BSN 366 | HESI RN Exit V2 | 2026/2027
OBJECTIVE ASSESSMENT - EXAM
BSN 366 HESI RN Exit Exam V2 (Latest Update 2026/2027)
Questions and Verified Answers | 100% Correct | Grade A -
Nightingale 2026/2027
Nightingale College of Nursing
HESI RN Exit Examination - Version 2
A+ Verified Edition: 2026/2027 Passing Score: 75%
Questions & Verified Answers | 100% Correct | Grade A | Official Exam Format
COVER PAGE - 1
, SECTIONS COVERED
Section 1: Medical-Surgical Nursing
Section 2: Maternal-Newborn Nursing
Section 3: Pediatric Nursing
Section 4: Psychiatric and Mental Health Nursing
Section 5: Fundamentals, Leadership, and Prioritization
Section 6: Pharmacology and Complex Clinical Judgment
EXAM INFORMATION
Course: BSN 366 HESI RN Exit Examination Version 2
Assessment: Comprehensive RN Exit Exam | Latest Update 2026/2027
Format: Multiple Choice (A-D) | 1 mark per question
Total Marks: 50 | Passing Score: 75%
Level: RN Exit - Analysis / Evaluation
Institution: Nightingale
Instructions: Select the single best answer for each question. Mark answers clearly.
Section 1: Medical-Surgical Nursing
Q1. A 68-year-old client with a history of heart failure is admitted with acute dyspnea, crackles in both lung bases, and oxygen
Q1 saturation of 88% on room air. The provider orders furosemide 40 mg IV. Thirty minutes after administration the client reports
feeling better, but the nurse notes a urine output of only 30 mL. Which assessment finding requires the most immediate
follow-up?
A. Blood pressure of 98/60 mm Hg and heart rate of 92 beats/min
B. Jugular venous distention still present at 45 degrees
C. New onset of muscle weakness and irregular pulse
D. Persistent crackles in the lower lung fields bilaterally
Correct Answer: C
Rationale: Muscle weakness and an irregular pulse after loop diuretic administration suggest possible hypokalemia, which can precipitate
life-threatening dysrhythmias and requires immediate evaluation. The other findings are expected or less urgently related to acute
electrolyte imbalance.
Q2. A client who underwent a right total hip arthroplasty 8 hours ago reports sudden sharp chest pain and difficulty breathing.
Q2 The nurse notes the client is anxious, tachypneic, and has a pulse oximetry reading of 90% on 2 L nasal cannula. Which
action should the nurse take first?
A. Administer the prescribed PRN opioid analgesic for pain relief.
B. Elevate the head of the bed and apply oxygen as needed.
C. Notify the surgeon of possible dislocation of the prosthesis.
D. Encourage the client to perform incentive spirometry exercises.
Correct Answer: B
Rationale: Sudden chest pain and hypoxia after major orthopedic surgery raise concern for pulmonary embolism; optimizing oxygenation
and positioning are the immediate priorities. Analgesia, prosthesis concerns, and spirometry are secondary until respiratory status is
stabilized.
BSN 366 HESI RN Exit Exam V2 2026/2027 Page 2
OBJECTIVE ASSESSMENT - EXAM
BSN 366 HESI RN Exit Exam V2 (Latest Update 2026/2027)
Questions and Verified Answers | 100% Correct | Grade A -
Nightingale 2026/2027
Nightingale College of Nursing
HESI RN Exit Examination - Version 2
A+ Verified Edition: 2026/2027 Passing Score: 75%
Questions & Verified Answers | 100% Correct | Grade A | Official Exam Format
COVER PAGE - 1
, SECTIONS COVERED
Section 1: Medical-Surgical Nursing
Section 2: Maternal-Newborn Nursing
Section 3: Pediatric Nursing
Section 4: Psychiatric and Mental Health Nursing
Section 5: Fundamentals, Leadership, and Prioritization
Section 6: Pharmacology and Complex Clinical Judgment
EXAM INFORMATION
Course: BSN 366 HESI RN Exit Examination Version 2
Assessment: Comprehensive RN Exit Exam | Latest Update 2026/2027
Format: Multiple Choice (A-D) | 1 mark per question
Total Marks: 50 | Passing Score: 75%
Level: RN Exit - Analysis / Evaluation
Institution: Nightingale
Instructions: Select the single best answer for each question. Mark answers clearly.
Section 1: Medical-Surgical Nursing
Q1. A 68-year-old client with a history of heart failure is admitted with acute dyspnea, crackles in both lung bases, and oxygen
Q1 saturation of 88% on room air. The provider orders furosemide 40 mg IV. Thirty minutes after administration the client reports
feeling better, but the nurse notes a urine output of only 30 mL. Which assessment finding requires the most immediate
follow-up?
A. Blood pressure of 98/60 mm Hg and heart rate of 92 beats/min
B. Jugular venous distention still present at 45 degrees
C. New onset of muscle weakness and irregular pulse
D. Persistent crackles in the lower lung fields bilaterally
Correct Answer: C
Rationale: Muscle weakness and an irregular pulse after loop diuretic administration suggest possible hypokalemia, which can precipitate
life-threatening dysrhythmias and requires immediate evaluation. The other findings are expected or less urgently related to acute
electrolyte imbalance.
Q2. A client who underwent a right total hip arthroplasty 8 hours ago reports sudden sharp chest pain and difficulty breathing.
Q2 The nurse notes the client is anxious, tachypneic, and has a pulse oximetry reading of 90% on 2 L nasal cannula. Which
action should the nurse take first?
A. Administer the prescribed PRN opioid analgesic for pain relief.
B. Elevate the head of the bed and apply oxygen as needed.
C. Notify the surgeon of possible dislocation of the prosthesis.
D. Encourage the client to perform incentive spirometry exercises.
Correct Answer: B
Rationale: Sudden chest pain and hypoxia after major orthopedic surgery raise concern for pulmonary embolism; optimizing oxygenation
and positioning are the immediate priorities. Analgesia, prosthesis concerns, and spirometry are secondary until respiratory status is
stabilized.
BSN 366 HESI RN Exit Exam V2 2026/2027 Page 2
