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BSN 366
BSN 366 HESI RN EXIT PRACTICE EXAM
(NEW 2025/ 2026 UPDATE) QUESTIONS
& ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. A woman is brought to the labor and delivery unti after
delivering a term infant and the placenta in the hospital parking
lot 10 minutes ago. Which action should the nurse perform
first?: Perform a fundal massage
2. A client has a new prescription for the maximum recommended
dosage of pipercillin/tazobactam for nosocomial pneumonia.
The nurse should report which laboratory finding to the
healthcare provider before administering the prescribed dose?:
Decrease serum creatine
3. A client who is admitted with diabetic ketoacidosis (DKA) is
demonstrating Kussmaul breathing and has a severe headache
along with nausea. Her arterial blood gases (ABG) are: pH 7.50;
PaCO2 30 mmHg; HCO3 24 mEq/L (24mmol/L). Which
BSN 366
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BSN 366
assessment finding warrants immediate intervention by the
nurse?: Fruity breath
4. When performing postural drainage on a client with Chronic
Obstructive Pulmonary disease (COPD), which approach
should the nurse use?: Explain that the client may be placed in
five positions
5. A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to
save his life. The healthcare provider knows the client has a
good prognosis and refuses to write a "do not resuscitate"
(DNR) prescription. Which action should the nurse take?:
Initiate an ethics committee review
6. In observing a clients face, which assessment finding requires
the most immediate intervention by the nurse?: Oral mucosa is
cyanotic Blue lips
7. The nurse is assessing a client with cirrhosis and notes that the
client has a positive Babinski reflex. Which action should the
BSN 366
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BSN 366
nurse take in response to the finding?: Complete a thorough
neurological assessment
8. Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?: Ensure continued sterility of the specimen container
9. The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support
while rising to a standing position. Which action should the
nurse take?: Hold the walker securely to prevent slipping while the
client raises
10. A client with cancer complains of fever, chills, malaise, and
headache following administration of a colony-stimulating
factor. Which nursing intervention is most beneficial in helping
to reduce the flu like symptoms?: Monitor lab values for an
increase in WBCs
11. Which laboratory value should the nurse review prior to
administering the initial dose of a statin medication?: Serum
liver enzymes
BSN 366
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BSN 366
12. Following a lumbar puncture, a client voices several
concerns. Which concern indicates to the nurse that the client
is experiencing a complication of the procedure?: I have a
headache that gets worse when I sit up
13. The nurse is caring for a client withdrawing from a fentanyl
citrate addiction. The client receives a prescription for clonidine
0.2 mg PO taken twice daily. Which action should the nurse
take?: Advise to sit up slowly from a reclining position
14. A 7-year-old child is admitted to the hospital with a diagnosis
of acute rheumatic fever. In obtaining a health history form the
child's mother, the recent occurrence of what illness is most
significant?: Sore throat
15. Following discharge teaching, a client with a duodenal ulcer
tells the nurse of plans to eat plenty of dairy products, such as
milk, to help coat and protect their ulcer. Which is the best
follow-up action by the nurse?: Review with the client the need to
avoid foods that are rich in milk and cream
BSN 366
BSN 366
BSN 366 HESI RN EXIT PRACTICE EXAM
(NEW 2025/ 2026 UPDATE) QUESTIONS
& ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. A woman is brought to the labor and delivery unti after
delivering a term infant and the placenta in the hospital parking
lot 10 minutes ago. Which action should the nurse perform
first?: Perform a fundal massage
2. A client has a new prescription for the maximum recommended
dosage of pipercillin/tazobactam for nosocomial pneumonia.
The nurse should report which laboratory finding to the
healthcare provider before administering the prescribed dose?:
Decrease serum creatine
3. A client who is admitted with diabetic ketoacidosis (DKA) is
demonstrating Kussmaul breathing and has a severe headache
along with nausea. Her arterial blood gases (ABG) are: pH 7.50;
PaCO2 30 mmHg; HCO3 24 mEq/L (24mmol/L). Which
BSN 366
, 2
BSN 366
assessment finding warrants immediate intervention by the
nurse?: Fruity breath
4. When performing postural drainage on a client with Chronic
Obstructive Pulmonary disease (COPD), which approach
should the nurse use?: Explain that the client may be placed in
five positions
5. A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to
save his life. The healthcare provider knows the client has a
good prognosis and refuses to write a "do not resuscitate"
(DNR) prescription. Which action should the nurse take?:
Initiate an ethics committee review
6. In observing a clients face, which assessment finding requires
the most immediate intervention by the nurse?: Oral mucosa is
cyanotic Blue lips
7. The nurse is assessing a client with cirrhosis and notes that the
client has a positive Babinski reflex. Which action should the
BSN 366
, 3
BSN 366
nurse take in response to the finding?: Complete a thorough
neurological assessment
8. Which action should the nurse take first after obtaining a urine
specimen for culture and sensitivity from an indwelling urinary
catheter?: Ensure continued sterility of the specimen container
9. The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support
while rising to a standing position. Which action should the
nurse take?: Hold the walker securely to prevent slipping while the
client raises
10. A client with cancer complains of fever, chills, malaise, and
headache following administration of a colony-stimulating
factor. Which nursing intervention is most beneficial in helping
to reduce the flu like symptoms?: Monitor lab values for an
increase in WBCs
11. Which laboratory value should the nurse review prior to
administering the initial dose of a statin medication?: Serum
liver enzymes
BSN 366
, 4
BSN 366
12. Following a lumbar puncture, a client voices several
concerns. Which concern indicates to the nurse that the client
is experiencing a complication of the procedure?: I have a
headache that gets worse when I sit up
13. The nurse is caring for a client withdrawing from a fentanyl
citrate addiction. The client receives a prescription for clonidine
0.2 mg PO taken twice daily. Which action should the nurse
take?: Advise to sit up slowly from a reclining position
14. A 7-year-old child is admitted to the hospital with a diagnosis
of acute rheumatic fever. In obtaining a health history form the
child's mother, the recent occurrence of what illness is most
significant?: Sore throat
15. Following discharge teaching, a client with a duodenal ulcer
tells the nurse of plans to eat plenty of dairy products, such as
milk, to help coat and protect their ulcer. Which is the best
follow-up action by the nurse?: Review with the client the need to
avoid foods that are rich in milk and cream
BSN 366
