BSN 366 HESI RN EXIT EXAM QUESTIONS AND
ANSWERS LATEST 2025-2026 UPDATE
The nurse is preparing an adult with Addison's disease for self-
management. Which information should the nurse include in the client's
instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - Answer-a. events requiring
steroid dose adjustments
The family of an older adult client who received a lung transplant asks
if the 2-year-old grandchild can visit. Which response should the nurse
offer?
a. "Yes, grandchildren offer emotional support and positive diversion."
b. "No, protective precautions are required after a lung transplant."
c. "No, small children are often carriers of infectious organisms."
d. "Yes, if the child is not ill or has not recently received a live vaccine."
- Answer-d. "Yes, if the child is not ill or has not recently received a live
vaccine."
, The nurse is using a straight urinary catheter kit to collect a sterile urine
specimen from a female client. After positioning and prepping the client,
rank the actions in the sequence they should be implemented. (place the
first action at the top, and last action at the bottom)
a. Place the distal end of the catheter in a sterile specimen cup and insert
catheter into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum - Answer-d. the
sterile catheter kit close to the clients perineum
c. Don sterile gloves and prepare the sterile field
b. Cleans the urinary meatus using the solution, swabs, and forceps
a. Place the distal end of the catheter in a sterile specimen cup and insert
the catheter into the meatus Open
An older adult client presents to the emergency department with
abdominal pain due to constipation. The nurse is providing a list of high-
fiber foods to the client that the healthcare provider has recommended.
Which action should the nurse implement when reviewing the list of
foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
c. Turn on overhead lights while giving instructions.
,d. Stand behind the client to avoid intimidation. - Answer-c. Turn on
overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client
should the nurse assess first ?
a. The client with an obstruction of the large intestine who is
experiencing abdominal distention.
b. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
c. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. - Answer-d. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity.
A client who underwent an uncomplicated gastric bypass surgery has
difficulty with diet management. What dietary instruction is most
important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food - Answer-b.
Plan volume-controlled evenly-spaced meals throughout the day
, The nurse is assessing the feet of a client with type 1 diabetes mellitus.
Which finding requires immediate intervention by the nurse?
a. Decreased response to pain discrimination on the dorsal surface of the
foot.
b. Erythema and edema at the base of the left great toe.
c. Hard, painless nodule over the metatarsophalangeal joint of the first
toe.
d. Painful corns and calluses over hammer toes on both feet. - Answer-a.
Decreased response to pain discrimination on the dorsal surface of the
foot.
The nurse is planning to assess the client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The client
has bilateral below the-knee amputations and radial pulses that are weak
and thready. What action should the nurse take?
a. Document that an accurate oxygen saturation reading cannot be
obtained. b. Elevate the client's hands for five minutes prior to obtaining
a reading from the finger.
c. Increase the oxygen based on the client's breathing patterns and lung
sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation
reading. - Answer-d. Place the oximeter clip on the earlobe to obtain the
oxygen saturation reading.
ANSWERS LATEST 2025-2026 UPDATE
The nurse is preparing an adult with Addison's disease for self-
management. Which information should the nurse include in the client's
instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - Answer-a. events requiring
steroid dose adjustments
The family of an older adult client who received a lung transplant asks
if the 2-year-old grandchild can visit. Which response should the nurse
offer?
a. "Yes, grandchildren offer emotional support and positive diversion."
b. "No, protective precautions are required after a lung transplant."
c. "No, small children are often carriers of infectious organisms."
d. "Yes, if the child is not ill or has not recently received a live vaccine."
- Answer-d. "Yes, if the child is not ill or has not recently received a live
vaccine."
, The nurse is using a straight urinary catheter kit to collect a sterile urine
specimen from a female client. After positioning and prepping the client,
rank the actions in the sequence they should be implemented. (place the
first action at the top, and last action at the bottom)
a. Place the distal end of the catheter in a sterile specimen cup and insert
catheter into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum - Answer-d. the
sterile catheter kit close to the clients perineum
c. Don sterile gloves and prepare the sterile field
b. Cleans the urinary meatus using the solution, swabs, and forceps
a. Place the distal end of the catheter in a sterile specimen cup and insert
the catheter into the meatus Open
An older adult client presents to the emergency department with
abdominal pain due to constipation. The nurse is providing a list of high-
fiber foods to the client that the healthcare provider has recommended.
Which action should the nurse implement when reviewing the list of
foods?
a. Provide handouts written at a 12th grade reading level.
b. Use background music to promote relaxation.
c. Turn on overhead lights while giving instructions.
,d. Stand behind the client to avoid intimidation. - Answer-c. Turn on
overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client
should the nurse assess first ?
a. The client with an obstruction of the large intestine who is
experiencing abdominal distention.
b. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
c. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid.
d. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. - Answer-d. The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity.
A client who underwent an uncomplicated gastric bypass surgery has
difficulty with diet management. What dietary instruction is most
important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food - Answer-b.
Plan volume-controlled evenly-spaced meals throughout the day
, The nurse is assessing the feet of a client with type 1 diabetes mellitus.
Which finding requires immediate intervention by the nurse?
a. Decreased response to pain discrimination on the dorsal surface of the
foot.
b. Erythema and edema at the base of the left great toe.
c. Hard, painless nodule over the metatarsophalangeal joint of the first
toe.
d. Painful corns and calluses over hammer toes on both feet. - Answer-a.
Decreased response to pain discrimination on the dorsal surface of the
foot.
The nurse is planning to assess the client's oxygen saturation to
determine if additional oxygen is needed via nasal cannula. The client
has bilateral below the-knee amputations and radial pulses that are weak
and thready. What action should the nurse take?
a. Document that an accurate oxygen saturation reading cannot be
obtained. b. Elevate the client's hands for five minutes prior to obtaining
a reading from the finger.
c. Increase the oxygen based on the client's breathing patterns and lung
sounds.
d. Place the oximeter clip on the earlobe to obtain the oxygen saturation
reading. - Answer-d. Place the oximeter clip on the earlobe to obtain the
oxygen saturation reading.
