BSN. HESI 366 RN EXIT EXAM (NEW 2024/ 2025
UPDATE) QUESTIONS AND VERIFIED ANSWERS|100%
CORRECT| GRADE A
A client who had a caesarean section two weeks ago is admitted to the
hospital for an
infected surgical abdominal wound. Which room is best for the nurse to
assign this
client?
1. A negative pressure room.
2. A semi-private room on a surgical unit.
3. A postpartum room in the birthing center.
4. A private room on a medical unit. - ANS ✓4. A private room on a medical
unit.
A client with glaucoma is scheduled for surgery. Which pre-operative
prescription
should the nurse question?
1. Morphine sulfate 5 mg IV on call to operating room.
2. Atropine sulfate 0.4 mg IM on call to operating room.
3. Betaxolol (Betoptic) one drop in each eye the morning of surgery.
4. Benzodiazepine (Valium) 5 mg by mouth the morning of surgery. - ANS
✓2. Atropine sulfate 0.4 mg IM on call to operating room.
What assessment findings should the nurse identify before referring a
client for further
evaluation to rule out skin cancer? (Select all that apply.)
Select all that apply
Some correct answers were not selected
1. White patches.
BSN. HESI
, 2
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2. Cherry angiomas.
3. Border irregularity.
4. Lesion with asymmetry.
5. Lesion with color variations.
6. Lesion of 3 to 5 mm diameter. - ANS ✓3. Border irregularity.
5. Lesion with color variations.
A client is receiving a continuous bladder irrigation at 1000 ml/hour after a
prostatectomy. The nurse determines the client's urine output for the past
hour is 200
ml. What action should the nurse implement first?
1. Notify the healthcare provider.
2. Stop the irrigation flow.
3. Document the finding and continue to observe.
4. Irrigate the catheter with a large piston syringe. - ANS ✓2. Stop the
irrigation flow.
After receiving chemotherapy 2 weeks ago, a male client with acute
leukemia is
admitted for blood transfusions because his hemoglobin is 6 gm/dl. After
toileting, the
client returns to bed and his oxygen saturation is measured at 82%. The
nurse
increases the O2 per nasal cannula from 3 to 4 liters per minute. What
intervention
should the nurse implement next?
1. Collect blood for hemoglobin and hematocrit.
2. Start the first transfusion of blood.
3. Insert an indwelling urinary catheter.
4. Encourage alternate rest periods with activity. - ANS ✓2. Start the first
transfusion
BSN. HESI
, 3
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of blood.
The nurse observes an empty secondary infusion of diltiazem (Cardizem) is
attached to
the client's IV pump, but realizes that this client has no prescription for
Cardizem. In
what sequence, from first to last, should the following interventions be
implemented?
(Place the first action on top and last action on the bottom.)
1. Measure the client's vital signs.
2. Review medications client is taking.
3. Complete an incident report.
4. Notify the healthcare provider. - ANS ✓1. Measure the client's vital signs.
2. Review medications client is taking.
3. Notify the healthcare provider.
4. Complete an incident report.
About mid-morning, a 10-year-old child reports to the school nurse
complaining of
nausea, dizziness, and chills. Further assessment reveals that this child is
sweating
profusely and has a blood glucose level of 57 mg/dl. Based on these
assessment
findings, which food is best for the nurse to encourage the child to eat?
1. A chocolate bar.
2. A soft drink.
3. Peanut butter crackers.
4. A piece of buble gum. - ANS ✓3. Peanut butter crackers.
A client with a markedly distended bladder is diagnosed with
hydronephrosis and left
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, 4
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hydroureter after an IV pyelogram. The nurse catheterizes the client and
obtains a residual urine volume of 1650 ml. This finding supports which
pathophysiological cause
of the client's urinary tract obstruction?
1. Obstruction at the urinary bladder neck.
2. Ureteral calculi obstruction.
3. Ureteropelvic junction stricture.
4. Partial post-renal obstruction due to ureteral stricture. - ANS ✓1.
Obstruction at the
urinary bladder neck.
When making a home visit to a family with a teething 4-month-old, what
information is
most important for the nurse to provide the parents?
1. Though child development is characterized by individual differences,
first teeth
usually erupt during the seventh month.
2. Providing cooled teething toys can help decrease the discomfort
associated with
tooth eruption.
3. No action is required for the common symptoms associated with
teething, which
include drooling, irritability, and poor sleeping.
4. A slight fever is often associated with teething, but a fever lasting more
than three
days requires medical attention. - ANS ✓4. A slight fever is often associated
with teething, but a fever lasting more than three days requires medical
attention.
A client who had a normal vaginal delivery 10 days ago is re-hospitalized
for lethargy
BSN. HESI
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