BSN366 EXIT HESI BSN HESI 366 RN EXIT EXAM
(LATEST 2025/2026 UPDATE) | QUESTIONS &
ANSWERS GRADE A | 100% CORRECT (VERIFIED
ANSWERS) - NIGHTINGALE
TABLE OF CONTENTS
• SECTION 1: MEDICAL-SURGICAL NURSING ...... Questions 1-120
• SECTION 2: PSYCHOSOCIAL/MENTAL HEALTH ...... Questions
121-220
• SECTION 3: MATERNITY AND NEWBORN ...... Questions 221-320
• SECTION 4: PEDIATRICS AND CHILD HEALTH ...... Questions 321-
420
• SECTION 5: PHARMACOLOGY ...... Questions 421-500
• SECTION 6: NGN CASE STUDIES AND PRIORITIZATION ......
Questions 501-580
SECTION 1: MEDICAL-SURGICAL NURSING
1. The nurse is providing teaching to a client with type 2 diabetes mellitus
about important points for symptom management. Which statement by the
client indicates understanding?
Answer: Get an eye exam with an ophthalmologist annually
2. The nurse is providing education to a client who experiences recurrent levels
of medication situations and perceived stress. In addition to information
about prescribed medications, which instruction should the nurse include in
the teaching?
Answer: Practice using muscle relaxation techniques
3. The nurse is caring for a client with heart failure. Which assessment finding
indicates worsening fluid overload?
, Answer: Crackles in the lung bases and weight gain of 3 pounds in 24
hours
4. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen at 2 L/min via nasal cannula. The nurse should assess for which sign
of oxygen toxicity?
Answer: Increased confusion and disorientation
5. The nurse is caring for a client with acute pancreatitis. Which laboratory
value should the nurse monitor most closely?
Answer: Serum lipase and amylase levels
6. A client with cirrhosis of the liver exhibits ascites, jaundice, and confusion.
The nurse should monitor for which complication?
Answer: Hepatic encephalopathy
7. The nurse is caring for a client with a new diagnosis of atrial fibrillation.
Which medication should the nurse anticipate administering?
Answer: Warfarin or apixaban
8. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which intervention should the nurse implement first?
Answer: Prepare for IV calcium gluconate and insulin with glucose
9. The nurse is caring for a client with pneumonia who has a fever of 102.2°F.
Which intervention should the nurse implement?
Answer: Administer antipyretics and encourage oral fluids
10.A client with diabetic ketoacidosis (DKA) is receiving IV fluids and insulin.
Which finding indicates that treatment is effective?
Answer: Decreasing blood glucose and improving anion gap
11.The nurse is caring for a client with a new ileostomy. Which dietary
instruction should the nurse include?
Answer: Chew food thoroughly and drink adequate fluids
12.A client with cancer is receiving chemotherapy and develops severe
mucositis. Which intervention should the nurse implement?
Answer: Provide oral care with saline rinses and administer prescribed
analgesics
,13.The nurse is caring for a client with a pressure injury. Which wound care
intervention is appropriate?
Answer: Clean with normal saline and apply prescribed dressing
14.A client with deep vein thrombosis (DVT) is receiving heparin. Which
finding requires immediate action?
Answer: Platelet count drop from 250,000 to 100,000
15.The nurse is caring for a client with acute myocardial infarction. Which
medication is contraindicated in the acute phase?
Answer: Nitroglycerin if systolic BP is below 90 mmHg
16.A client with respiratory failure is on mechanical ventilation. Which finding
indicates the need for suctioning?
Answer: Coarse crackles and increased peak airway pressures
17.The nurse is providing discharge teaching to a client with a new colostomy.
Which statement by the client indicates a need for further teaching?
Answer: "I should irrigate my colostomy every morning before
breakfast"
18.A client with a history of seizures is prescribed phenytoin. Which side effect
should the nurse monitor for?
Answer: Gingival hyperplasia
19.The nurse is caring for a client with tuberculosis. Which isolation precaution
should be implemented?
Answer: Airborne precautions
20.A client with diabetes reports visual changes, including floaters and blurred
vision. The nurse should recognize this as a sign of:
Answer: Diabetic retinopathy
21.The nurse is caring for a client with acute renal failure. Which laboratory
finding is consistent with this condition?
Answer: Elevated BUN and creatinine
22.A client with COPD is using pursed-lip breathing. The nurse explains that
this technique helps to:
Answer: Promote carbon dioxide elimination
, 23.The nurse is caring for a client with a chest tube. Which finding indicates a
potential air leak?
Answer: Continuous bubbling in the water seal chamber
24.A client with a history of peptic ulcer disease reports melena and epigastric
pain. The nurse should first:
Answer: Assess vital signs and notify the provider
25.The nurse is caring for a client with hyperthyroidism. Which finding is
consistent with this condition?
Answer: Tachycardia and weight loss
26.A client with hypothyroidism is receiving levothyroxine. Which finding
indicates the medication is effective?
Answer: Return to normal thyroid function tests
27.The nurse is teaching a client with hypertension about lifestyle
modifications. Which recommendation should the nurse include?
Answer: Reduce sodium intake to less than 2,300 mg daily
28.A client with a stroke has difficulty swallowing. Which intervention should
the nurse implement?
Answer: Consult speech therapy and place on aspiration precautions
29.The nurse is caring for a client with an abdominal aortic aneurysm. Which
assessment finding requires immediate intervention?
Answer: Sudden onset of severe back pain and hypotension
30.A client with diabetes has a foot ulcer. Which finding indicates infection?
Answer: Redness, swelling, and purulent drainage
31.The nurse is caring for a client with heart failure and prescribed furosemide.
Which electrolyte imbalance should the nurse monitor?
Answer: Hypokalemia
32.A client with end-stage renal disease is scheduled for hemodialysis. Which
finding should be reported to the provider?
Answer: AV fistula with palpable thrill and audible bruit
33.The nurse is caring for a client with a head injury. Which sign indicates
increased intracranial pressure?
Answer: Widening pulse pressure and bradycardia
(LATEST 2025/2026 UPDATE) | QUESTIONS &
ANSWERS GRADE A | 100% CORRECT (VERIFIED
ANSWERS) - NIGHTINGALE
TABLE OF CONTENTS
• SECTION 1: MEDICAL-SURGICAL NURSING ...... Questions 1-120
• SECTION 2: PSYCHOSOCIAL/MENTAL HEALTH ...... Questions
121-220
• SECTION 3: MATERNITY AND NEWBORN ...... Questions 221-320
• SECTION 4: PEDIATRICS AND CHILD HEALTH ...... Questions 321-
420
• SECTION 5: PHARMACOLOGY ...... Questions 421-500
• SECTION 6: NGN CASE STUDIES AND PRIORITIZATION ......
Questions 501-580
SECTION 1: MEDICAL-SURGICAL NURSING
1. The nurse is providing teaching to a client with type 2 diabetes mellitus
about important points for symptom management. Which statement by the
client indicates understanding?
Answer: Get an eye exam with an ophthalmologist annually
2. The nurse is providing education to a client who experiences recurrent levels
of medication situations and perceived stress. In addition to information
about prescribed medications, which instruction should the nurse include in
the teaching?
Answer: Practice using muscle relaxation techniques
3. The nurse is caring for a client with heart failure. Which assessment finding
indicates worsening fluid overload?
, Answer: Crackles in the lung bases and weight gain of 3 pounds in 24
hours
4. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen at 2 L/min via nasal cannula. The nurse should assess for which sign
of oxygen toxicity?
Answer: Increased confusion and disorientation
5. The nurse is caring for a client with acute pancreatitis. Which laboratory
value should the nurse monitor most closely?
Answer: Serum lipase and amylase levels
6. A client with cirrhosis of the liver exhibits ascites, jaundice, and confusion.
The nurse should monitor for which complication?
Answer: Hepatic encephalopathy
7. The nurse is caring for a client with a new diagnosis of atrial fibrillation.
Which medication should the nurse anticipate administering?
Answer: Warfarin or apixaban
8. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which intervention should the nurse implement first?
Answer: Prepare for IV calcium gluconate and insulin with glucose
9. The nurse is caring for a client with pneumonia who has a fever of 102.2°F.
Which intervention should the nurse implement?
Answer: Administer antipyretics and encourage oral fluids
10.A client with diabetic ketoacidosis (DKA) is receiving IV fluids and insulin.
Which finding indicates that treatment is effective?
Answer: Decreasing blood glucose and improving anion gap
11.The nurse is caring for a client with a new ileostomy. Which dietary
instruction should the nurse include?
Answer: Chew food thoroughly and drink adequate fluids
12.A client with cancer is receiving chemotherapy and develops severe
mucositis. Which intervention should the nurse implement?
Answer: Provide oral care with saline rinses and administer prescribed
analgesics
,13.The nurse is caring for a client with a pressure injury. Which wound care
intervention is appropriate?
Answer: Clean with normal saline and apply prescribed dressing
14.A client with deep vein thrombosis (DVT) is receiving heparin. Which
finding requires immediate action?
Answer: Platelet count drop from 250,000 to 100,000
15.The nurse is caring for a client with acute myocardial infarction. Which
medication is contraindicated in the acute phase?
Answer: Nitroglycerin if systolic BP is below 90 mmHg
16.A client with respiratory failure is on mechanical ventilation. Which finding
indicates the need for suctioning?
Answer: Coarse crackles and increased peak airway pressures
17.The nurse is providing discharge teaching to a client with a new colostomy.
Which statement by the client indicates a need for further teaching?
Answer: "I should irrigate my colostomy every morning before
breakfast"
18.A client with a history of seizures is prescribed phenytoin. Which side effect
should the nurse monitor for?
Answer: Gingival hyperplasia
19.The nurse is caring for a client with tuberculosis. Which isolation precaution
should be implemented?
Answer: Airborne precautions
20.A client with diabetes reports visual changes, including floaters and blurred
vision. The nurse should recognize this as a sign of:
Answer: Diabetic retinopathy
21.The nurse is caring for a client with acute renal failure. Which laboratory
finding is consistent with this condition?
Answer: Elevated BUN and creatinine
22.A client with COPD is using pursed-lip breathing. The nurse explains that
this technique helps to:
Answer: Promote carbon dioxide elimination
, 23.The nurse is caring for a client with a chest tube. Which finding indicates a
potential air leak?
Answer: Continuous bubbling in the water seal chamber
24.A client with a history of peptic ulcer disease reports melena and epigastric
pain. The nurse should first:
Answer: Assess vital signs and notify the provider
25.The nurse is caring for a client with hyperthyroidism. Which finding is
consistent with this condition?
Answer: Tachycardia and weight loss
26.A client with hypothyroidism is receiving levothyroxine. Which finding
indicates the medication is effective?
Answer: Return to normal thyroid function tests
27.The nurse is teaching a client with hypertension about lifestyle
modifications. Which recommendation should the nurse include?
Answer: Reduce sodium intake to less than 2,300 mg daily
28.A client with a stroke has difficulty swallowing. Which intervention should
the nurse implement?
Answer: Consult speech therapy and place on aspiration precautions
29.The nurse is caring for a client with an abdominal aortic aneurysm. Which
assessment finding requires immediate intervention?
Answer: Sudden onset of severe back pain and hypotension
30.A client with diabetes has a foot ulcer. Which finding indicates infection?
Answer: Redness, swelling, and purulent drainage
31.The nurse is caring for a client with heart failure and prescribed furosemide.
Which electrolyte imbalance should the nurse monitor?
Answer: Hypokalemia
32.A client with end-stage renal disease is scheduled for hemodialysis. Which
finding should be reported to the provider?
Answer: AV fistula with palpable thrill and audible bruit
33.The nurse is caring for a client with a head injury. Which sign indicates
increased intracranial pressure?
Answer: Widening pulse pressure and bradycardia
