BSN HESI 266 Actual Exam Complete 100+ Questions
And Correct Detailed Answers (Verified Answers)
Already Graded A+
Client is recovering from a transurethral prostatectomy. Which activity should be limited until after
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the first postoperative visit with the healthcare provider? - CORRECT ANSWER
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b vb
>>>Drink 3L vb
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
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intervention should the nurse implement? - vb vb vb vb vb
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
vb vb vb vb vb vb vb vb
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which findi
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ng should the nurse report immediately to the health care provider?
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a. low back pain and hypotension
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b. rhinitis and nasal stuffiness vb vb vb
c. delayed painful rash with urticarial vb vb vb vb
d. arthritic joint changes and chronic pain - vb vb vb vb vb vb
CORRECT ANSWER >>>a. low back pain and hypotension
vb vb vb vb vb vb vb vb
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION vb vb vb vb vb vb
1|Page
vb vb vb vb vb
,When conducting discharge teaching for a client diagnosed with diverticulosis, which
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diet instruction should the nurse include?
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a. Have small frequent meals and sit up for at least two hours after meals.
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b. Eat a bland diet and avoid spicy foods.
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c. Eat a high fiber diet and increase fluid intake.
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d. Eat a soft diet with increased intake of milk and milk products -CORRECT ANSWER
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
>>>c. Eat a high fiber diet and increase fluid intake.
vb vb vb vb vb vb vb vb vb
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
vb vb vb vb vb vb vb vb vb
The nurse observes an increased number of blood clots in the drainage tubing of a client with con
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
tinuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the be
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st initial nursing action?
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a. Provide additional oral fluid intake vb vb vb vb
b. Measure the client's intake and output. vb vb vb vb vb
c. Increase the flow of the bladder irrigation vb vb vb vb vb vb
d. Administer a PRN dose of an antispasmodic agent - vb vb vb vb vb vb vb vb
CORRECT ANSWER >>>c. Increase the flow of the bladder
vb vb vb vb vb vb vb vb vb
2|Page
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,irrigation
ANSWER (C) Increase the flow of the bladder irrigation vb vb vb vb vb vb vb vb
A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of brea
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th and difficult to arouse. When performing a head
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-to-toe assessment, the nurse discovers four analgesic patches on - CORRECT ANSWER
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>>>Remove all morphine patches vb vb vb
Coming down the basement steps, a client is brought to the emergency room X-
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ray ... cast, which assessment finding warrants immediate
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Intervention by the nurse? - vb vb vb vb
CORRECT ANSWER >>>Right foot pale with sluggish capillary refill
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An overweight, young adult who was
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recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a hernia
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repair. He tells the nurse that he is feeling very weak and jittery.
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Which actions should the nurse implement? (Sel
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ect all that apply.)vb vb vb
a. Check finger stick glucose vb vb vb
b. Assess skin temperature and vb vb vb vb
moisture
3|Page
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, c. Measure pulse and blood vb vb vb
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
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b. Assess skin temperature vb vb vb
and moisture
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c. Measure pulse and blood vb vb vb vb
pressure
ANSWER: (CAM) vb
A client who underwent cardiac stent placement four days ago arrives to the
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emergency department reporting a sudden onset of chest pressure and shortness of
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breath. Which action should the nurse take next?
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a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the st
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ethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting ed
vb vb vb vb vb vb vb vb vb vb vb
ema.
c. Verify troponin level assessments are scheduled every 3-
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6 hours for a series of three.
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d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
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4|Page
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And Correct Detailed Answers (Verified Answers)
Already Graded A+
Client is recovering from a transurethral prostatectomy. Which activity should be limited until after
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
the first postoperative visit with the healthcare provider? - CORRECT ANSWER
vb vb vb vb vb vb vb vb v
b vb
>>>Drink 3L vb
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
intervention should the nurse implement? - vb vb vb vb vb
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
vb vb vb vb vb vb vb vb
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which findi
vb vb vb vb vb vb vb vb vb vb vb vb
ng should the nurse report immediately to the health care provider?
vb vb vb vb vb vb vb vb vb vb
a. low back pain and hypotension
vb vb vb vb
b. rhinitis and nasal stuffiness vb vb vb
c. delayed painful rash with urticarial vb vb vb vb
d. arthritic joint changes and chronic pain - vb vb vb vb vb vb
CORRECT ANSWER >>>a. low back pain and hypotension
vb vb vb vb vb vb vb vb
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION vb vb vb vb vb vb
1|Page
vb vb vb vb vb
,When conducting discharge teaching for a client diagnosed with diverticulosis, which
vb vb vb vb vb vb vb vb vb vb vb
diet instruction should the nurse include?
vb vb vb vb vb
a. Have small frequent meals and sit up for at least two hours after meals.
vb vb vb vb vb vb vb vb vb vb vb vb vb
b. Eat a bland diet and avoid spicy foods.
vb vb vb vb vb vb vb
c. Eat a high fiber diet and increase fluid intake.
vb vb vb vb vb vb vb vb
d. Eat a soft diet with increased intake of milk and milk products -CORRECT ANSWER
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
>>>c. Eat a high fiber diet and increase fluid intake.
vb vb vb vb vb vb vb vb vb
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
vb vb vb vb vb vb vb vb vb
The nurse observes an increased number of blood clots in the drainage tubing of a client with con
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
tinuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the be
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
st initial nursing action?
vb vb vb
a. Provide additional oral fluid intake vb vb vb vb
b. Measure the client's intake and output. vb vb vb vb vb
c. Increase the flow of the bladder irrigation vb vb vb vb vb vb
d. Administer a PRN dose of an antispasmodic agent - vb vb vb vb vb vb vb vb
CORRECT ANSWER >>>c. Increase the flow of the bladder
vb vb vb vb vb vb vb vb vb
2|Page
vb vb vb vb vb
,irrigation
ANSWER (C) Increase the flow of the bladder irrigation vb vb vb vb vb vb vb vb
A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of brea
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
th and difficult to arouse. When performing a head
vb vb vb vb vb vb vb vb
-to-toe assessment, the nurse discovers four analgesic patches on - CORRECT ANSWER
vb vb vb vb vb vb vb vb vb vb vb
>>>Remove all morphine patches vb vb vb
Coming down the basement steps, a client is brought to the emergency room X-
vb vb vb vb vb vb vb vb vb vb vb vb vb
ray ... cast, which assessment finding warrants immediate
vb vb vb vb vb vb vb
Intervention by the nurse? - vb vb vb vb
CORRECT ANSWER >>>Right foot pale with sluggish capillary refill
vb vb vb vb vb vb vb vb vb
An overweight, young adult who was
vb vb vb vb vb
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a hernia
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
repair. He tells the nurse that he is feeling very weak and jittery.
vb vb vb vb vb vb vb vb vb vb vb vb
Which actions should the nurse implement? (Sel
vb vb vb vb vb vb
ect all that apply.)vb vb vb
a. Check finger stick glucose vb vb vb
b. Assess skin temperature and vb vb vb vb
moisture
3|Page
vb vb vb vb vb
, c. Measure pulse and blood vb vb vb
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
vb vb vb vb vb vb v b v b
b. Assess skin temperature vb vb vb
and moisture
vb
c. Measure pulse and blood vb vb vb vb
pressure
ANSWER: (CAM) vb
A client who underwent cardiac stent placement four days ago arrives to the
vb vb vb vb vb vb vb vb vb vb vb vb
emergency department reporting a sudden onset of chest pressure and shortness of
vb vb vb vb vb vb vb vb vb vb vb vb
breath. Which action should the nurse take next?
vb vb vb vb vb vb vb
a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the st
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting ed
vb vb vb vb vb vb vb vb vb vb vb
ema.
c. Verify troponin level assessments are scheduled every 3-
vb vb vb vb vb vb vb
6 hours for a series of three.
vb vb vb vb vb vb
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
vb vb vb vb vb vb vb vb
4|Page
vb vb vb vb vb