HESI BSN 366 EAQ Practice Test
A Results - Questions and 100%
Correct Answers With Rationales/
Nightingale BSN 366 Concepts of
Nursing IV HESI Practice Exam
Latest 2026-2027 (New!)
BSN 366 Concepts of Nursing IV
, Return to Overview
Practice Test Assessment Performance
99%
Rock!
Incorrect Correct
1
,A client with chronic osteomyelitis is scheduled for surgery to treat the
infection which has not responded to three months of intravenous
antibiotic therapy. The client asks the nurse why surgery is necessary.
Which is the best response for the nurse to provide?
The dead bone needs to be removed to provide a blood supply for new bone
growth.
The infection is caused by a mutated bacteria that is resistant to most
antibiotics.
If the infected dead bone is not removed, it will make a path to the skin and
drain pus.
The infection has walled off into an area of infected bone creating a barrier to
antibiotics.
Rationale
A sequestrum (dead bone) is separated from the living bone and has no blood supply, so neither
antibiotics nor white blood cells can reach the infected area.
The nurse is assessing a client and identifies a bruit over the thyroid.
This finding is consistent with which interpretation?
Thyroid cyst.
Thyroid cancer.
Hypothyroidism.
Hyperthyroidism.
Rationale
Hyperthyroidism is an enlargement of the thyroid gland, often referred to as a goiter, and a bruit may
be auscultated over the goiter due to an increase in glandular vascularity which increases as the thyroid
gland becomes hyperactive.
2
, A client is admitted with a medical diagnosis of Addisonian crisis (acute
adrenal insufficiency). When completing the admission assessment, the
nurse expects this client to exhibit which clinical manifestations?
Thin, fragile skin, ecchymoses, and complaints of weakness.
Headache, diaphoresis, and palpitations.
Hypotension, rapid weak pulse, and rapid respiratory rate.
Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium.
Rationale
The clinical manifestations of Addisonian crisis (acute adrenal insufficiency) are often the manifestations
of shock. The client is at risk for circulatory collapse and shock.
Which nursing care delivery model has the nurse responsible for all
aspects of care for one or more patients during a shift of care, working
directly with patients, families, and health team members?
Team nursing.
Total care nursing.
Case management.
Functional nursing.
Rationale
Total care nursing is a model where the nurse is responsible for all aspects of care for one or more
patients during a shift of care, working directly with patients, families, and health team members.
A 16-year-old male client is admitted to the hospital after falling off a
bike and sustaining a fractured bone. The healthcare provider explains
the surgery needed to immobilize the fracture. Which action should be
implemented to obtain valid informed consent?
Instruct the client to sign the consent before giving medications.
3
A Results - Questions and 100%
Correct Answers With Rationales/
Nightingale BSN 366 Concepts of
Nursing IV HESI Practice Exam
Latest 2026-2027 (New!)
BSN 366 Concepts of Nursing IV
, Return to Overview
Practice Test Assessment Performance
99%
Rock!
Incorrect Correct
1
,A client with chronic osteomyelitis is scheduled for surgery to treat the
infection which has not responded to three months of intravenous
antibiotic therapy. The client asks the nurse why surgery is necessary.
Which is the best response for the nurse to provide?
The dead bone needs to be removed to provide a blood supply for new bone
growth.
The infection is caused by a mutated bacteria that is resistant to most
antibiotics.
If the infected dead bone is not removed, it will make a path to the skin and
drain pus.
The infection has walled off into an area of infected bone creating a barrier to
antibiotics.
Rationale
A sequestrum (dead bone) is separated from the living bone and has no blood supply, so neither
antibiotics nor white blood cells can reach the infected area.
The nurse is assessing a client and identifies a bruit over the thyroid.
This finding is consistent with which interpretation?
Thyroid cyst.
Thyroid cancer.
Hypothyroidism.
Hyperthyroidism.
Rationale
Hyperthyroidism is an enlargement of the thyroid gland, often referred to as a goiter, and a bruit may
be auscultated over the goiter due to an increase in glandular vascularity which increases as the thyroid
gland becomes hyperactive.
2
, A client is admitted with a medical diagnosis of Addisonian crisis (acute
adrenal insufficiency). When completing the admission assessment, the
nurse expects this client to exhibit which clinical manifestations?
Thin, fragile skin, ecchymoses, and complaints of weakness.
Headache, diaphoresis, and palpitations.
Hypotension, rapid weak pulse, and rapid respiratory rate.
Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium.
Rationale
The clinical manifestations of Addisonian crisis (acute adrenal insufficiency) are often the manifestations
of shock. The client is at risk for circulatory collapse and shock.
Which nursing care delivery model has the nurse responsible for all
aspects of care for one or more patients during a shift of care, working
directly with patients, families, and health team members?
Team nursing.
Total care nursing.
Case management.
Functional nursing.
Rationale
Total care nursing is a model where the nurse is responsible for all aspects of care for one or more
patients during a shift of care, working directly with patients, families, and health team members.
A 16-year-old male client is admitted to the hospital after falling off a
bike and sustaining a fractured bone. The healthcare provider explains
the surgery needed to immobilize the fracture. Which action should be
implemented to obtain valid informed consent?
Instruct the client to sign the consent before giving medications.
3
