NIGHTINGALE COLLEGE
Bachelor of Science in Nursing (BSN)
BSN HESI 366 RN Exit Exam 2026–2027
Comprehensive Question Bank Verified Questions & Answers
Question 1
NGN: What actions should the nurse take to assure safety during morphine
administration? SATA
A. Have a manual resuscitation bag at the bedside
B. Ask the client about other medications she takes
C. Perform a 12 lead electrocardiogram
D. Take an initial respiratory rate
E. Suction the client to clear the airway
F. Restrain the client with soft restraints
CORRECT ANSWER B, D
RATIONALE
Before administering morphine, the nurse should assess respiratory rate (to establish baseline)
and ask about other medications to avoid interactions. A bag-valve-mask should be available
but not necessarily at bedside unless patient is high risk.
, Question 2
A client with influenza needs help in transferring to the bedside commode. The nurse
observes the unlicensed assistive personnel donning gloves and a gown to assist the
client. Which action should the nurse take?
A. Remind the UAP to apply a fitted respirator mask before entering the client's room
B. Assign the UAP to provide care for another client and assume full care of the client
C. Instruct the UAP to notify the nurse of any changes in the client's respiratory status
D. Review the need for the UAP to wear a facemask while in close contact with the client
CORRECT ANSWER
D. Review the need for the UAP to wear a facemask while in close contact with the
client
RATIONALE
Influenza requires droplet precautions. The UAP should wear a facemask, not just gloves and
gown. The nurse should educate the UAP on correct PPE use.
Question 3
NGN: The nurse recognizes that the infant of a diabetic mother is at risk for _________,
_________, and _________
A. Hyperbilirubinemia
B. Respiratory Distress Syndrome
C. Cardiomyopathy
D. All of the above
CORRECT ANSWER D. All of the above
RATIONALE
Infants of diabetic mothers are at risk for hyperbilirubinemia (due to polycythemia), respiratory
distress syndrome (due to delayed surfactant production), and cardiomyopathy (due to
hypertrophic changes).
, Question 4
An adult female client tells the nurse that though she is afraid her abusive boyfriend
might one day kill her, she keeps hoping that he will change. Which action should the
nurse take first?
A. Report the findings to the police department
B. Explore client's readiness to discuss the situation
C. Determine the frequency and type of client abuse
D. Discuss treatment options for abusive partners
CORRECT ANSWER B. Explore client's readiness to discuss the situation
RATIONALE
Before intervening in an abusive relationship, the nurse should assess the client's readiness and
willingness to discuss the situation. This respects client autonomy and builds trust.
Question 5
NGN: What are the three most important goals for this client?
A. The client will remain free of skin breakdown
B. The client will have quit smoking
C. The client will be afebrile for 24 hours
D. The client will maintain oxygen saturation of 96% without supplemental oxygen
E. The client will report pain less than 3/10
CORRECT ANSWER A, C, D
RATIONALE
Priority goals for a client with pneumonia/hypoxia include: maintaining skin integrity (prevent
breakdown from oxygen devices), becoming afebrile (infection resolution), and maintaining
adequate oxygenation. Smoking cessation is long-term, and pain is not the primary issue.
, Question 6
The nurse is caring for a client with a fractured femur following removal of traction and
the application of a full leg cast. Which action should the nurse prioritize?
A. Leg elevation
B. Pain management
C. Ambulation teaching
D. Neurovascular checks
CORRECT ANSWER D. Neurovascular checks
RATIONALE
After cast application, the priority is to monitor for compartment syndrome through
neurovascular assessments. This is essential to detect circulatory compromise early.
Question 7
A mother brings her four-month-old son to the clinic with a quarter taped over his
umbilicus, and tells the nurse that the quarter is supposed to fix her child's hernia.
Which explanation should the nurse provide?
A. Restrictive clothing will be adequate to help the hernia go away
B. This hernia is a normal variation that resolves without treatment
C. The quarter should be secured with an elastic bandage wrap
D. An abdominal binder can be worn daily to reduce the protrusion
CORRECT ANSWER B. This hernia is a normal variation that resolves without treatment
RATIONALE
Umbilical hernias in infants are common and usually resolve spontaneously by age 2-3 years.
Taping coins or using binders is not recommended and can cause skin irritation.
Bachelor of Science in Nursing (BSN)
BSN HESI 366 RN Exit Exam 2026–2027
Comprehensive Question Bank Verified Questions & Answers
Question 1
NGN: What actions should the nurse take to assure safety during morphine
administration? SATA
A. Have a manual resuscitation bag at the bedside
B. Ask the client about other medications she takes
C. Perform a 12 lead electrocardiogram
D. Take an initial respiratory rate
E. Suction the client to clear the airway
F. Restrain the client with soft restraints
CORRECT ANSWER B, D
RATIONALE
Before administering morphine, the nurse should assess respiratory rate (to establish baseline)
and ask about other medications to avoid interactions. A bag-valve-mask should be available
but not necessarily at bedside unless patient is high risk.
, Question 2
A client with influenza needs help in transferring to the bedside commode. The nurse
observes the unlicensed assistive personnel donning gloves and a gown to assist the
client. Which action should the nurse take?
A. Remind the UAP to apply a fitted respirator mask before entering the client's room
B. Assign the UAP to provide care for another client and assume full care of the client
C. Instruct the UAP to notify the nurse of any changes in the client's respiratory status
D. Review the need for the UAP to wear a facemask while in close contact with the client
CORRECT ANSWER
D. Review the need for the UAP to wear a facemask while in close contact with the
client
RATIONALE
Influenza requires droplet precautions. The UAP should wear a facemask, not just gloves and
gown. The nurse should educate the UAP on correct PPE use.
Question 3
NGN: The nurse recognizes that the infant of a diabetic mother is at risk for _________,
_________, and _________
A. Hyperbilirubinemia
B. Respiratory Distress Syndrome
C. Cardiomyopathy
D. All of the above
CORRECT ANSWER D. All of the above
RATIONALE
Infants of diabetic mothers are at risk for hyperbilirubinemia (due to polycythemia), respiratory
distress syndrome (due to delayed surfactant production), and cardiomyopathy (due to
hypertrophic changes).
, Question 4
An adult female client tells the nurse that though she is afraid her abusive boyfriend
might one day kill her, she keeps hoping that he will change. Which action should the
nurse take first?
A. Report the findings to the police department
B. Explore client's readiness to discuss the situation
C. Determine the frequency and type of client abuse
D. Discuss treatment options for abusive partners
CORRECT ANSWER B. Explore client's readiness to discuss the situation
RATIONALE
Before intervening in an abusive relationship, the nurse should assess the client's readiness and
willingness to discuss the situation. This respects client autonomy and builds trust.
Question 5
NGN: What are the three most important goals for this client?
A. The client will remain free of skin breakdown
B. The client will have quit smoking
C. The client will be afebrile for 24 hours
D. The client will maintain oxygen saturation of 96% without supplemental oxygen
E. The client will report pain less than 3/10
CORRECT ANSWER A, C, D
RATIONALE
Priority goals for a client with pneumonia/hypoxia include: maintaining skin integrity (prevent
breakdown from oxygen devices), becoming afebrile (infection resolution), and maintaining
adequate oxygenation. Smoking cessation is long-term, and pain is not the primary issue.
, Question 6
The nurse is caring for a client with a fractured femur following removal of traction and
the application of a full leg cast. Which action should the nurse prioritize?
A. Leg elevation
B. Pain management
C. Ambulation teaching
D. Neurovascular checks
CORRECT ANSWER D. Neurovascular checks
RATIONALE
After cast application, the priority is to monitor for compartment syndrome through
neurovascular assessments. This is essential to detect circulatory compromise early.
Question 7
A mother brings her four-month-old son to the clinic with a quarter taped over his
umbilicus, and tells the nurse that the quarter is supposed to fix her child's hernia.
Which explanation should the nurse provide?
A. Restrictive clothing will be adequate to help the hernia go away
B. This hernia is a normal variation that resolves without treatment
C. The quarter should be secured with an elastic bandage wrap
D. An abdominal binder can be worn daily to reduce the protrusion
CORRECT ANSWER B. This hernia is a normal variation that resolves without treatment
RATIONALE
Umbilical hernias in infants are common and usually resolve spontaneously by age 2-3 years.
Taping coins or using binders is not recommended and can cause skin irritation.
