BSN 266 Hesi updated Questions and Verified
Answers | Grade A+ Nightingale
THIS EXAM INCLUDES:
➢ BSN 266 Hesi
➢ updated Questions and Verified Answers
➢ Grade A+
➢ Assured pass
➢ Nightingale college
,1. An older adult client with a long history of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a persistent
cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
Answer: B
2. A client with multiple sclerosis (MS) is admitted to the medical unit. The client
reports fatigue, muscle weakness, and diplopia. Which action should the nurse
implement to reduce the client's risk for falls? (Select all that apply)
A. Provide assistance to bedside commode
B. Provide frequent rest periods
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
Answer: A, B, E
3. A client arrives to the ED following a motor vehicle collision. The nurse
observes the client experiencing increasing dyspnea and notes absent breath
sounds on the left side. Which procedure should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
Answer: B
, 4. Following a transurethral resection of the prostate (TURP), a client is
discharged from the hospital with an indwelling urinary catheter. Which
instruction is most important for the nurse to include in the discharge teaching
plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
Answer: B
5. An adult woman with Graves disease is admitted with severe dehydration and
malnutrition. She is currently restless and refusing to eat. Which action is most
important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the client's food preferences
C. Maintain a patent intravenous site
D. Keep room temperature cool
Answer: C
6. A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a
person who was a casual acquaintance. Which action should the nurse
implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre-like lesion
C. Identify all sexual partners in the last four days
D. Assess for perineal itching, erythema, and excoriation
Answer: A
Answers | Grade A+ Nightingale
THIS EXAM INCLUDES:
➢ BSN 266 Hesi
➢ updated Questions and Verified Answers
➢ Grade A+
➢ Assured pass
➢ Nightingale college
,1. An older adult client with a long history of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a persistent
cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
Answer: B
2. A client with multiple sclerosis (MS) is admitted to the medical unit. The client
reports fatigue, muscle weakness, and diplopia. Which action should the nurse
implement to reduce the client's risk for falls? (Select all that apply)
A. Provide assistance to bedside commode
B. Provide frequent rest periods
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
Answer: A, B, E
3. A client arrives to the ED following a motor vehicle collision. The nurse
observes the client experiencing increasing dyspnea and notes absent breath
sounds on the left side. Which procedure should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
Answer: B
, 4. Following a transurethral resection of the prostate (TURP), a client is
discharged from the hospital with an indwelling urinary catheter. Which
instruction is most important for the nurse to include in the discharge teaching
plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
Answer: B
5. An adult woman with Graves disease is admitted with severe dehydration and
malnutrition. She is currently restless and refusing to eat. Which action is most
important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the client's food preferences
C. Maintain a patent intravenous site
D. Keep room temperature cool
Answer: C
6. A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a
person who was a casual acquaintance. Which action should the nurse
implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre-like lesion
C. Identify all sexual partners in the last four days
D. Assess for perineal itching, erythema, and excoriation
Answer: A
