M2025/2026 MED SURG HESI BSN
266 online at https://quizlet.com/_crxqpy
Study
1.
rebound effect. Which dosing method is likely to relieve these
symptoms?: Move the PM intermediate- acting dose to bedtime.
2. When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse
to implement?: Swab the child's erythematous oropharyngeal surfaces
or tonsilar pustules.
3. The nurse is caring for a 42-year-old male client who is
excreting less sodium than he is consuming. If this condition
continues, what complication can the nurse expect this client to
exhibit?: edema
4. Which condition would likely cause secondary polycythemia?:
High altitude exposure.
5. An infant is treated for intussusception with hydrostatic
reduction. What instruction should the nurse include in the parents'
teaching plan?: s/s of reocurrence
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For
which health problem is the insulin being administered at this time
of day?: dawn phenomenon
7. The nurse is obtaining a throat culture of a client's posterior
oropharyngeal region. For which health problem will this specimen
be used to diagnose?: strep throat
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
8. A middle-aged male client is being evaluated for lower
extremity edema. Which laboratory value will be used to aid in
determining the cause of this client's manifestation?: serum sodium
9. A client is diagnosed with secondary polycythemia. Which
health condition contributed to the development of this secondary
problem?: hypovolemia
10. A client in the oliguric phase of acute renal failure (ARF) has a
24 hour urine output of 400ml. nurse should allow this client to
have how much oral intake during the next 24 hours?: limit oral
intake to 900. to 1000ml
11. A female client on the mental health unit tells the nurse that her
roommate is sitting on the bathroom floor with superficial cuts on
her wrists. The nurse cleans and assesses the client's wrists and
asks her what happened. She doesn't respond. Next?: take the client
to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a
client for a common untoward effect of phenytoin (Dilantin)?:
inspection of the mouth
13 The nurse is preparing to administer an IM dose of Vitamin B1
(thiamine) to a male client experiencing acute alcohol withdrawal and
peripheral neuritis.
The client belligerently states, "what do you think you're doing?"
Response?-
: "This shot will help relieve the pain in your feet
14. When administering an intramuscular injection containing 3 ml of
a painful medication, Intervention?: select a large, deep muscle
mass
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
15. Locate the optic disk: the really light area on the right
16. When completing a mental health assessment, the nurse wishes
to obtain information about a client's insight and judgment. Which
interview technique is most useful in assessing these mental
abilities: have the client describe what should be done if a child was
observed alone in a locked car on a hot day
17. An adult Muslim client with ulcerative colitis was admitted to the
post-surgical unit earlier today following a bowel resection with
temporary colostomy. Which intervention is most important for
the nurse to implement?: assign a care provider of the same gender
18. The parents of a 6-year-old recently diagnosed with Duchene
muscular dystrophy tell the nurse that their child wants to
continue attending swimming classes. How should the nurse
respond?: encourage the parents to allow the child to continue
attending swimming lessons with supervision
19. The nurse initiates a one-to-one relationship with a 35-year-old
depressed female client who was recently admitted to the
psychiatric facility. Which nursing action is most effective in
promoting the development of a therapeutic relationship?: ensure
that scheduled appointments begin according to the schedule
20. An 18-year-old female client is admitted to the unit after ingesting
an overdose of Phenobarbital (Luminal). She is unresponsive and
ABG results are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L.
Which interpretation of the client's
ABG results by the nurse is accurate?: respiratory acidosis,
uncompensated 21. A male client with multiple myeloma is admitted
with pneumonia and pancytopenia. The nurse reviews the complete
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
blood cell count findings and identifies a platelet count of 20,000
cells/mm3. Which intervention should the nurse include in the
client's plan of care?: avoid intramuscular injections
22. The nurse is planning care for a 48-year-old client, diagnosed
with schizophrenia at age 25, who has been taking antipsychotic
drugs since diagnosis. Long-term use of these drugs is associated
with which side effect?: tardive dyskinesia
23. What instruction is most important for the nurse to provide a
client with neutropenia?: avoid sources of potential infection
24 A client with acute laryngitis reports feeling "short of breath".
The nurse assesses that the client's respiratory rate has increased
from 16/minute to 28/minute. What intervention should the nurse
implement?: assess the client for stridor and increased respiratory effort
25. When caring for a client who had a craniotomy yesterday for
removal of a pituitary tumor, which finding indicates to the nurse
that further information is needed?: urine output for 8 hours is 2000
ml with a specific gravity of 1.001 26. The nurse is working with an
interdisciplinary group to write procedures for assessment of
clients from a multiracial inner city population. The guidelines
include a statement that reads, "Remember that all Hispanic clients
may not wish to give personal medical information to a stranger."
Which action should the nurse take?: recommend changing the
language that stereotypes one ethnic group
27. A 6-month-old client is diagnosed with intussusception. For
which medical intervention will the nurse prepare this client?: an
enema 28. The nurse is reviewing the medication history of a
client who is demonstrating tardive dyskinesia. Which
266 online at https://quizlet.com/_crxqpy
Study
1.
rebound effect. Which dosing method is likely to relieve these
symptoms?: Move the PM intermediate- acting dose to bedtime.
2. When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse
to implement?: Swab the child's erythematous oropharyngeal surfaces
or tonsilar pustules.
3. The nurse is caring for a 42-year-old male client who is
excreting less sodium than he is consuming. If this condition
continues, what complication can the nurse expect this client to
exhibit?: edema
4. Which condition would likely cause secondary polycythemia?:
High altitude exposure.
5. An infant is treated for intussusception with hydrostatic
reduction. What instruction should the nurse include in the parents'
teaching plan?: s/s of reocurrence
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For
which health problem is the insulin being administered at this time
of day?: dawn phenomenon
7. The nurse is obtaining a throat culture of a client's posterior
oropharyngeal region. For which health problem will this specimen
be used to diagnose?: strep throat
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
8. A middle-aged male client is being evaluated for lower
extremity edema. Which laboratory value will be used to aid in
determining the cause of this client's manifestation?: serum sodium
9. A client is diagnosed with secondary polycythemia. Which
health condition contributed to the development of this secondary
problem?: hypovolemia
10. A client in the oliguric phase of acute renal failure (ARF) has a
24 hour urine output of 400ml. nurse should allow this client to
have how much oral intake during the next 24 hours?: limit oral
intake to 900. to 1000ml
11. A female client on the mental health unit tells the nurse that her
roommate is sitting on the bathroom floor with superficial cuts on
her wrists. The nurse cleans and assesses the client's wrists and
asks her what happened. She doesn't respond. Next?: take the client
to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a
client for a common untoward effect of phenytoin (Dilantin)?:
inspection of the mouth
13 The nurse is preparing to administer an IM dose of Vitamin B1
(thiamine) to a male client experiencing acute alcohol withdrawal and
peripheral neuritis.
The client belligerently states, "what do you think you're doing?"
Response?-
: "This shot will help relieve the pain in your feet
14. When administering an intramuscular injection containing 3 ml of
a painful medication, Intervention?: select a large, deep muscle
mass
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
15. Locate the optic disk: the really light area on the right
16. When completing a mental health assessment, the nurse wishes
to obtain information about a client's insight and judgment. Which
interview technique is most useful in assessing these mental
abilities: have the client describe what should be done if a child was
observed alone in a locked car on a hot day
17. An adult Muslim client with ulcerative colitis was admitted to the
post-surgical unit earlier today following a bowel resection with
temporary colostomy. Which intervention is most important for
the nurse to implement?: assign a care provider of the same gender
18. The parents of a 6-year-old recently diagnosed with Duchene
muscular dystrophy tell the nurse that their child wants to
continue attending swimming classes. How should the nurse
respond?: encourage the parents to allow the child to continue
attending swimming lessons with supervision
19. The nurse initiates a one-to-one relationship with a 35-year-old
depressed female client who was recently admitted to the
psychiatric facility. Which nursing action is most effective in
promoting the development of a therapeutic relationship?: ensure
that scheduled appointments begin according to the schedule
20. An 18-year-old female client is admitted to the unit after ingesting
an overdose of Phenobarbital (Luminal). She is unresponsive and
ABG results are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L.
Which interpretation of the client's
ABG results by the nurse is accurate?: respiratory acidosis,
uncompensated 21. A male client with multiple myeloma is admitted
with pneumonia and pancytopenia. The nurse reviews the complete
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_crxqpy
.
blood cell count findings and identifies a platelet count of 20,000
cells/mm3. Which intervention should the nurse include in the
client's plan of care?: avoid intramuscular injections
22. The nurse is planning care for a 48-year-old client, diagnosed
with schizophrenia at age 25, who has been taking antipsychotic
drugs since diagnosis. Long-term use of these drugs is associated
with which side effect?: tardive dyskinesia
23. What instruction is most important for the nurse to provide a
client with neutropenia?: avoid sources of potential infection
24 A client with acute laryngitis reports feeling "short of breath".
The nurse assesses that the client's respiratory rate has increased
from 16/minute to 28/minute. What intervention should the nurse
implement?: assess the client for stridor and increased respiratory effort
25. When caring for a client who had a craniotomy yesterday for
removal of a pituitary tumor, which finding indicates to the nurse
that further information is needed?: urine output for 8 hours is 2000
ml with a specific gravity of 1.001 26. The nurse is working with an
interdisciplinary group to write procedures for assessment of
clients from a multiracial inner city population. The guidelines
include a statement that reads, "Remember that all Hispanic clients
may not wish to give personal medical information to a stranger."
Which action should the nurse take?: recommend changing the
language that stereotypes one ethnic group
27. A 6-month-old client is diagnosed with intussusception. For
which medical intervention will the nurse prepare this client?: an
enema 28. The nurse is reviewing the medication history of a
client who is demonstrating tardive dyskinesia. Which
