BSN HESI 266 Actual Exam Complete 100+ Questions And
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Correct Detailed Answers (Verified Answers) Already Gr nj nj nj nj nj nj
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Client is recovering from a transurethral prostatectomy. Which activity should be limited until af
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ter the first postoperative visit with the healthcare provider? - CORRECT ANSWER
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>>>Drink 3L nj
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
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intervention should the nurse implement? - nj nj nj nj nj
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
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A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which fi
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nding should the nurse report immediately to the health care provider?
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a. low back pain and hypotension
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b. rhinitis and nasal stuffiness nj nj nj
c. delayed painful rash with urticarial nj nj nj nj
d. arthritic joint changes and chronic pain -
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CORRECT ANSWER >>>a. low back pain and hypotension
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ANSWER: (A) LOW BACK PAIN AND HYPOTENSTIONnj nj nj nj nj nj
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,When conducting discharge teaching for a client diagnosed with diverticulosis, whic
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h diet instruction should the nurse include?
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a. Have small frequent meals and sit up for at least two hours after meals.
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b. Eat a bland diet and avoid spicy foods.
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c. Eat a high fiber diet and increase fluid intake.
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d. Eat a soft diet with increased intake of milk and milk products - CORRECT ANSWER
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>>>c. Eat a high fiber diet and increase fluid intake.
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ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
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The nurse observes an increased number of blood clots in the drainage tubing of a client with
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continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is
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the best initial nursing action?
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a. Provide additional oral fluid intake nj nj nj nj
b. Measure the client's intake and output. nj nj nj nj nj
c. Increase the flow of the bladder irrigation nj nj nj nj nj nj
d. Administer a PRN dose of an antispasmodic agent - nj nj nj nj nj nj nj nj
CORRECT ANSWER >>>c. Increase the flow of the bladder
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ANSWER (C) Increase the flow of the bladder irrigation
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A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of
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breath and difficult to arouse. When performing a head
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-to-toe assessment, the nurse discovers four analgesic patches on - CORRECT ANSWER
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>>>Remove all morphine patches nj nj nj
Coming down the basement steps, a client is brought to the emergency room X-
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ray ... cast, which assessment finding warrants immediate
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Intervention by the nurse? - nj nj nj nj
CORRECT ANSWER >>>Right foot pale with sluggish capillary refill
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An overweight, young adult who was
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recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a her
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nia repair. He tells the nurse that he is feeling very weak and jittery.
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Which actions should the nurse implement? (S
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elect all that apply.)
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a. Check finger stick glucose nj nj nj
b. Assess skin temperature and nj nj nj n
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, c. Measure pulse and blood nj nj nj
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
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b. Assess skin temperature nj nj
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c. Measure pulse and blood nj nj nj n
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ANSWER: (CAM) nj
A client who underwent cardiac stent placement four days ago arrives to the
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emergency department reporting a sudden onset of chest pressure and shortness
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of breath. Which action should the nurse take next?
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a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the
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nj stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting
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edema.
c. Verify troponin level assessments are scheduled every 3-
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6 hours for a series of three.
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d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
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4|Page
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Correct Detailed Answers (Verified Answers) Already Gr nj nj nj nj nj nj
aded A+ nj
Client is recovering from a transurethral prostatectomy. Which activity should be limited until af
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ter the first postoperative visit with the healthcare provider? - CORRECT ANSWER
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>>>Drink 3L nj
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
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intervention should the nurse implement? - nj nj nj nj nj
CORRECT ANSWER >>>Administer opioid and non-opioid medications simultaneously
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A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which fi
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nding should the nurse report immediately to the health care provider?
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a. low back pain and hypotension
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b. rhinitis and nasal stuffiness nj nj nj
c. delayed painful rash with urticarial nj nj nj nj
d. arthritic joint changes and chronic pain -
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CORRECT ANSWER >>>a. low back pain and hypotension
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ANSWER: (A) LOW BACK PAIN AND HYPOTENSTIONnj nj nj nj nj nj
1|Page
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,When conducting discharge teaching for a client diagnosed with diverticulosis, whic
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h diet instruction should the nurse include?
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a. Have small frequent meals and sit up for at least two hours after meals.
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b. Eat a bland diet and avoid spicy foods.
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c. Eat a high fiber diet and increase fluid intake.
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d. Eat a soft diet with increased intake of milk and milk products - CORRECT ANSWER
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>>>c. Eat a high fiber diet and increase fluid intake.
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ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
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The nurse observes an increased number of blood clots in the drainage tubing of a client with
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continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is
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the best initial nursing action?
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a. Provide additional oral fluid intake nj nj nj nj
b. Measure the client's intake and output. nj nj nj nj nj
c. Increase the flow of the bladder irrigation nj nj nj nj nj nj
d. Administer a PRN dose of an antispasmodic agent - nj nj nj nj nj nj nj nj
CORRECT ANSWER >>>c. Increase the flow of the bladder
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,irrigation
ANSWER (C) Increase the flow of the bladder irrigation
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A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of
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breath and difficult to arouse. When performing a head
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-to-toe assessment, the nurse discovers four analgesic patches on - CORRECT ANSWER
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>>>Remove all morphine patches nj nj nj
Coming down the basement steps, a client is brought to the emergency room X-
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ray ... cast, which assessment finding warrants immediate
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Intervention by the nurse? - nj nj nj nj
CORRECT ANSWER >>>Right foot pale with sluggish capillary refill
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An overweight, young adult who was
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recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a her
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nia repair. He tells the nurse that he is feeling very weak and jittery.
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Which actions should the nurse implement? (S
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elect all that apply.)
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a. Check finger stick glucose nj nj nj
b. Assess skin temperature and nj nj nj n
j moisture
3|Page
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, c. Measure pulse and blood nj nj nj
pressure - CORRECT ANSWER >>>a. Check finger stick glucose
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b. Assess skin temperature nj nj
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c. Measure pulse and blood nj nj nj n
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ANSWER: (CAM) nj
A client who underwent cardiac stent placement four days ago arrives to the
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emergency department reporting a sudden onset of chest pressure and shortness
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of breath. Which action should the nurse take next?
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a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the
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nj stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting
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edema.
c. Verify troponin level assessments are scheduled every 3-
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6 hours for a series of three.
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d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
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4|Page
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