MED||SURG HESI BSN266||BSN266
YBG1 BEST REVIEW EXPLAINED
QUESTION/ANSWER LATEST
UPDATE 2024/2025 VERIFIED BEST
FOR DISTINCTION
A client is admitted with acute congestive heart failure (CHF). which
exam finding will the nurse most likely assess in this client?
a. Rales and crackles in the bilateral lower lobes upon auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitalization.
d. Blood pressure 160/100 mm Hg (CORRECT ANSWER) a. Rales and
crackles in the bilateral lower lobes upon auscultation.
A client is admitted with multiple injuries following a motor vehicle
collision. Which injury should the nurse address first?
a. Active bleeding from lower leg wound and BP 100/60 mmHg.
b. Scalp lacerations and Glasgow Coma Scale of 10.
c. Absent breath sounds over the left lung, distended neck veins, RR
27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the lower arm and hand.
(CORRECT ANSWER) c. Absent breath sounds over the left lung,
distended neck veins, RR 27/min, and pulse 120bpm.
,A client diagnosed with acute respiratory distress syndrome (ARDS) is
demonstrating atelectasis. Which nursing diagnoses should the nurse list
as the priority for this client?
a. Ineffective airway clearance
b. Impaired gas exchange
c. Alteration in comfort.
d. Fluid volume overload. (CORRECT ANSWER) b. Impaired gas
exchange
The nurse raises the head of the bed and encourages a client recovering
from abdominal surgery to take deep breaths. What should the nurse
identify as the primary goal of these interventions?
a. Increased blood flow to the lower extremities
b. Reduce post operative bleeding
c. Reduce the retention of carbon dioxide
d. Decrease intracranial pressure (CORRECT ANSWER) c. Reduce the
retention of carbon dioxide
A client diagnosed with gastric cancer asks the nurse how he developed
the disease. Which assessment finding will provide the most information
regarding the development of gastric cancer in this client?
a. Ingest 1 alcoholic beverage each day
b. Takes cimetidine (Tagamet) for chronic urticaria every day for years
in a row
c. Eats pickled veggies and salted fish several times a week
d. Family history of colon cancer (CORRECT ANSWER) c. Eats
pickled veggies and salted fish several times a week
, A client is prescribed to receive 1000ml of dextrose 5% and 0.45%
normal saline to infuse over 8 hours. The administration set deliver 12
drops per ml. Calculate the rate in which the nurse should regulate the
drops per minute for this infusion. (CORRECT ANSWER) 25 drops per
minute
A client being prepared for surgery tells the nurse he is anxious because
her will "not be awake to see what everyone is doing." What should the
nurse respond?
a. "Don't worry we all know what we need to do"
b. "The surgeon will make sure everything goes well"
c. "Would you like to have a type of anesthesia that allows you to be
awake for the procedure"
d. "There are processes in place to minimize the risk of mistakes and to
create a safe environment" (CORRECT ANSWER) d. "There are
processes in place to minimize the risk of mistakes and to create a safe
environment"
A client diagnosed with chronic renal failure is in the intensive care unit
for treatment with nitroprusside sodium for blood pressure control. What
should the nurse include in this clients plan of care?
a. Expect the blood pressure to increase when infusion is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administration
d. Provide the medication through intravenous push (CORRECT
ANSWER) c. Monitor thiocyanate level for prolonged administration
A client in the emergency department with a suspected acute myocardial
infarction is prescribed laboratory tests to aid in the diagnosis. Which
diagnostic test will provide the most sensitive information regarding the
clients myocardial damage?
YBG1 BEST REVIEW EXPLAINED
QUESTION/ANSWER LATEST
UPDATE 2024/2025 VERIFIED BEST
FOR DISTINCTION
A client is admitted with acute congestive heart failure (CHF). which
exam finding will the nurse most likely assess in this client?
a. Rales and crackles in the bilateral lower lobes upon auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitalization.
d. Blood pressure 160/100 mm Hg (CORRECT ANSWER) a. Rales and
crackles in the bilateral lower lobes upon auscultation.
A client is admitted with multiple injuries following a motor vehicle
collision. Which injury should the nurse address first?
a. Active bleeding from lower leg wound and BP 100/60 mmHg.
b. Scalp lacerations and Glasgow Coma Scale of 10.
c. Absent breath sounds over the left lung, distended neck veins, RR
27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the lower arm and hand.
(CORRECT ANSWER) c. Absent breath sounds over the left lung,
distended neck veins, RR 27/min, and pulse 120bpm.
,A client diagnosed with acute respiratory distress syndrome (ARDS) is
demonstrating atelectasis. Which nursing diagnoses should the nurse list
as the priority for this client?
a. Ineffective airway clearance
b. Impaired gas exchange
c. Alteration in comfort.
d. Fluid volume overload. (CORRECT ANSWER) b. Impaired gas
exchange
The nurse raises the head of the bed and encourages a client recovering
from abdominal surgery to take deep breaths. What should the nurse
identify as the primary goal of these interventions?
a. Increased blood flow to the lower extremities
b. Reduce post operative bleeding
c. Reduce the retention of carbon dioxide
d. Decrease intracranial pressure (CORRECT ANSWER) c. Reduce the
retention of carbon dioxide
A client diagnosed with gastric cancer asks the nurse how he developed
the disease. Which assessment finding will provide the most information
regarding the development of gastric cancer in this client?
a. Ingest 1 alcoholic beverage each day
b. Takes cimetidine (Tagamet) for chronic urticaria every day for years
in a row
c. Eats pickled veggies and salted fish several times a week
d. Family history of colon cancer (CORRECT ANSWER) c. Eats
pickled veggies and salted fish several times a week
, A client is prescribed to receive 1000ml of dextrose 5% and 0.45%
normal saline to infuse over 8 hours. The administration set deliver 12
drops per ml. Calculate the rate in which the nurse should regulate the
drops per minute for this infusion. (CORRECT ANSWER) 25 drops per
minute
A client being prepared for surgery tells the nurse he is anxious because
her will "not be awake to see what everyone is doing." What should the
nurse respond?
a. "Don't worry we all know what we need to do"
b. "The surgeon will make sure everything goes well"
c. "Would you like to have a type of anesthesia that allows you to be
awake for the procedure"
d. "There are processes in place to minimize the risk of mistakes and to
create a safe environment" (CORRECT ANSWER) d. "There are
processes in place to minimize the risk of mistakes and to create a safe
environment"
A client diagnosed with chronic renal failure is in the intensive care unit
for treatment with nitroprusside sodium for blood pressure control. What
should the nurse include in this clients plan of care?
a. Expect the blood pressure to increase when infusion is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administration
d. Provide the medication through intravenous push (CORRECT
ANSWER) c. Monitor thiocyanate level for prolonged administration
A client in the emergency department with a suspected acute myocardial
infarction is prescribed laboratory tests to aid in the diagnosis. Which
diagnostic test will provide the most sensitive information regarding the
clients myocardial damage?
