MED SURG HESI BSN 266 EXAM (ACTUAL 2025)
QUESTIONS AND VERIFIED COMPLETE
SOLUTIONS.
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.
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.
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
The industrial health nurse who works in a mobile clinic is
developing an exposure control plan for blood-borne
pathogens. Which topics should be included in this plan?
(Select all that apply.)
puncture-resistant containers for needle disposal
Hepatitis B vaccination series.
Self-sheathing or needleless medication systems.
The nurse is conducting a physical examination of a client
with acute laryngitis. Which finding indicates the client’s
health status is
deteriorating?
respiratory rate 26 per min
,A client recovering from surgery to remove a pituitary tumor
has an 8-
hour urine output of 1500 mL and a specific gravity of 1.001.
This finding is
consistent with which complication from the surgery?
diabetes insipidus
The nurse is reviewing content created for an educational
session on
cultural diversity when providing client care. Which statement
would the nurse question as not being culturally sensitive?
"All hispanic clients do not provide personal information to
strangers."
A male client awaiting surgery tells the nurse that he has some
concerns about the surgical procedure that were never
, addressed. Which nursing intervention reflects the nurse’s role
as a client advocate?
notify the surgeon of the clients concerns
A 2 year old boy who has short bowel syndrome has
progressed to receiving enteral feedings only. Today his stools
are occurring more frequently and have a more liquid
consistency. His temp is 102.2 and he has vomited twice in
the past 4 hrs. Which assessment finding indicates that the
child is dehydrated?
elevated urine specific gravity
A client with a small bowel obstruction is experiencing
frequent vomiting. Which instructions are most important for
the nurse to provide to the UAP who is completing morning
care for this client?
measures all emesis accurately
QUESTIONS AND VERIFIED COMPLETE
SOLUTIONS.
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.
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.
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
The industrial health nurse who works in a mobile clinic is
developing an exposure control plan for blood-borne
pathogens. Which topics should be included in this plan?
(Select all that apply.)
puncture-resistant containers for needle disposal
Hepatitis B vaccination series.
Self-sheathing or needleless medication systems.
The nurse is conducting a physical examination of a client
with acute laryngitis. Which finding indicates the client’s
health status is
deteriorating?
respiratory rate 26 per min
,A client recovering from surgery to remove a pituitary tumor
has an 8-
hour urine output of 1500 mL and a specific gravity of 1.001.
This finding is
consistent with which complication from the surgery?
diabetes insipidus
The nurse is reviewing content created for an educational
session on
cultural diversity when providing client care. Which statement
would the nurse question as not being culturally sensitive?
"All hispanic clients do not provide personal information to
strangers."
A male client awaiting surgery tells the nurse that he has some
concerns about the surgical procedure that were never
, addressed. Which nursing intervention reflects the nurse’s role
as a client advocate?
notify the surgeon of the clients concerns
A 2 year old boy who has short bowel syndrome has
progressed to receiving enteral feedings only. Today his stools
are occurring more frequently and have a more liquid
consistency. His temp is 102.2 and he has vomited twice in
the past 4 hrs. Which assessment finding indicates that the
child is dehydrated?
elevated urine specific gravity
A client with a small bowel obstruction is experiencing
frequent vomiting. Which instructions are most important for
the nurse to provide to the UAP who is completing morning
care for this client?
measures all emesis accurately
