BSN HESI 266
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BSN HESI 266 Med Surg Exam ( Update) Questions
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& Verified Answers, 100% Guaranteed Pass || Complete A+
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Guide
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Testbankscove
,Question 1 q
A 32-year-old female client complains of severe abdominal pain each month
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q before her menstrual period, painful intercourse, and painful defecation. Which
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q additional history should the nurse obtain that is consistent with the client's
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q complaints?
A. Frequent urinary tract infections. q q q
B. Inability to get pregnant. q q q
C. Premenstrual syndrome. q
D. Chronic use of laxatives. q q q
Correct Answer: B. Inability to get pregnant.
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Rationale:
q
Dysmenorrhea (painful menstruation), dyspareunia (painful intercourse), and
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q dyschezia (painful defecation) are common symptoms of endometriosis. This
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q condition occurs when endometrial tissue grows outside the uterus, typically in
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q dependent areas of the pelvic peritoneum. A history of infertility is another
q q q q q q q q q q q
q common finding associated with endometriosis, as the displaced tissue can cause
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scarring, adhesions, and fallopian tube obstruction.
q q q q q q
Question 2 q
The nurse is assessing a client with chronic kidney disease (CKD). Which finding
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q is most important for the nurse to respond to first?
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A. Potassium 6.0 mEq/L. q q
B. Daily urine output of 400 ml.
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C. Peripheral neuropathy. q
D. Uremic fetor. q
Correct Answer: A. Potassium 6.0 mEq/L.
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,Rationale:
Hyperkalemia (normal serum potassium level is 3.5 to 5.0 mEq/L) is a serious
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electrolyte disorder that can cause fatal cardiac arrhythmias. In a client with CKD,
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the kidneys cannot effectively excrete potassium, leading to dangerous
q q q q q q q q q
q accumulation. This finding represents the greatest immediate threat to life and is
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the highest nursing priority. While the other findings (low urine output, peripheral
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neuropathy, and uremic fetor) are significant in CKD, they do not pose the same
q q q q q q q q q q q q q q
immediate life-threatening risk as hyperkalemia.
q q q q q
Question 3 q
The nurse is assessing a client who smokes cigarettes and has been diagnosed
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q with emphysema. Which finding would the nurse expect this client to exhibit?
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A. A decreased total lung capacity.
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B. Normal arterial blood gases.
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, C. Normal skin coloring. q q
D. An absence of sputum.
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Correct Answer: C. Normal skin coloring.
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Rationale: The differentiation between the "pink puffer" (emphysema) and the
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"blue bloater" (chronic bronchitis) is a classic clinical distinction. Clients with
q q q q q q q q q q q
q emphysema typically have normal skin color but "puff" with prolonged exhalation,
q q q q q q q q q q
q while clients with chronic bronchitis are edematous, cyanotic, and have shallow
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respirations.
q
Question 4 q
A client is admitted to the medical intensive care unit with a diagnosis of
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q myocardial infarction. The client's history indicates the infarction occurred ten
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q hours ago. Which laboratory test result would the nurse expect this client to
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q exhibit?
A. Elevated LDH. q
B. Elevated serum amylase. q q
C. Elevated CK-MB. q
D. Elevated hematocrit. q
Correct Answer: C. Elevated CK-MB.
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Rationale: CK-MB is the cardiac isoenzyme that indicates myocardial damage.
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q Troponin elevates within 2–3 hours, followed by CK-MB within 6–9 hours, peaking
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q 12–20 hours after myocardial infarction (MI).
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Question 5 q
A 20-year-old female client calls the nurse to report a lump she found in her
q q q q q q q q q q q q q q
q breast. Which response is the best for the nurse to provide?
q q q q q q q q q q
q q
BSN HESI 266 Med Surg Exam ( Update) Questions
q q q q q q q q q q
& Verified Answers, 100% Guaranteed Pass || Complete A+
q q q q q q q q
Guide
q
Testbankscove
,Question 1 q
A 32-year-old female client complains of severe abdominal pain each month
q q q q q q q q q q
q before her menstrual period, painful intercourse, and painful defecation. Which
q q q q q q q q q
q additional history should the nurse obtain that is consistent with the client's
q q q q q q q q q q q
q complaints?
A. Frequent urinary tract infections. q q q
B. Inability to get pregnant. q q q
C. Premenstrual syndrome. q
D. Chronic use of laxatives. q q q
Correct Answer: B. Inability to get pregnant.
q q q q q q
Rationale:
q
Dysmenorrhea (painful menstruation), dyspareunia (painful intercourse), and
q q q q q q
q dyschezia (painful defecation) are common symptoms of endometriosis. This
q q q q q q q q
q condition occurs when endometrial tissue grows outside the uterus, typically in
q q q q q q q q q q
q dependent areas of the pelvic peritoneum. A history of infertility is another
q q q q q q q q q q q
q common finding associated with endometriosis, as the displaced tissue can cause
q q q q q q q q q q
scarring, adhesions, and fallopian tube obstruction.
q q q q q q
Question 2 q
The nurse is assessing a client with chronic kidney disease (CKD). Which finding
q q q q q q q q q q q q
q is most important for the nurse to respond to first?
q q q q q q q q q
A. Potassium 6.0 mEq/L. q q
B. Daily urine output of 400 ml.
q q q q q
C. Peripheral neuropathy. q
D. Uremic fetor. q
Correct Answer: A. Potassium 6.0 mEq/L.
q q q q q
,Rationale:
Hyperkalemia (normal serum potassium level is 3.5 to 5.0 mEq/L) is a serious
q q q q q q q q q q q q
electrolyte disorder that can cause fatal cardiac arrhythmias. In a client with CKD,
q q q q q q q q q q q q q
the kidneys cannot effectively excrete potassium, leading to dangerous
q q q q q q q q q
q accumulation. This finding represents the greatest immediate threat to life and is
q q q q q q q q q q q
the highest nursing priority. While the other findings (low urine output, peripheral
q q q q q q q q q q q q
neuropathy, and uremic fetor) are significant in CKD, they do not pose the same
q q q q q q q q q q q q q q
immediate life-threatening risk as hyperkalemia.
q q q q q
Question 3 q
The nurse is assessing a client who smokes cigarettes and has been diagnosed
q q q q q q q q q q q q
q with emphysema. Which finding would the nurse expect this client to exhibit?
q q q q q q q q q q q
A. A decreased total lung capacity.
q q q q
B. Normal arterial blood gases.
q q q
, C. Normal skin coloring. q q
D. An absence of sputum.
q q q
Correct Answer: C. Normal skin coloring.
q q q q q
Rationale: The differentiation between the "pink puffer" (emphysema) and the
q q q q q q q q q
"blue bloater" (chronic bronchitis) is a classic clinical distinction. Clients with
q q q q q q q q q q q
q emphysema typically have normal skin color but "puff" with prolonged exhalation,
q q q q q q q q q q
q while clients with chronic bronchitis are edematous, cyanotic, and have shallow
q q q q q q q q q q
respirations.
q
Question 4 q
A client is admitted to the medical intensive care unit with a diagnosis of
q q q q q q q q q q q q q
q myocardial infarction. The client's history indicates the infarction occurred ten
q q q q q q q q q
q hours ago. Which laboratory test result would the nurse expect this client to
q q q q q q q q q q q q
q exhibit?
A. Elevated LDH. q
B. Elevated serum amylase. q q
C. Elevated CK-MB. q
D. Elevated hematocrit. q
Correct Answer: C. Elevated CK-MB.
q q q q
Rationale: CK-MB is the cardiac isoenzyme that indicates myocardial damage.
q q q q q q q q q
q Troponin elevates within 2–3 hours, followed by CK-MB within 6–9 hours, peaking
q q q q q q q q q q q
q 12–20 hours after myocardial infarction (MI).
q q q q q
Question 5 q
A 20-year-old female client calls the nurse to report a lump she found in her
q q q q q q q q q q q q q q
q breast. Which response is the best for the nurse to provide?
q q q q q q q q q q
