HESI EXIT BSN 366 Past Actual Test 2024-2025 With All 160

pg. 1 HESI EXIT BSN 366 Past Actual Test 2024-2025 With All 160 Questions and Correct Answers (100% Correct Verified Answers/ Nightingale BSN 366 Hesi Exit Exam Prep 2025 (Brand New!)

• A recently hired nurse who is in orientation is assigned to the medical unit. The charge

nurse observes the new nurse prepare to administer one unit of packed red blood cells as seen in the picture. What action should the charge nurse take?

a) Verify that a 22-gauze intravenous catheter is used for the transfusion

b) Assist the nurse in changing the intravenous tubing attached to the blood

c) Tell the nurse to take the client’s vital sighs and then start the transfusion

d) Assume responsibility for the care of the client during the blood transfusion

• The first paddle has been placed on the chest of a client who needs defibrillation. Where

should the nurse place the second paddle? 1 / 4

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• Which conditions are most likely to respond to treatment with antihistamines? select all

that apply.

a) Bronchitis

b) Allergic Rhinitis

c) Otitis Media

d) Contact Dermatitis

e) Myocarditis

• An older client's daughter calls the home health nurse and reports that her mother has

become forgetful and is very confused at night. The daughter states that her mother's behavior changed suddenly a few days ago and is now getting worse. Which actions should the nurse take? select all that apply.

a) Ask if the mother is experiencing any pain with urination

b) Encourage increased intake of high protein foods

c) Instruct the daughter to check her mother’s temperature

d) Review the client’s current food and medication allergies

e) Determine if the mother has recently experienced a fall

• The nurse is assessing a male client with a history of Addison's disease. The client has

flu-like symptoms and nausea with vomiting over the past week. The client's spouse reports that he acted confused and was extremely weak when he awoke this morning. The client is febrile and has tachycardia. The healthcare provider diagnoses acute adrenal insufficiency. Which medication will most likely be prescribed?

a) Hypotonic saline solution at 100 mL/hr until all edema disappears

b) Hydrocortisone 100 mg IV every 6 hours until systolic BP reaches 110 mmHg

c) Potassium chloride 20 mEq IV to infuse over two hours until confusion resolves

d) Regular insulin drip to keep blood glucose 100 mg/dL

• A male client with a history of mitral valve prolapse is admitted because of fever and

dyspnea on exertion and is diagnosed with acute infective endocarditis. During the admission assessment, the nurse observes multiple areas of petechiae on the client's skin.Which interventions should the nurse include in the client's plan of care? (SATA)

a) Monitor cardiac rhythm via telemetry 2 / 4

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b) Report changes in pre-existing murmurs

c) Schedule rest periods between activities

d) Maintain record of fluid intake and output

e) Initiate contact transmission precautions

• The nurse is planning an educational session for new parents on ways to prevent sudden

infant death syndrome (SIDS). Which information is most important to provide parents of newborns and infants?

a) Remove pillows and soft toys from the crib at bedtime

b) Keep a bulb syringe accessible for use for an infant

c) Position the infant in a supine position while sleeping

d) Do not prop bottles for an infant during naps and bedtime

• The healthcare provider prescribes methylergonovine maleate for a postpartum client

with uterine atony. What finding should indicate to the nurse to withhold the next dose of the medication?

a) Hypertension

b) Difficulty locating the uterine fundus

c) Saturation of more than one pad per hour

d) Excessive lochia

• The nurse notes that an older client has a moist cough that increases in severity during

and after meals. Based on this finding, which action should the nurse take?

a) Collect a sputum specimen immediately

b) Request a consultation to confirm dysphagia

c) Offer the client additional clear liquids frequently

d) Encourage client to do deep breathing exercises daily

• A multiparous client who delivered her infant 3 hours ago asks the nurse if she can take a

warm sitz bath because it helped reduce perineal pain after her last delivery. What action should the nurse implement?

a) Use an analgesic spray to the perineal area to reduce pain

b) Apply an ice pack to perinium for the first 24 hours

c) Teach the client how to practice Kegal exercises

d) Review the use of sitz bath equipment with the client

• When the parents of a 6-year-old boy with a brain tumor are told that his condition is

terminal, the mother shouts at the father, "This is your fault! It never would have happened if we had sought treatment sooner!" Which intervention is BEST for the nurse to implement?

a) Refer the parents to the chaplain to provide grief counseling

b) Assure the parents that a terminal diagnosis was inevitable

c) Tell the parents that blaming each other will not change the situation 3 / 4

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d) Explain to the parents that anger is a common response to grief.

• The wife of a newly diagnosed client with Parkinson's disease asks the nurse if

alternative or complimentary medical therapies might cure the disease. Which response should the nurse provide?

a) Compile a list of alternative medications that are effective in curing Parkinson’s

disease

b) Explain that there are no known conventional, alternative, or complimentary

therapies that cure Parkinson’s disease

c) Encourage the wife to ventilate her feelings about having a husband with

Parkinson’s disease

d) Tell the wife that her husband’s neurologist would know more about alternative

treatments to cure Parkinson’s disease

• An IV antibiotic is prescribed for a client with a postoperative infection. The medication

is to be administered in 4 divided doses. What schedule is BEST for administering this prescription?

• 1000, 1600, 2200, 0400
• 0800, 1200, 1600, 2000

c) Administer with meals and a bedtime snack

d) Give in equally divided doses during waking hours

• The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired

movements will worsen as the child grows. Which response provides the best explanation?

a) Continued development of the brain lesion determines the child’s outcome

b) Brain damage with CP is not progressive but does have a variable course

c) CP is one of the most common permanent physical disabilities in children

d) Severe motor dysfunction determines the extent of successful habilitation

• The nurse is preparing a teaching plan for an older female client diagnosed with

osteoporosis. Which expected outcome has the highest priority for this client?

a) Identifies 2 treatments for constipation due to immobility

b) Names 3 home safety hazards to be resolved immediately

c) States 4 risk factors for the development of osteoporosis

d) Lists 5 calcium-rich foods to be added to her daily diet

• A client is recovering in the outpatient surgical unit after an endoscopic carpal tunnel

release. The nurse assesses the client's vital signs, pain level, and dressing. Before discharging the client, which intervention should the nurse implement?

a) Administer a nonsteroidal anti-inflammatory drug for pain

b) Check neurovascular status of the distal digits

c) Change the dressing if drainage increases

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