Nightingale College | BSN 366 HESI RN Exit Examination
BSN 366 HESI RN Exit Examination
2026/2027 | Verified Questions
Nightingale College | HESI RN Exit Examination | Professional Nursing Candidates
150 Verified Questions | 8 Core Domains | Academic Year 2026/2027
Prepared by
Nightingale College | BSN 366 HESI RN Exit Examination
HESI RN Exit Examination Actual Exam | Academic Year 2026/2027
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full BSN 366 HESI
RN Exit Examination for the 2026/2027 academic year. The questions are organized across eight core
domains: Management of Care; Safety and Infection Control; Health Promotion and Maintenance;
Psychosocial Integrity; Basic Care and Comfort; Pharmacological and Parenteral Therapies; Reduction of
Risk Potential; and Physiological Adaptation. Content is original and designed to reinforce the official
Nightingale College BSN 366 course objectives for actual exam readiness and NCLEX-RN proficiency,
aligned to the 2026/2027 academic year.
ACTUAL QUESTIONS
Domain 1: Management of Care
Question 1. A client states that the surgeon did not explain the risks of the planned
procedure and that consent was signed without understanding. The nurse’s priority action
is to:
A. Proceed because the consent form is already signed
B. Notify the surgeon that the client does not understand and that consent may be invalid
C. Ask the family to explain the procedure
D. Administer preoperative medication as ordered
Correct Answer: B
Rationale: Informed consent requires that the client understand the procedure, risks, benefits, and
alternatives. If understanding is lacking, the surgeon must be notified before proceeding.
Question 2. Which task is appropriate to assign to a practical/vocational nurse (PN) for a
stable client?
A. Developing the initial plan of care
B. Administering oral medications and performing routine sterile dressing changes within scope
C. Performing the initial comprehensive admission assessment
D. Teaching a newly diagnosed client about insulin self-administration
Correct Answer: A
Rationale: PNs may administer medications and perform routine procedures for stable clients under
RN direction; initial assessment, care planning, and complex teaching remain RN responsibilities.
Question 3. An unlicensed assistive personnel (UAP) may be delegated which of the
following tasks?
A. Evaluating a client’s response to pain medication
B. Ambulating a stable client and recording intake and output
C. Assessing a new surgical wound
D. Teaching incentive spirometry technique
Correct Answer: C
Rationale: UAPs may assist with activities of daily living and collect routine data for stable clients;
assessment, teaching, and evaluation cannot be delegated.
Question 4. A nurse receives a telephone order for a medication dosage that seems
unusually high. The priority action is to:
A. Administer the dose as ordered
B. Withhold the medication until the dosage can be clarified with the provider
C. Ask another nurse to administer it
D. Document the order and give the dose
Correct Answer: A
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
,Rationale: When a medication order appears unsafe, the nurse must clarify with the prescribing
provider before administration to protect the client.
Question 5. Which client is the most appropriate assignment for a float nurse from a
medical unit with no recent critical-care experience?
A. A client in septic shock on multiple vasopressors
B. A stable client with heart failure on oral medications awaiting discharge teaching
C. A newly extubated client on high-flow oxygen
D. A client with an unstable airway
Correct Answer: C
Rationale: Float nurses should be assigned stable clients within their competencies; unstable or highly
specialized clients remain with experienced unit staff.
Question 6. A family member asks whether a client has been admitted. The nurse’s
appropriate response is based on:
A. Confirming the admission because the caller sounds concerned
B. Respecting confidentiality and releasing information only with proper authorization
C. Providing the room number without verification
D. Discussing the diagnosis freely
Correct Answer: A
Rationale: HIPAA requires that protected health information not be disclosed without authorization;
admission status is protected.
Question 7. The charge nurse is preparing the assignment for the shift. Which client should
be assigned to the most experienced RN?
A. A stable client with a chronic wound requiring routine dressing change
B. A client who is newly post-operative after major abdominal surgery with fluctuating vital signs
C. A client awaiting discharge teaching for diabetes
D. A client requesting assistance with meal setup
Correct Answer: D
Rationale: Unstable or complex post-operative clients require the highest level of clinical judgment and
should be assigned to the most experienced RN.
Question 8. A client with a do-not-resuscitate (DNR) order experiences cardiac arrest. The
nurse should:
A. Initiate full resuscitation
B. Honor the DNR order and provide comfort measures consistent with the goals of care
C. Ask the family to decide at the moment of arrest
D. Begin CPR while awaiting family arrival
Correct Answer: A
Rationale: A valid DNR order directs that resuscitative measures not be initiated; the nurse provides
comfort and supportive care.
Question 9. Which situation requires the nurse to complete an occurrence (incident)
report?
A. A client refuses a medication after discussion
B. A client falls while ambulating, even if no injury is apparent
C. A client requests a different meal choice
D. A client asks a question about the discharge plan
Correct Answer: B
Rationale: Falls and other unexpected events with potential for harm are reported through the
occurrence-reporting system for quality improvement.
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
, Question 10. The nurse observes a colleague who appears impaired while on duty. The
priority action is to:
A. Ignore the observation
B. Follow institutional policy for reporting concerns about impaired colleagues to protect client safety
C. Confront the colleague aggressively in front of clients
D. Wait until the end of the shift without action
Correct Answer: C
Rationale: Client safety requires prompt reporting through established channels; impaired
performance must not continue.
Question 11. Which statement about informed consent is correct?
A. The nurse is solely responsible for explaining all surgical risks
B. The surgeon obtains informed consent; the nurse verifies that the client understands before
preoperative medications are given
C. Consent can be obtained after the client has received sedating medication
D. Family members can always sign without the client’s involvement
Correct Answer: B
Rationale: The surgeon discloses risks, benefits, and alternatives; the nurse acts as advocate and
witness, ensuring understanding before sedation.
Question 12. A client with limited English proficiency requires informed consent. The
nurse ensures that:
A. A family member translates all medical information
B. A qualified medical interpreter is used to explain the procedure and obtain consent
C. Consent is obtained without interpretation to save time
D. Only written English materials are provided
Correct Answer: D
Rationale: Qualified interpreters ensure accurate communication so that consent is truly informed.
Question 13. Which client care activity may be delegated to an experienced UAP?
A. Assessing the quality of a client’s pain after medication
B. Gathering the client’s personal belongings and escorting the client to the exit at discharge as
directed
C. Teaching a client about wound care
D. Evaluating the effectiveness of a new care plan
Correct Answer: B
Rationale: UAPs may assist with logistics of discharge; teaching and verification of understanding
remain nursing responsibilities.
Question 14. The nurse prioritizes care for which client first when all four signal for
assistance simultaneously?
A. Client requesting water
B. Client reporting new onset of difficulty breathing
C. Client asking for the television remote
D. Client requesting a pillow adjustment
Correct Answer: A
Rationale: New dyspnea is a potential airway/breathing emergency and is assessed before comfort
requests.
Question 15. Which finding must be reported by the nurse as possible child abuse?
A. Well-kept appearance and appropriate caregiver interaction
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
BSN 366 HESI RN Exit Examination
2026/2027 | Verified Questions
Nightingale College | HESI RN Exit Examination | Professional Nursing Candidates
150 Verified Questions | 8 Core Domains | Academic Year 2026/2027
Prepared by
Nightingale College | BSN 366 HESI RN Exit Examination
HESI RN Exit Examination Actual Exam | Academic Year 2026/2027
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full BSN 366 HESI
RN Exit Examination for the 2026/2027 academic year. The questions are organized across eight core
domains: Management of Care; Safety and Infection Control; Health Promotion and Maintenance;
Psychosocial Integrity; Basic Care and Comfort; Pharmacological and Parenteral Therapies; Reduction of
Risk Potential; and Physiological Adaptation. Content is original and designed to reinforce the official
Nightingale College BSN 366 course objectives for actual exam readiness and NCLEX-RN proficiency,
aligned to the 2026/2027 academic year.
ACTUAL QUESTIONS
Domain 1: Management of Care
Question 1. A client states that the surgeon did not explain the risks of the planned
procedure and that consent was signed without understanding. The nurse’s priority action
is to:
A. Proceed because the consent form is already signed
B. Notify the surgeon that the client does not understand and that consent may be invalid
C. Ask the family to explain the procedure
D. Administer preoperative medication as ordered
Correct Answer: B
Rationale: Informed consent requires that the client understand the procedure, risks, benefits, and
alternatives. If understanding is lacking, the surgeon must be notified before proceeding.
Question 2. Which task is appropriate to assign to a practical/vocational nurse (PN) for a
stable client?
A. Developing the initial plan of care
B. Administering oral medications and performing routine sterile dressing changes within scope
C. Performing the initial comprehensive admission assessment
D. Teaching a newly diagnosed client about insulin self-administration
Correct Answer: A
Rationale: PNs may administer medications and perform routine procedures for stable clients under
RN direction; initial assessment, care planning, and complex teaching remain RN responsibilities.
Question 3. An unlicensed assistive personnel (UAP) may be delegated which of the
following tasks?
A. Evaluating a client’s response to pain medication
B. Ambulating a stable client and recording intake and output
C. Assessing a new surgical wound
D. Teaching incentive spirometry technique
Correct Answer: C
Rationale: UAPs may assist with activities of daily living and collect routine data for stable clients;
assessment, teaching, and evaluation cannot be delegated.
Question 4. A nurse receives a telephone order for a medication dosage that seems
unusually high. The priority action is to:
A. Administer the dose as ordered
B. Withhold the medication until the dosage can be clarified with the provider
C. Ask another nurse to administer it
D. Document the order and give the dose
Correct Answer: A
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
,Rationale: When a medication order appears unsafe, the nurse must clarify with the prescribing
provider before administration to protect the client.
Question 5. Which client is the most appropriate assignment for a float nurse from a
medical unit with no recent critical-care experience?
A. A client in septic shock on multiple vasopressors
B. A stable client with heart failure on oral medications awaiting discharge teaching
C. A newly extubated client on high-flow oxygen
D. A client with an unstable airway
Correct Answer: C
Rationale: Float nurses should be assigned stable clients within their competencies; unstable or highly
specialized clients remain with experienced unit staff.
Question 6. A family member asks whether a client has been admitted. The nurse’s
appropriate response is based on:
A. Confirming the admission because the caller sounds concerned
B. Respecting confidentiality and releasing information only with proper authorization
C. Providing the room number without verification
D. Discussing the diagnosis freely
Correct Answer: A
Rationale: HIPAA requires that protected health information not be disclosed without authorization;
admission status is protected.
Question 7. The charge nurse is preparing the assignment for the shift. Which client should
be assigned to the most experienced RN?
A. A stable client with a chronic wound requiring routine dressing change
B. A client who is newly post-operative after major abdominal surgery with fluctuating vital signs
C. A client awaiting discharge teaching for diabetes
D. A client requesting assistance with meal setup
Correct Answer: D
Rationale: Unstable or complex post-operative clients require the highest level of clinical judgment and
should be assigned to the most experienced RN.
Question 8. A client with a do-not-resuscitate (DNR) order experiences cardiac arrest. The
nurse should:
A. Initiate full resuscitation
B. Honor the DNR order and provide comfort measures consistent with the goals of care
C. Ask the family to decide at the moment of arrest
D. Begin CPR while awaiting family arrival
Correct Answer: A
Rationale: A valid DNR order directs that resuscitative measures not be initiated; the nurse provides
comfort and supportive care.
Question 9. Which situation requires the nurse to complete an occurrence (incident)
report?
A. A client refuses a medication after discussion
B. A client falls while ambulating, even if no injury is apparent
C. A client requests a different meal choice
D. A client asks a question about the discharge plan
Correct Answer: B
Rationale: Falls and other unexpected events with potential for harm are reported through the
occurrence-reporting system for quality improvement.
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
, Question 10. The nurse observes a colleague who appears impaired while on duty. The
priority action is to:
A. Ignore the observation
B. Follow institutional policy for reporting concerns about impaired colleagues to protect client safety
C. Confront the colleague aggressively in front of clients
D. Wait until the end of the shift without action
Correct Answer: C
Rationale: Client safety requires prompt reporting through established channels; impaired
performance must not continue.
Question 11. Which statement about informed consent is correct?
A. The nurse is solely responsible for explaining all surgical risks
B. The surgeon obtains informed consent; the nurse verifies that the client understands before
preoperative medications are given
C. Consent can be obtained after the client has received sedating medication
D. Family members can always sign without the client’s involvement
Correct Answer: B
Rationale: The surgeon discloses risks, benefits, and alternatives; the nurse acts as advocate and
witness, ensuring understanding before sedation.
Question 12. A client with limited English proficiency requires informed consent. The
nurse ensures that:
A. A family member translates all medical information
B. A qualified medical interpreter is used to explain the procedure and obtain consent
C. Consent is obtained without interpretation to save time
D. Only written English materials are provided
Correct Answer: D
Rationale: Qualified interpreters ensure accurate communication so that consent is truly informed.
Question 13. Which client care activity may be delegated to an experienced UAP?
A. Assessing the quality of a client’s pain after medication
B. Gathering the client’s personal belongings and escorting the client to the exit at discharge as
directed
C. Teaching a client about wound care
D. Evaluating the effectiveness of a new care plan
Correct Answer: B
Rationale: UAPs may assist with logistics of discharge; teaching and verification of understanding
remain nursing responsibilities.
Question 14. The nurse prioritizes care for which client first when all four signal for
assistance simultaneously?
A. Client requesting water
B. Client reporting new onset of difficulty breathing
C. Client asking for the television remote
D. Client requesting a pillow adjustment
Correct Answer: A
Rationale: New dyspnea is a potential airway/breathing emergency and is assessed before comfort
requests.
Question 15. Which finding must be reported by the nurse as possible child abuse?
A. Well-kept appearance and appropriate caregiver interaction
BSN 366 HESI RN Exit Examination 2026/2027 | Verified Questions
