BSN HESI 266 Med Surg Exam Questions
& Correct Answers
The nurse assists a client with Parkinson's disease to ambulate in the hallway.
The client appears to freeze and then carefully lifts on leg and steps forward. The
client tells the nurse of pretending to step over a crack on the floor. How should
the. nurse respond?
Confirm that this is an effective to help with ambulation
The nurse is teaching a client with glomerulonephritis about self care. Which
dietary recommendation should the nurse the nurse encourage the client to
follow?
Restrict protein intake by limiting meats and other hight protein foods.
NGN - Gastric Bypass
A 37 year old female client reports to the preoperative are for her scheduled
bariatric surgery. The decision to have bariatric surgery came after multiple
attempts to lose weight by diet and exercise which resulted in initial weight
attempts were not sustained.
Choose the Most likely options for the information missing from the statement by
selecting from the lists of options provided?
The nurse recognizes that the common serious complication after having gastric
bypass surgery is ____ as evidenced by increase back. shoulder, or abdominal
pain, restlessness, ____ and tachycardia.
Fist - Anastomotic leak
Second – Arythmia
,A client is diagnosed with chronic kidney disease and needs to begins dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
Crohn's disease with colectomy
A client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that
the prescribed dosage is too hight for this client?
Palpitations and shortness of breath
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which items
should the nurse remove from the client? (Select all that apply.)
A. Nail polish.
B. Hearing aid
E. Contact lenses.
F. Partial dentures.
The removal of nail polish provides a more accurate pulse oximetry readings and
evaluation of capillary refill. Hearing aids, contact lenses, and partial dentures are
removed to prevent damage, loss or misplacement, or injury during surgery.
Ideally, give the client's significant other the contact lenses if they are not the
disposable ones, hearing aids and partial dentures once placed in an appropriate
labeled container to hold for safe keeping. If no significant other is not able to
hold onto the items, then secured them in an appropriate and safe place
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home?
Catheterize every 3 to 4 hours. B. Maintain sterile technique.
The average interval between catheterizations for adults is every 3 to 4 hours. Although
sterile technique is indicated in healthcare facilities, clean technique is often followed by
the client when performing self-catheterization at home
, The nurse assesses a long-term resident of a nursing home and finds the client
has a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff?
Wash hands after caring for the client.
The organism Candida albicans, which causes this infection, is part of the normal flora
on the skin of most adults. Good handwashing is all that is needed to prevent
nosocomial spread.
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
In an acute asthma attack, air flow may be so significantly restricted that breath sounds
and wheezing is diminished. If the client is successfully responding to bronchodilators
and respiratory treatments, wheezing should become louder as the air flow increases in
the airways. As the airways open and mucous is mobilized in response to treatment, the
cough should become more productive
When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feed- ings?
(Select all that apply.)
-Keeping the head of the bed elevated 30 degrees.
-Changing the enteral-feeding bag every 24 hours.
-Checking the placement of the tube by means of gastric aspiration.
-Flushing the tube with 50 ml of normal saline solution after each feeding
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding bag
every 24 hours, checking the placement of the tube by means of gastric aspiration, and
flushing the tube with 50 ml of normal saline solution after each feeding are
interventions used to provide care of the client with a PEG tube. Residual amounts
should be assessed each time, prior to each feeding
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice
practical nurse (PN)?
& Correct Answers
The nurse assists a client with Parkinson's disease to ambulate in the hallway.
The client appears to freeze and then carefully lifts on leg and steps forward. The
client tells the nurse of pretending to step over a crack on the floor. How should
the. nurse respond?
Confirm that this is an effective to help with ambulation
The nurse is teaching a client with glomerulonephritis about self care. Which
dietary recommendation should the nurse the nurse encourage the client to
follow?
Restrict protein intake by limiting meats and other hight protein foods.
NGN - Gastric Bypass
A 37 year old female client reports to the preoperative are for her scheduled
bariatric surgery. The decision to have bariatric surgery came after multiple
attempts to lose weight by diet and exercise which resulted in initial weight
attempts were not sustained.
Choose the Most likely options for the information missing from the statement by
selecting from the lists of options provided?
The nurse recognizes that the common serious complication after having gastric
bypass surgery is ____ as evidenced by increase back. shoulder, or abdominal
pain, restlessness, ____ and tachycardia.
Fist - Anastomotic leak
Second – Arythmia
,A client is diagnosed with chronic kidney disease and needs to begins dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
Crohn's disease with colectomy
A client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that
the prescribed dosage is too hight for this client?
Palpitations and shortness of breath
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which items
should the nurse remove from the client? (Select all that apply.)
A. Nail polish.
B. Hearing aid
E. Contact lenses.
F. Partial dentures.
The removal of nail polish provides a more accurate pulse oximetry readings and
evaluation of capillary refill. Hearing aids, contact lenses, and partial dentures are
removed to prevent damage, loss or misplacement, or injury during surgery.
Ideally, give the client's significant other the contact lenses if they are not the
disposable ones, hearing aids and partial dentures once placed in an appropriate
labeled container to hold for safe keeping. If no significant other is not able to
hold onto the items, then secured them in an appropriate and safe place
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home?
Catheterize every 3 to 4 hours. B. Maintain sterile technique.
The average interval between catheterizations for adults is every 3 to 4 hours. Although
sterile technique is indicated in healthcare facilities, clean technique is often followed by
the client when performing self-catheterization at home
, The nurse assesses a long-term resident of a nursing home and finds the client
has a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff?
Wash hands after caring for the client.
The organism Candida albicans, which causes this infection, is part of the normal flora
on the skin of most adults. Good handwashing is all that is needed to prevent
nosocomial spread.
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
In an acute asthma attack, air flow may be so significantly restricted that breath sounds
and wheezing is diminished. If the client is successfully responding to bronchodilators
and respiratory treatments, wheezing should become louder as the air flow increases in
the airways. As the airways open and mucous is mobilized in response to treatment, the
cough should become more productive
When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feed- ings?
(Select all that apply.)
-Keeping the head of the bed elevated 30 degrees.
-Changing the enteral-feeding bag every 24 hours.
-Checking the placement of the tube by means of gastric aspiration.
-Flushing the tube with 50 ml of normal saline solution after each feeding
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding bag
every 24 hours, checking the placement of the tube by means of gastric aspiration, and
flushing the tube with 50 ml of normal saline solution after each feeding are
interventions used to provide care of the client with a PEG tube. Residual amounts
should be assessed each time, prior to each feeding
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice
practical nurse (PN)?
