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BSN 366 Exit HESI 2025/2026 – 300+ Practice Questions & Answers | NCLEX Prep, Nursing Fundamentals, Delegation & Pharmacology

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This comprehensive exam preparation document includes over 300 expertly crafted and verified multiple-choice questions and answers tailored for the BSN 366 Exit HESI Exam for the 2025/2026 academic year. It thoroughly covers essential topics such as patient safety, pharmacological interventions, NCLEX-style delegation and prioritization, pediatric and adult care, mental health nursing, maternity care, emergency interventions, therapeutic communication, and disease management including diabetes, hypertension, CHF, COPD, and renal failure. The format is clinical-scenario-based, with rationales that reflect critical thinking patterns aligned with HESI and NCLEX testing frameworks. It is structured to build both theoretical understanding and practical application, especially for final-year BSN students preparing for graduation assessments or the HESI RN Exit exam. Nursing students in Bachelor of Science in Nursing (BSN), Registered Nurse (RN) programs, accelerated nursing pathways, or LPN-to-RN bridge programs will find this document highly relevant for comprehensive review and test readiness. Keywords: Exit HESI questions BSN 366 2025 NCLEX RN prep HESI RN practice nursing pharmacology patient safety delegation and prioritization pediatric nursing maternity care therapeutic communication lab value interpretation IV therapy chronic illness care emergency nursing nursing leadership nursing case studies RN exit exam practice fluid and electrolyte mental health nursing

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Exit Hesi (BSN 366- V3) 2025/2026 Exam
Questions and Answers | A+ Score
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A 64 year-old client scheduled for surgery with a general anesthetic refuses

to remove a set of dentures prior to leaving the unit for the operating room.

What would be the most appropriate intervention by the nurse? - 🧠

ANSWER ✔✔Ask the client if the preference would be to remove the

dentures in the operating room receiving area

The nurse has been teaching adult clients about cardiac risks when they

visit the hypertension clinic. Which form of evaluation would best measure

learning? - 🧠 ANSWER ✔✔Reported behavioral changes

,The nurse is planning care for an 18 month-old child. Which action should

be included in the child's care? - 🧠 ANSWER ✔✔Encourage the child to

feed himself finger food

A partner is concerned because the client frequently daydreams about

moving to Arizona to get away from the pollution and crowding in southern

California. The nurse explains that - 🧠 ANSWER ✔✔Such fantasies can

gratify unconscious wishes or prepare for anticipated future events

An appropriate goal for a client with anxiety would be to - 🧠 ANSWER

✔✔Learn self-help techniques


While the nurse is administering medications to a client, the client states "I

do not want to take that medicine today." Which of the following responses

by the nurse would be best? - 🧠 ANSWER ✔✔"Is there a reason why you

don't want to take your medicine?"

While caring for a client, the nurse notes a pulsating mass in the client's

periumbilical area. Which of the following assessments is appropriate for

the nurse to perform? - 🧠 ANSWER ✔✔Auscultate the mass


A client is admitted to the hospital with a history of confusion. The client

has difficulty remembering recent events and becomes disoriented when

,away from home. Which statement would provide the best reality

orientation for this client? - 🧠 ANSWER ✔✔"Good morning. You're in the

hospital. I am your nurse Elaine Jones."

The nurse is teaching the parents of a 3 month-old infant about nutrition.

What is the main source of fluids for an infant until about 12 months of

age? - 🧠 ANSWER ✔✔Formula or breast milk


The family of a 6 year-old with a fractured femur asks the nurse if the

child's height will be affected by the injury. Which statement is true

concerning long bone fractures in children? - 🧠 ANSWER ✔✔Epiphyseal

fractures often interrupt a child's normal growth pattern

The nurse is assessing a client who states her last menstrual period was

March 16, and she has missed one period. She reports episodes of nausea

and vomiting. Pregnancy is confirmed by a urine test. What will the nurse

calculate as the estimated date of delivery (EDD)? - 🧠 ANSWER

✔✔December 23


When screening children for scoliosis, at what time of development would

the nurse expect early signs to appear? - 🧠 ANSWER ✔✔During the

preadolescent growth spurt


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, A client with congestive heart failure is newly admitted to home health care.

The nurse discovers that the client has not been following the prescribed

diet. What would be the most appropriate nursing action? - 🧠 ANSWER

✔✔Discuss diet with the client to learn the reasons for not following the diet


A client states, "People think I'm no good, you know what I mean?" Which

of these responses would be most therapeutic? - 🧠 ANSWER ✔✔"I'm not

sure what you mean. Tell me a bit more about that."

A client being treated for hypertension returns to the community clinic for

follow up. The client says, "I know these pills are important, but I just can't

take these water pills anymore. I drive a truck for a living, and I can't be

stopping every 20 minutes to go to the bathroom." Which of these is the

best nursing diagnosis? - 🧠 ANSWER ✔✔Noncompliance related to

medication side effects

When teaching effective stress management techniques to a client 1 hour

before surgery, which of the following should the nurse recommend? - 🧠

ANSWER ✔✔Deep breathing

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