BSNl 366l HESIl RNl Exitl Examl (Latestl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Nightingale
Q:l Thel nursel shouldl recognizel thatl physicall dependencel isl accompaniedl byl what
findingsl whenl alcoholl consumptionl isl firstl reducedl orl ended?l
A)l Seizures
B)l Withdrawal
C)l Craving
D)l Markedl tolerance
Answer:
B)l Withdrawal
Q:l Immediatelyl followingl anl acutel batteringl incidentl inl al violentl relationship,l the
battererl mayl respondl tol thel partner'sl injuriesl by
A)l Seekingl medicall helpl forl thel victim'sl injuries
B)l Minimizingl thel episodel andl underestimatingl thel victim'sl injuriesl
C)l Contactingl al closel friendl andl askingl forl help
D)l Beingl veryl remorsefull andl assistingl thel victiml withl medicall care
Answer:
B)l Minimizingl thel episodel andl underestimatingl thel victim'sl injuries
Q:l Al clientl withl pneumococcall pneumonial hadl beenl startedl onl antibioticsl 16l hoursl
ago.Duringl thel nurse'sl initiall eveningl roundsl thel nursel noticesl al foull smelll inl thel
room.l Thel clientl makesl alll ofl thesel statementsl duringl theirl conversation.l Whichl
statementl wouldl alertl thel nursel tol al complication?
A)l "Il havel al sharpl painl inl myl chestl whenl Il takel al breath.
"B)l "Il havel beenl coughingl upl foul-tasting,l brown,l thickl sputum.
"l C)l "Il havel beenl sweatingl alll day.
"D)l "Il feell hotl offl andl on."
,Answer:
"B)l "Il havel beenl coughingl upl foul-tasting,l brown,l thickl sputum.
Q:l Thel nursel isl performingl anl assessmentl onl al clientl inl congestivel heartl failure.l
Auscultationl ofl thel heartl isl mostl likelyl tol reveal
A)l S3l ventricularl gallop
B)l Apicall click
C)l Systolicl murmurl
D)l Splitl S2
Answer:
A)l S3l ventricularl gallop
Q:l Whichl ofl thesel observationsl madel byl thel nursel duringl anl excretoryl urograml
indicatel al complicaton?
A)l Thel clientl complainsl ofl al saltyl tastel inl thel mouthl whenl thel dyel isl injected
B)l Thel client'sl entirel bodyl turnsl al brightl redl color
C)l Thel clientl statesl "Il havel al feelingl ofl gettingl warm."l
D)l Thel clientl gagsl andl complainsl "l Il aml gettingl sick."
Answer:
B)l Thel client'sl entirel bodyl turnsl al brightl redl color
Q:l Al clientl isl diagnosedl withl al spontaneousl pneumothoraxl necessitatingl thel insertionl
ofl al chestl tube.l Whatl isl thel bestl explanationl forl thel nursel tol providel thisl client?
A)l "Thel tubel willl drainl fluidl froml yourl chest.
"B)l "Thel tubel willl removel excessl airl froml yourl chest."
C)l "Thel tubel controlsl thel amountl ofl airl thatl entersl yourl chest.
"l D)l "Thel tubel willl seall thel holel inl yourl lung."
Answer:
"B)l "Thel tubel willl removel excessl airl froml yourl chest."
,Q:l Thel nursel isl reviewingl laboratoryl resultsl onl al clientl withl acutel renall failure.l
Whichl onel ofl thel followingl shouldl bel reportedl immediately?
A)l Bloodl ureal nitrogenl 50l mg/dl
B)l Hemoglobinl ofl 10.3l mg/dl
C)l Venousl bloodl pHl 7.30
D)l Seruml potassiuml 6l mEq/L
Answer:
D)l Seruml potassiuml 6l mEq/L
Q:l Thel nursel isl caringl forl al clientl undergoingl thel placementl ofl al centrall venousl
catheterl line.l Whichl ofl thel followingl wouldl requirel thel nurse'sl immediatel attention?
A)l Pallor
B)l Increasedl temperature
C)l Dyspnea
D)l Involuntaryl musclel spasms
Answer:
C)l Dyspnea
Q:l Thel nursel isl performingl al physicall assessmentl onl al clientl whol justl hadl anl
endotracheall tubel inserted.l Whichl findingl wouldl calll forl immediatel actionl byl thel nurse?
A)l Breathl soundsl canl bel heardl bilaterally
B)l Mistl isl visiblel inl thel T-Piece
C)l Pulsel oximetryl ofl 88
D)l Clientl isl unablel tol speak
Answer:
C)l Pulsel oximetryl ofl 88
Q:l Al nursel checksl al clientl whol isl onl al volume-cycledl ventilator.l Whichl findingl
indicatesl thatl thel clientl mayl needl suctioning?A)l Drowsiness
B)l Complaintl ofl nauseal
C)l Pulsel ratel ofl 92
D)l Restlessness
, Answer:
D)l Restlessness
Q:l Duringl thel evaluationl phasel forl al client,l thel nursel shouldl focusl on
A)l Alll findingl ofl physicall andl psychosociall stressorsl ofl thel clientl andl inl thel family
B)l Thel client'sl status,l progressl towardl goall achievement,l andl ongoingl re-evaluation
C)l Settingl shortl andl long-terml goalsl tol insurel continuityl ofl carel froml hospitall tol home
l D)l Selectl interventionsl thatl arel measurablel andl achievablel withinl selectedl timeframes
Answer:
B)l Thel client'sl status,l progressl towardl goall achievement,l andl ongoingl re-evaluation
Q:l Thel schooll nursel suspectsl thatl al thirdl gradel childl mightl havel Attentionl Deficitl
Hyperactivityl Disorder.l Priorl tol referringl thel childl forl furtherl evaluation,l thel nursel
should
A)l Observel thel child'sl behaviorl onl atl leastl 2l occasions
B)l Consultl withl thel teacherl aboutl howl tol controll impulsivity
C)l Compilel al historyl ofl behaviorl patternsl andl developmentall accomplishmentsl
D)l Comparel thel child'sl behaviorl withl classicl signsl andl symptoms
Answer:
C)l Compilel al historyl ofl behaviorl patternsl andl developmentall accomplishments
Q:l Whichl ofl thel actionsl suggestedl tol thel RNl byl thel PNl duringl al planningl
conferencel forl al 10l month-oldl infantl admittedl 2l hoursl agol withl bacteriall meningitisl
wouldl bel acceptablel tol addl tol thel planl ofl care?
A)l Measurel headl circumference
B)l Placel inl airbornel isolation
C)l Providel passivel rangel ofl motion
D)l Providel anl over-the-cribl protectivel top
Answer:
A)l Measurel headl circumference
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Nightingale
Q:l Thel nursel shouldl recognizel thatl physicall dependencel isl accompaniedl byl what
findingsl whenl alcoholl consumptionl isl firstl reducedl orl ended?l
A)l Seizures
B)l Withdrawal
C)l Craving
D)l Markedl tolerance
Answer:
B)l Withdrawal
Q:l Immediatelyl followingl anl acutel batteringl incidentl inl al violentl relationship,l the
battererl mayl respondl tol thel partner'sl injuriesl by
A)l Seekingl medicall helpl forl thel victim'sl injuries
B)l Minimizingl thel episodel andl underestimatingl thel victim'sl injuriesl
C)l Contactingl al closel friendl andl askingl forl help
D)l Beingl veryl remorsefull andl assistingl thel victiml withl medicall care
Answer:
B)l Minimizingl thel episodel andl underestimatingl thel victim'sl injuries
Q:l Al clientl withl pneumococcall pneumonial hadl beenl startedl onl antibioticsl 16l hoursl
ago.Duringl thel nurse'sl initiall eveningl roundsl thel nursel noticesl al foull smelll inl thel
room.l Thel clientl makesl alll ofl thesel statementsl duringl theirl conversation.l Whichl
statementl wouldl alertl thel nursel tol al complication?
A)l "Il havel al sharpl painl inl myl chestl whenl Il takel al breath.
"B)l "Il havel beenl coughingl upl foul-tasting,l brown,l thickl sputum.
"l C)l "Il havel beenl sweatingl alll day.
"D)l "Il feell hotl offl andl on."
,Answer:
"B)l "Il havel beenl coughingl upl foul-tasting,l brown,l thickl sputum.
Q:l Thel nursel isl performingl anl assessmentl onl al clientl inl congestivel heartl failure.l
Auscultationl ofl thel heartl isl mostl likelyl tol reveal
A)l S3l ventricularl gallop
B)l Apicall click
C)l Systolicl murmurl
D)l Splitl S2
Answer:
A)l S3l ventricularl gallop
Q:l Whichl ofl thesel observationsl madel byl thel nursel duringl anl excretoryl urograml
indicatel al complicaton?
A)l Thel clientl complainsl ofl al saltyl tastel inl thel mouthl whenl thel dyel isl injected
B)l Thel client'sl entirel bodyl turnsl al brightl redl color
C)l Thel clientl statesl "Il havel al feelingl ofl gettingl warm."l
D)l Thel clientl gagsl andl complainsl "l Il aml gettingl sick."
Answer:
B)l Thel client'sl entirel bodyl turnsl al brightl redl color
Q:l Al clientl isl diagnosedl withl al spontaneousl pneumothoraxl necessitatingl thel insertionl
ofl al chestl tube.l Whatl isl thel bestl explanationl forl thel nursel tol providel thisl client?
A)l "Thel tubel willl drainl fluidl froml yourl chest.
"B)l "Thel tubel willl removel excessl airl froml yourl chest."
C)l "Thel tubel controlsl thel amountl ofl airl thatl entersl yourl chest.
"l D)l "Thel tubel willl seall thel holel inl yourl lung."
Answer:
"B)l "Thel tubel willl removel excessl airl froml yourl chest."
,Q:l Thel nursel isl reviewingl laboratoryl resultsl onl al clientl withl acutel renall failure.l
Whichl onel ofl thel followingl shouldl bel reportedl immediately?
A)l Bloodl ureal nitrogenl 50l mg/dl
B)l Hemoglobinl ofl 10.3l mg/dl
C)l Venousl bloodl pHl 7.30
D)l Seruml potassiuml 6l mEq/L
Answer:
D)l Seruml potassiuml 6l mEq/L
Q:l Thel nursel isl caringl forl al clientl undergoingl thel placementl ofl al centrall venousl
catheterl line.l Whichl ofl thel followingl wouldl requirel thel nurse'sl immediatel attention?
A)l Pallor
B)l Increasedl temperature
C)l Dyspnea
D)l Involuntaryl musclel spasms
Answer:
C)l Dyspnea
Q:l Thel nursel isl performingl al physicall assessmentl onl al clientl whol justl hadl anl
endotracheall tubel inserted.l Whichl findingl wouldl calll forl immediatel actionl byl thel nurse?
A)l Breathl soundsl canl bel heardl bilaterally
B)l Mistl isl visiblel inl thel T-Piece
C)l Pulsel oximetryl ofl 88
D)l Clientl isl unablel tol speak
Answer:
C)l Pulsel oximetryl ofl 88
Q:l Al nursel checksl al clientl whol isl onl al volume-cycledl ventilator.l Whichl findingl
indicatesl thatl thel clientl mayl needl suctioning?A)l Drowsiness
B)l Complaintl ofl nauseal
C)l Pulsel ratel ofl 92
D)l Restlessness
, Answer:
D)l Restlessness
Q:l Duringl thel evaluationl phasel forl al client,l thel nursel shouldl focusl on
A)l Alll findingl ofl physicall andl psychosociall stressorsl ofl thel clientl andl inl thel family
B)l Thel client'sl status,l progressl towardl goall achievement,l andl ongoingl re-evaluation
C)l Settingl shortl andl long-terml goalsl tol insurel continuityl ofl carel froml hospitall tol home
l D)l Selectl interventionsl thatl arel measurablel andl achievablel withinl selectedl timeframes
Answer:
B)l Thel client'sl status,l progressl towardl goall achievement,l andl ongoingl re-evaluation
Q:l Thel schooll nursel suspectsl thatl al thirdl gradel childl mightl havel Attentionl Deficitl
Hyperactivityl Disorder.l Priorl tol referringl thel childl forl furtherl evaluation,l thel nursel
should
A)l Observel thel child'sl behaviorl onl atl leastl 2l occasions
B)l Consultl withl thel teacherl aboutl howl tol controll impulsivity
C)l Compilel al historyl ofl behaviorl patternsl andl developmentall accomplishmentsl
D)l Comparel thel child'sl behaviorl withl classicl signsl andl symptoms
Answer:
C)l Compilel al historyl ofl behaviorl patternsl andl developmentall accomplishments
Q:l Whichl ofl thel actionsl suggestedl tol thel RNl byl thel PNl duringl al planningl
conferencel forl al 10l month-oldl infantl admittedl 2l hoursl agol withl bacteriall meningitisl
wouldl bel acceptablel tol addl tol thel planl ofl care?
A)l Measurel headl circumference
B)l Placel inl airbornel isolation
C)l Providel passivel rangel ofl motion
D)l Providel anl over-the-cribl protectivel top
Answer:
A)l Measurel headl circumference
