BSN HESI 266 EXAM QUESTIONS WITH
ANSWERS
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit with
the healthcare provider? - Correct answer Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement? -
Correct answer Administer opioid and non-opioid medications
simultaneously
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticarial
D. Arthritic joint changes and chronic pain - Correct answer a. Low
back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
Diagnosed with diverticulosis, which diet instruction should the
nurse include?
A. Have small frequent meals and sit up for at least two hours
after meals.
,B. Eat a bland diet and avoid spicy foods.
C. Eat a high fiber diet and increase fluid intake.
D. Eat a soft diet with increased intake of milk and milk products -
Correct answer c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What is
the best initial nursing action?
A. Provide additional oral fluid intake
B. Measure the client's intake and output.
C. Increase the flow of the bladder
Irrigation
D. Administer a PRN dose of an antispasmodic agent - Correct
answer c. Increase the flow of the bladder
Irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches
on - Correct answer Remove all morphine patches
, Coming down the basement steps, a client is brought to the
emergency room X-ray ... Cast, which assessment finding
warrants immediate
Intervention by the nurse? - Correct answer Right foot pale with
sluggish capillary refill
An overweight, young adult who was
Recently Check finger stick glucose diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse
that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
A. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure - Correct answer a. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the
ANSWERS
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit with
the healthcare provider? - Correct answer Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement? -
Correct answer Administer opioid and non-opioid medications
simultaneously
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticarial
D. Arthritic joint changes and chronic pain - Correct answer a. Low
back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
Diagnosed with diverticulosis, which diet instruction should the
nurse include?
A. Have small frequent meals and sit up for at least two hours
after meals.
,B. Eat a bland diet and avoid spicy foods.
C. Eat a high fiber diet and increase fluid intake.
D. Eat a soft diet with increased intake of milk and milk products -
Correct answer c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What is
the best initial nursing action?
A. Provide additional oral fluid intake
B. Measure the client's intake and output.
C. Increase the flow of the bladder
Irrigation
D. Administer a PRN dose of an antispasmodic agent - Correct
answer c. Increase the flow of the bladder
Irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches
on - Correct answer Remove all morphine patches
, Coming down the basement steps, a client is brought to the
emergency room X-ray ... Cast, which assessment finding
warrants immediate
Intervention by the nurse? - Correct answer Right foot pale with
sluggish capillary refill
An overweight, young adult who was
Recently Check finger stick glucose diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse
that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
A. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure - Correct answer a. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the
