]this ]teaching ]by ]asking ]the ]client ]to ]list ]a ]dairy ]food ]that ]he ]might ]select. ]- ]correct ]a
nswer: ]c. ]Review ]with ]the ]client ]the ]need ]to ]avoid ]foods ]that ]are ]rich ]in ]milk ]and ]cream.
The ]nurse ]observes ]an ]unlicensed ]assistive ]personnel ]
(UAP) ]positioning ]a ]newly ]admitted ]client ]who ]has ]a ]seizure ]disorder. ]The ]client ]is ]supine ]and ]th
e ]UAP ]is ]placing ]soft ]pillows ]along ]the ]side ]rails. ]What ]action ]should ]the ]nurse ]implement?
a. ]Ensure ]that ]the ]UAP ]has ]placed ]the ]pillows ]effectively ]to ]protect ]the ]client.
b. ]Instruct ]the ]UAP ]to ]obtain ]soft ]blankets ]to ]secure ]to ]the ]side ]rails ]instead ]of ]pillows.
c. ]Assume ]responsibility ]for ]placing ]the ]pillows ]while ]the ]UAP ]completes ]another ]task.
d. ]Ask ]the ]UAP ]to ]use ]some ]of ]the ]pillows ]to ]prop ]the ]client ]in ]a ]side ]lying ]position. ]- ]correct ]ans
wer: ]b. ]Instruct ]the ]UAP ]to ]obtain ]soft ]blankets ]to ]secure ]to ]the ]side ]rails ]instead ]of ]pillows.
A ]male ]client ]with ]hypertension, ]who ]received ]new ]antihypertensive ]prescriptions ]at ]his ]last ]visi
t ]returns ]to ]the ]clinic ]two ]weeks ]later ]to ]evaluate ]his ]blood ]pressure ]
(BP). ]His ]BP ]is ]158/106 ]and ]he ]admits ]that ]he ]has ]not ]been ]taking ]the ]prescribed ]medication ]bec
ause ]the ]drugs ]make ]him ]"feel ]bad". ]In ]explaining ]the ]need ]for ]hypertension ]control, ]the ]nurse ]s
hould ]stress ]that ]an ]elevated ]BP ]places ]the ]client ]at ]risk ]for ]which ]pathophysiological ]condition?
a. ]Blindness ]secondary ]to ]cataracts
,b. ]Acute ]kidney ]injury ]due ]to ]glomerular ]damage
c. ]Stroke ]secondary ]to ]hemorrhage
d. ]Heart ]block ]due ]to ]myocardial ]damage ]- ]correct ]answer: ]c. ]Stroke ]secondary ]to ]hemorrhage
An ]adolescent ]with ]major ]depressive ]disorder ]has ]been ]taking ]duloxetine ]
(Cymbalta) ]for ]the ]past ]12 ]days. ]Which ]assessment ]finding ]requires ]immediate ]follow-up
a. ]Describes ]life ]without ]purpose
b. ]Complains ]of ]nausea ]and ]loss ]of ]appetite
c. ]States ]is ]often ]fatigued ]and ]drowsy
d. ]Exhibits ]an ]increase ]in ]sweating. ]- ]correct ]answer: ]a. ]Describes ]life ]without ]purpose
A ]60-year-
old ]female ]client ]with ]a ]positive ]family ]history ]of ]ovarian ]cancer ]has ]developed ]an ]abdominal ]m
ass ]and ]is ]being ]evaluated ]for ]possible ]ovarian ]cancer. ]Her ]Papanicolau ]
(Pap) ]smear ]results ]are ]negative. ]What ]information ]should ]the ]nurse ]include ]in ]the ]client's ]teach
ing ]plan
a. ]Further ]evaluation ]involving ]surgery ]may ]be ]needed
b. ]A ]pelvic ]exam ]is ]also ]needed ]before ]cancer ]is ]ruled ]out
c. ]Pap ]smear ]evaluation ]should ]be ]continued ]every ]six ]month
d. ]One ]additional ]negative ]pap ]smear ]in ]six ]months ]is ]needed. ]- ]correct ]answer: ]a. ]Further ]evalu
ation ]involving ]surgery ]may ]be ]needed
A ]client ]who ]recently ]underwent ]a ]tracheostomy ]is ]being ]prepared ]for ]discharge ]to ]home. ]Whic
h ]instructions ]is ]most ]important ]for ]the ]nurse ]to ]include ]in ]the ]discharge ]plan?
a. ]Explain ]how ]to ]use ]communication ]tools.
b. ]Teach ]tracheal ]suctioning ]techniques
c. ]Encourage ]self-care ]and ]independence.
d. ]Demonstrate ]how ]to ]clean ]tracheostomy ]site. ]- ]correct ]answer: ]b. ]Teach ]tracheal ]suctioning ]t
echniques
,In ]assessing ]an ]adult ]client ]with ]a ]partial ]rebreather ]mask, ]the ]nurse ]notes ]that ]the ]oxygen ]reser
voir ]bag ]does ]not ]deflate ]completely ]during ]inspiration ]and ]the ]client's ]respiratory ]rate ]is ]14 ]bre
aths ]/ ]minute. ]What ]action ]should ]the ]nurse ]implement
a. ]Encourage ]the ]client ]to ]take ]deep ]breaths
b. ]Remove ]the ]mask ]to ]deflate ]the ]bag
c. ]Increase ]the ]liter ]flow ]of ]oxygen
d. ]Document ]the ]assessment ]data ]- ]correct ]answer: ]d. ]Document ]the ]assessment ]data
During ]shift ]report, ]the ]central ]electrocardiogram ]
(EKG) ]monitoring ]system ]alarms. ]Which ]client ]alarm ]should ]the ]nurse ]investigate ]first?
a. ]Respiratory ]apnea ]of ]30 ]seconds
b. ]Oxygen ]saturation ]rate ]of ]88%
c. ]Eight ]premature ]ventricular ]beats ]every ]minute
d. ]Disconnected ]monitor ]signal ]for ]the ]last ]6 ]minutes. ]- ]correct ]answer: ]a. ]Respiratory ]apnea ]of ]
30 ]seconds
During ]a ]home ]visit, ]the ]nurse ]observed ]an ]elderly ]client ]with ]diabetes ]slip ]and ]fall. ]What ]action ]
should ]the ]nurse ]take ]first?
a. ]Give ]the ]client ]4 ]ounces ]of ]orange ]juice
b. ]Call ]911 ]to ]summon ]emergency ]assistance
c. ]Check ]the ]client ]for ]lacerations ]or ]fractures
d. ]Asses ]clients ]blood ]sugar ]level ]- ]correct ]answer: ]c. ]Check ]the ]client ]for ]lacerations ]or ]fractures
At ]0600 ]while ]admitting ]a ]woman ]for ]a ]schedule ]repeat ]cesarean ]section ](C-
Section), ]the ]client ]tells ]the ]nurse ]that ]she ]drank ]a ]cup ]a ]coffee ]at ]0400 ]because ]she ]wanted ]to ]a
void ]getting ]a ]headache. ]Which ]action ]should ]the ]nurse ]take ]first?
, a. ]Ensure ]preoperative ]lab ]results ]are ]available
b. ]Start ]prescribed ]IV ]with ]lactated ]Ringer's
c. ]Inform ]the ]anesthesia ]care ]provider
d. ]Contact ]the ]client's ]obstetrician. ]- ]correct ]answer: ]c. ]Inform ]the ]anesthesia ]care ]provider
After ]placing ]a ]stethoscope ]as ]seen ]in ]the ]picture, ]the ]nurse ]auscultates ]S1 ]and ]S2 ]heart ]sounds.
]To ]determine ]if ]an ]S3 ]heart ]sound ]is ]present, ]what ]action ]should ]the ]nurse ]take ]first
a. ]Side ]the ]stethoscope ]across ]the ]sternum.
b. ]Move ]the ]stethoscope ]to ]the ]mitral ]site
c. ]Listen ]with ]the ]bell ]at ]the ]same ]location
d. ]Observe ]the ]cardiac ]telemetry ]monitor ]- ]correct ]answer: ]c. ]Listen ]with ]the ]bell ]at ]the ]same ]lo
cation
A ]66-year-
old ]woman ]is ]retiring ]and ]will ]no ]longer ]have ]a ]health ]insurance ]through ]her ]place ]of ]employme
nt. ]Which ]agency ]should ]the ]client ]be ]referred ]to ]by ]the ]employee ]health ]nurse ]for ]health ]insur
ance ]needs?
a. ]Woman, ]Infant, ]and ]Children ]program
b. ]Medicaid
c. ]Medicare
d. ]Consolidated ]Omnibus ]Budget ]Reconciliation ]Act ]provision. ]- ]correct ]answer: ]c. ]Medicare
A ]client ]who ]is ]taking ]an ]oral ]dose ]of ]a ]tetracycline ]complains ]of ]gastrointestinal ]upset. ]What ]sn
ack ]should ]the ]nurse ]instruct ]the ]client ]to ]take ]with ]the ]tetracycline?
a. ]Fruit-flavored ]yogurt.
b. ]Cheese ]and ]crackers.
c. ]Cold ]cereal ]with ]skim ]milk.
d. ]Toasted ]wheat ]bread ]and ]jelly ]- ]correct ]answer: ]d. ]Toasted ]wheat ]bread ]and ]jelly
