⭐ BSN 366 Exit HESI (Spring '25)
Ultimate Revision Guide 2026 | Real
Exam Questions, Answers &
Rationales
Question 1
The nurse is planning discharge instructions for a client with type 2 diabetes who will be
starting Exenatide. Which information should be included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain.
Correct Answer: D. Notify your healthcare provider if you start having abdominal pain.
Rationale:
• Severe abdominal pain may indicate acute pancreatitis, a rare but serious adverse effect
of Exenatide.
• Exenatide is not insulin.
• It should be administered within 60 minutes before meals, not after.
• Drug interactions may delay absorption of oral medications.
Question 2 (NGN Case Study)
Click to highlight the aspects of the assessment that require urgent attention.
Correct Answers
• The client has horrible thoughts and memories about the house collapsing.
• These thoughts are preventing sleep.
, • The client requests a quieter environment.
Rationale
These findings suggest Acute Stress Disorder following exposure to a traumatic event.
Priority findings include:
• Intrusive memories
• Sleep disturbance
• Hyperarousal
• Environmental triggers
Question 3
After listening to the client's symptoms, the nurse realizes the client likely has __________
related to __________.
Correct Answer
Acute Stress Disorder
Related to
Traumatic Stress Exposure
Rationale
Symptoms began shortly after the traumatic event and have lasted less than one month, which
meets criteria for Acute Stress Disorder.
Question 4
Which client behaviors are associated with each defense mechanism?
(Source note: The uploaded file indicates this question but does not include the answer key for
the defense mechanism matching activity.)
Question 5
,The physician orders Clonazepam. Which nursing interventions should the nurse perform?
(Select All That Apply)
A. Monitor calcium levels
B. Assist the client to the bathroom
C. Screen for orthostatic hypotension
D. Assess mental status regularly
E. Provide oral care twice daily
F. Have an opioid agonist at bedside
Correct Answers
✔ B. Assist the client to the bathroom
✔ D. Assess mental status regularly
Rationale
Clonazepam is a benzodiazepine.
The nurse should
• Monitor sedation
• Assess cognition
• Prevent falls
• Assist with ambulation
Question 6
Which additional treatments may help this client? (Select All That Apply)
A. Animal therapy
B. Lithium
C. Consciousness-raising
D. Phototherapy
E. Electroconvulsive therapy
, F. Cognitive Behavioral Therapy
Correct Answers
✔ Animal therapy
✔ Consciousness-raising
✔ Cognitive Behavioral Therapy
Rationale
These interventions reduce anxiety, improve coping, and assist recovery following traumatic
stress.
Question 7
Which statements require follow-up teaching?
A. "This diagnosis means I am crazy."
B. "I can learn to manage my thoughts through therapy."
C. "Holistic approaches like medication can help."
D. "Many people respond this way after trauma."
E. "I'm at higher risk for PTSD."
F. "I'll probably need medication for the rest of my life."
Correct Answers
✔A
✔B
✔F
Rationale
• Acute Stress Disorder is not a sign that someone is "crazy."
• Therapy helps manage symptoms but is not the only treatment.
• Long-term medication is not routinely required.
Ultimate Revision Guide 2026 | Real
Exam Questions, Answers &
Rationales
Question 1
The nurse is planning discharge instructions for a client with type 2 diabetes who will be
starting Exenatide. Which information should be included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain.
Correct Answer: D. Notify your healthcare provider if you start having abdominal pain.
Rationale:
• Severe abdominal pain may indicate acute pancreatitis, a rare but serious adverse effect
of Exenatide.
• Exenatide is not insulin.
• It should be administered within 60 minutes before meals, not after.
• Drug interactions may delay absorption of oral medications.
Question 2 (NGN Case Study)
Click to highlight the aspects of the assessment that require urgent attention.
Correct Answers
• The client has horrible thoughts and memories about the house collapsing.
• These thoughts are preventing sleep.
, • The client requests a quieter environment.
Rationale
These findings suggest Acute Stress Disorder following exposure to a traumatic event.
Priority findings include:
• Intrusive memories
• Sleep disturbance
• Hyperarousal
• Environmental triggers
Question 3
After listening to the client's symptoms, the nurse realizes the client likely has __________
related to __________.
Correct Answer
Acute Stress Disorder
Related to
Traumatic Stress Exposure
Rationale
Symptoms began shortly after the traumatic event and have lasted less than one month, which
meets criteria for Acute Stress Disorder.
Question 4
Which client behaviors are associated with each defense mechanism?
(Source note: The uploaded file indicates this question but does not include the answer key for
the defense mechanism matching activity.)
Question 5
,The physician orders Clonazepam. Which nursing interventions should the nurse perform?
(Select All That Apply)
A. Monitor calcium levels
B. Assist the client to the bathroom
C. Screen for orthostatic hypotension
D. Assess mental status regularly
E. Provide oral care twice daily
F. Have an opioid agonist at bedside
Correct Answers
✔ B. Assist the client to the bathroom
✔ D. Assess mental status regularly
Rationale
Clonazepam is a benzodiazepine.
The nurse should
• Monitor sedation
• Assess cognition
• Prevent falls
• Assist with ambulation
Question 6
Which additional treatments may help this client? (Select All That Apply)
A. Animal therapy
B. Lithium
C. Consciousness-raising
D. Phototherapy
E. Electroconvulsive therapy
, F. Cognitive Behavioral Therapy
Correct Answers
✔ Animal therapy
✔ Consciousness-raising
✔ Cognitive Behavioral Therapy
Rationale
These interventions reduce anxiety, improve coping, and assist recovery following traumatic
stress.
Question 7
Which statements require follow-up teaching?
A. "This diagnosis means I am crazy."
B. "I can learn to manage my thoughts through therapy."
C. "Holistic approaches like medication can help."
D. "Many people respond this way after trauma."
E. "I'm at higher risk for PTSD."
F. "I'll probably need medication for the rest of my life."
Correct Answers
✔A
✔B
✔F
Rationale
• Acute Stress Disorder is not a sign that someone is "crazy."
• Therapy helps manage symptoms but is not the only treatment.
• Long-term medication is not routinely required.
