BSN 366 HESI RN EXIT EXAM TEST BANK 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(100% CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST
RELEASED
1. Which action best prevents hospital-acquired infections in a
clinical setting?
A) Wearing sterile gloves for all patient contact
B) Performing hand hygiene before and after patient care
C) Using antibiotics prophylactically for all admissions
D) Wearing a mask at all times while on duty
Correct Answer: B) Performing hand hygiene before and after
patient care
Rationale: Hand hygiene is the single most effective infection control
measure to prevent the transmission of pathogens in healthcare
settings. Alcohol-based hand rubs are preferred unless hands are
visibly soiled, in which case soap and water should be used.
2. A nurse is triaging multiple clients in an emergency department.
Which client should be seen first?
,A) Client with mild abdominal pain rated 4/10
B) Client with an oxygen saturation of 86% on room air
C) Client requesting discharge instructions for a sprained ankle
D) Client with chronic back pain requesting medication refill
Correct Answer: B) Client with an oxygen saturation of 86% on
room air
Rationale: An oxygen saturation of 86% indicates significant
hypoxia and is a life-threatening airway and breathing priority.
According to the ABCs (Airway, Breathing, Circulation), this client
requires immediate intervention before any other concerns.
3. Which laboratory value is most concerning and requires
immediate nursing action?
A) Sodium 140 mEq/L
B) Potassium 6.5 mEq/L
C) Hemoglobin 13 g/dL
D) Calcium 9.2 mg/dL
Correct Answer: B) Potassium 6.5 mEq/L
Rationale: This potassium level represents severe hyperkalemia,
which can cause lethal cardiac dysrhythmias. Normal potassium
range is 3.5–5.0 mEq/L, and a value of 6.5 requires immediate
,intervention such as cardiac monitoring and medication
administration.
4. A 68-year-old client with heart failure reports sudden weight gain
of 2.3 kg (5 lb) over 3 days. Which finding should the nurse
anticipate?
A) Decreased jugular venous distension
B) Bilateral crackles in the lung bases
C) Hypertension with supine positioning
D) Bradycardia with premature ventricular contractions
Correct Answer: B) Bilateral crackles in the lung bases
Rationale: Rapid weight gain in heart failure indicates fluid retention
and worsening volume overload, which commonly presents as
bilateral basilar crackles due to pulmonary venous congestion.
Jugular venous distension would increase, not decrease, with fluid
overload.
5. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate which
finding?
A) Lethargy
B) Heat intolerance
C) Diarrhea
, D) Skin eruptions
Correct Answer: A) Lethargy
Rationale: Low T3/T4 with elevated TSH indicates primary
hypothyroidism. Classic manifestations include lethargy, fatigue,
cold intolerance, constipation, and dry skin. Heat intolerance and
diarrhea are associated with hyperthyroidism.
6. Which medication requires monitoring of the INR level?
A) Heparin
B) Warfarin
C) Insulin
D) Digoxin
Correct Answer: B) Warfarin
Rationale: Warfarin is an anticoagulant that affects the vitamin K-
dependent clotting factors, and its therapeutic range is monitored
using the International Normalized Ratio (INR). The target INR is
typically 2.0–3.0 for most indications. Heparin is monitored using
aPTT.
7. In a client with a hypertensive crisis, which assessment is the
priority during the first hour of care?
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(100% CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST
RELEASED
1. Which action best prevents hospital-acquired infections in a
clinical setting?
A) Wearing sterile gloves for all patient contact
B) Performing hand hygiene before and after patient care
C) Using antibiotics prophylactically for all admissions
D) Wearing a mask at all times while on duty
Correct Answer: B) Performing hand hygiene before and after
patient care
Rationale: Hand hygiene is the single most effective infection control
measure to prevent the transmission of pathogens in healthcare
settings. Alcohol-based hand rubs are preferred unless hands are
visibly soiled, in which case soap and water should be used.
2. A nurse is triaging multiple clients in an emergency department.
Which client should be seen first?
,A) Client with mild abdominal pain rated 4/10
B) Client with an oxygen saturation of 86% on room air
C) Client requesting discharge instructions for a sprained ankle
D) Client with chronic back pain requesting medication refill
Correct Answer: B) Client with an oxygen saturation of 86% on
room air
Rationale: An oxygen saturation of 86% indicates significant
hypoxia and is a life-threatening airway and breathing priority.
According to the ABCs (Airway, Breathing, Circulation), this client
requires immediate intervention before any other concerns.
3. Which laboratory value is most concerning and requires
immediate nursing action?
A) Sodium 140 mEq/L
B) Potassium 6.5 mEq/L
C) Hemoglobin 13 g/dL
D) Calcium 9.2 mg/dL
Correct Answer: B) Potassium 6.5 mEq/L
Rationale: This potassium level represents severe hyperkalemia,
which can cause lethal cardiac dysrhythmias. Normal potassium
range is 3.5–5.0 mEq/L, and a value of 6.5 requires immediate
,intervention such as cardiac monitoring and medication
administration.
4. A 68-year-old client with heart failure reports sudden weight gain
of 2.3 kg (5 lb) over 3 days. Which finding should the nurse
anticipate?
A) Decreased jugular venous distension
B) Bilateral crackles in the lung bases
C) Hypertension with supine positioning
D) Bradycardia with premature ventricular contractions
Correct Answer: B) Bilateral crackles in the lung bases
Rationale: Rapid weight gain in heart failure indicates fluid retention
and worsening volume overload, which commonly presents as
bilateral basilar crackles due to pulmonary venous congestion.
Jugular venous distension would increase, not decrease, with fluid
overload.
5. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate which
finding?
A) Lethargy
B) Heat intolerance
C) Diarrhea
, D) Skin eruptions
Correct Answer: A) Lethargy
Rationale: Low T3/T4 with elevated TSH indicates primary
hypothyroidism. Classic manifestations include lethargy, fatigue,
cold intolerance, constipation, and dry skin. Heat intolerance and
diarrhea are associated with hyperthyroidism.
6. Which medication requires monitoring of the INR level?
A) Heparin
B) Warfarin
C) Insulin
D) Digoxin
Correct Answer: B) Warfarin
Rationale: Warfarin is an anticoagulant that affects the vitamin K-
dependent clotting factors, and its therapeutic range is monitored
using the International Normalized Ratio (INR). The target INR is
typically 2.0–3.0 for most indications. Heparin is monitored using
aPTT.
7. In a client with a hypertensive crisis, which assessment is the
priority during the first hour of care?
