BSN HESI 366 RN EXIT EXAM (2025 UPDATE)
QUESTIONS AND VERIFIED ANSWERS|100%
CORRECT| GRADE A+
A male client with heart failure become short of breath, anxious, and has audible
wheezing with sputum pink and frothy. The nurse sits the client upright and provides
oxygen per nasal cannula. The nurse receives a prescription to administer a one time
dose of morphine sulfate IV. What action should the nurse take?
A) Consult with the charge nurse regarding the morphine prescription.
B) Administer the dose of morphine sulfate as prescribed.
C) Withhold the morphine until the clients dyspnea resolves.
D) Review the need for the prescription with the healthcare provider. - ANSWER-D)
Review the need for the prescription with the healthcare provider.
A mother calls the nurse to report that aa 0900 she administered an oral dose of digoxin
to her four-month-old infant, but at 0920 the baby vomited the medicine. Which
instruction should the nurse provide to this mother?
A) Withhold this dose.
B) Mix the next dose with food.
C) Give another dose.
D) Administer a half dose now. - ANSWER-A) Withhold this dose.
Bryant is receiving continuous ambulatory peritoneal dialysis since the AV graft in the
right arm is no longer available to use for hemodialysis. The client has lost weight, has
increasing peripheral edema, and has a serum albumin level of 1.5. Which intervention
is a priority for the nurse to implement?
A) Evaluate patency of the AV graft for resumption of hemodialysis.
B) Ensure the client receives frequent small meals containing complete proteins.
C) Instruct the client to continue to follow the prescribed rigid fluid regimen amounts.
D) Recommend the use of support stockings to enhance venous return. - ANSWER-B)
Ensure the client receives frequent small meals containing complete proteins.
The nurse is assigning care of the client with prostatitis to a practical nurse. Which
instruction should the nurse provide the p.m. regarding care of this client?
A) Restrict oral fluid intake.
B) Strain all urine.
C) Maintain contact isolation.
D) Avoid urinary catheterization. - ANSWER-D) Avoid urinary catheterization.
,The nurse is providing teaching to a client with type 2 DM about important points for
disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ANSWER-B) Get an
eye exam with an opthalmologist annually.
Choice B reason: Arranging diet schedule around 3-regular meals a day is not a
sufficient point for disease & symptom management for a client w/ DM2. Diabetes
mellitus is a condition that affects the body's ability to produce or use insulin, a hormone
that regulates blood glucose levels. Eating 3-regular meals a day may not be enough to
control blood glucose levels & prevent complications such as hypoglycemia or
hyperglycemia. The nurse should teach the client to follow a balanced diet that includes
carbohydrates, proteins, fats, vitamins, minerals, & fiber, & to eat smaller portions more
frequently throughout the day.
Choice C reason: Using garlic, herbs, & spices will improve the flavor of food is not a
specific point for disease & symptom management for a client w/ DM2. Garlic, herbs, &
spices are natural ingredients that can enhance the taste & aroma of food, but they do
not have a direct impact on blood glucose levels or diabetes complications. The nurse
should teach the client to limit the intake of salt, sugar, & saturated fats, & to choose
foods that are low in glycemic index & high in antioxidants.
Choice D reason: Inspecting feet every month for ingrown nails, cuts, & calluses is not a
frequent enough point for disease & symptom management for a client w/ DM2.
Diabetes mellitus can cause damage to the blood vessels & nerves in the feet, leading
to reduced sensation, poor circulation, infection, ulceration, & amputation. The nurse
should teach the client to inspect feet every day for any signs of injury or infection, & to
wash, dry, moisturize, & protect them properly. The nurse should also advise the client
to wear comfortable shoes & socks, avoid walking barefoot, & seek medical attention for
any foot problems.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations about
prescribed medications and administration, which instruction should the nurse include in
the teaching?
,A) Center attention on positive upbeat music.
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur. - ANSWER-C) Practice using muscle
relaxation techniques.
-Choice C: Practicing using muscle relaxation techniques is an appropriate instruction
for the nurse to include, as this can help reduce physical tension and promote calmness
and relaxation for this client. Therefore, this is the correct choice.
Choice A: Centering attention on positive upbeat music is not a specific instruction for
the nurse to include, as this is a general coping strategy that may or may not be helpful
for this client. This is a distractor choice.
Choice B: Finding outlets for more social interaction is not a relevant instruction for the
nurse to include, as this may not address the underlying causes of anxiety or stress for
this client. This is another distractor choice.
Choice D: Thinking about reasons the episodes occur is not a helpful instruction for the
nurse to include, as this can increase rumination and anxiety for this client. This is
another distractor choice.
The charge nurse is planning for the shift and has a RN and a PN on the team. Which
client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining.
B) A 64-year old client who had a total hip replacement the preious day.
C) A 30-year old depresses client who admits to suicide ideation.
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago. -
ANSWER-C) A 30-year old depresses client who ad ideation.
-Choice C: A 30-year-old depressed client who admits to suicide ideation is a client that
the charge nurse should assign to the RN, as this is an unstable and high-risk client
who requires close monitoring, assessment, and intervention by the RN. Therefore, this
is the correct choice.
, Choice A: An adolescent with multiple contusions due to a fall that occurred 2 days ago
is not a client that the charge nurse should assign to the RN, as this is a stable and low-
acuity client who can be safely cared for by the PN. This is a distractor choice.
Choice B: A 75-year-old client with renal calculi who requires urine straining is not a
client that the charge nurse should assign to the RN, as this is a routine and non-
complex task that can be performed by the PN. This is another distractor choice.
Choice D: A 64-year-old client who had a total hip replacement the previous day is not a
client that the charge nurse should assign to the RN, as this is a postoperative and
moderate-acuity client who can be managed by the PN under the supervision of the RN.
This is another distractor choice.
NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks. - ANSWER-
(For each assessment finding, click to indicate whether the findings are associated with
an infant of a diabetic mother or normal presentation.)
-Mongolian spot.
-Acrocyanosis.
-Jittery at 30 minutes of age.
-Blood glucose 35.
-Billirubin 7.
-Respiratory rate 80 breaths per minute.
-Apgar 7 at one minute, 8 at five minutes. -Soft fontanelles
-Axillary temp. 96F
-Ballard score maturity rating 37
NGN: Answers
DIABETIC FINDINGS:
QUESTIONS AND VERIFIED ANSWERS|100%
CORRECT| GRADE A+
A male client with heart failure become short of breath, anxious, and has audible
wheezing with sputum pink and frothy. The nurse sits the client upright and provides
oxygen per nasal cannula. The nurse receives a prescription to administer a one time
dose of morphine sulfate IV. What action should the nurse take?
A) Consult with the charge nurse regarding the morphine prescription.
B) Administer the dose of morphine sulfate as prescribed.
C) Withhold the morphine until the clients dyspnea resolves.
D) Review the need for the prescription with the healthcare provider. - ANSWER-D)
Review the need for the prescription with the healthcare provider.
A mother calls the nurse to report that aa 0900 she administered an oral dose of digoxin
to her four-month-old infant, but at 0920 the baby vomited the medicine. Which
instruction should the nurse provide to this mother?
A) Withhold this dose.
B) Mix the next dose with food.
C) Give another dose.
D) Administer a half dose now. - ANSWER-A) Withhold this dose.
Bryant is receiving continuous ambulatory peritoneal dialysis since the AV graft in the
right arm is no longer available to use for hemodialysis. The client has lost weight, has
increasing peripheral edema, and has a serum albumin level of 1.5. Which intervention
is a priority for the nurse to implement?
A) Evaluate patency of the AV graft for resumption of hemodialysis.
B) Ensure the client receives frequent small meals containing complete proteins.
C) Instruct the client to continue to follow the prescribed rigid fluid regimen amounts.
D) Recommend the use of support stockings to enhance venous return. - ANSWER-B)
Ensure the client receives frequent small meals containing complete proteins.
The nurse is assigning care of the client with prostatitis to a practical nurse. Which
instruction should the nurse provide the p.m. regarding care of this client?
A) Restrict oral fluid intake.
B) Strain all urine.
C) Maintain contact isolation.
D) Avoid urinary catheterization. - ANSWER-D) Avoid urinary catheterization.
,The nurse is providing teaching to a client with type 2 DM about important points for
disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - ANSWER-B) Get an
eye exam with an opthalmologist annually.
Choice B reason: Arranging diet schedule around 3-regular meals a day is not a
sufficient point for disease & symptom management for a client w/ DM2. Diabetes
mellitus is a condition that affects the body's ability to produce or use insulin, a hormone
that regulates blood glucose levels. Eating 3-regular meals a day may not be enough to
control blood glucose levels & prevent complications such as hypoglycemia or
hyperglycemia. The nurse should teach the client to follow a balanced diet that includes
carbohydrates, proteins, fats, vitamins, minerals, & fiber, & to eat smaller portions more
frequently throughout the day.
Choice C reason: Using garlic, herbs, & spices will improve the flavor of food is not a
specific point for disease & symptom management for a client w/ DM2. Garlic, herbs, &
spices are natural ingredients that can enhance the taste & aroma of food, but they do
not have a direct impact on blood glucose levels or diabetes complications. The nurse
should teach the client to limit the intake of salt, sugar, & saturated fats, & to choose
foods that are low in glycemic index & high in antioxidants.
Choice D reason: Inspecting feet every month for ingrown nails, cuts, & calluses is not a
frequent enough point for disease & symptom management for a client w/ DM2.
Diabetes mellitus can cause damage to the blood vessels & nerves in the feet, leading
to reduced sensation, poor circulation, infection, ulceration, & amputation. The nurse
should teach the client to inspect feet every day for any signs of injury or infection, & to
wash, dry, moisturize, & protect them properly. The nurse should also advise the client
to wear comfortable shoes & socks, avoid walking barefoot, & seek medical attention for
any foot problems.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations about
prescribed medications and administration, which instruction should the nurse include in
the teaching?
,A) Center attention on positive upbeat music.
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur. - ANSWER-C) Practice using muscle
relaxation techniques.
-Choice C: Practicing using muscle relaxation techniques is an appropriate instruction
for the nurse to include, as this can help reduce physical tension and promote calmness
and relaxation for this client. Therefore, this is the correct choice.
Choice A: Centering attention on positive upbeat music is not a specific instruction for
the nurse to include, as this is a general coping strategy that may or may not be helpful
for this client. This is a distractor choice.
Choice B: Finding outlets for more social interaction is not a relevant instruction for the
nurse to include, as this may not address the underlying causes of anxiety or stress for
this client. This is another distractor choice.
Choice D: Thinking about reasons the episodes occur is not a helpful instruction for the
nurse to include, as this can increase rumination and anxiety for this client. This is
another distractor choice.
The charge nurse is planning for the shift and has a RN and a PN on the team. Which
client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining.
B) A 64-year old client who had a total hip replacement the preious day.
C) A 30-year old depresses client who admits to suicide ideation.
D) An adolescent with multiple contusions due to a fall that occurred 2 days ago. -
ANSWER-C) A 30-year old depresses client who ad ideation.
-Choice C: A 30-year-old depressed client who admits to suicide ideation is a client that
the charge nurse should assign to the RN, as this is an unstable and high-risk client
who requires close monitoring, assessment, and intervention by the RN. Therefore, this
is the correct choice.
, Choice A: An adolescent with multiple contusions due to a fall that occurred 2 days ago
is not a client that the charge nurse should assign to the RN, as this is a stable and low-
acuity client who can be safely cared for by the PN. This is a distractor choice.
Choice B: A 75-year-old client with renal calculi who requires urine straining is not a
client that the charge nurse should assign to the RN, as this is a routine and non-
complex task that can be performed by the PN. This is another distractor choice.
Choice D: A 64-year-old client who had a total hip replacement the previous day is not a
client that the charge nurse should assign to the RN, as this is a postoperative and
moderate-acuity client who can be managed by the PN under the supervision of the RN.
This is another distractor choice.
NGN: Nurses Notes
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks. - ANSWER-
(For each assessment finding, click to indicate whether the findings are associated with
an infant of a diabetic mother or normal presentation.)
-Mongolian spot.
-Acrocyanosis.
-Jittery at 30 minutes of age.
-Blood glucose 35.
-Billirubin 7.
-Respiratory rate 80 breaths per minute.
-Apgar 7 at one minute, 8 at five minutes. -Soft fontanelles
-Axillary temp. 96F
-Ballard score maturity rating 37
NGN: Answers
DIABETIC FINDINGS:
