HESI 266 Medical-Surgical Nursing Comprehensive
Study Guide,Complete Questions And Answers
Graded A+
- D Enjoys fat-free yogurt as an occasional snack food.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH
(Dietary Approaches to Stop Hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness.
,Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with
lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse? [Hematocrit (Reference Range: Male:
42% to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness. - B Hematocrit of 30%
(0.30 volume fraction) - C Cold and dry skin.
- D Facial puffiness and periorbital edema - B Full thickness.
Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous
with a wound bed that is brown and yellow in appearance. The client
expresses feeling no pain. Which classification of burn depth should the
nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
-.
Question # 5
Rationale - B Crohn's disease with colectomy.
,The nurse should recognize that clients with extensive intra-abdominal
surgical history are not candidates for peritoneal dialysis, as these
clients may have decreased peritoneal membrane surface areas and
scar tissue formation, which would make it insufficient for adequate
dialysis exchange.
Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin
dialysis. Which condition entered on the client's medical record should
the nurse recognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus. - D Latent hepatitis C.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.
The three main things that the liver produces are albumin, bile
(digestive enzymes), and prothrombin (clotting factors). Albumin plays
many important roles including maintenance of appropriate osmotic
pressure, binding and transport of various substances like hormones,
drugs etc. in blood, and neutralisation of free radicals. It prevents fluid
from leaking out of blood vessels into your tissues. Albumin is also
responsible for transporting vitamins, enzymes and hormones
throughout your body. Albumin makes up 50% of the proteins found in
your plasma.
Question 6 of 55
, The nurse assesses a client with cirrhosis and finds 4+ pitting edema of
the feet and legs, and massive ascites. Which mechanism contributes to
edema and ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation. - B
Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
- C Decreased renin-angiotensin response related to an increase in
renal blood flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.
- B Discuss approaches to chronic pain control with the client.
Question 7 of 55
While assessing a client with degenerative joint disease, the nurse
observes Heberden's nodes, large prominences on the client's fingers
that are reddened. The client reports that the nodes are painful. Which
action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately. - D Assess
the client's radial pulses and capillary refill time.
- B Minimize symptoms by wearing loose, comfortable clothing.
Question 8 of 55
Which information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
Study Guide,Complete Questions And Answers
Graded A+
- D Enjoys fat-free yogurt as an occasional snack food.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH
(Dietary Approaches to Stop Hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness.
,Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with
lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse? [Hematocrit (Reference Range: Male:
42% to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness. - B Hematocrit of 30%
(0.30 volume fraction) - C Cold and dry skin.
- D Facial puffiness and periorbital edema - B Full thickness.
Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous
with a wound bed that is brown and yellow in appearance. The client
expresses feeling no pain. Which classification of burn depth should the
nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
-.
Question # 5
Rationale - B Crohn's disease with colectomy.
,The nurse should recognize that clients with extensive intra-abdominal
surgical history are not candidates for peritoneal dialysis, as these
clients may have decreased peritoneal membrane surface areas and
scar tissue formation, which would make it insufficient for adequate
dialysis exchange.
Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin
dialysis. Which condition entered on the client's medical record should
the nurse recognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus. - D Latent hepatitis C.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.
The three main things that the liver produces are albumin, bile
(digestive enzymes), and prothrombin (clotting factors). Albumin plays
many important roles including maintenance of appropriate osmotic
pressure, binding and transport of various substances like hormones,
drugs etc. in blood, and neutralisation of free radicals. It prevents fluid
from leaking out of blood vessels into your tissues. Albumin is also
responsible for transporting vitamins, enzymes and hormones
throughout your body. Albumin makes up 50% of the proteins found in
your plasma.
Question 6 of 55
, The nurse assesses a client with cirrhosis and finds 4+ pitting edema of
the feet and legs, and massive ascites. Which mechanism contributes to
edema and ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation. - B
Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
- C Decreased renin-angiotensin response related to an increase in
renal blood flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic
pressure.
- B Discuss approaches to chronic pain control with the client.
Question 7 of 55
While assessing a client with degenerative joint disease, the nurse
observes Heberden's nodes, large prominences on the client's fingers
that are reddened. The client reports that the nodes are painful. Which
action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately. - D Assess
the client's radial pulses and capillary refill time.
- B Minimize symptoms by wearing loose, comfortable clothing.
Question 8 of 55
Which information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
