BSN HESI 266
1. The nurse is obtaining a health history from a new client who has a historyof kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
a. Jogs more frequently than usual daily routine.
b. Eats a vegetarian diet withcheese 2 to 3 times a day.
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily: b. Eats a vegetarian diet withcheese 2 to 3
times a day.
2. An older male client tells the nurse that he is losing sleep because he hasto get up several
times at night to go to the bathroom, that he has trouble starting his urinary system, and that
he does not feel like his bladder is ever completely
empty.
Which intervention should the nurse implement?
a. Review the client's fluid intake prior to bedtime.
b. Obtain a finger stick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis: c. Palpate the bladder above thesymphysis
pubis.
3. A client is diagnosed with chronic kidney disease and needs to begindialysis.
Which condition entered on the client's medical record should the nurserecognize as a
contraindication for peritoneal dialysis?
,a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus: c. Crohn's disease with colectomy.
4. When providing care for an unconscious client who has seizures.Which nursing
intervention is most essential?
a. Maintain the client in a semi-Fowler's position.
b. Keep the room at a comfortabletemperature.
c. Ensure oral suction is available.
d. Provide frequent mouth care: c. Ensure oral suction is available.
5. A client presents to the emergency department reporting chest pain thatis radiation to the
left arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the health-care provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine: d. Morphine
, 6. An adult who was recently diagnosed with glaucoma tells the nurse, "Itfeels
like I am driving through a tunnel." The client expresses great concern aboutgoing blind.
Which nursing instruction is most important for the nurses to providethis client?
a. Maintain prescribed eye drop regimen
b. Eat a diet high in carotene.
c. Wear prescription glasses.
d. Avoid frequent eye pressure measurement.: a. Maintain prescribed eye dropregimen
7. Which information should the nurse include on the teaching plan of aclient
diagnosed with gastroesophageal reflux disease (GERD)?
a. Adjust food intake to three full meals per day and no snacks.
b. Sleep without pillows at night to maintain neck alignment.
c. Minimize symptoms by wearing loose, comfortable clothing.
d. Avoid participation in any aerobic exercise programs: c. Minimize symptomsby wearing
loose, comfortable clothing.
8. A client arrives to the emergency departmentreporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive coughcontaining small
amounts of blood.
Which intervention should the nurseprioritize?
a. Move into airborne isolation
b. Collect specimens forblood cultures.
1. The nurse is obtaining a health history from a new client who has a historyof kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
a. Jogs more frequently than usual daily routine.
b. Eats a vegetarian diet withcheese 2 to 3 times a day.
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily: b. Eats a vegetarian diet withcheese 2 to 3
times a day.
2. An older male client tells the nurse that he is losing sleep because he hasto get up several
times at night to go to the bathroom, that he has trouble starting his urinary system, and that
he does not feel like his bladder is ever completely
empty.
Which intervention should the nurse implement?
a. Review the client's fluid intake prior to bedtime.
b. Obtain a finger stick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis: c. Palpate the bladder above thesymphysis
pubis.
3. A client is diagnosed with chronic kidney disease and needs to begindialysis.
Which condition entered on the client's medical record should the nurserecognize as a
contraindication for peritoneal dialysis?
,a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus: c. Crohn's disease with colectomy.
4. When providing care for an unconscious client who has seizures.Which nursing
intervention is most essential?
a. Maintain the client in a semi-Fowler's position.
b. Keep the room at a comfortabletemperature.
c. Ensure oral suction is available.
d. Provide frequent mouth care: c. Ensure oral suction is available.
5. A client presents to the emergency department reporting chest pain thatis radiation to the
left arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the health-care provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine: d. Morphine
, 6. An adult who was recently diagnosed with glaucoma tells the nurse, "Itfeels
like I am driving through a tunnel." The client expresses great concern aboutgoing blind.
Which nursing instruction is most important for the nurses to providethis client?
a. Maintain prescribed eye drop regimen
b. Eat a diet high in carotene.
c. Wear prescription glasses.
d. Avoid frequent eye pressure measurement.: a. Maintain prescribed eye dropregimen
7. Which information should the nurse include on the teaching plan of aclient
diagnosed with gastroesophageal reflux disease (GERD)?
a. Adjust food intake to three full meals per day and no snacks.
b. Sleep without pillows at night to maintain neck alignment.
c. Minimize symptoms by wearing loose, comfortable clothing.
d. Avoid participation in any aerobic exercise programs: c. Minimize symptomsby wearing
loose, comfortable clothing.
8. A client arrives to the emergency departmentreporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive coughcontaining small
amounts of blood.
Which intervention should the nurseprioritize?
a. Move into airborne isolation
b. Collect specimens forblood cultures.
