BSN366 EXIT HESI EXAM ACTUAL QUESTIONS AND ANSWERS
NEWEST 2024/2025 {100%correct}
1. The nurse is providing teaching to a client with type 2 B) Get an eye
DM about important points for disease and symptom exam with an
management. Which statement by the client indicates opthalmologist an-
understanding? nually
A) Using salt, herbs, and spices will improve the fla-
vor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals
a day
D) Inspect feet every month for ingrown nails, cuts,
and caluses
2. The nurse is providing educations to a client who C) Practice using
experiences recurrent levels of moderate anxiety to muscle relaxation
situations and perceived stress. In addition to infor- techniques
mations about prescribed medications and adminis-
tration, 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
3. The charge nurse is planning for the shift and has C) A 30-year old
a RN and a PN on the team. Which client should the depresses client
charge nurse assign to the RN? who admits to sui-
cide ideation
A) A 75-year old client with renal calculi who requires
urine straining
B) A 64-year old client who had a total hip replace-
ment the preious day
C) A 30-year old depresses client who admits to sui-
cide ideation
D) An adolescent with multiple contusions due to a
fall that occurred 2 days ago
4.
, BSN366 EXIT HESI
NGN: (Nurses Notes) Diabetic Findings:
1800: The client is a female neonate born at 37 weeks BG 35
of gestation to a G 2 P 1 mother, who was diagnosed Axillary temp 96
with gestational diabetes. Following a spontaneous Ballard score ma-
vaginal birth, she received Apgar scores of seven turity rating 37
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 subcuta- Normal Presenta-
neous fat. She is noted to be slightly jittery at 30min tion:
of age. Axillary temperature 96F, pulse 140, RR 80. Soft Fontanelles
Blood glucose 35, Billy Rubin seven, fontanelles soft, Acrocyanosis
mongolian spot noted on lower back, Ballard maturity (normal findings
rating 37 weeks. (For each assessment finding, click include acro-
to indicate whether the findings are associated with cyanosis, soft
an infant of a diabetic mother or normal presenta- fontanelles, mon-
tion.) golian spots, and
Apgar scores 7 to
Soft Fontanelles 10)
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
5. NGN: (Nurses Notes) Hyperbilirubine-
1800: The client is a female neonate born at 37 weeks mia ,
of gestation to a G 2 P 1 mother, who was diagnosed Resppiratory
with gestational diabetes. Following a spontaneous Distress
vaginal birth, she received Apgar scores of seven Syndrome , and
at one minute and eight at five minutes. The client Cardiomyopathy
weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcuta-
neous 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
, BSN366 EXIT HESI
mother is at risk for _________ , _____________ , and
_________________
6. NGN: Orders A) Feed Immed-
Breast-feed immediately once stable then on de- icately
mand. If unstable, may feed breastmilk via orogas- B) Monitor for
tric tube. If two feeding attempts failed to increase Respiratory Dis-
the glucose levels or if symptoms of hypoglycemia tress
develop, apply dextrose gel inside the babies cheek. D) Keep in warmer
If the above are ineffective, IV glucose should be with bili lights
administered to maintain glucose levels above 45. E) Monitor temp
Bolus of 2mL/kg glucose 10% IV, hello by a continu- q30min
ous glucose perfusion of 6 to 8mg/kg/min, maintain G) Contact RT for
glycemic levels over 40. ABG and O2 ther-
apy
Which 6 orders take priority? J) Blood glucose
A) Feed Immediately level
B) Monitor for respiratory distress
C) Apply dextrose gell 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
7. NGN Laboratory Results (same case of patient who A) Keep infant in
just gave birth) warmer with bili
Which actions are appropriate for the nurse to take atlights to maintain
this time? SATA temp of 97F
E) Explain to the
A) Keep infant in warmer with bili lights to maintain mother that the
temp of 97.6F babys RR need to
B) Monitor Temp be below 60
C) Continue to monitor glucose level F) Inform the
D) Tell the mother that she will need to discuss this mother that the
with the neonatologist baby is stable
E) Explain to the mother that the babys RR needs to enough to take out
, BSN366 EXIT HESI
be below 60 of the warmer
F) Inform the mother that the baby is stable enought G) Observe for
to take out of the warmer signs of respira-
G) Observe for signs of respiratory distress and mon- tory distress and
itor O2 with pulse ox monitor oxygena-
tion by pulse ox
8. NGN: 1800: The client is a female neonate born at 37 A)
weeks of gestation to a G 2 P 1 mother, who was di- B)
agnosed with gestational diabetes. Following a spon- C)
taneous vaginal birth, she received Apgar scores of D) Indicated
seven at one minute and eight at five minutes. The E)
client weighs 4036.97g (8lbs 9oz) and appears pink ?????????
with acrocyanosis and a moderate amount of subcu-
taneous 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 day shift nurse reviews the nurses notes, labs,
and flow sheet from the night before. The nurse plans
on providing health teaching for the client and her
family in preparation for discharge.)
For each teaching point, click to indicate whether it
is indicated or contraindicated. Only one right option
per row.
A) You will need to se
9. NGN: 1800: The client is a female neonate born at 37 Glucose after
weeks of gestation to a G 2 P 1 mother, who was di- feeding was 60
agnosed with gestational diabetes. Following a spon- Direct bili 5
taneous vaginal birth, she received Apgar scores of Temp 97.8
seven at one minute and eight at five minutes. The Oxygen 98%
client weighs 4036.97g (8lbs 9oz) and appears pink Able to tolerate
with acrocyanosis and a moderate amount of subcu- breastmilk
taneous 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,
NEWEST 2024/2025 {100%correct}
1. The nurse is providing teaching to a client with type 2 B) Get an eye
DM about important points for disease and symptom exam with an
management. Which statement by the client indicates opthalmologist an-
understanding? nually
A) Using salt, herbs, and spices will improve the fla-
vor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals
a day
D) Inspect feet every month for ingrown nails, cuts,
and caluses
2. The nurse is providing educations to a client who C) Practice using
experiences recurrent levels of moderate anxiety to muscle relaxation
situations and perceived stress. In addition to infor- techniques
mations about prescribed medications and adminis-
tration, 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
3. The charge nurse is planning for the shift and has C) A 30-year old
a RN and a PN on the team. Which client should the depresses client
charge nurse assign to the RN? who admits to sui-
cide ideation
A) A 75-year old client with renal calculi who requires
urine straining
B) A 64-year old client who had a total hip replace-
ment the preious day
C) A 30-year old depresses client who admits to sui-
cide ideation
D) An adolescent with multiple contusions due to a
fall that occurred 2 days ago
4.
, BSN366 EXIT HESI
NGN: (Nurses Notes) Diabetic Findings:
1800: The client is a female neonate born at 37 weeks BG 35
of gestation to a G 2 P 1 mother, who was diagnosed Axillary temp 96
with gestational diabetes. Following a spontaneous Ballard score ma-
vaginal birth, she received Apgar scores of seven turity rating 37
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 subcuta- Normal Presenta-
neous fat. She is noted to be slightly jittery at 30min tion:
of age. Axillary temperature 96F, pulse 140, RR 80. Soft Fontanelles
Blood glucose 35, Billy Rubin seven, fontanelles soft, Acrocyanosis
mongolian spot noted on lower back, Ballard maturity (normal findings
rating 37 weeks. (For each assessment finding, click include acro-
to indicate whether the findings are associated with cyanosis, soft
an infant of a diabetic mother or normal presenta- fontanelles, mon-
tion.) golian spots, and
Apgar scores 7 to
Soft Fontanelles 10)
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
5. NGN: (Nurses Notes) Hyperbilirubine-
1800: The client is a female neonate born at 37 weeks mia ,
of gestation to a G 2 P 1 mother, who was diagnosed Resppiratory
with gestational diabetes. Following a spontaneous Distress
vaginal birth, she received Apgar scores of seven Syndrome , and
at one minute and eight at five minutes. The client Cardiomyopathy
weighs 4036.97g (8lbs 9oz) and appears pink with
acrocyanosis and a moderate amount of subcuta-
neous 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
, BSN366 EXIT HESI
mother is at risk for _________ , _____________ , and
_________________
6. NGN: Orders A) Feed Immed-
Breast-feed immediately once stable then on de- icately
mand. If unstable, may feed breastmilk via orogas- B) Monitor for
tric tube. If two feeding attempts failed to increase Respiratory Dis-
the glucose levels or if symptoms of hypoglycemia tress
develop, apply dextrose gel inside the babies cheek. D) Keep in warmer
If the above are ineffective, IV glucose should be with bili lights
administered to maintain glucose levels above 45. E) Monitor temp
Bolus of 2mL/kg glucose 10% IV, hello by a continu- q30min
ous glucose perfusion of 6 to 8mg/kg/min, maintain G) Contact RT for
glycemic levels over 40. ABG and O2 ther-
apy
Which 6 orders take priority? J) Blood glucose
A) Feed Immediately level
B) Monitor for respiratory distress
C) Apply dextrose gell 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
7. NGN Laboratory Results (same case of patient who A) Keep infant in
just gave birth) warmer with bili
Which actions are appropriate for the nurse to take atlights to maintain
this time? SATA temp of 97F
E) Explain to the
A) Keep infant in warmer with bili lights to maintain mother that the
temp of 97.6F babys RR need to
B) Monitor Temp be below 60
C) Continue to monitor glucose level F) Inform the
D) Tell the mother that she will need to discuss this mother that the
with the neonatologist baby is stable
E) Explain to the mother that the babys RR needs to enough to take out
, BSN366 EXIT HESI
be below 60 of the warmer
F) Inform the mother that the baby is stable enought G) Observe for
to take out of the warmer signs of respira-
G) Observe for signs of respiratory distress and mon- tory distress and
itor O2 with pulse ox monitor oxygena-
tion by pulse ox
8. NGN: 1800: The client is a female neonate born at 37 A)
weeks of gestation to a G 2 P 1 mother, who was di- B)
agnosed with gestational diabetes. Following a spon- C)
taneous vaginal birth, she received Apgar scores of D) Indicated
seven at one minute and eight at five minutes. The E)
client weighs 4036.97g (8lbs 9oz) and appears pink ?????????
with acrocyanosis and a moderate amount of subcu-
taneous 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 day shift nurse reviews the nurses notes, labs,
and flow sheet from the night before. The nurse plans
on providing health teaching for the client and her
family in preparation for discharge.)
For each teaching point, click to indicate whether it
is indicated or contraindicated. Only one right option
per row.
A) You will need to se
9. NGN: 1800: The client is a female neonate born at 37 Glucose after
weeks of gestation to a G 2 P 1 mother, who was di- feeding was 60
agnosed with gestational diabetes. Following a spon- Direct bili 5
taneous vaginal birth, she received Apgar scores of Temp 97.8
seven at one minute and eight at five minutes. The Oxygen 98%
client weighs 4036.97g (8lbs 9oz) and appears pink Able to tolerate
with acrocyanosis and a moderate amount of subcu- breastmilk
taneous 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,
