BSN366 EXIT HESI 2026 COMPREHENSIVE
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE CLINICAL JUDGMENT, NGN-
STYLE PRACTICE TESTS, PRIORITY AND
DELEGATION, DETAILED RATIONALES,
COMPREHENSIVE NURSING REVIEW
STUDY GUIDE
A 46 year old male client who had a myocardial infarction 24 hours ago
comes to the nurses station fully dressed and wanting to go home. He tells
the nurse that he is feeling much better at this time. Based on this behavior,
which client problem should the nurse include in the plan of care?
A) Anxiety related to treatment plan.
B) Decisional conflict due to stress.
C) Deficient knowledge of lifestyle changes.
D) Ineffective coping related to denial. - CORRECT ANSWER -D) Ineffective
coping related to denial.
A client receives a prescription for norepinephrine three MCG per minute
IV. The IV bag contains norepinephrine 4 mg in dextrose 5% in water 1000
mL (D5W). How many milliliters per hour should the nurse program the
infusion pump? (Enter numerical value only) - CORRECT ANSWER -45
,The nurse is performing a routine assessment of an IV site for a client
receiving both IV fluids and medication's 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) Circumferential skin irritation.
B) Red streak tracking the vein.
C) Cool sensation above the site.
D) A sluggish blood return. - CORRECT ANSWER -B) Red streak tracking the
vein.
A client with influenza needs help in transferring to the bedside commode.
The nurse observes the unlicensed assistive personnel donning gloves and a
gown to assist the client. Which action should the nurse take?
A) Remind the UP to apply a fitted respirator mask before entering the
clients room.
B) Assign the UP to provide care for another client and assume full care of
the client.
C) Instruct the UP to notify the nurse of any changes in the clients
respiratory status.
D) Review the need for the UPA to wear a facemask while in close contact
with the client - CORRECT ANSWER -D) Review the need for the UPA to
wear a facemask while in close contact with the client
,An older adult with a terminal illness is receiving hospice care and is having
difficulty coping with feelings related to death and dying. Which
interventions should the nurse include in the clients plan of care? SATA.
A) Record the clients desire to live.
B) Teach clients how to use guided imagery.
C) Instruct client and family to reconsider end of life choices.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently. - CORRECT ANSWER -B) Teach
clients how to use guided imagery.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently.
I'm making rounds the charge nurse notices that a young adult client with
asthma who was admitted yesterday is sitting on the side of the bed and
leaning over the bedside table. The client is currently receiving oxygen at 2
L per minute via nasal cannula. The client is wheezing and is using pursed
lip breathing. Which intervention should the nurse implement?
A) Administer a nebulizer treatment.
B) Call for an Ambu resuscitation bag.
C) Increase oxygen to 6 L per minute.
D) Assist the client to lie back in bed. - CORRECT ANSWER -A) Administer a
nebulizer treatment.
, A client with schizophrenia reports auditory hallucinations when admitted
to the hospital. What question is most important for the nurse to include in
the assessment of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices? - CORRECT ANSWER -A) What are the
voices saying?
A client is being discharged with a prescription for warfarin. Which
instruction should the nurse provide this client regarding diet?
A) Avoid eating of foods that contain any vitamin K because it is an
antagonist of warfarin.
B) Increase the intake of dark green leafy vegetables while taking warfarin.
C) Eat approximately the same amount of leafy green vegetables daily so
the amount of vitamin K consumed is consistent.
D) Eat two servings of raw dark green leafy vegetables daily and continue
for 30 days after warfarin therapy is completed. - CORRECT ANSWER -C)
Eat approximately the same amount of leafy green vegetables daily so the
amount of vitamin K consumed is consistent.
The daughter of an older woman who has Parkinson's disease, call the clinic
and reports that her mother has been confused for the past week. Which
actions should the nurse take? SATA.
A) Encourage increased intake of high protein foods.
PRACTICE QUESTIONS AND ANSWERS
COMPLETE RN EXIT EXAM PREPARATION
RESOURCE CLINICAL JUDGMENT, NGN-
STYLE PRACTICE TESTS, PRIORITY AND
DELEGATION, DETAILED RATIONALES,
COMPREHENSIVE NURSING REVIEW
STUDY GUIDE
A 46 year old male client who had a myocardial infarction 24 hours ago
comes to the nurses station fully dressed and wanting to go home. He tells
the nurse that he is feeling much better at this time. Based on this behavior,
which client problem should the nurse include in the plan of care?
A) Anxiety related to treatment plan.
B) Decisional conflict due to stress.
C) Deficient knowledge of lifestyle changes.
D) Ineffective coping related to denial. - CORRECT ANSWER -D) Ineffective
coping related to denial.
A client receives a prescription for norepinephrine three MCG per minute
IV. The IV bag contains norepinephrine 4 mg in dextrose 5% in water 1000
mL (D5W). How many milliliters per hour should the nurse program the
infusion pump? (Enter numerical value only) - CORRECT ANSWER -45
,The nurse is performing a routine assessment of an IV site for a client
receiving both IV fluids and medication's 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) Circumferential skin irritation.
B) Red streak tracking the vein.
C) Cool sensation above the site.
D) A sluggish blood return. - CORRECT ANSWER -B) Red streak tracking the
vein.
A client with influenza needs help in transferring to the bedside commode.
The nurse observes the unlicensed assistive personnel donning gloves and a
gown to assist the client. Which action should the nurse take?
A) Remind the UP to apply a fitted respirator mask before entering the
clients room.
B) Assign the UP to provide care for another client and assume full care of
the client.
C) Instruct the UP to notify the nurse of any changes in the clients
respiratory status.
D) Review the need for the UPA to wear a facemask while in close contact
with the client - CORRECT ANSWER -D) Review the need for the UPA to
wear a facemask while in close contact with the client
,An older adult with a terminal illness is receiving hospice care and is having
difficulty coping with feelings related to death and dying. Which
interventions should the nurse include in the clients plan of care? SATA.
A) Record the clients desire to live.
B) Teach clients how to use guided imagery.
C) Instruct client and family to reconsider end of life choices.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently. - CORRECT ANSWER -B) Teach
clients how to use guided imagery.
D) Encourage family to bring the client old photographs.
E) Encourage family to visit frequently.
I'm making rounds the charge nurse notices that a young adult client with
asthma who was admitted yesterday is sitting on the side of the bed and
leaning over the bedside table. The client is currently receiving oxygen at 2
L per minute via nasal cannula. The client is wheezing and is using pursed
lip breathing. Which intervention should the nurse implement?
A) Administer a nebulizer treatment.
B) Call for an Ambu resuscitation bag.
C) Increase oxygen to 6 L per minute.
D) Assist the client to lie back in bed. - CORRECT ANSWER -A) Administer a
nebulizer treatment.
, A client with schizophrenia reports auditory hallucinations when admitted
to the hospital. What question is most important for the nurse to include in
the assessment of this client?
A) What are the voices saying?
B) Which medication works best?
C) When do you hear voices?
D) How do you cope with the voices? - CORRECT ANSWER -A) What are the
voices saying?
A client is being discharged with a prescription for warfarin. Which
instruction should the nurse provide this client regarding diet?
A) Avoid eating of foods that contain any vitamin K because it is an
antagonist of warfarin.
B) Increase the intake of dark green leafy vegetables while taking warfarin.
C) Eat approximately the same amount of leafy green vegetables daily so
the amount of vitamin K consumed is consistent.
D) Eat two servings of raw dark green leafy vegetables daily and continue
for 30 days after warfarin therapy is completed. - CORRECT ANSWER -C)
Eat approximately the same amount of leafy green vegetables daily so the
amount of vitamin K consumed is consistent.
The daughter of an older woman who has Parkinson's disease, call the clinic
and reports that her mother has been confused for the past week. Which
actions should the nurse take? SATA.
A) Encourage increased intake of high protein foods.
