MED SURG HESI BSN 266 ACTUAL EXAM WITH
350+ QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ | GUARANTEED PASS |
MED SURG HESI BSN 266 LATEST VERSION 2025
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.
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
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
What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
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?
"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
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
,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?
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?
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?
ensure that scheduled appointments begin according to the schedule
, 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
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
The nurse is planning care for a 48-year-old client, diagnosed with schizophrenia at
age 25, who has been taking antipsychotic drugs since diagnosis. Long-term use of
these drugs is associated with which side effect?
tardive dyskinesia
What instruction is most important for the nurse to provide a client with
neutropenia?
avoid sources of potential infection
When obtaining a throat culture from a 6 year old with possible strepococcal
infection, which action is most important for the nurse to implement?
350+ QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ | GUARANTEED PASS |
MED SURG HESI BSN 266 LATEST VERSION 2025
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.
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
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
What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
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?
"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
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
,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?
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?
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?
ensure that scheduled appointments begin according to the schedule
, 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
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
The nurse is planning care for a 48-year-old client, diagnosed with schizophrenia at
age 25, who has been taking antipsychotic drugs since diagnosis. Long-term use of
these drugs is associated with which side effect?
tardive dyskinesia
What instruction is most important for the nurse to provide a client with
neutropenia?
avoid sources of potential infection
When obtaining a throat culture from a 6 year old with possible strepococcal
infection, which action is most important for the nurse to implement?
