BSN 366 HESI RN EXIT EXAM (2025/2026)
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
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 ophthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and calluses
B) Get an eye exam with an ophthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information 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
,C) Practice using muscle relaxation techniques
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 previous 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
C) A 30-year old depresses client who admits to suicide ideation
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. (For each assessment finding, click to indicate whether the findings are
associated with an infant of a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
,Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar scores 7 to
10)
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.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________
Hyperbilirubinemia , Respiratory Distress Syndrome , and Cardiomyopathy
NGN: Orders
, Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk via
orogastric tube. If two feeding attempts failed to increase the glucose levels or if symptoms of
hypoglycemia develop, apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose
10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic levels
over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gel inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level
A) Feed Immediately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
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 ophthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and calluses
B) Get an eye exam with an ophthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to information 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
,C) Practice using muscle relaxation techniques
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 previous 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
C) A 30-year old depresses client who admits to suicide ideation
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. (For each assessment finding, click to indicate whether the findings are
associated with an infant of a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
,Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar scores 7 to
10)
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.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________
Hyperbilirubinemia , Respiratory Distress Syndrome , and Cardiomyopathy
NGN: Orders
, Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk via
orogastric tube. If two feeding attempts failed to increase the glucose levels or if symptoms of
hypoglycemia develop, apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose
10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain glycemic levels
over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gel inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level
A) Feed Immediately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
