BSN 366 EXIT HESI V2 EXAM |
QUESTIONS AND CORRECT ANSWERS
RATED A+ | 2025/2026 GUIDE
A client is transferred to the postoperative unit after 2 hours in the post
anaesthesia care unit (PACU). What is the priority nursing action?
1. Determine the client's pain.
2. Take the client's vital signs.
3. Calculate the IV infusion rate.
4. Check the postop prescriptions.
- Correct Answer - 2. Take the client's vital signs.
The new parents express concern that they did not have the opportunity
to hold and bond with their infant immediately after birth because the
mother received anaesthesia during an emergency caesarean delivery.
What information should the nurse provide?
1. The baby is healthy and they should not worry about the delay
between birth and their first visit.
2. Early contact is essential for optimum parent-infant relationships.
3. The time immediately after birth is the critical period for human
attachment.
4. Bonding is a process that occurs over time and begins with the first
parent-newborn contact.
,- Correct Answer - 4. Bonding is a process that occurs over time and
begins with the first parent-newborn contact.
A mother calls the emergency department because her 9-year-old son
has just fallen on his face and one of his front teeth has fallen out. Which
instructions should the nurse provide to preserve the tooth's viability?
1. Clean the tooth with toothpaste.
2. Place the tooth in milk or water.
3. Put the tooth back in the child's mouth.
4. Gently place the tooth in a plastic bag.
- Correct Answer - 2. Place the tooth in milk or water.
A newborn is brought to the admissions nursery by the nurse and the
father of the baby.
The baby weighs 9 pounds 3 ounces and measures 21 inches head to
toe. Which description is a correct assessment of this infant?
1. Above average in weight but average in length.
2. Above average in weight and length.
3. Above average in weight but below average in length.
4. Macrosomia with an average length.
- Correct Answer - 1. Above average in weight but average in length.
,Which outcome is best for the nurse to include in the plan of care for a
client with impaired social interaction and obsessive-compulsive
disorder?
1. Describes success in dismissing persistent thoughts that used be
bothersome.
2. Reports that the obsessions and compulsions experienced are silly.
3. Avoids obsessive verbalizations while interacting with family and staff.
4. Participates in one social or recreational activity each morning and
afternoon.
- Correct Answer - 4. Participates in one social or recreational activity
each morning and afternoon.
A multigravida at 41-weeks gestation is receiving an oxytocin (Pitocin)
infusion for induction of labor. The nurse notes the fetal heart rate (FHR)
drops sharply from the baseline for 30 seconds during the peak of a
contraction and then returns to the baseline before the end of the
contraction. What action should the nurse implement at this time?
1. Discontinue the oxytocin (Pitocin) infusion.
2. Notify the healthcare provider.
3. Administer 10 L of oxygen via face mask.
4. Place the client on her left side.
- Correct Answer - 4. Place the client on her left side.
, Which clinical finding should the nurse identify in a client who is admitted
with cardiac cirrhosis?
1. Jaundice.
2. Vomiting.
3. Peripheral edema.
4. Left upper quadrant pain. - Correct Answer - 3. Peripheral edema.
Yesterday a female client who is delusional told the nurse that her
healthcare provider needs to be released from her case because they
are going to get married on her birthday. Which statement made by the
client today indicates that the client is less delusional?
1. "I really wish that my birthday wasn't so soon."
2. "I don't talk about things like that anymore."
3. "The doctor won't talk with me about this."
4. "I think I should talk about this in group."
- Correct Answer - 2. "I don't talk about things like
that anymore."
The nurse is assessing a client with multiple trauma from a motorcycle
crash who is being ventilated due to multiple organ dysfunction
syndrome (MODS). Which system assessment should the nurse monitor
as an indicator of MODS progression?
1. Cardiac function.
QUESTIONS AND CORRECT ANSWERS
RATED A+ | 2025/2026 GUIDE
A client is transferred to the postoperative unit after 2 hours in the post
anaesthesia care unit (PACU). What is the priority nursing action?
1. Determine the client's pain.
2. Take the client's vital signs.
3. Calculate the IV infusion rate.
4. Check the postop prescriptions.
- Correct Answer - 2. Take the client's vital signs.
The new parents express concern that they did not have the opportunity
to hold and bond with their infant immediately after birth because the
mother received anaesthesia during an emergency caesarean delivery.
What information should the nurse provide?
1. The baby is healthy and they should not worry about the delay
between birth and their first visit.
2. Early contact is essential for optimum parent-infant relationships.
3. The time immediately after birth is the critical period for human
attachment.
4. Bonding is a process that occurs over time and begins with the first
parent-newborn contact.
,- Correct Answer - 4. Bonding is a process that occurs over time and
begins with the first parent-newborn contact.
A mother calls the emergency department because her 9-year-old son
has just fallen on his face and one of his front teeth has fallen out. Which
instructions should the nurse provide to preserve the tooth's viability?
1. Clean the tooth with toothpaste.
2. Place the tooth in milk or water.
3. Put the tooth back in the child's mouth.
4. Gently place the tooth in a plastic bag.
- Correct Answer - 2. Place the tooth in milk or water.
A newborn is brought to the admissions nursery by the nurse and the
father of the baby.
The baby weighs 9 pounds 3 ounces and measures 21 inches head to
toe. Which description is a correct assessment of this infant?
1. Above average in weight but average in length.
2. Above average in weight and length.
3. Above average in weight but below average in length.
4. Macrosomia with an average length.
- Correct Answer - 1. Above average in weight but average in length.
,Which outcome is best for the nurse to include in the plan of care for a
client with impaired social interaction and obsessive-compulsive
disorder?
1. Describes success in dismissing persistent thoughts that used be
bothersome.
2. Reports that the obsessions and compulsions experienced are silly.
3. Avoids obsessive verbalizations while interacting with family and staff.
4. Participates in one social or recreational activity each morning and
afternoon.
- Correct Answer - 4. Participates in one social or recreational activity
each morning and afternoon.
A multigravida at 41-weeks gestation is receiving an oxytocin (Pitocin)
infusion for induction of labor. The nurse notes the fetal heart rate (FHR)
drops sharply from the baseline for 30 seconds during the peak of a
contraction and then returns to the baseline before the end of the
contraction. What action should the nurse implement at this time?
1. Discontinue the oxytocin (Pitocin) infusion.
2. Notify the healthcare provider.
3. Administer 10 L of oxygen via face mask.
4. Place the client on her left side.
- Correct Answer - 4. Place the client on her left side.
, Which clinical finding should the nurse identify in a client who is admitted
with cardiac cirrhosis?
1. Jaundice.
2. Vomiting.
3. Peripheral edema.
4. Left upper quadrant pain. - Correct Answer - 3. Peripheral edema.
Yesterday a female client who is delusional told the nurse that her
healthcare provider needs to be released from her case because they
are going to get married on her birthday. Which statement made by the
client today indicates that the client is less delusional?
1. "I really wish that my birthday wasn't so soon."
2. "I don't talk about things like that anymore."
3. "The doctor won't talk with me about this."
4. "I think I should talk about this in group."
- Correct Answer - 2. "I don't talk about things like
that anymore."
The nurse is assessing a client with multiple trauma from a motorcycle
crash who is being ventilated due to multiple organ dysfunction
syndrome (MODS). Which system assessment should the nurse monitor
as an indicator of MODS progression?
1. Cardiac function.
