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BSN 366 HESI RN EXIT EXAM (LATEST UPDATE
2025/2026) QUESTIONS AND ANSWERS
100% CORRECT GRADE A+
The nurse is performing a routine assessment of an IV site for a client who is receiving both IV
fluids and medications through the line. The client reports tenderness when the nurse touches the
arm above the site. which finding should the nurse expect which will require immediate
intervention?
a. a sluggish blood return
b. cool sensation above the site
c. streak tracking the vein
d. circumferential skin irritation - ANS-c. streak tracking the vein
A client is undergoing peritoneal dialysis. After several fluid exchanges, the abdomen is
distended, blood pressure is elevated, and 6500 mL were infused while 5,500 mL were drained.
In response to this finding, what action should the nurse take?
a. Instruct the client to cough
b. turn the client from side to side
c. irrigate the drainage tube with normal Saline
d. lower the head of the bed - ANS-b. turn the client from side to side
, 2
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. - ANS-d. Place
the oximeter clip on the earlobe to obtain the oxygen saturation reading.
A client with leukemia who is receiving myelosuppressive chemotherapy has a platelet count of
25,000/mm3. Which intervention is most important for the nurse to include in this patient's plan
of care
a. Assess urine and stool for occult blood
b. Monitor for signs of activity intolerance
c. Require visitors to wear respiratory masks
d. Obtain client's temperature q4 hours - ANS-A. Assess urine and stool for occult blood.
, 3
A client is receiving a continuous infusion of the anticoagulant, heparin, for treatment of a deep
vein thrombosis of the right calf. Which goal should the nurse include in this client's plan of
care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right calf will
decrease. - ANS-a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a client's risk for
(OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANS-a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending
death. After notifying the family of the client's status, what priority action should the nurse
implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
c. The client's need for pain medication should be determined
, 4
d. The nurse manager should be updated on the client's status - ANS-c. The client's need for pain
medication should be determined
Which information is more important for the nurse to obtain when determining a client's risk for
(OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANS-Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus
eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test
results.
d. Move the client to a private room, keep the door closed, and initiate droplet precautions. -
ANS-d. Move the client to a private room, keep the door closed, and initiate droplet precautions.
BSN 366 HESI RN EXIT EXAM (LATEST UPDATE
2025/2026) QUESTIONS AND ANSWERS
100% CORRECT GRADE A+
The nurse is performing a routine assessment of an IV site for a client who is receiving both IV
fluids and medications through the line. The client reports tenderness when the nurse touches the
arm above the site. which finding should the nurse expect which will require immediate
intervention?
a. a sluggish blood return
b. cool sensation above the site
c. streak tracking the vein
d. circumferential skin irritation - ANS-c. streak tracking the vein
A client is undergoing peritoneal dialysis. After several fluid exchanges, the abdomen is
distended, blood pressure is elevated, and 6500 mL were infused while 5,500 mL were drained.
In response to this finding, what action should the nurse take?
a. Instruct the client to cough
b. turn the client from side to side
c. irrigate the drainage tube with normal Saline
d. lower the head of the bed - ANS-b. turn the client from side to side
, 2
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. - ANS-d. Place
the oximeter clip on the earlobe to obtain the oxygen saturation reading.
A client with leukemia who is receiving myelosuppressive chemotherapy has a platelet count of
25,000/mm3. Which intervention is most important for the nurse to include in this patient's plan
of care
a. Assess urine and stool for occult blood
b. Monitor for signs of activity intolerance
c. Require visitors to wear respiratory masks
d. Obtain client's temperature q4 hours - ANS-A. Assess urine and stool for occult blood.
, 3
A client is receiving a continuous infusion of the anticoagulant, heparin, for treatment of a deep
vein thrombosis of the right calf. Which goal should the nurse include in this client's plan of
care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right calf will
decrease. - ANS-a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a client's risk for
(OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANS-a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending
death. After notifying the family of the client's status, what priority action should the nurse
implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
c. The client's need for pain medication should be determined
, 4
d. The nurse manager should be updated on the client's status - ANS-c. The client's need for pain
medication should be determined
Which information is more important for the nurse to obtain when determining a client's risk for
(OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - ANS-Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus
eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test
results.
d. Move the client to a private room, keep the door closed, and initiate droplet precautions. -
ANS-d. Move the client to a private room, keep the door closed, and initiate droplet precautions.
