MED-SURG BSN 266 FINAL EXAM 2025 WITH
QUESTIONS AND VERIFIED ANSWERS ||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE
The nurse is developing a discharge teaching plan for a client who underwent a
repair of abdominal aortic aneurysm 4 days ago. The nurse reviews the client's
chart for information about the client's history. Key findings are noted in the
chart below. Based on the data and expected outcomes, which should the nurse
emphasize in the teaching plan?
A. Food intake.
B. Fluid volume.
C. Skin integrity.
D. Tissue perfusion. - ANSWER-D. Tissue perfusion.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records
findings from the initial assessment in the client's chart, as shown below. At
10:30 AM, the client has sharp mid chest pain after having a bowel movement.
What should the nurse do first?
A. Assess the client's vital signs.
B. Administer a bolus of lactated Ringer's solution.
C. Assess the client's neurologic status.
D. Contact the physician. - ANSWER-A. Assess the client's vital signs.
Nursing assessment of a 54-year-old client in the emergency department reveals
severe back pain, Grey Turner's sign, nausea, blood pressure of 90/40, heart rate
128bpm, and respirations 28/min. The nurse should first:
A. Assess the urine output.
,B. Place a large-bore IV
C. Position onto the left side.
D. Insert a nasogastric tube. - ANSWER-B. Place a large-bore IV
What should the nurse teach a client about how to avoid the dumping
syndrome? Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment. - ANSWER-C. Reduce fluids with meals, but
take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
A. Nutritional intake.
B. Management of alopecia.
C. Exercise and activity levels.
D. Access to community resources. - ANSWER-A. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31
×109/L) to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
, D. Check for blood in the urine. - ANSWER-B. Assess for spontaneous
petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these
data, it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow. - ANSWER-D. Length and amount of
menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
C. Migraine headache.
D. Sinus congestion. - ANSWER-B. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following
statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin." - ANSWER-B.
"Ecchymoses are large, purple skin bruises."
A client has an emergency embolectomy for an embolus in the femoral artery.
After the client returns from the recovery room, in what order, from first to last,
should the nurse provide care?
QUESTIONS AND VERIFIED ANSWERS ||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE
The nurse is developing a discharge teaching plan for a client who underwent a
repair of abdominal aortic aneurysm 4 days ago. The nurse reviews the client's
chart for information about the client's history. Key findings are noted in the
chart below. Based on the data and expected outcomes, which should the nurse
emphasize in the teaching plan?
A. Food intake.
B. Fluid volume.
C. Skin integrity.
D. Tissue perfusion. - ANSWER-D. Tissue perfusion.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records
findings from the initial assessment in the client's chart, as shown below. At
10:30 AM, the client has sharp mid chest pain after having a bowel movement.
What should the nurse do first?
A. Assess the client's vital signs.
B. Administer a bolus of lactated Ringer's solution.
C. Assess the client's neurologic status.
D. Contact the physician. - ANSWER-A. Assess the client's vital signs.
Nursing assessment of a 54-year-old client in the emergency department reveals
severe back pain, Grey Turner's sign, nausea, blood pressure of 90/40, heart rate
128bpm, and respirations 28/min. The nurse should first:
A. Assess the urine output.
,B. Place a large-bore IV
C. Position onto the left side.
D. Insert a nasogastric tube. - ANSWER-B. Place a large-bore IV
What should the nurse teach a client about how to avoid the dumping
syndrome? Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment. - ANSWER-C. Reduce fluids with meals, but
take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
A. Nutritional intake.
B. Management of alopecia.
C. Exercise and activity levels.
D. Access to community resources. - ANSWER-A. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31
×109/L) to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
, D. Check for blood in the urine. - ANSWER-B. Assess for spontaneous
petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these
data, it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow. - ANSWER-D. Length and amount of
menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
C. Migraine headache.
D. Sinus congestion. - ANSWER-B. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following
statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin." - ANSWER-B.
"Ecchymoses are large, purple skin bruises."
A client has an emergency embolectomy for an embolus in the femoral artery.
After the client returns from the recovery room, in what order, from first to last,
should the nurse provide care?
