BSN 366 HESI RN Exit Exam Questions and
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Answers 2025 |\
The nurse is performing preoperative care of a client for an open
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reduction and internal fixation (ORIF) of a fractured right tibia
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before the procedure, which action should the nurse prioritize? -
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CORRECT ANSWERS ✔✔Verify clients signed consent.
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A client receives a prescription for acetaminophen 1,000 mg by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mouth every 8 hours as needed for pain. The bottle is labeled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Acetaminophen for Oral Suspension, USP 500 mg per 15 mL."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
How many tablespoons should the nurse instruct the client to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take with each dose? (Enter numerical value only.) - CORRECT
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ANSWERS ✔✔2 |\
the nurse observes a client prepare a meal in the kitchen of a
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rehabilitation facility prior to discharge. which behaviors indicate
|\ |\ |\ |\ |\ |\ |\ |\
the client understands how to maintain balance safely?
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a. brings a heavy can close to body before lifting
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b. locks knees while preparing food on the counter
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c. widens stance while working near the sink
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d. bends from the waist to pick trash off the floor
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e. leans forward to pull a pan from a high shelf - CORRECT
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ANSWERS ✔✔a. brings a heavy can close to body before lifting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. widens stance while working near the sink
|\ |\ |\ |\ |\ |\ |\
,The RN is assigned to care for four surgical clients. After
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receiving the report, which client should the nurse see first?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Two days postoperative bladder surgery with continuous
|\ |\ |\ |\ |\ |\ |\ |\
bladder irrigation infusing. |\ |\ |\
b. One-day postoperative laparoscopic cholecystectomy
|\ |\ |\ |\ |\
requesting pain medication. |\ |\ |\
c. Three days postoperative colon resection receiving a
|\ |\ |\ |\ |\ |\ |\ |\
transfusion of packed RBCs. |\ |\ |\ |\
d. Preoperative, in buck's traction, and scheduled for hip
|\ |\ |\ |\ |\ |\ |\ |\ |\
arthroplasty within the next 12 hours - CORRECT ANSWERS ✔✔c. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Three days postoperative colon resection receiving a transfusion
|\ |\ |\ |\ |\ |\ |\ |\
of packed RBCs. .
|\ |\ |\
A client is receiving a continuous infusion of the anticoagulant,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
heparin, for treatment of a deep vein thrombosis of the right calf.
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Which goal should the nurse include in this client's plan of care?
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a. No further thrombus will form.
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b. The client's INR (international normalized ratio) will be 2.
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c. The existing thrombosis will dissolve. d. The circumference of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's right calf will decrease. - CORRECT ANSWERS ✔✔a.
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No further thrombus will form.
|\ |\ |\ |\
Which information is more important for the nurse to obtain when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determining a client's risk for (OSAS)?
|\ |\ |\ |\ |\ |\ |\
a. Body mass index
|\ |\ |\ |\
,b. Level of consciousness
|\ |\ |\ |\
c. Self-description of pain
|\ |\ |\ |\
d. Breath sounds - CORRECT ANSWERS ✔✔a. Body mass index
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A client with a prescription for "do not resuscitate" (DNR) begins
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to manifest signs of impending death. After notifying the family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the client's status, what priority action should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
implement? |\
a. The impending signs of death should be documented
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. The client's status should be conveyed to the chaplain
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c. The client's need for pain medication should be determined
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. The nurse manager should be updated on the client's status -
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CORRECT ANSWERS ✔✔c. The client's need for pain medication
|\ |\ |\ |\ |\ |\ |\ |\ |\
should be determined |\ |\
Which information is more important for the nurse to obtain when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determining a client's risk for (OSAS)?
|\ |\ |\ |\ |\ |\
a. Body mass index
|\ |\ |\ |\
b. Level of consciousness
|\ |\ |\ |\
c. Self-description of pain
|\ |\ |\ |\
d. Breath sounds - CORRECT ANSWERS ✔✔Body mass index.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is preparing to obtain a rapid COVID-19 test for a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who was exposed to the virus eight days ago. The client is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, experiencing fever, cough, and shortness of breath. Which action |\ |\ |\ |\ |\ |\ |\ |\ |\
is the most important for the nurse to take?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Counsel family members to monitor for illness symptoms for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks after last contact with patient
|\ |\ |\ |\ |\ |\
b. Assist the client to recall everyone possibly exposed since
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
onset of symptoms |\ |\ |\
c. Start an intravenous infusion for antiviral drug to be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administered for positive COVID-19 test results. |\ |\ |\ |\ |\ |\
d. Move the client to a private room, keep the door closed, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
initiate droplet precautions. - CORRECT ANSWERS ✔✔d. Move the
|\ |\ |\ |\ |\ |\ |\ |\
client to a private room, keep the door closed, and initiate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
droplet precautions. |\
The nurse is preparing an adult with Addison's disease for self-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
management. Which information should the nurse include in the |\ |\ |\ |\ |\ |\ |\ |\ |\
client's instructions? |\ |\
a. events requiring steroid dose adjustments
|\ |\ |\ |\ |\
b. need to check temperature daily
|\ |\ |\ |\ |\ |\
c. importance of recording daily weights
|\ |\ |\ |\ |\ |\
d. adherence to a high fiber, low fat diet - CORRECT ANSWERS
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✔✔a. events requiring steroid dose adjustments
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The family of an older adult client who received a lung transplant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks if the 2-year-old grandchild can visit. Which response should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse offer?
|\ |\ |\ |\
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Answers 2025 |\
The nurse is performing preoperative care of a client for an open
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reduction and internal fixation (ORIF) of a fractured right tibia
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
before the procedure, which action should the nurse prioritize? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Verify clients signed consent.
|\ |\ |\ |\ |\
A client receives a prescription for acetaminophen 1,000 mg by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mouth every 8 hours as needed for pain. The bottle is labeled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Acetaminophen for Oral Suspension, USP 500 mg per 15 mL."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
How many tablespoons should the nurse instruct the client to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take with each dose? (Enter numerical value only.) - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔2 |\
the nurse observes a client prepare a meal in the kitchen of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rehabilitation facility prior to discharge. which behaviors indicate
|\ |\ |\ |\ |\ |\ |\ |\
the client understands how to maintain balance safely?
|\ |\ |\ |\ |\ |\ |\ |\
a. brings a heavy can close to body before lifting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. locks knees while preparing food on the counter
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. widens stance while working near the sink
|\ |\ |\ |\ |\ |\ |\ |\
d. bends from the waist to pick trash off the floor
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
e. leans forward to pull a pan from a high shelf - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. brings a heavy can close to body before lifting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. widens stance while working near the sink
|\ |\ |\ |\ |\ |\ |\
,The RN is assigned to care for four surgical clients. After
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receiving the report, which client should the nurse see first?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Two days postoperative bladder surgery with continuous
|\ |\ |\ |\ |\ |\ |\ |\
bladder irrigation infusing. |\ |\ |\
b. One-day postoperative laparoscopic cholecystectomy
|\ |\ |\ |\ |\
requesting pain medication. |\ |\ |\
c. Three days postoperative colon resection receiving a
|\ |\ |\ |\ |\ |\ |\ |\
transfusion of packed RBCs. |\ |\ |\ |\
d. Preoperative, in buck's traction, and scheduled for hip
|\ |\ |\ |\ |\ |\ |\ |\ |\
arthroplasty within the next 12 hours - CORRECT ANSWERS ✔✔c. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Three days postoperative colon resection receiving a transfusion
|\ |\ |\ |\ |\ |\ |\ |\
of packed RBCs. .
|\ |\ |\
A client is receiving a continuous infusion of the anticoagulant,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
heparin, for treatment of a deep vein thrombosis of the right calf.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which goal should the nurse include in this client's plan of care?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. No further thrombus will form.
|\ |\ |\ |\ |\ |\
b. The client's INR (international normalized ratio) will be 2.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. The existing thrombosis will dissolve. d. The circumference of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's right calf will decrease. - CORRECT ANSWERS ✔✔a.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
No further thrombus will form.
|\ |\ |\ |\
Which information is more important for the nurse to obtain when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determining a client's risk for (OSAS)?
|\ |\ |\ |\ |\ |\ |\
a. Body mass index
|\ |\ |\ |\
,b. Level of consciousness
|\ |\ |\ |\
c. Self-description of pain
|\ |\ |\ |\
d. Breath sounds - CORRECT ANSWERS ✔✔a. Body mass index
|\ |\ |\ |\ |\ |\ |\ |\ |\
A client with a prescription for "do not resuscitate" (DNR) begins
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to manifest signs of impending death. After notifying the family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the client's status, what priority action should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
implement? |\
a. The impending signs of death should be documented
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. The client's status should be conveyed to the chaplain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. The client's need for pain medication should be determined
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. The nurse manager should be updated on the client's status -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔c. The client's need for pain medication
|\ |\ |\ |\ |\ |\ |\ |\ |\
should be determined |\ |\
Which information is more important for the nurse to obtain when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determining a client's risk for (OSAS)?
|\ |\ |\ |\ |\ |\
a. Body mass index
|\ |\ |\ |\
b. Level of consciousness
|\ |\ |\ |\
c. Self-description of pain
|\ |\ |\ |\
d. Breath sounds - CORRECT ANSWERS ✔✔Body mass index.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is preparing to obtain a rapid COVID-19 test for a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who was exposed to the virus eight days ago. The client is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, experiencing fever, cough, and shortness of breath. Which action |\ |\ |\ |\ |\ |\ |\ |\ |\
is the most important for the nurse to take?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Counsel family members to monitor for illness symptoms for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks after last contact with patient
|\ |\ |\ |\ |\ |\
b. Assist the client to recall everyone possibly exposed since
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
onset of symptoms |\ |\ |\
c. Start an intravenous infusion for antiviral drug to be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administered for positive COVID-19 test results. |\ |\ |\ |\ |\ |\
d. Move the client to a private room, keep the door closed, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
initiate droplet precautions. - CORRECT ANSWERS ✔✔d. Move the
|\ |\ |\ |\ |\ |\ |\ |\
client to a private room, keep the door closed, and initiate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
droplet precautions. |\
The nurse is preparing an adult with Addison's disease for self-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
management. Which information should the nurse include in the |\ |\ |\ |\ |\ |\ |\ |\ |\
client's instructions? |\ |\
a. events requiring steroid dose adjustments
|\ |\ |\ |\ |\
b. need to check temperature daily
|\ |\ |\ |\ |\ |\
c. importance of recording daily weights
|\ |\ |\ |\ |\ |\
d. adherence to a high fiber, low fat diet - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔a. events requiring steroid dose adjustments
|\ |\ |\ |\ |\
The family of an older adult client who received a lung transplant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks if the 2-year-old grandchild can visit. Which response should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse offer?
|\ |\ |\ |\
