BSN HESI 266 Med Surg Exam (Latest Updates)
Questions and Verified Answers|100% Correct|
Grade A- Nightingale
While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports joint
pain and trouble twisting a door knob due to weaknesses. Which action should the
nurses take in response to these figures?
a. Implement fall precautions to reduce the clients risk of injury.
b. Explain that relief of the migraine pain will reduce related symptoms.
c. Gather additional assessment data about the pain and weakness.
d. Consult with the occupational therapist for a functional assessment - ANSWER
-c. Gather additional assessment data about the pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to the
treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes - ANSWER -b. Tenderness
upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the vital
signs are temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory
rate 26 breaths/minute, and blood pressure 100/50 mmHg.
,Which intervention is most important for the nurse to include in the client's plan of
care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily - ANSWER -c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments will be
needed for IV pain medications.
c. Enrolling in a pain clinic can provide relief alternatives.
d. Wearing gloves when handling cold items guards against painful spasms. -
ANSWER -d. Wearing gloves when handling cold items guards against painful
spasms.
A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods - ANSWER -d.
Describe the use of an elimination diet to find trigger foods
, The nurse is obtaining a health history from a new client who has a history of
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 with
cheese 2 to 3 times a day.
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily - ANSWER -b. Eats a
vegetarian diet with
cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to 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 - ANSWER -c. Palpate the bladder
above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
Questions and Verified Answers|100% Correct|
Grade A- Nightingale
While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports joint
pain and trouble twisting a door knob due to weaknesses. Which action should the
nurses take in response to these figures?
a. Implement fall precautions to reduce the clients risk of injury.
b. Explain that relief of the migraine pain will reduce related symptoms.
c. Gather additional assessment data about the pain and weakness.
d. Consult with the occupational therapist for a functional assessment - ANSWER
-c. Gather additional assessment data about the pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to the
treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes - ANSWER -b. Tenderness
upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the vital
signs are temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory
rate 26 breaths/minute, and blood pressure 100/50 mmHg.
,Which intervention is most important for the nurse to include in the client's plan of
care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily - ANSWER -c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments will be
needed for IV pain medications.
c. Enrolling in a pain clinic can provide relief alternatives.
d. Wearing gloves when handling cold items guards against painful spasms. -
ANSWER -d. Wearing gloves when handling cold items guards against painful
spasms.
A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods - ANSWER -d.
Describe the use of an elimination diet to find trigger foods
, The nurse is obtaining a health history from a new client who has a history of
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 with
cheese 2 to 3 times a day.
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily - ANSWER -b. Eats a
vegetarian diet with
cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to 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 - ANSWER -c. Palpate the bladder
above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
