MED SURG HESI BSN 266 FINAL EXAM QUESTION BANK (A
NEW UPDATED VERSION) NEWEST 2024 COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
(APPROVED SOLUTIONS)
A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?
Answer- hypovolemia
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?
Answer- limit oral intake to 900. to 1000ml
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?
Answer- take the client to a room for supervision by staff
,What assessment technique should the nurse use to monitor a client
for a common untoward effect of phenytoin (Dilantin)?
Answer- inspection of the mouth
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?
Answer- "This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a
painful medication, Intervention?
Answer- select a large, deep muscle mass
Locate the optic disk
the really light area on the right
,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
Answer- have the client describe what should be done if a child was
observed alone in a locked car on a hot day
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?
Answer- assign a care provider of the same gender
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?
Answer- encourage the parents to allow the child to continue attending
swimming lessons with supervision
, 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?
Answer- ensure that scheduled appointments begin according to the
schedule
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?
Answer- Move the PM intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse to
implement?
Answer- Swab the child's erythematous oropharyngeal surfaces or
tonsilar pustules.
NEW UPDATED VERSION) NEWEST 2024 COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
(APPROVED SOLUTIONS)
A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?
Answer- hypovolemia
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?
Answer- limit oral intake to 900. to 1000ml
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?
Answer- take the client to a room for supervision by staff
,What assessment technique should the nurse use to monitor a client
for a common untoward effect of phenytoin (Dilantin)?
Answer- inspection of the mouth
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?
Answer- "This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a
painful medication, Intervention?
Answer- select a large, deep muscle mass
Locate the optic disk
the really light area on the right
,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
Answer- have the client describe what should be done if a child was
observed alone in a locked car on a hot day
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?
Answer- assign a care provider of the same gender
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?
Answer- encourage the parents to allow the child to continue attending
swimming lessons with supervision
, 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?
Answer- ensure that scheduled appointments begin according to the
schedule
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?
Answer- Move the PM intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse to
implement?
Answer- Swab the child's erythematous oropharyngeal surfaces or
tonsilar pustules.
