MED SURG HESI BSN 266 FINAL EXAM QUESTIONS BANK AND
STUDY GUIDE 2024/2025 NEWEST!! ACTUAL COMPLETE 440
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+.
A client is admitted with acute congestive heart failure (CHF). which
exam finding will the nurse most likely assess in this client?
a. Rales and crackles in the bilateral lower lobes upon auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitalization.
d. Blood pressure 160/100 mm Hg - ANSWER -a. Rales and crackles
in the bilateral lower lobes upon auscultation.
A client is admitted with multiple injuries following a motor vehicle
collision. Which injury should the nurse address
first?
a. Active bleeding from lower leg
wound and BP 100/60 mmHg.
b. Scalp lacerations and Glasgow
Coma Scale of 10.
,c. Absent breath sounds over the left lung, distended neck
veins, RR 27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the lower arm and
hand. - ANSWER -c. Absent breath sounds over
the left lung, distended neck veins, RR
27/min, and pulse 120bpm.
A client diagnosed with acute respiratory distress syndrome
(ARDS) is demonstrating atelectasis. Which nursing
diagnoses should the nurse list as
the priority for this client?
a. Ineffective
airway clearance
b. Impaired gas
exchange
c. Alteration
in comfort.
d. Fluid volume overload. - ANSWER -
b. Impaired gas exchange
The nurse raises the head of the bed and encourages a client
recovering from abdominal surgery to take deep
breaths. What should the nurse identify as the
primary goal of these interventions?
a. Increased blood flow to
the lower extremities
,b. Reduce post
operative bleeding
c. Reduce the retention
of carbon dioxide
d. Decrease intracranial pressure - ANSWER -c.
Reduce the retention of carbon dioxide
A client diagnosed with gastric cancer asks the nurse how he
developed the disease. Which assessment finding will
provide the most information regarding the
development of gastric cancer in this client?
a. Ingest 1 alcoholic
beverage each day
b. Takes cimetidine (Tagamet) for chronic
urticaria every day for years in a row
c. Eats pickled veggies and salted
fish several times a week
d. Family history of colon cancer - ANSWER -c. Eats pickled
veggies and salted fish several times a week
A client is prescribed to receive 1000ml of dextrose 5% and 0.45%
normal saline to infuse over 8 hours. The administration set deliver
12 drops per ml. Calculate the rate in which the nurse should
regulate the drops per minute for this infusion. - ANSWER -25 drops
per minute
, A client being prepared for surgery tells the nurse he is anxious
because her will "not be awake to see what everyone is doing."
What should the nurse respond? a. "Don't worry we all know
what we need to do"
b. "The surgeon will make sure everything goes well"
c. "Would you like to have a type of anesthesia that allows you to be
awake for the procedure"
d. "There are processes in place to minimize the risk of mistakes and
to create a safe environment" - ANSWER -d. "There are processes
in place to minimize the risk of mistakes and to create a safe
environment"
A client diagnosed with chronic renal failure is in the intensive care
unit for treatment with nitroprusside sodium for
blood pressure control. What should the nurse
include in this clients plan of care?
a. Expect the blood pressure to increase when infusion is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administration
d. Provide the medication through intravenous push - ANSWER -c.
Monitor thiocyanate level for prolonged administration
A client in the emergency department with a suspected acute
myocardial infarction is prescribed laboratory tests to
aid in the diagnosis. Which diagnostic test will provide the most
sensitive information regarding the clients
STUDY GUIDE 2024/2025 NEWEST!! ACTUAL COMPLETE 440
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+.
A client is admitted with acute congestive heart failure (CHF). which
exam finding will the nurse most likely assess in this client?
a. Rales and crackles in the bilateral lower lobes upon auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitalization.
d. Blood pressure 160/100 mm Hg - ANSWER -a. Rales and crackles
in the bilateral lower lobes upon auscultation.
A client is admitted with multiple injuries following a motor vehicle
collision. Which injury should the nurse address
first?
a. Active bleeding from lower leg
wound and BP 100/60 mmHg.
b. Scalp lacerations and Glasgow
Coma Scale of 10.
,c. Absent breath sounds over the left lung, distended neck
veins, RR 27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the lower arm and
hand. - ANSWER -c. Absent breath sounds over
the left lung, distended neck veins, RR
27/min, and pulse 120bpm.
A client diagnosed with acute respiratory distress syndrome
(ARDS) is demonstrating atelectasis. Which nursing
diagnoses should the nurse list as
the priority for this client?
a. Ineffective
airway clearance
b. Impaired gas
exchange
c. Alteration
in comfort.
d. Fluid volume overload. - ANSWER -
b. Impaired gas exchange
The nurse raises the head of the bed and encourages a client
recovering from abdominal surgery to take deep
breaths. What should the nurse identify as the
primary goal of these interventions?
a. Increased blood flow to
the lower extremities
,b. Reduce post
operative bleeding
c. Reduce the retention
of carbon dioxide
d. Decrease intracranial pressure - ANSWER -c.
Reduce the retention of carbon dioxide
A client diagnosed with gastric cancer asks the nurse how he
developed the disease. Which assessment finding will
provide the most information regarding the
development of gastric cancer in this client?
a. Ingest 1 alcoholic
beverage each day
b. Takes cimetidine (Tagamet) for chronic
urticaria every day for years in a row
c. Eats pickled veggies and salted
fish several times a week
d. Family history of colon cancer - ANSWER -c. Eats pickled
veggies and salted fish several times a week
A client is prescribed to receive 1000ml of dextrose 5% and 0.45%
normal saline to infuse over 8 hours. The administration set deliver
12 drops per ml. Calculate the rate in which the nurse should
regulate the drops per minute for this infusion. - ANSWER -25 drops
per minute
, A client being prepared for surgery tells the nurse he is anxious
because her will "not be awake to see what everyone is doing."
What should the nurse respond? a. "Don't worry we all know
what we need to do"
b. "The surgeon will make sure everything goes well"
c. "Would you like to have a type of anesthesia that allows you to be
awake for the procedure"
d. "There are processes in place to minimize the risk of mistakes and
to create a safe environment" - ANSWER -d. "There are processes
in place to minimize the risk of mistakes and to create a safe
environment"
A client diagnosed with chronic renal failure is in the intensive care
unit for treatment with nitroprusside sodium for
blood pressure control. What should the nurse
include in this clients plan of care?
a. Expect the blood pressure to increase when infusion is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administration
d. Provide the medication through intravenous push - ANSWER -c.
Monitor thiocyanate level for prolonged administration
A client in the emergency department with a suspected acute
myocardial infarction is prescribed laboratory tests to
aid in the diagnosis. Which diagnostic test will provide the most
sensitive information regarding the clients
