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BSN HESI 266 Med Surg Exam COMPLETE 550
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE JUST RELEASED THIS YEAR
1. 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.
C
Explanation: The client's vital signs indicate possible sepsis or systemic infection. Strict
IV fluid replacement is important to maintain adequate circulation, support blood
pressure, and treat potential sepsis. The other interventions are also essential but not
as critical as fluid replacement in this situation.
8. 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.
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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.
D
Explanation: For clients with Raynaud's disease, cold temperatures can trigger painful
episodes. Instructing the client to wear gloves when handling cold items can help
protect against these episodes and manage pain.
9. 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.
d
Explanation: Individuals with Crohn's disease often have specific trigger foods that
exacerbate their symptoms. The nurse should describe the use of an elimination diet to
help the client identify and avoid these trigger foods to better manage their condition.
10. 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
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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.
B
Explanation: Diets high in animal protein, such as cheese, can increase the risk of
kidney stones. While the other options do not pose a direct risk for renal calculi, a diet
high in animal protein can contribute to the formation of stones.
11. 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 fingerstick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis.
C
Explanation: The client's symptoms suggest possible urinary retention, which is
common in older males with benign prostatic hyperplasia (BPH). Palpating the bladder
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above the symphysis pubis can help the nurse assess for bladder distention and
provide information to guide further evaluation and management.
12. The nurse has conducted a cancer prevention community education
program. In evaluating the participants' understanding of the carcinogens, which
statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause
cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer.
d. Carcinogens are in the environment and cannot be avoided.
C
Explanation: Carcinogens are substances that can cause changes in a cell's DNA,
leading to the development of cancer. Understanding that carcinogens are potential
sources of cancer indicates accurate knowledge of this concept.
13. A client with pheochromocytoma reports the onset of a severe headache.
The nurse observes that the client is very diaphoretic. Which assessment data
should the nurse obtain next?
a. Capillary glucose.
b. Oxygen saturation.
BSN HESI 266 Med Surg Exam COMPLETE 550
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE JUST RELEASED THIS YEAR
1. 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.
C
Explanation: The client's vital signs indicate possible sepsis or systemic infection. Strict
IV fluid replacement is important to maintain adequate circulation, support blood
pressure, and treat potential sepsis. The other interventions are also essential but not
as critical as fluid replacement in this situation.
8. 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.
, Page 2 of 258
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.
D
Explanation: For clients with Raynaud's disease, cold temperatures can trigger painful
episodes. Instructing the client to wear gloves when handling cold items can help
protect against these episodes and manage pain.
9. 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.
d
Explanation: Individuals with Crohn's disease often have specific trigger foods that
exacerbate their symptoms. The nurse should describe the use of an elimination diet to
help the client identify and avoid these trigger foods to better manage their condition.
10. 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
, Page 3 of 258
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.
B
Explanation: Diets high in animal protein, such as cheese, can increase the risk of
kidney stones. While the other options do not pose a direct risk for renal calculi, a diet
high in animal protein can contribute to the formation of stones.
11. 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 fingerstick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis.
C
Explanation: The client's symptoms suggest possible urinary retention, which is
common in older males with benign prostatic hyperplasia (BPH). Palpating the bladder
, Page 4 of 258
above the symphysis pubis can help the nurse assess for bladder distention and
provide information to guide further evaluation and management.
12. The nurse has conducted a cancer prevention community education
program. In evaluating the participants' understanding of the carcinogens, which
statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause
cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer.
d. Carcinogens are in the environment and cannot be avoided.
C
Explanation: Carcinogens are substances that can cause changes in a cell's DNA,
leading to the development of cancer. Understanding that carcinogens are potential
sources of cancer indicates accurate knowledge of this concept.
13. A client with pheochromocytoma reports the onset of a severe headache.
The nurse observes that the client is very diaphoretic. Which assessment data
should the nurse obtain next?
a. Capillary glucose.
b. Oxygen saturation.
