BSN366 EXIT HESI Questions and

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BSN366 EXIT HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A postoperative patient reports sudden chest pain and shortness of breath. What is the nurse’s first action?

• Sit with the patient

✔✔B. Assess vital signs and oxygen saturation

• Administer pain medication
• Document symptoms

A patient with diabetes reports dizziness and confusion. What should the nurse do first?✔✔A. Check blood glucose and provide a rapid-acting carbohydrate

• Call the provider immediately
• Wait until next scheduled check
• Encourage oral fluids

A client is scheduled for surgery and asks why preoperative labs are necessary. What is the nurse’s best response? 1 / 4

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• To practice drawing blood
• To fill hospital paperwork

✔✔C. To detect abnormalities that could affect anesthesia or surgery

• To speed up billing

A patient with a Foley catheter reports bladder spasms. What is the priority nursing action?

• Remove the catheter immediately

✔✔B. Check for kinks and ensure patency

• Give pain medication without assessment
• Notify family

A patient develops sudden swelling of the lips after eating peanuts. What should the nurse do first?✔✔A. Assess airway and prepare emergency intervention

• Give an oral antihistamine
• Document and observe
• Ask family to call the provider
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A child presents with fever and seizure activity. What is the priority nursing action?

• Start IV fluids immediately

✔✔B. Ensure safety, maintain airway, and monitor seizure

• Call provider after seizure
• Document only

A patient is post-operative and refuses ambulation due to pain. What is the first nursing action?

• Force the patient to ambulate
• Wait until the patient feels ready

✔✔C. Assess pain and provide analgesia before assisting

• Ignore the complaint

A patient develops a rash after IV antibiotics. What should the nurse do first?

• Apply topical cream
• Continue infusion while monitoring

✔✔C. Stop the infusion and notify the provider

• Document only
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A patient is confused and attempting to remove their IV line. What is the priority nursing action?

• Remove the IV immediately
• Call security

✔✔C. Ensure patient safety and secure the IV line

• Document only

A patient on anticoagulants reports black, tarry stools. What is the first action?

• Document only
• Continue the medication

✔✔C. Hold the medication and notify the provider immediately

• Monitor at next shift

A patient reports severe postoperative pain unrelieved by medication. What should the nurse do first?

• Give another dose immediately
• Call family

✔✔C. Assess for complications such as infection or compartment syndrome

• Document only
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