BSN HESI 266 Exam Questions and
Answers Graded A+
Client is recovering from a transurethral prostatectomy. Which activity should be
limited until after the first postoperative visit with the healthcare provider? -
Correct answer-Drink 3L
A client with lung cancer who wears a subcutaneous morphine sulfate patch for
pain is short of breath and is difficult to arouse. When performing a head to toe
assessment, the nurse discovers four analgesic patches on the client's body. Which
intervention should the nurse implement first?
A.
Measure the client's blood pressure.
B.
Remove all of the morphine patches.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,C.
Apply oxygen per face mask.
D.
Administer a narcotic antagonist. - Correct answer-Administer opioid and non-
opioid medications simultaneousl
A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the health care
provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,d. arthritic joint changes and chronic pain - Correct answer-a. low back pain and
hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse include?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products - Correct answer-
c. Eat a high fiber diet and increase fluid intake.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
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 - Correct answer-c. Increase
the flow of the bladder
irrigation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Answers Graded A+
Client is recovering from a transurethral prostatectomy. Which activity should be
limited until after the first postoperative visit with the healthcare provider? -
Correct answer-Drink 3L
A client with lung cancer who wears a subcutaneous morphine sulfate patch for
pain is short of breath and is difficult to arouse. When performing a head to toe
assessment, the nurse discovers four analgesic patches on the client's body. Which
intervention should the nurse implement first?
A.
Measure the client's blood pressure.
B.
Remove all of the morphine patches.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,C.
Apply oxygen per face mask.
D.
Administer a narcotic antagonist. - Correct answer-Administer opioid and non-
opioid medications simultaneousl
A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the health care
provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,d. arthritic joint changes and chronic pain - Correct answer-a. low back pain and
hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse include?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products - Correct answer-
c. Eat a high fiber diet and increase fluid intake.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
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 - Correct answer-c. Increase
the flow of the bladder
irrigation
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
