BSN 366 EXIT HESI EXAM QUESTIONS WITH
VERIFIED ANSWERS
Question 1
The nurse observes an unlicensed assistive personnel applying an alcohol-based hand
rub while leaving a client's room after taking vital signs. Which action should the
nurse take?
A) Instruct the UP to return to the clients room to perform handwashing.
B) Advise the UP to wear gloves when obtaining vital signs for all clients.
C) Supervise the UP in the next clients room to evaluate hand hygiene.
D) Remind the UAP to continue rubbing their hands together until they are dry.
Correct Answer
D) Remind the UAP to continue rubbing their hands together until they are dry.
Question 2
NGN: an adult woman who has recently diagnosed with type two diabetes mellitus is
seen in the clinic for laboratory test. In planning nutrition teaching for this client,
which diet modifications should the nurse recommend? SATA
A) Decrease processed carbohydrates in diet.
B) Increase dietary fiber such as whole grains.
C) Reduce daily fat intake to 10% of total calories.
D) Eliminate alcohol intake except for special occasions.
E) Restrict protein to 10% of total calories in diet.
Correct Answer
A) Decrease processed carbohydrates in diet.
C) Reduce daily fat intake to 10% of total calories.
??????
Page 1 of 281
,Question 3
NGN: the client has returned to work at an accounting firm and has started going to a
grief support group. She states she is seeking care from a healthcare professional
because her father is worried about her. The client states she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She states that exercising right after work
helps her get better sleep and to relax. She feels that she is jumpy after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything...
(highlight the areas that the nurse should....)
Correct Answer
??????
Question 4
The nurse is caring for a client with a fractured femur following removal of traction
and the application of a full leg cast, which action should the nurse prioritize?
A) Leg elevation.
B) Pain management.
C) Ambulation teaching.
D) Neurovascular checks.
Correct Answer
D) Neurovascular checks.
Question 5
A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. What question is most important for the nurse to include in the assessment
of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices?
Correct Answer
A) What are the voices saying?
Page 2 of 281
,Question 6
A mother calls the nurse to report that aa 0900 she administered an oral dose of
digoxin to her four-month-old infant, but at 0920 the baby vomited the medicine.
Which instruction should the nurse provide to this mother?
A) Withhold this dose.
B) Mix the next dose with food.
C) Give another dose.
D) Administer a half dose now.
Correct Answer
A) Withhold this dose.
Question 7
NGN: the client is a 26 year-old female who was in a car accident six months ago that
killed her mother, husband, and two-year-old son. She and her father were the only
survivors of the crash. She is seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
Correct Answer
-The client states she feels less jumpy and more relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash. (INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel sad.
(EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus.
(INEFFECTIVE)
Page 3 of 281
, Question 8
The nurse is preparing a 50 mL dose of 50% dextrose IV for a client with insulin shock.
How should the nurse administer the medication?
A) Push the undiluted dextrose slowly through the currently infusing IV.
B) Dilute the dextrose in 1 L of 0.9% normal saline solution.
C) Makes the dextrose in a 50 mL piggyback for a total volume of 100 mL.
D) Ask the pharmacist to add the dextrose to a TPN solution.
Correct Answer
A) Push the undiluted dextrose slowly through the currently infusing IV.
Question 9
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 _________________
Correct Answer
Hyperbilirubinemia , Resppiratory Distress Syndrome , and Cardiomyopathy
Question 10
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
Correct Answer
C) A 30-year old depresses client who admits to suicide ideation
Page 4 of 281
VERIFIED ANSWERS
Question 1
The nurse observes an unlicensed assistive personnel applying an alcohol-based hand
rub while leaving a client's room after taking vital signs. Which action should the
nurse take?
A) Instruct the UP to return to the clients room to perform handwashing.
B) Advise the UP to wear gloves when obtaining vital signs for all clients.
C) Supervise the UP in the next clients room to evaluate hand hygiene.
D) Remind the UAP to continue rubbing their hands together until they are dry.
Correct Answer
D) Remind the UAP to continue rubbing their hands together until they are dry.
Question 2
NGN: an adult woman who has recently diagnosed with type two diabetes mellitus is
seen in the clinic for laboratory test. In planning nutrition teaching for this client,
which diet modifications should the nurse recommend? SATA
A) Decrease processed carbohydrates in diet.
B) Increase dietary fiber such as whole grains.
C) Reduce daily fat intake to 10% of total calories.
D) Eliminate alcohol intake except for special occasions.
E) Restrict protein to 10% of total calories in diet.
Correct Answer
A) Decrease processed carbohydrates in diet.
C) Reduce daily fat intake to 10% of total calories.
??????
Page 1 of 281
,Question 3
NGN: the client has returned to work at an accounting firm and has started going to a
grief support group. She states she is seeking care from a healthcare professional
because her father is worried about her. The client states she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She states that exercising right after work
helps her get better sleep and to relax. She feels that she is jumpy after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything...
(highlight the areas that the nurse should....)
Correct Answer
??????
Question 4
The nurse is caring for a client with a fractured femur following removal of traction
and the application of a full leg cast, which action should the nurse prioritize?
A) Leg elevation.
B) Pain management.
C) Ambulation teaching.
D) Neurovascular checks.
Correct Answer
D) Neurovascular checks.
Question 5
A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. What question is most important for the nurse to include in the assessment
of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices?
Correct Answer
A) What are the voices saying?
Page 2 of 281
,Question 6
A mother calls the nurse to report that aa 0900 she administered an oral dose of
digoxin to her four-month-old infant, but at 0920 the baby vomited the medicine.
Which instruction should the nurse provide to this mother?
A) Withhold this dose.
B) Mix the next dose with food.
C) Give another dose.
D) Administer a half dose now.
Correct Answer
A) Withhold this dose.
Question 7
NGN: the client is a 26 year-old female who was in a car accident six months ago that
killed her mother, husband, and two-year-old son. She and her father were the only
survivors of the crash. She is seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
Correct Answer
-The client states she feels less jumpy and more relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash. (INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel sad.
(EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus.
(INEFFECTIVE)
Page 3 of 281
, Question 8
The nurse is preparing a 50 mL dose of 50% dextrose IV for a client with insulin shock.
How should the nurse administer the medication?
A) Push the undiluted dextrose slowly through the currently infusing IV.
B) Dilute the dextrose in 1 L of 0.9% normal saline solution.
C) Makes the dextrose in a 50 mL piggyback for a total volume of 100 mL.
D) Ask the pharmacist to add the dextrose to a TPN solution.
Correct Answer
A) Push the undiluted dextrose slowly through the currently infusing IV.
Question 9
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 _________________
Correct Answer
Hyperbilirubinemia , Resppiratory Distress Syndrome , and Cardiomyopathy
Question 10
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
Correct Answer
C) A 30-year old depresses client who admits to suicide ideation
Page 4 of 281
