BSN HESI 266 Actual Exam Complete 100+ Questions And
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Correct Detailed Answers (Verified Answers) Already Gra iv iv iv iv iv iv
ded
Client is recovering from a transurethral prostatectomy. Which activity should be limited until aft
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er the first postoperative visit with the healthcare provider? - CORRECT ANSWER
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>>>Drink 3L iv
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? - iv iv iv iv iv
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
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A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which fin
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ding should the nurse report immediately to the health care provider?
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a. low back pain and hypotensioniv iv iv iv
b. rhinitis and nasal stuffiness iv iv iv
c. delayed painful rash with urticarial iv iv iv iv
d. arthritic joint changes and chronic pain - iv iv iv iv iv iv
CORRECT ANSWER >>>a. low back pain and hypotension
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ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION iv iv iv iv iv iv
1|Page
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,When conducting discharge teaching for a client diagnosed with diverticulosis, whic
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h 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
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>>>c. Eat a high fiber diet and increase fluid intake.
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ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
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The nurse observes an increased number of blood clots in the drainage tubing of a client with c
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ontinuous bladder irrigation following a transurethral resection of the prostate (TURP). What is t
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he best initial nursing action?
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a. Provide additional oral fluid intake iv iv iv iv
b. Measure the client's intake and output. iv iv iv iv iv
c. Increase the flow of the bladder irrigation iv iv iv iv iv iv
d. Administer a PRN dose of an antispasmodic agent - iv iv iv iv iv iv iv iv
CORRECT ANSWER >>>c. Increase the flow of the bladder
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2|Page
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,irrigation
ANSWER (C) Increase the flow of the bladder irrigation
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A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of br
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eath 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 iv iv iv
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? - iv iv iv iv
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 her
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nia repair. He tells the nurse that he is feeling very weak and jittery.
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Which actions should the nurse implement? (S
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elect all that apply.)
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a. Check finger stick glucose iv iv iv
b. Assess skin temperature and iv iv iv iv
moisture
3|Page
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, c. Measure pulse and blood iv iv iv
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
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b. Assess skin temperature iv iv i
v and moisture iv
c. Measure pulse and blood iv iv iv iv
pressure
ANSWER: (CAM) iv
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 o
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f 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
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stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting
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edema.
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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Correct Detailed Answers (Verified Answers) Already Gra iv iv iv iv iv iv
ded
Client is recovering from a transurethral prostatectomy. Which activity should be limited until aft
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er the first postoperative visit with the healthcare provider? - CORRECT ANSWER
iv iv iv iv iv iv iv iv iv iv iv
>>>Drink 3L iv
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? - iv iv iv iv iv
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
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A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which fin
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ding should the nurse report immediately to the health care provider?
iv iv iv iv iv iv iv iv iv iv
a. low back pain and hypotensioniv iv iv iv
b. rhinitis and nasal stuffiness iv iv iv
c. delayed painful rash with urticarial iv iv iv iv
d. arthritic joint changes and chronic pain - iv iv iv iv iv iv
CORRECT ANSWER >>>a. low back pain and hypotension
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ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION iv iv iv iv iv iv
1|Page
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,When conducting discharge teaching for a client diagnosed with diverticulosis, whic
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h 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.
iv iv iv iv iv iv iv
c. Eat a high fiber diet and increase fluid intake.
iv iv iv iv iv iv iv iv
d. Eat a soft diet with increased intake of milk and milk products - CORRECT ANSWER
iv iv iv iv iv iv iv iv iv iv iv iv iv iv
>>>c. Eat a high fiber diet and increase fluid intake.
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ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
iv iv iv iv iv iv iv iv iv
The nurse observes an increased number of blood clots in the drainage tubing of a client with c
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ontinuous bladder irrigation following a transurethral resection of the prostate (TURP). What is t
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he best initial nursing action?
iv iv iv iv
a. Provide additional oral fluid intake iv iv iv iv
b. Measure the client's intake and output. iv iv iv iv iv
c. Increase the flow of the bladder irrigation iv iv iv iv iv iv
d. Administer a PRN dose of an antispasmodic agent - iv iv iv iv iv iv iv iv
CORRECT ANSWER >>>c. Increase the flow of the bladder
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2|Page
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,irrigation
ANSWER (C) Increase the flow of the bladder irrigation
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A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of br
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eath 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 iv iv iv
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
iv iv iv iv iv iv iv
Intervention by the nurse? - iv iv iv iv
CORRECT ANSWER >>>Right foot pale with sluggish capillary refill
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An overweight, young adult who was
iv iv iv iv iv
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a her
iv iv iv iv iv iv iv iv iv iv iv iv iv iv iv
nia repair. He tells the nurse that he is feeling very weak and jittery.
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Which actions should the nurse implement? (S
iv iv iv iv iv iv
elect all that apply.)
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a. Check finger stick glucose iv iv iv
b. Assess skin temperature and iv iv iv iv
moisture
3|Page
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, c. Measure pulse and blood iv iv iv
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
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b. Assess skin temperature iv iv i
v and moisture iv
c. Measure pulse and blood iv iv iv iv
pressure
ANSWER: (CAM) iv
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 o
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f 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
iv iv iv iv iv iv iv iv iv iv iv iv iv iv
stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting
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edema.
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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DownloadedivbyivWamboivJeniiv()