MED SURG HESI BSN 266 Complete Review
(2026) | 100% Verified Responses | A+
• 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. Administer pain medication and reassess in 30 minutes
B. Immobilize the affected leg and apply ice
C. Gather additional assessment data about the pain and weakness
D. Perform immediate surgery to address the issue -✓✓C. Gather additional
assessment data about the pain and weakness
• When assessing a male client's respiratory status, which technique should the nurse
use to assess his anterior-posteriour chest diameter?
A. Loss of sensation and cyanosis
B. Bruising and decreased range of motion
C. Tenderness upon palpation and generalized erythema
D. Swelling without discoloration -✓✓C. 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. Strict IV fluid replacement
B. Encourage increased oral fluid intake
C. Provide diuretics to reduce fluid retention
D. Administer oxygen therapy -✓✓A .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. Avoiding any physical activity outdoors
B. Drinking warm fluids before handling cold items
C. Wearing loose clothing to improve circulation
D. Wearing gloves when handling cold items guards against painful spasms -✓✓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. Advise the patient to avoid eating altogether for 24 hours
B. Describe the use of an elimination diet to find trigger foods
C. Suggest taking antacids after every meal
, D. Recommend a high-fat, high-calorie diet for symptom relief -✓✓B. 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. Follows a low-carb, high-protein diet with lean meats
B. Eats a vegetarian diet with cheese 2 to 3 times a day
C. Primarily consumes plant-based foods with minimal dairy intake
D. Eats a diet focused on whole grains, fruits, and legumes -✓✓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. Palpate the bladder above the symphysis pubis
B. Ask the patient to cough and observe for changes in the abdomen
C. Perform a digital rectal exam for prostate evaluation
D. Measure the patient's urine output for 24 hours -✓✓A. 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. Irritable bowel syndrome with dietary changes
B. Ulcerative colitis with corticosteroid therapy
C. Celiac disease with gluten-free diet
D. Crohn's disease with colectomy -✓✓D. Crohn's disease with colectomy.
• When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential?
A. Administer oxygen immediately
B. Ensure oral suction is available
C. Apply a nasal cannula
D. Place the patient in a supine position -✓✓B. Ensure oral suction is available.
• A client presents to the emergency department reporting chest pain that is radiation to
the left arm, shortness of breath, and diaphoresis. Which medication should the nurse
anticipate being prescribed by the healthcare provider?
A. Morphine
B. Ibuprofen
C. Acetaminophen
D. Lorazepam -✓✓A. Morphine
(2026) | 100% Verified Responses | A+
• 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. Administer pain medication and reassess in 30 minutes
B. Immobilize the affected leg and apply ice
C. Gather additional assessment data about the pain and weakness
D. Perform immediate surgery to address the issue -✓✓C. Gather additional
assessment data about the pain and weakness
• When assessing a male client's respiratory status, which technique should the nurse
use to assess his anterior-posteriour chest diameter?
A. Loss of sensation and cyanosis
B. Bruising and decreased range of motion
C. Tenderness upon palpation and generalized erythema
D. Swelling without discoloration -✓✓C. 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. Strict IV fluid replacement
B. Encourage increased oral fluid intake
C. Provide diuretics to reduce fluid retention
D. Administer oxygen therapy -✓✓A .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. Avoiding any physical activity outdoors
B. Drinking warm fluids before handling cold items
C. Wearing loose clothing to improve circulation
D. Wearing gloves when handling cold items guards against painful spasms -✓✓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. Advise the patient to avoid eating altogether for 24 hours
B. Describe the use of an elimination diet to find trigger foods
C. Suggest taking antacids after every meal
, D. Recommend a high-fat, high-calorie diet for symptom relief -✓✓B. 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. Follows a low-carb, high-protein diet with lean meats
B. Eats a vegetarian diet with cheese 2 to 3 times a day
C. Primarily consumes plant-based foods with minimal dairy intake
D. Eats a diet focused on whole grains, fruits, and legumes -✓✓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. Palpate the bladder above the symphysis pubis
B. Ask the patient to cough and observe for changes in the abdomen
C. Perform a digital rectal exam for prostate evaluation
D. Measure the patient's urine output for 24 hours -✓✓A. 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. Irritable bowel syndrome with dietary changes
B. Ulcerative colitis with corticosteroid therapy
C. Celiac disease with gluten-free diet
D. Crohn's disease with colectomy -✓✓D. Crohn's disease with colectomy.
• When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential?
A. Administer oxygen immediately
B. Ensure oral suction is available
C. Apply a nasal cannula
D. Place the patient in a supine position -✓✓B. Ensure oral suction is available.
• A client presents to the emergency department reporting chest pain that is radiation to
the left arm, shortness of breath, and diaphoresis. Which medication should the nurse
anticipate being prescribed by the healthcare provider?
A. Morphine
B. Ibuprofen
C. Acetaminophen
D. Lorazepam -✓✓A. Morphine
