BSN 366 Exit HESI (Spring '25) – Comprehensive Review Guide with
Practice Questions and Rationales
The nurse is planning discharge instructions for a client with type 2 diabetes who will be
starting Exenatide. Which information should be included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain. - correct answer D. Notify
your healthcare provider if you start having abdominal pain.
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
1. Click to highlight the aspects of the assessment that require urgent attention:
The client's pain is 2/10. The client requests sleeping medication for the night. She states she
has horrible thoughts and memories about the house collapsing all the time, and that it is
keeping her from falling asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses station and hears talking and alarms
constantly. - correct answer -She states she has horrible thoughts and memories about the
house collapsing all the time.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
2. Drag from the options to complete the sentence:
,After listening to the clients symptoms, the nurse realizes that she likely has______________
related to _______________ - correct answer Acute Stress Disorder, Traumatic Stress exposure
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
3. Click to specify which client statement of behaviors is most likely associated with each of the
listed defense mechanism. Some statements or behaviors may be consistent with more than
one mechanism. Each column must have at least one but may have more than one answer
selected. - correct answer
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
4. What nursing reviews the physicians orders for Clonazepam and gives the medication as
ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside - correct answer b. assist the client to the bathroom
d. assess mental status regularly
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
,d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy - correct answer a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
6. For each client statement, click to highlight the statement(s) below that require follow up
teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my symptoms"
d. "Many people have the same response to a stressful situation as I am having right"
e. "I am at high risk for post-traumatic-stress disorder because I have acute stress disorder"
f. " I will probably need to be on medication for the rest of my life" - correct answer a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
f. " I will probably need to be on medication for the rest of my life"
A client with foul-smelling drainage from an incision on the upper left arm is admitted with a
suspected methicillin-resistant Staphylococcus aureus (MRSA). What nursing interventions
should the nurse include in the plan of care? Select all that apply
a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensitivity
c. Institute contact precautions for staff and visitors
d. Use standard precautions and wear a mask
, e. Monitor the clients white blood cell count - correct answer b. Send wound drainage for
culture and sensitivity
c. Institute contact precautions for staff and visitors
e. Monitor the clients white blood cell count
An older adult client who has difficulty hearing is being discharged form surgery following
cataract extraction and lens implantation. Which intervention is most important for the nurse
to implement to ensure the clients compliance with self-care.
a. Provide written instructions for eye drop administration
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instructions provided
d. Ensure that someone will stay with the client for 24 hours - correct answer a. Provide written
instructions for eye drop administration
When assessing a client with an ionized calcium level of 15 mg/dL (4.25 mmol/L), which
intervention is most important for the nurse to implement Reference Range Ionized calcium [
adult 4.6 to 5.1 mg/dL (1.15 to 1.35 mmol/L)
a. Compare muscle strength bilaterally b. Assess strength of deep tendon reflexes
c. Determine apical pulse rate and rhythm
d. Observe color and amount of urine - correct answer c. Determine apical pulse rate and
rhythm
While changing a client postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this to the healthcare provider, the nurse should note which of the
client's laboratory results
a. Creatinine level
b. Platelet count
c. Hematocrit
d. White blood cell (WBC) count - correct answer d. White blood cell (WBC) count
Practice Questions and Rationales
The nurse is planning discharge instructions for a client with type 2 diabetes who will be
starting Exenatide. Which information should be included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain. - correct answer D. Notify
your healthcare provider if you start having abdominal pain.
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
1. Click to highlight the aspects of the assessment that require urgent attention:
The client's pain is 2/10. The client requests sleeping medication for the night. She states she
has horrible thoughts and memories about the house collapsing all the time, and that it is
keeping her from falling asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses station and hears talking and alarms
constantly. - correct answer -She states she has horrible thoughts and memories about the
house collapsing all the time.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
2. Drag from the options to complete the sentence:
,After listening to the clients symptoms, the nurse realizes that she likely has______________
related to _______________ - correct answer Acute Stress Disorder, Traumatic Stress exposure
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
3. Click to specify which client statement of behaviors is most likely associated with each of the
listed defense mechanism. Some statements or behaviors may be consistent with more than
one mechanism. Each column must have at least one but may have more than one answer
selected. - correct answer
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
4. What nursing reviews the physicians orders for Clonazepam and gives the medication as
ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside - correct answer b. assist the client to the bathroom
d. assess mental status regularly
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
,d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy - correct answer a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
Case Study: The client is in the hospital after her house collapsed during a hurricane. She has
been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue
monitoring her respiratory function and to complete intravenous antibiotic administration.
6. For each client statement, click to highlight the statement(s) below that require follow up
teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my symptoms"
d. "Many people have the same response to a stressful situation as I am having right"
e. "I am at high risk for post-traumatic-stress disorder because I have acute stress disorder"
f. " I will probably need to be on medication for the rest of my life" - correct answer a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
f. " I will probably need to be on medication for the rest of my life"
A client with foul-smelling drainage from an incision on the upper left arm is admitted with a
suspected methicillin-resistant Staphylococcus aureus (MRSA). What nursing interventions
should the nurse include in the plan of care? Select all that apply
a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensitivity
c. Institute contact precautions for staff and visitors
d. Use standard precautions and wear a mask
, e. Monitor the clients white blood cell count - correct answer b. Send wound drainage for
culture and sensitivity
c. Institute contact precautions for staff and visitors
e. Monitor the clients white blood cell count
An older adult client who has difficulty hearing is being discharged form surgery following
cataract extraction and lens implantation. Which intervention is most important for the nurse
to implement to ensure the clients compliance with self-care.
a. Provide written instructions for eye drop administration
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instructions provided
d. Ensure that someone will stay with the client for 24 hours - correct answer a. Provide written
instructions for eye drop administration
When assessing a client with an ionized calcium level of 15 mg/dL (4.25 mmol/L), which
intervention is most important for the nurse to implement Reference Range Ionized calcium [
adult 4.6 to 5.1 mg/dL (1.15 to 1.35 mmol/L)
a. Compare muscle strength bilaterally b. Assess strength of deep tendon reflexes
c. Determine apical pulse rate and rhythm
d. Observe color and amount of urine - correct answer c. Determine apical pulse rate and
rhythm
While changing a client postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this to the healthcare provider, the nurse should note which of the
client's laboratory results
a. Creatinine level
b. Platelet count
c. Hematocrit
d. White blood cell (WBC) count - correct answer d. White blood cell (WBC) count
