BSN 366: HESI Exam RN Exit - Nightingale Comprehe… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
BSN 366: HESI Exam RN Exit - Nightingale Comprehensive
Review 2026/2027 |Nightingale
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,BSN 366: HESI Exam RN Exit - Nightingale Comprehe… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client with a history of heart failure is prescribed digoxin and furosemide. The nurse
notes the client reports seeing yellow-green halos and is experiencing nausea. What is the
nurse’s priority action?
A. Administer the next dose of furosemide as scheduled
B. Check the client’s latest serum potassium and digoxin levels
C. Assess the client’s apical pulse for 60 seconds
D. Document the findings as expected side effects of the medication
Answer: B
Rationale: Nausea and visual disturbances (yellow-green halos) are classic signs of digoxin toxicity,
which is often precipitated by hypokalemia caused by loop diuretics like furosemide. Checking lab
levels is the priority for confirming toxicity. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Knowing the reason behind the correct answer makes it easier to rule out the wrong options
quickly. Look for the choice that protects the client and matches the priority need.
2. The nurse is caring for a client who is 24 hours post-thyroidectomy. The client reports
tingling in the fingertips and around the mouth. Which assessment finding should the nurse
anticipate?
A. Positive Trousseau’s sign
B. Hyporeflexia
C. Negative Chvostek’s sign
D. Elevated serum calcium level
Answer: A
Rationale: Tingling around the mouth (circumoral paresthesia) and fingertips are signs of
hypocalcemia, a complication of thyroidectomy if the parathyroid glands are accidentally damaged. A
positive Trousseau’s sign (carpal spasm with BP cuff inflation) is indicative of hypocalcemia.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, BSN 366: HESI Exam RN Exit - Nightingale Comprehe… 2026/2027 • Verified • Assured Grade A+
3. A client is admitted with a diagnosis of Diabetic Ketoacidosis (DKA). The nurse should
prioritize which of the following interventions?
A. . The nurse should prioritize which of the following interventions?
B. Administration of intravenous potassium bolus
C. Oral administration of orange juice with sugar
D. Intravenous infusion of 0.9% Normal Saline
Answer: D
Rationale: The initial priority in DKA management is fluid resuscitation to treat dehydration and restore
perfusion. Insulin is typically given intravenously after or during fluid replacement, and potassium is
monitored closely but not given as a bolus. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place.
4. Which client should the nurse assess first after receiving the morning shift report?
A. A client with a chest tube who has 50 mL of serosanguinous drainage in the last 4 hours
B. A client with a newly applied cast who reports increased pain unrelieved by morphine
C. A client who is 2 days postoperative and has not had a bowel movement
D. A client with pneumonia who has an oxygen saturation of 91% on room air
Answer: B
Rationale: Unrelieved pain after medication in a client with a new cast is a red flag for Compartment
Syndrome, which is a neurovascular emergency. This client takes priority over stable drainage or mild
hypoxia. Exam questions often test whether you can pick the most practical and safe choice for the
client in real situations. Focus on what the nurse can actually do right now. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
BSN 366: HESI Exam RN Exit - Nightingale Comprehensive
Review 2026/2027 |Nightingale
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,BSN 366: HESI Exam RN Exit - Nightingale Comprehe… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client with a history of heart failure is prescribed digoxin and furosemide. The nurse
notes the client reports seeing yellow-green halos and is experiencing nausea. What is the
nurse’s priority action?
A. Administer the next dose of furosemide as scheduled
B. Check the client’s latest serum potassium and digoxin levels
C. Assess the client’s apical pulse for 60 seconds
D. Document the findings as expected side effects of the medication
Answer: B
Rationale: Nausea and visual disturbances (yellow-green halos) are classic signs of digoxin toxicity,
which is often precipitated by hypokalemia caused by loop diuretics like furosemide. Checking lab
levels is the priority for confirming toxicity. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Knowing the reason behind the correct answer makes it easier to rule out the wrong options
quickly. Look for the choice that protects the client and matches the priority need.
2. The nurse is caring for a client who is 24 hours post-thyroidectomy. The client reports
tingling in the fingertips and around the mouth. Which assessment finding should the nurse
anticipate?
A. Positive Trousseau’s sign
B. Hyporeflexia
C. Negative Chvostek’s sign
D. Elevated serum calcium level
Answer: A
Rationale: Tingling around the mouth (circumoral paresthesia) and fingertips are signs of
hypocalcemia, a complication of thyroidectomy if the parathyroid glands are accidentally damaged. A
positive Trousseau’s sign (carpal spasm with BP cuff inflation) is indicative of hypocalcemia.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, BSN 366: HESI Exam RN Exit - Nightingale Comprehe… 2026/2027 • Verified • Assured Grade A+
3. A client is admitted with a diagnosis of Diabetic Ketoacidosis (DKA). The nurse should
prioritize which of the following interventions?
A. . The nurse should prioritize which of the following interventions?
B. Administration of intravenous potassium bolus
C. Oral administration of orange juice with sugar
D. Intravenous infusion of 0.9% Normal Saline
Answer: D
Rationale: The initial priority in DKA management is fluid resuscitation to treat dehydration and restore
perfusion. Insulin is typically given intravenously after or during fluid replacement, and potassium is
monitored closely but not given as a bolus. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place.
4. Which client should the nurse assess first after receiving the morning shift report?
A. A client with a chest tube who has 50 mL of serosanguinous drainage in the last 4 hours
B. A client with a newly applied cast who reports increased pain unrelieved by morphine
C. A client who is 2 days postoperative and has not had a bowel movement
D. A client with pneumonia who has an oxygen saturation of 91% on room air
Answer: B
Rationale: Unrelieved pain after medication in a client with a new cast is a red flag for Compartment
Syndrome, which is a neurovascular emergency. This client takes priority over stable drainage or mild
hypoxia. Exam questions often test whether you can pick the most practical and safe choice for the
client in real situations. Focus on what the nurse can actually do right now. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
