1|Pag e
MED/SURG HESI BSN266 YBG1 EXAM|| LATELY
UPDATED QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2024-2025WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
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
,2|Pag e
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"
, 3|Pag e
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 myocardial damage?
a. Serum potassium level
b. Red blood cell count
c. Troponin level
d. MB-CPK - ANSWER: c. Troponin level
A client receiving cardiopulmonary resuscitation and defibrillation has a heart rate
of 50 beats per minute and regular pulse. Which of the following should be done to
support the client at this time?
a. Ensure the client has an adequate airway and is receiving ventilation
b. Continue cardiac compressions since the client is not breathing
MED/SURG HESI BSN266 YBG1 EXAM|| LATELY
UPDATED QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2024-2025WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
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
,2|Pag e
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"
, 3|Pag e
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 myocardial damage?
a. Serum potassium level
b. Red blood cell count
c. Troponin level
d. MB-CPK - ANSWER: c. Troponin level
A client receiving cardiopulmonary resuscitation and defibrillation has a heart rate
of 50 beats per minute and regular pulse. Which of the following should be done to
support the client at this time?
a. Ensure the client has an adequate airway and is receiving ventilation
b. Continue cardiac compressions since the client is not breathing
