Nightingale BSN 366 Hesi Exit Exam 2025 With

pg. 1 Nightingale BSN 366 Hesi Exit Exam 2025 With 400 Real Exam Prep Questions and Correct Answers/ BSN 366 Hesi Exit Exam 2025 With Ngn Questions/ NGN Hesi Exit Exam (BSN 366)

The nurse is caring for a client with the sexually transmitted infection syphilis. The client reports having sex with someone who had many partners. Which response should the nurse provide?

• Inform that follow up may end after the treatment is finished.
• Emphasize that using safe sex practices removes the risk of STI's.
• Clarify that all STI's are transmitted through sexual intercourse.
• Remain nonjudgmental and assure the client of confidentiality.
• Remain nonjudgmental and assure the client of confidentiality.

NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am feeling extremely anxious right now. The client has decreased breath sounds in the left lower lobe. His mucus membranes are dry. He has a productive cough with thick, yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM, oxygen saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory rate 28 BPM.

0500: Placed the client in semi-Fowlers position. No improvement in oxygen

saturation on 3L nasal cannula...

(are the three most important goals?)

• The client will remain free of skin breakdown.
• The client will have quit smoking.
• The client will be afebrile for 24 hours.
• The client will maintain oxygen saturation of 96% without supplemental

oxygen.

• The client will report pain less than 3/10. 1 / 4

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• The client will remain free of skin breakdown.
• The client will be afebrile for 24 hours.
• The client will maintain oxygen saturation of 96% without supplemental

oxygen.Client who is newly diagnosed with type two diabetes mellitus receives a prescription for metformin 500 MGPO twice daily. Which information should the nurse include in this clients teaching plan? SATA

• Report persistent polyuria to the healthcare provider
• you sliding scale insulin for fingerstick glucose elevations.
• Take met Forman with a morning and evening meal.
• Recognize signs and symptoms of hypoglycemia.
• Take an additional dose for signs of hyperglycemia.
• Report persistent polyuria to the healthcare provider
• Take met Forman with a morning and evening meal.
• Recognize signs and symptoms of hypoglycemia.

A client with a prescription for do not resuscitate begins to manifest signs of impending death. After notifying the family of the client status, what priority action should the nurse implement?

• The nurse manager should be updated on the client status.
• The client status should be conveyed to the chaplain.
• The impending signs of death should be documented.
• The clients need for pain medication should be determined.
• The clients need for pain medication should be determined.

A 46 year old male client who had a myocardial infarction 24 hours ago comes to the nurses station fully dressed and wanting to go home. He tells the nurse that he is feeling much better at this time. Based on this behavior, which client problem should the nurse include in the plan of care?

• Anxiety related to treatment plan.
• Decisional conflict due to stress.
• Deficient knowledge of lifestyle changes.
• Ineffective coping related to denial. 2 / 4

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• Ineffective coping related to denial.

A client receives a prescription for norepinephrine three MCG per minute IV. The IV bag contains norepinephrine 4 mg in dextrose 5% in water 1000 mL (D5W).How many milliliters per hour should the nurse program the infusion pump? (Enter numerical value only) 45 The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medication's through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

• Circumferential skin irritation.
• Red streak tracking the vein.
• Cool sensation above the site.
• A sluggish blood return.
• Red streak tracking the vein.

The charge nurse is planning for the shift and has a RN and a PN on the team.Which client should the charge nurse assign to the RN?

• A 75-year old client with renal calculi who requires urine straining
• A 64-year old client who had a total hip replacement the preious day
• A 30-year old depresses client who admits to suicide ideation
• An adolescent with multiple contusions due to a fall that occurred 2 days ago
• A 30-year old depresses client who admits to suicide ideation

NGN: (Nurses Notes)

1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1

mother, who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth, she received Apgar scores of seven 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 subcutaneous 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. (For each assessment finding, click to indicate whether the findings are associated with an infant of a diabetic mother or 3 / 4

pg. 4 normal presentation.)

Soft Fontanelles Blood Glucose 35 Axillary temp. 96F Acrocyanosis Ballard score maturity rating 37

Diabetic Findings:

BG 35 Axillary temp 96 Ballard score maturity rating 37

Normal Presentation:

Soft Fontanelles Acrocyanosis (normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar scores 7 to 10) A client with influenza needs help in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel donning gloves and a gown to assist the client. Which action should the nurse take?

• Remind the UP to apply a fitted respirator mask before entering the clients

room.

• Assign the UP to provide care for another client and assume full care of the

client.

• Instruct the UP to notify the nurse of any changes in the clients respiratory

status.

• Review the need for the UPA to wear a facemask while in close contact with

the client

• Review the need for the UPA to wear a facemask while in close contact with

the client An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. Which interventions should the nurse include in the clients plan of care? SATA.

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