Page 1 of 207
BSN HESI 266 Med Surg Exam STUDY GUIDE WITH
COMPLETE 500 QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION
JUST RELEASED RECENTLY
Question: The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent - ANSWER✔✔c. Increase the flow of the
bladder
irrigation
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ANSWER (C) Increase the flow of the bladder irrigation
Question: A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain
is short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on - ANSWER✔✔Remove all
morphine patches
Question: Coming down the basement steps, a client is brought to the emergency room X-ray
... cast, which assessment finding warrants immediate
Intervention by the nurse? - ANSWER✔✔Right foot pale with sluggish capillary refill
Question: An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a
hernia repair. He tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
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glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - ANSWER✔✔a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
Question: A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
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shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
. - ANSWER✔✔d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
Question: 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.
BSN HESI 266 Med Surg Exam STUDY GUIDE WITH
COMPLETE 500 QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION
JUST RELEASED RECENTLY
Question: The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent - ANSWER✔✔c. Increase the flow of the
bladder
irrigation
, Page 2 of 207
ANSWER (C) Increase the flow of the bladder irrigation
Question: A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain
is short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on - ANSWER✔✔Remove all
morphine patches
Question: Coming down the basement steps, a client is brought to the emergency room X-ray
... cast, which assessment finding warrants immediate
Intervention by the nurse? - ANSWER✔✔Right foot pale with sluggish capillary refill
Question: An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a
hernia repair. He tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
, Page 3 of 207
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - ANSWER✔✔a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
Question: A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
, Page 4 of 207
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
. - ANSWER✔✔d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
Question: 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.
