BSN HESI 266 MED SURG EXAM
QUESTIONS AND ANSWERS ALL
CORRECT RATED A+
1. Amproceduremaimedmatmpreventingmthemformationmofmampleuralmeffusionmbymcausingmthemp
leuralmspacesmtomsealmtogether.m-mCORRECTmANSWERmPleurodesis
2. Chronicmesophagitismwithmgastroesophagealmrefluxmismampotentialmconsequencemofmradiati
onmtherapymformbreastmcancer.m-mCORRECTmANSWERmRadiationmtherapymconsequences
3. Fracturesmthatmoccurmwithoutmevidencemofmtrauma,moftenmduemtomlossmofmbonemdensitymfr
ommradiationmdamage.m-mCORRECTmANSWERmPathologicmfracture
4. SexualmintercoursemaftermanmMImrequiresmnommoremenergymexpendituremormcardiacmstressm
thanmwalkingmbrisklymupmtwomflightsmofmstairs.m-
mCORRECTmANSWERmSexualmactivitymaftermmyocardialminfarction
5. Amtypemofmfeedingmtubemthatmdiffersmfrommamgastrostomymtubemprimarilyminmthemmethodm
ofminsertion.m-mCORRECTmANSWERmPercutaneousmendoscopicmgastrostomym(PEG)mtube
6. Amtubeminsertedmendoscopicallymthroughmthemesophagusmintomthemstomach,mheldminmplac
embymambumpermandmamwater-filledmballoon.m-mCORRECTmANSWERmPEGmtube
7. Amtubeminsertedmthroughmanmincisionminmthemabdomenmandmsuturedmtomthemgastricmwall.m-
mCORRECTmANSWERmGT
8. Includesmobtainingmconsent,mamclear-
liquidmdietmform24mtom48mhoursmprior,madministrationmofmanmenema,mandmfastingmonmthemm
orningmofmthemprocedure.m-mCORRECTmANSWERmProctosigmoidoscopympreparation
,9. Elevatedmfingerstickmglucosemlevelsm(e.g.,m300mmg/dl)mneedmtombemreportedmtomadjustmthe
mcaremplan.m-mCORRECTmANSWERmDysuriaminmdiabetes
10. Acutempainmrelatedmtommovementmofmthemstone.m-
mCORRECTmANSWERmRightmrenalmcalculimnursingmdiagnosismpriority
11. Startingmchemotherapymearlymincreasesmthemchancemofmeradicatingmcancermcells,masm50%m
ofmtumormcellsmaremkilledmwithmeachmdose.m-mCORRECTmANSWERmChemotherapyminitiation
12. Amclinicalmsignmofmlivermdiseasemcharacterizedmbymamflappingmtremormofmthemhands.m-
mCORRECTmANSWERmAsterixis
13. Amdietmconsistingmofmclearmfluids,moftenmrequiredm24mtom48mhoursmbeforemcertainmmedicalm
procedures.m-mCORRECTmANSWERmClear-liquidmdiet
14. Amproceduremtomintroducemliquidmintomthemrectummtomstimulatemambowelmmovementmormcl
eansemthembowelmbeforemamprocedure.m-mCORRECTmANSWERmEnema
15. Refrainingmfrommallmfoodmandmdrinkmformamspecifiedmperiod,moftenmrequiredmbeforemmedic
almprocedures.m-mCORRECTmANSWERmFastingmprotocol
16. Painmlocatedminmthemlowermabdomen,moftenmassociatedmwithmurinarymissues.m-
mCORRECTmANSWERmSuprapubicmpain
17. Ampulsemthatmfeelsmstrongmandmfull,moftenmmeasuredmatm100mbeats/minuteminmthismcontext
.m-mCORRECTmANSWERmBoundingmpulse
,18. Fluid-
filledmblistersminmthemperinealmarea,mwhichmmaymindicatemanminfectionmormothermmedicalmc
ondition.m-mCORRECTmANSWERmSmallmvesicularmperinealmlesions
19. Severemdiscomfortmthatmarisesmsuddenly,moftenmrelatedmtomconditionsmlikemrenalmcalculi.m-
mCORRECTmANSWERmAcutempain
20. Difficultyminmpassingmurine,moftenmduemtomobstruction.m-
mCORRECTmANSWERmImpairedmurinarymelimination
21. Increasedmlikelihoodmofmdevelopingmanminfection,moftenmduemtomconditionsmlikemurinarymst
asis.m-mCORRECTmANSWERmRiskmforminfection
22. Amlackmofmunderstandingmorminformationmregardingmamspecificmhealthmconditionmormitsmma
nagement.m-mCORRECTmANSWERmDeficientmknowledge
23. Alternativempathwaysmofmbloodmflowmthatmdevelopmasmamresponsemtomblockagemormnarrowi
ngmofmbloodmvessels.m-mCORRECTmANSWERmCollateralmcirculation
24. Themspeedmatmwhichmamcellmprogressesmthroughmthemphasesmofmgrowthmandmdivision,mimp
actingmitsmsensitivitymtomchemotherapy.m-mCORRECTmANSWERmCellmcyclemrate
25. Themprocessmbymwhichmchemotherapymreducesmthemnumbermofmcancermcells,mwithmeachmd
osemkillingmapproximatelym50%.m-mCORRECTmANSWERmTumormcellmcountmreduction
26. Amhand-
flappingmtremormthatmismoftenmseenmfrequentlyminmhepaticmencephalopathy,minducedmbyme
xtendingmthemarmmandmdorsiflexingmthemwrist.m-mCORRECTmANSWERmAsterixis
, 27. Themobservationmofmampulsemchangemfromm85mtom160mbeats/minutemlastingmmoremthanm10
mminutesmshouldmalertmthemnursemtomcallmthemRapidmResponsemTeamm(RRT).m-
mCORRECTmANSWERmPostoperativemObservation
28. Amteammcalledmtomintervenemformamclientmwithmanmacutemlife-threateningmchange.m-
mCORRECTmANSWERmRapidmResponsemTeamm(RRT)
29. Strainingmwithmbowelmmovementsmwhilemholdingmone'smbreath,mwhichmincreasesmintracer
ebralmpressurem(ICP)mandmmayminducembleedingmormrupturemofmcerebralmbloodmvessels.m-
mCORRECTmANSWERmValsalvamManeuver
30. Encouragingmretestingmsupportsmhopemandmgivesmthemclientmtimemtomcopemwithmthemdiagn
osis.m-mCORRECTmANSWERmHIVmPost-TestmCounseling
31. Itemsmsuchmasmnailmpolish,mcontactmlenses,mandmpartialmdenturesmshouldmbemremovedmtom
providemaccuratempulsemoximetrymreadingsmandmpreventmdamagemduringmsurgery.m-
mCORRECTmANSWERmSafetymChecklistmformSurgery
32. Removalmprovidesmammoremaccuratempulsemoximetrymreadingmandmevaluationmofmcapillarym
refill.m-mCORRECTmANSWERmNailmPolishmRemoval
33. Amnursingmactionmthatmshouldmbemincludedminmthemplanmofmcaremformamclientmadmittedmwit
hmamhemorrhagicmstroke.m-mCORRECTmANSWERmMonitoringmformBattle'smSign
34. Performingmactivemrangemofmmotionmthreemtimesmdailymismamnursingmactionmformpost-
strokemcare.m-mCORRECTmANSWERmActivemRangemofmMotion
35. Amtemperaturemofm103.1mFmandmamwhitembloodmcellm(WBC)mcountmofm16,000mmm3maremsig
nificantmobservationsmpostoperatively.m-
mCORRECTmANSWERmTemperaturemandmWBCmCount
QUESTIONS AND ANSWERS ALL
CORRECT RATED A+
1. Amproceduremaimedmatmpreventingmthemformationmofmampleuralmeffusionmbymcausingmthemp
leuralmspacesmtomsealmtogether.m-mCORRECTmANSWERmPleurodesis
2. Chronicmesophagitismwithmgastroesophagealmrefluxmismampotentialmconsequencemofmradiati
onmtherapymformbreastmcancer.m-mCORRECTmANSWERmRadiationmtherapymconsequences
3. Fracturesmthatmoccurmwithoutmevidencemofmtrauma,moftenmduemtomlossmofmbonemdensitymfr
ommradiationmdamage.m-mCORRECTmANSWERmPathologicmfracture
4. SexualmintercoursemaftermanmMImrequiresmnommoremenergymexpendituremormcardiacmstressm
thanmwalkingmbrisklymupmtwomflightsmofmstairs.m-
mCORRECTmANSWERmSexualmactivitymaftermmyocardialminfarction
5. Amtypemofmfeedingmtubemthatmdiffersmfrommamgastrostomymtubemprimarilyminmthemmethodm
ofminsertion.m-mCORRECTmANSWERmPercutaneousmendoscopicmgastrostomym(PEG)mtube
6. Amtubeminsertedmendoscopicallymthroughmthemesophagusmintomthemstomach,mheldminmplac
embymambumpermandmamwater-filledmballoon.m-mCORRECTmANSWERmPEGmtube
7. Amtubeminsertedmthroughmanmincisionminmthemabdomenmandmsuturedmtomthemgastricmwall.m-
mCORRECTmANSWERmGT
8. Includesmobtainingmconsent,mamclear-
liquidmdietmform24mtom48mhoursmprior,madministrationmofmanmenema,mandmfastingmonmthemm
orningmofmthemprocedure.m-mCORRECTmANSWERmProctosigmoidoscopympreparation
,9. Elevatedmfingerstickmglucosemlevelsm(e.g.,m300mmg/dl)mneedmtombemreportedmtomadjustmthe
mcaremplan.m-mCORRECTmANSWERmDysuriaminmdiabetes
10. Acutempainmrelatedmtommovementmofmthemstone.m-
mCORRECTmANSWERmRightmrenalmcalculimnursingmdiagnosismpriority
11. Startingmchemotherapymearlymincreasesmthemchancemofmeradicatingmcancermcells,masm50%m
ofmtumormcellsmaremkilledmwithmeachmdose.m-mCORRECTmANSWERmChemotherapyminitiation
12. Amclinicalmsignmofmlivermdiseasemcharacterizedmbymamflappingmtremormofmthemhands.m-
mCORRECTmANSWERmAsterixis
13. Amdietmconsistingmofmclearmfluids,moftenmrequiredm24mtom48mhoursmbeforemcertainmmedicalm
procedures.m-mCORRECTmANSWERmClear-liquidmdiet
14. Amproceduremtomintroducemliquidmintomthemrectummtomstimulatemambowelmmovementmormcl
eansemthembowelmbeforemamprocedure.m-mCORRECTmANSWERmEnema
15. Refrainingmfrommallmfoodmandmdrinkmformamspecifiedmperiod,moftenmrequiredmbeforemmedic
almprocedures.m-mCORRECTmANSWERmFastingmprotocol
16. Painmlocatedminmthemlowermabdomen,moftenmassociatedmwithmurinarymissues.m-
mCORRECTmANSWERmSuprapubicmpain
17. Ampulsemthatmfeelsmstrongmandmfull,moftenmmeasuredmatm100mbeats/minuteminmthismcontext
.m-mCORRECTmANSWERmBoundingmpulse
,18. Fluid-
filledmblistersminmthemperinealmarea,mwhichmmaymindicatemanminfectionmormothermmedicalmc
ondition.m-mCORRECTmANSWERmSmallmvesicularmperinealmlesions
19. Severemdiscomfortmthatmarisesmsuddenly,moftenmrelatedmtomconditionsmlikemrenalmcalculi.m-
mCORRECTmANSWERmAcutempain
20. Difficultyminmpassingmurine,moftenmduemtomobstruction.m-
mCORRECTmANSWERmImpairedmurinarymelimination
21. Increasedmlikelihoodmofmdevelopingmanminfection,moftenmduemtomconditionsmlikemurinarymst
asis.m-mCORRECTmANSWERmRiskmforminfection
22. Amlackmofmunderstandingmorminformationmregardingmamspecificmhealthmconditionmormitsmma
nagement.m-mCORRECTmANSWERmDeficientmknowledge
23. Alternativempathwaysmofmbloodmflowmthatmdevelopmasmamresponsemtomblockagemormnarrowi
ngmofmbloodmvessels.m-mCORRECTmANSWERmCollateralmcirculation
24. Themspeedmatmwhichmamcellmprogressesmthroughmthemphasesmofmgrowthmandmdivision,mimp
actingmitsmsensitivitymtomchemotherapy.m-mCORRECTmANSWERmCellmcyclemrate
25. Themprocessmbymwhichmchemotherapymreducesmthemnumbermofmcancermcells,mwithmeachmd
osemkillingmapproximatelym50%.m-mCORRECTmANSWERmTumormcellmcountmreduction
26. Amhand-
flappingmtremormthatmismoftenmseenmfrequentlyminmhepaticmencephalopathy,minducedmbyme
xtendingmthemarmmandmdorsiflexingmthemwrist.m-mCORRECTmANSWERmAsterixis
, 27. Themobservationmofmampulsemchangemfromm85mtom160mbeats/minutemlastingmmoremthanm10
mminutesmshouldmalertmthemnursemtomcallmthemRapidmResponsemTeamm(RRT).m-
mCORRECTmANSWERmPostoperativemObservation
28. Amteammcalledmtomintervenemformamclientmwithmanmacutemlife-threateningmchange.m-
mCORRECTmANSWERmRapidmResponsemTeamm(RRT)
29. Strainingmwithmbowelmmovementsmwhilemholdingmone'smbreath,mwhichmincreasesmintracer
ebralmpressurem(ICP)mandmmayminducembleedingmormrupturemofmcerebralmbloodmvessels.m-
mCORRECTmANSWERmValsalvamManeuver
30. Encouragingmretestingmsupportsmhopemandmgivesmthemclientmtimemtomcopemwithmthemdiagn
osis.m-mCORRECTmANSWERmHIVmPost-TestmCounseling
31. Itemsmsuchmasmnailmpolish,mcontactmlenses,mandmpartialmdenturesmshouldmbemremovedmtom
providemaccuratempulsemoximetrymreadingsmandmpreventmdamagemduringmsurgery.m-
mCORRECTmANSWERmSafetymChecklistmformSurgery
32. Removalmprovidesmammoremaccuratempulsemoximetrymreadingmandmevaluationmofmcapillarym
refill.m-mCORRECTmANSWERmNailmPolishmRemoval
33. Amnursingmactionmthatmshouldmbemincludedminmthemplanmofmcaremformamclientmadmittedmwit
hmamhemorrhagicmstroke.m-mCORRECTmANSWERmMonitoringmformBattle'smSign
34. Performingmactivemrangemofmmotionmthreemtimesmdailymismamnursingmactionmformpost-
strokemcare.m-mCORRECTmANSWERmActivemRangemofmMotion
35. Amtemperaturemofm103.1mFmandmamwhitembloodmcellm(WBC)mcountmofm16,000mmm3maremsig
nificantmobservationsmpostoperatively.m-
mCORRECTmANSWERmTemperaturemandmWBCmCount