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