MED SURG HESI BSN 266 BSN 266 HESI Med Surg
Practice Exam (2023 2024 Update) 350 Questions and
Verified Answers with Rationales100% Correct
Grade
1. A male client with Type 1 diabetes mellitus takes a combination of short
acting and intermediate acting insulin. The client complains of headaches when
awakening and his blood glucose average for the past week has been 210. The
nurse recognizes the client is experiencing a daily Somogyi, or rebound effect.
Which dosing method is likely to relieve these symptoms?: Move the PM
intermediate- acting dose to bedtime.
2. When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse to
implement?: Swab the child's erythematous oropharyngeal surfaces or tonsilar
pustules.
3. The nurse is caring for a 42-year-old male client who is excreting less
sodium than he is consuming. If this condition continues, what complication
can the nurse expect this client to exhibit?: edema
, .
4. Which condition would likely cause secondary polycythemia?: High
altitude exposure.
5. An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents' teaching plan?: s/s of
reocurrence
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For which health
problem is the insulin being administered at this time of day?: dawn
phenomenon
7. The nurse is obtaining a throat culture of a client's posterior oropharyngeal
region. For which health problem will this specimen be used to diagnose?: strep
throat
8. A middle-aged male client is being evaluated for lower extremity edema.
Which laboratory value will be used to aid in determining the cause of this
client's manifestation?: serum sodium
9. A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?:
hypovolemia
10. A client in the oliguric phase of acute renal failure (ARF) has a 24 hour
urine output of 400ml. nurse should allow this client to have how much oral
intake during the next 24 hours?: limit oral intake to 900. to 1000ml
, .
11. A female client on the mental health unit tells the nurse that her roommate
is sitting on the bathroom floor with superficial cuts on her wrists. The nurse
cleans and assesses the client's wrists and asks her what happened. She doesn't
respond. Next?: take the client to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a client for a
common untoward effect of phenytoin (Dilantin)?: inspection of the mouth
13 The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to
a male client experiencing acute alcohol withdrawal and peripheral neuritis.
The client belligerently states, "what do you think you're doing?" Response?-
: "This shot will help relieve the pain in your feet
14. When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?: select a large, deep muscle mass
15. Locate the optic disk: the really light area on the right
16. When completing a mental health assessment, the nurse wishes to obtain
information about a client's insight and judgment. Which interview
technique is most useful in assessing these mental abilities: have the client
describe what should be done if a child was observed alone in a locked car on a
hot day
17. An adult Muslim client with ulcerative colitis was admitted to the post-
surgical unit earlier today following a bowel resection with temporary
, .
colostomy. Which intervention is most important for the nurse to
implement?: assign a care provider of the same gender
18. The parents of a 6-year-old recently diagnosed with Duchene muscular
dystrophy tell the nurse that their child wants to continue attending
swimming classes. How should the nurse respond?: encourage the parents to
allow the child to continue attending swimming lessons with supervision
19. The nurse initiates a one-to-one relationship with a 35-year-old depressed
female client who was recently admitted to the psychiatric facility. Which
nursing action is most effective in promoting the development of a
therapeutic relationship?: ensure that scheduled appointments begin
according to the schedule
20. An 18-year-old female client is admitted to the unit after ingesting an
overdose of Phenobarbital (Luminal). She is unresponsive and ABG results
are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L. Which interpretation of
the client's
ABG results by the nurse is accurate?: respiratory acidosis, uncompensated 21. A
male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
identifies a platelet count of 20,000 cells/mm3. Which intervention should the
nurse include in the client's plan of care?: avoid intramuscular injections
22. The nurse is planning care for a 48-year-old client, diagnosed with
schizophrenia at age 25, who has been taking antipsychotic drugs since
Practice Exam (2023 2024 Update) 350 Questions and
Verified Answers with Rationales100% Correct
Grade
1. A male client with Type 1 diabetes mellitus takes a combination of short
acting and intermediate acting insulin. The client complains of headaches when
awakening and his blood glucose average for the past week has been 210. The
nurse recognizes the client is experiencing a daily Somogyi, or rebound effect.
Which dosing method is likely to relieve these symptoms?: Move the PM
intermediate- acting dose to bedtime.
2. When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse to
implement?: Swab the child's erythematous oropharyngeal surfaces or tonsilar
pustules.
3. The nurse is caring for a 42-year-old male client who is excreting less
sodium than he is consuming. If this condition continues, what complication
can the nurse expect this client to exhibit?: edema
, .
4. Which condition would likely cause secondary polycythemia?: High
altitude exposure.
5. An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents' teaching plan?: s/s of
reocurrence
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For which health
problem is the insulin being administered at this time of day?: dawn
phenomenon
7. The nurse is obtaining a throat culture of a client's posterior oropharyngeal
region. For which health problem will this specimen be used to diagnose?: strep
throat
8. A middle-aged male client is being evaluated for lower extremity edema.
Which laboratory value will be used to aid in determining the cause of this
client's manifestation?: serum sodium
9. A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?:
hypovolemia
10. A client in the oliguric phase of acute renal failure (ARF) has a 24 hour
urine output of 400ml. nurse should allow this client to have how much oral
intake during the next 24 hours?: limit oral intake to 900. to 1000ml
, .
11. A female client on the mental health unit tells the nurse that her roommate
is sitting on the bathroom floor with superficial cuts on her wrists. The nurse
cleans and assesses the client's wrists and asks her what happened. She doesn't
respond. Next?: take the client to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a client for a
common untoward effect of phenytoin (Dilantin)?: inspection of the mouth
13 The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to
a male client experiencing acute alcohol withdrawal and peripheral neuritis.
The client belligerently states, "what do you think you're doing?" Response?-
: "This shot will help relieve the pain in your feet
14. When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?: select a large, deep muscle mass
15. Locate the optic disk: the really light area on the right
16. When completing a mental health assessment, the nurse wishes to obtain
information about a client's insight and judgment. Which interview
technique is most useful in assessing these mental abilities: have the client
describe what should be done if a child was observed alone in a locked car on a
hot day
17. An adult Muslim client with ulcerative colitis was admitted to the post-
surgical unit earlier today following a bowel resection with temporary
, .
colostomy. Which intervention is most important for the nurse to
implement?: assign a care provider of the same gender
18. The parents of a 6-year-old recently diagnosed with Duchene muscular
dystrophy tell the nurse that their child wants to continue attending
swimming classes. How should the nurse respond?: encourage the parents to
allow the child to continue attending swimming lessons with supervision
19. The nurse initiates a one-to-one relationship with a 35-year-old depressed
female client who was recently admitted to the psychiatric facility. Which
nursing action is most effective in promoting the development of a
therapeutic relationship?: ensure that scheduled appointments begin
according to the schedule
20. An 18-year-old female client is admitted to the unit after ingesting an
overdose of Phenobarbital (Luminal). She is unresponsive and ABG results
are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L. Which interpretation of
the client's
ABG results by the nurse is accurate?: respiratory acidosis, uncompensated 21. A
male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
identifies a platelet count of 20,000 cells/mm3. Which intervention should the
nurse include in the client's plan of care?: avoid intramuscular injections
22. The nurse is planning care for a 48-year-old client, diagnosed with
schizophrenia at age 25, who has been taking antipsychotic drugs since
