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BSN HESI 366 RN EXIT EXAM NIGHTINGALE
PRACTICE EXAM/STUDY GUIDE 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED WITH EXPERT
FEEDBACK|NEW AND REVISED
A client with pancreatitis complains of severe epigastric pain, so the
nurse administers a prescribed narcotic analgesic. Ten minutes later, the
client insists on sitting up and leaning forward. Which intervention
should the nurse implement?
A) Rains HOB to 90 degrees
B) Position bedside table so the client can lean across it
C) Place bed in a reverse tren posiiton
D) Encourage rest until the analgesic becomes effective. - ANSWER- B)
Position bedside table so the client can lean across it
The nurse is caring for a client who arrives to the ED with reports of
experiencing dizziness and difficulty walking to the bathroom. The
nurse observes R-sided weakness and sluggish enunciation of speech.
The nurse should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected
side.
B) Keep the bed in the lowest position and initiate seizure and fall
precautions
C) Place an indwelling urinary catheter and measure strict I/Os
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D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. - ANSWER- D) Start two large-bore IV catheters
and review inclusion criteria for IV fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the
morning. During the admission procedure, the client has a tonic colonic
seizure that last 50 seconds. Following the seizure, the client is lethargic
and confused, and his wife tells the nurse that her husband has never had
a seizure before and has always been alert and communicative. Which
action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with
her.
B) keep orienting the client the client to time in space until he is less
confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures - ANSWER-
D) explain the postical state that usually follows seizures
A nurse is providing lifestyle change education for a client to slow the
progression of coronary artery disease. Which statement made by the
client should the nurse recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
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E) Include oatmeal for breakfast.
F) Use a salt substitute - ANSWER- B) Eat more canned vegetables.
C) Consume foods with saturated fats.
While caring for a toddler receiving oxygen via facemask, the nurse
observes that the child's lips and nares are dry and cracked. Which
intervention should the nurse implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ANSWER- A)
use a water-soluble lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and three
finger breaths above the umbilicus. What action should the nurse
implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ANSWER- D) Check for a distended
bladder
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The nurse is caring for a client on the first day post-operative for a
descending aortic aneurysm repair. Which assessment finding should the
nurse prioritize reporting to the healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ANSWER- B) Electrocardiogram ST
segment elevation
The healthcare provider prescribes a low-fiber diet for a client with
ulcerative colitis. Which food selection indicates to the nurse that the
client understands the prescribed diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
C) Roasted turkey, canned vegetables.
D) Pancakes, whole-grain cereals. - ANSWER- C) Roasted turkey,
canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit. Which
client requires the nurse's immediate attention?
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
B) A 17-year-old client diagnosed with bipolar disorder who is pacing
around the lobby.
BSN HESI 366 RN EXIT EXAM NIGHTINGALE
PRACTICE EXAM/STUDY GUIDE 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED WITH EXPERT
FEEDBACK|NEW AND REVISED
A client with pancreatitis complains of severe epigastric pain, so the
nurse administers a prescribed narcotic analgesic. Ten minutes later, the
client insists on sitting up and leaning forward. Which intervention
should the nurse implement?
A) Rains HOB to 90 degrees
B) Position bedside table so the client can lean across it
C) Place bed in a reverse tren posiiton
D) Encourage rest until the analgesic becomes effective. - ANSWER- B)
Position bedside table so the client can lean across it
The nurse is caring for a client who arrives to the ED with reports of
experiencing dizziness and difficulty walking to the bathroom. The
nurse observes R-sided weakness and sluggish enunciation of speech.
The nurse should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected
side.
B) Keep the bed in the lowest position and initiate seizure and fall
precautions
C) Place an indwelling urinary catheter and measure strict I/Os
,2|Page
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. - ANSWER- D) Start two large-bore IV catheters
and review inclusion criteria for IV fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the
morning. During the admission procedure, the client has a tonic colonic
seizure that last 50 seconds. Following the seizure, the client is lethargic
and confused, and his wife tells the nurse that her husband has never had
a seizure before and has always been alert and communicative. Which
action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with
her.
B) keep orienting the client the client to time in space until he is less
confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures - ANSWER-
D) explain the postical state that usually follows seizures
A nurse is providing lifestyle change education for a client to slow the
progression of coronary artery disease. Which statement made by the
client should the nurse recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
,3|Page
E) Include oatmeal for breakfast.
F) Use a salt substitute - ANSWER- B) Eat more canned vegetables.
C) Consume foods with saturated fats.
While caring for a toddler receiving oxygen via facemask, the nurse
observes that the child's lips and nares are dry and cracked. Which
intervention should the nurse implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ANSWER- A)
use a water-soluble lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and three
finger breaths above the umbilicus. What action should the nurse
implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ANSWER- D) Check for a distended
bladder
, 4|Page
The nurse is caring for a client on the first day post-operative for a
descending aortic aneurysm repair. Which assessment finding should the
nurse prioritize reporting to the healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ANSWER- B) Electrocardiogram ST
segment elevation
The healthcare provider prescribes a low-fiber diet for a client with
ulcerative colitis. Which food selection indicates to the nurse that the
client understands the prescribed diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
C) Roasted turkey, canned vegetables.
D) Pancakes, whole-grain cereals. - ANSWER- C) Roasted turkey,
canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit. Which
client requires the nurse's immediate attention?
A) An 18-year-old client with antisocial behavior who is being yelled at
by other clients.
B) A 17-year-old client diagnosed with bipolar disorder who is pacing
around the lobby.
