,BSN 366 Exit Hesi Exam Actual 2026 Update with 530+
Questions Bank correctly answered
Content Area Approx. % of Exam
Medical-Surgical Nursing 25%
Pharmacology 15%
Maternal-Newborn Nursing 10%
Pediatric Nursing 10%
Mental Health Nursing 10%
Community Health Nursing 8%
Leadership & Management 8%
Health Assessment & Fundamentals 7%
NGN Case Studies (Integrated) 7%
✅ FULL 530+ QUESTION PRACTICE EXAM
SECTION I: MEDICAL-SURGICAL NURSING (Questions
1–130)
,Question 1
A nurse is caring for a client with heart failure who has
been prescribed furosemide. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin
B. Potassium
C. Platelets
D. Calcium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits
sodium and chloride reabsorption in the loop of Henle,
leading to increased excretion of potassium. Hypokalemia
(low potassium) is a serious adverse effect that can lead to
cardiac dysrhythmias. Potassium levels should be
monitored before and during therapy.
Question 2
A client with chronic obstructive pulmonary disease
(COPD) has an oxygen saturation of 88% on room air.
Which action should the nurse take first?
A. Encourage deep breathing and coughing
B. Administer oxygen as prescribed
C. Raise the head of the bed to 45 degrees
D. Notify the respiratory therapist
, Correct Answer: B
Rationale: An SpO₂ of 88% indicates hypoxemia — an
airway and breathing priority. The nurse should administer
supplemental oxygen immediately to correct the
hypoxemia and prevent further complications. After
administering oxygen, the nurse can raise the head of the
bed (C) to improve ventilation, encourage coughing (A),
and notify the provider if needed. This follows the ABCs
(Airway, Breathing, Circulation).
Question 3
A client with diabetes mellitus type 2 is prescribed
metformin. Which instruction should the nurse include in
discharge teaching?
A. Take metformin with food to decrease gastrointestinal
upset
B. Skip the dose if you are not planning to eat a meal
C. Metformin causes weight gain as a common side effect
D. Report any muscle pain or weakness to your provider
Correct Answer: A
Rationale: Metformin commonly causes GI upset (nausea,
diarrhea, abdominal discomfort), which can be minimized
by taking it with food. It does not cause weight gain (C)
and is weight-neutral or associated with mild weight loss.
Questions Bank correctly answered
Content Area Approx. % of Exam
Medical-Surgical Nursing 25%
Pharmacology 15%
Maternal-Newborn Nursing 10%
Pediatric Nursing 10%
Mental Health Nursing 10%
Community Health Nursing 8%
Leadership & Management 8%
Health Assessment & Fundamentals 7%
NGN Case Studies (Integrated) 7%
✅ FULL 530+ QUESTION PRACTICE EXAM
SECTION I: MEDICAL-SURGICAL NURSING (Questions
1–130)
,Question 1
A nurse is caring for a client with heart failure who has
been prescribed furosemide. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin
B. Potassium
C. Platelets
D. Calcium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits
sodium and chloride reabsorption in the loop of Henle,
leading to increased excretion of potassium. Hypokalemia
(low potassium) is a serious adverse effect that can lead to
cardiac dysrhythmias. Potassium levels should be
monitored before and during therapy.
Question 2
A client with chronic obstructive pulmonary disease
(COPD) has an oxygen saturation of 88% on room air.
Which action should the nurse take first?
A. Encourage deep breathing and coughing
B. Administer oxygen as prescribed
C. Raise the head of the bed to 45 degrees
D. Notify the respiratory therapist
, Correct Answer: B
Rationale: An SpO₂ of 88% indicates hypoxemia — an
airway and breathing priority. The nurse should administer
supplemental oxygen immediately to correct the
hypoxemia and prevent further complications. After
administering oxygen, the nurse can raise the head of the
bed (C) to improve ventilation, encourage coughing (A),
and notify the provider if needed. This follows the ABCs
(Airway, Breathing, Circulation).
Question 3
A client with diabetes mellitus type 2 is prescribed
metformin. Which instruction should the nurse include in
discharge teaching?
A. Take metformin with food to decrease gastrointestinal
upset
B. Skip the dose if you are not planning to eat a meal
C. Metformin causes weight gain as a common side effect
D. Report any muscle pain or weakness to your provider
Correct Answer: A
Rationale: Metformin commonly causes GI upset (nausea,
diarrhea, abdominal discomfort), which can be minimized
by taking it with food. It does not cause weight gain (C)
and is weight-neutral or associated with mild weight loss.
