BSN HESI 266 Med Surg Exam
Questions and Correct Answers|
Updated
Client is recovering from a transurethral prostatectomy. Which activity should be
limited until after the first postoperative visit with the healthcare provider?
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?
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
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
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
c. Increase the flow of the bladder irrigation
,ANSWER (C) Increase the flow of the bladder irrigation
A client with 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
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?
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
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
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and rhythm with the bell of the
stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of
three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports
joint pain and trouble twisting a door knob due to weaknesses. Which action
should the nurses take in response to these figures?
Questions and Correct Answers|
Updated
Client is recovering from a transurethral prostatectomy. Which activity should be
limited until after the first postoperative visit with the healthcare provider?
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?
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
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
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
c. Increase the flow of the bladder irrigation
,ANSWER (C) Increase the flow of the bladder irrigation
A client with 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
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?
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
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
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and rhythm with the bell of the
stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of
three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports
joint pain and trouble twisting a door knob due to weaknesses. Which action
should the nurses take in response to these figures?
