BSN HESI 266 2024 QUESTIONS WITH
CORRECT ANSWERS
Clientsissrecoveringsfromsastransurethralsprostatectomy.sWhichsactivitysshouldsbeslimiteds
untilsaftersthesfirstspostoperativesvisitswithstheshealthcaresprovider?s-sans--Drinks3L
AsclientswithsstagesIVsbonescancersissadmittedstostheshospitalsforsas1-
10sscale.sWhichsinterventionsshouldsthesnursesimplement?s-sans--
Administersopioidsandsnon-opioidsmedicationsssimultaneously
AsclientsexperiencessansAOBsincompatibilitysreactionsaftersmultiplesbloodstransfusions.sW
hichsfindingsshouldsthesnursesreportsimmediatelystostheshealthscaresprovider?
a.slowsbackspainsandshypotension
b.srhinitissandsnasalsstuffiness
c.sdelayedspainfulsrashswithsurticarial
d.sarthriticsjointschangessandschronicspains-sans--a.slowsbackspainsandshypotension
ANSWER:s(A)sLOW sBACKsPAINsANDsHYPOTENSTION
Whensconductingsdischargesteachingsforsasclient
diagnosedswithsdiverticulosis,swhichsdietsinstructionsshouldsthesnursesinclude?
a.sHavessmallsfrequentsmealssandssitsupsforsatsleaststwoshourssaftersmeals.
b.sEatsasblandsdietsandsavoidsspicysfoods.
c.sEatsashighsfibersdietsandsincreasesfluidsintake.
d.sEatsassoftsdietswithsincreasedsintakesofsmilksandsmilksproductss-sans--
c.sEatsashighsfibersdietsandsincreasesfluidsintake.
ANSWERs(C)sEATsAsHIGH-FIBERsDIETsANDsINCREASEsFLUIDsINTAKE
Thesnursesobservessansincreasedsnumbersofsbloodsclotssinsthesdrainagestubingsofsasclients
withscontinuoussbladdersirrigationsfollowingsastransurethralsresectionsofsthesprostates(TUR
P).sWhatsissthesbestsinitialsnursingsaction?
a.sProvidesadditionalsoralsfluidsintake
b.sMeasuresthesclient'ssintakesandsoutput.
,c.sIncreasesthesflowsofsthesbladder
irrigation
d.sAdministersasPRNsdosesofsansantispasmodicsagents-sans--
c.sIncreasesthesflowsofsthesbladder
irrigation
ANSWERs(C)sIncreasesthesflowsofsthesbladdersirrigation
Asclientswitslungscancerswhoswearssassubcutaneoussmorphinessulfatespatchsforspainsisssh
ortsofsbreathsandsdifficultstosarouse.sWhensperformingsashead
-to-toesassessment,sthesnursesdiscoverssfoursanalgesicspatchessons-sans--
Removesallsmorphinespatches
Comingsdownsthesbasementssteps,sasclientsissbroughtstosthesemergencysroomsX-
rays...scast,swhichsassessmentsfindingswarrantssimmediate
Interventionsbysthesnurse?s-sans--Rightsfootspaleswithssluggishscapillarysrefill
Ansoverweight,syoungsadultswhoswas
recentlysChecksfingerssticksglucosesdiagnosedswithstypes2sdiabetessmellitussissadmittedsfo
rsasherniasrepair.sHestellssthesnursesthatshesissfeelingsverysweaksandsjittery.
Whichsactionssshouldsthesnursesimplement?
(Selectsallsthatsapply.)
a.sChecksfingersstick
glucose
b.sAssesssskinstemperature
andsmoisture
c.sMeasurespulsesandsblood
pressures-sans--a.sChecksfingersstick
glucose
b.sAssesssskinstemperature
andsmoisture
c.sMeasurespulsesandsblood
pressure
ANSWER:s(CAM)
Asclientswhosunderwentscardiacsstentsplacementsfoursdayssagosarrivesstosthe
, emergencysdepartmentsreportingsassuddensonsetsofschestspressuresand
shortnesssofsbreath.sWhichsactionsshouldsthesnursestakesnext?
a.sListensforsextrasheartssounds,smurmurs,sandsr
hythmswithsthesbellsof
thesstethoscope.
b.sEvaluatesuppersandslowersextremitiessforsperfusion,spulsesvolume,
andspittingsedema.
c.sVerifystroponinslevelsassessmentssaresscheduledseverys3-6shourssforsasseriessofsthree.
d.sObtainsas12-leadselectrocardiogramsandsbeginscontinuousscardiacsmonitoring
.s-sans--d.sObtainsas12-leadselectrocardiogramsandsbeginscontinuousscardiacsmonitoring
Whilescompletingsashealthsassessmentsforsasclientswithsmigrainesheadaches,sthesnursesas
sessessbilateralsweaknesssinsthesclientsshandsgrips.sThesclientsreportssjointspainsandstrou
blestwistingsasdoorsknobsduestosweaknesses.sWhichsactionsshouldsthesnursesstakesinsresp
onsestosthesesfigures?
a.sImplementsfallsprecautionsstosreducesthesclientssrisksofsinjury.
b.sExplainsthatsreliefsofsthesmigrainespainswillsreducesrelatedssymptoms.
c.sGathersadditionalsassessmentsdatasaboutsthespainsandsweakness.
d.sConsultswithsthesoccupationalstherapistsforsasfunctionalsassessments-sans--
c.sGathersadditionalsassessmentsdatasaboutsthespainsandsweakness.
Thesnursesisscaringsforsasclientsdiagnosedswithspsoriasissvulgarisswhosissreceivingspsorale
nsandsultravioletsAslights(PUVA)streatment.s
Whichsassessmentsfindingsindicatessthatsthesclientshassbeensoverexposedstosthestreatme
nt?
a.sThicksskinsplaquesstoppedsbyssilveryswhitesscales
b.sTendernesssuponspalpationsandsgeneralizedserythema
c.sBrown,srough,sgreasy,swart-likespapulessonsthesface
d.sRequiresssunglassessbecausessunlightshurtsseyess-sans--
b.sTendernesssuponspalpationsandsgeneralizedserythema
Ansadultsclientswhoshadsasgastricsbypassssurgerys2sweekssago,sissadmittedswithspossibles
anastomosissleakage.sThesclient'ssabdomensisstenderstostouch,sandsthesvitalssignssareste
CORRECT ANSWERS
Clientsissrecoveringsfromsastransurethralsprostatectomy.sWhichsactivitysshouldsbeslimiteds
untilsaftersthesfirstspostoperativesvisitswithstheshealthcaresprovider?s-sans--Drinks3L
AsclientswithsstagesIVsbonescancersissadmittedstostheshospitalsforsas1-
10sscale.sWhichsinterventionsshouldsthesnursesimplement?s-sans--
Administersopioidsandsnon-opioidsmedicationsssimultaneously
AsclientsexperiencessansAOBsincompatibilitysreactionsaftersmultiplesbloodstransfusions.sW
hichsfindingsshouldsthesnursesreportsimmediatelystostheshealthscaresprovider?
a.slowsbackspainsandshypotension
b.srhinitissandsnasalsstuffiness
c.sdelayedspainfulsrashswithsurticarial
d.sarthriticsjointschangessandschronicspains-sans--a.slowsbackspainsandshypotension
ANSWER:s(A)sLOW sBACKsPAINsANDsHYPOTENSTION
Whensconductingsdischargesteachingsforsasclient
diagnosedswithsdiverticulosis,swhichsdietsinstructionsshouldsthesnursesinclude?
a.sHavessmallsfrequentsmealssandssitsupsforsatsleaststwoshourssaftersmeals.
b.sEatsasblandsdietsandsavoidsspicysfoods.
c.sEatsashighsfibersdietsandsincreasesfluidsintake.
d.sEatsassoftsdietswithsincreasedsintakesofsmilksandsmilksproductss-sans--
c.sEatsashighsfibersdietsandsincreasesfluidsintake.
ANSWERs(C)sEATsAsHIGH-FIBERsDIETsANDsINCREASEsFLUIDsINTAKE
Thesnursesobservessansincreasedsnumbersofsbloodsclotssinsthesdrainagestubingsofsasclients
withscontinuoussbladdersirrigationsfollowingsastransurethralsresectionsofsthesprostates(TUR
P).sWhatsissthesbestsinitialsnursingsaction?
a.sProvidesadditionalsoralsfluidsintake
b.sMeasuresthesclient'ssintakesandsoutput.
,c.sIncreasesthesflowsofsthesbladder
irrigation
d.sAdministersasPRNsdosesofsansantispasmodicsagents-sans--
c.sIncreasesthesflowsofsthesbladder
irrigation
ANSWERs(C)sIncreasesthesflowsofsthesbladdersirrigation
Asclientswitslungscancerswhoswearssassubcutaneoussmorphinessulfatespatchsforspainsisssh
ortsofsbreathsandsdifficultstosarouse.sWhensperformingsashead
-to-toesassessment,sthesnursesdiscoverssfoursanalgesicspatchessons-sans--
Removesallsmorphinespatches
Comingsdownsthesbasementssteps,sasclientsissbroughtstosthesemergencysroomsX-
rays...scast,swhichsassessmentsfindingswarrantssimmediate
Interventionsbysthesnurse?s-sans--Rightsfootspaleswithssluggishscapillarysrefill
Ansoverweight,syoungsadultswhoswas
recentlysChecksfingerssticksglucosesdiagnosedswithstypes2sdiabetessmellitussissadmittedsfo
rsasherniasrepair.sHestellssthesnursesthatshesissfeelingsverysweaksandsjittery.
Whichsactionssshouldsthesnursesimplement?
(Selectsallsthatsapply.)
a.sChecksfingersstick
glucose
b.sAssesssskinstemperature
andsmoisture
c.sMeasurespulsesandsblood
pressures-sans--a.sChecksfingersstick
glucose
b.sAssesssskinstemperature
andsmoisture
c.sMeasurespulsesandsblood
pressure
ANSWER:s(CAM)
Asclientswhosunderwentscardiacsstentsplacementsfoursdayssagosarrivesstosthe
, emergencysdepartmentsreportingsassuddensonsetsofschestspressuresand
shortnesssofsbreath.sWhichsactionsshouldsthesnursestakesnext?
a.sListensforsextrasheartssounds,smurmurs,sandsr
hythmswithsthesbellsof
thesstethoscope.
b.sEvaluatesuppersandslowersextremitiessforsperfusion,spulsesvolume,
andspittingsedema.
c.sVerifystroponinslevelsassessmentssaresscheduledseverys3-6shourssforsasseriessofsthree.
d.sObtainsas12-leadselectrocardiogramsandsbeginscontinuousscardiacsmonitoring
.s-sans--d.sObtainsas12-leadselectrocardiogramsandsbeginscontinuousscardiacsmonitoring
Whilescompletingsashealthsassessmentsforsasclientswithsmigrainesheadaches,sthesnursesas
sessessbilateralsweaknesssinsthesclientsshandsgrips.sThesclientsreportssjointspainsandstrou
blestwistingsasdoorsknobsduestosweaknesses.sWhichsactionsshouldsthesnursesstakesinsresp
onsestosthesesfigures?
a.sImplementsfallsprecautionsstosreducesthesclientssrisksofsinjury.
b.sExplainsthatsreliefsofsthesmigrainespainswillsreducesrelatedssymptoms.
c.sGathersadditionalsassessmentsdatasaboutsthespainsandsweakness.
d.sConsultswithsthesoccupationalstherapistsforsasfunctionalsassessments-sans--
c.sGathersadditionalsassessmentsdatasaboutsthespainsandsweakness.
Thesnursesisscaringsforsasclientsdiagnosedswithspsoriasissvulgarisswhosissreceivingspsorale
nsandsultravioletsAslights(PUVA)streatment.s
Whichsassessmentsfindingsindicatessthatsthesclientshassbeensoverexposedstosthestreatme
nt?
a.sThicksskinsplaquesstoppedsbyssilveryswhitesscales
b.sTendernesssuponspalpationsandsgeneralizedserythema
c.sBrown,srough,sgreasy,swart-likespapulessonsthesface
d.sRequiresssunglassessbecausessunlightshurtsseyess-sans--
b.sTendernesssuponspalpationsandsgeneralizedserythema
Ansadultsclientswhoshadsasgastricsbypassssurgerys2sweekssago,sissadmittedswithspossibles
anastomosissleakage.sThesclient'ssabdomensisstenderstostouch,sandsthesvitalssignssareste
