Bsn hesi 266 med surg exam 2025-
2026 questions with accurate
solutions (latest update)
Which self-care measure is most important for the clinic nurse to emphasize
| | | | | | | | | | |
when teaching a client who was recently diagnosed with osteoporosis?
| | | | | | | | | |
inspect your home for safety hazards
| | | | |
The nurse has explained safety precautions and infant care to a primigravida
| | | | | | | | | | |
mother and observes the mother as she gives care to her newborn during
| | | | | | | | | | | | |
the first two days of rooming-in. which action indicates the mother
| | | | | | | | | | |
understands instructions?
| |
positions the infant supine in the crib to sleep
| | | | | | | |
The nurse is caring for a 42-year-old male client who is excreting less sodium
| | | | | | | | | | | | |
than he is consuming. If this condition continues, what complication can
| | | | | | | | | | |
the nurse expect this client to exhibit?
| | | | | | |
edema
Which condition would likely cause secondary polycythemia?
| | | | | |
High altitude exposure.
| |
The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to
| | | | | | | | | | | | |
a male client experiencing acute alcohol withdrawal and peripheral
| | | | | | | | |
neuritis. The client belligerently states, “what do you think you’re
| | | | | | | | | |
doing?” Response?
| |
"This shot will help relieve the pain in your feet
| | | | | | | | |
,When administering an intramuscular injection containing 3 ml of a painful
| | | | | | | | | |
medication, Intervention? select a large, deep muscle mass
| | | | | | | |
Locate the optic disk | | |
the really light area on the right
| | | | | |
When completing a mental health assessment, the nurse wishes to obtain
| | | | | | | | | |
information about a client’s insight and judgment. Which interview
| | | | | | | | |
technique is most useful in assessing these mental abilities
| | | | | | | | |
have the client describe what should be done if a child was observed alone
| | | | | | | | | | | | |
in a locked car on a hot day
| | | | | | | |
A male client with Type 1 diabetes mellitus takes a combination of short
| | | | | | | | | | | |
acting and intermediate acting insulin. The client complains of headaches
| | | | | | | | | |
when awakening and his blood glucose average for the past week has
| | | | | | | | | | | |
been
|
210. The nurse recognizes the client is experiencing a daily Somogyi, or
| | | | | | | | | | |
rebound effect. Which dosing method is likely to relieve these symptoms?
| | | | | | | | | | |
Move the PM intermediate- acting dose to bedtime.
| | | | | | |
When obtaining a throat culture from a 6 year old with possible
| | | | | | | | | | |
strepococcal infection, which action is most important for the nurse to
| | | | | | | | | | |
implement?
|
Swab the child's erythematous oropharyngeal surfaces or tonsilar
| | | | | | |
pustules.
|
An adult Muslim client with ulcerative colitis was admitted to the post-
| | | | | | | | | | |
surgical unit earlier today following a bowel resection with temporary
| | | | | | | | | |
colostomy. Which intervention is most important for the nurse to
| | | | | | | | | |
implement?
|
assign a care provider of the same gender
| | | | | | |
,The parents of a 6-year-old recently diagnosed with Duchene muscular
| | | | | | | | |
dystrophy tell the nurse that their child wants to continue attending
| | | | | | | | | | |
swimming classes. How should the nurse respond?
| | | | | | |
encourage the parents to allow the child to continue attending swimming
| | | | | | | | | |
lessons with supervision
| | |
The nurse initiates a one-to-one relationship with a 35-year-old depressed
| | | | | | | | |
female client who was recently admitted to the psychiatric facility. Which
| | | | | | | | | | |
nursing action is most effective in promoting the development of a
| | | | | | | | | | |
therapeutic relationship?
| |
ensure that scheduled appointments begin according to the schedule
| | | | | | | |
An 18-year-old female client is admitted to the unit after ingesting an
| | | | | | | | | | |
overdose of Phenobarbital (Luminal). She is unresponsive and ABG results
| | | | | | | | | |
are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L. Which interpretation
| | | | | | | | | | | |
of the client’s ABG results by the nurse is accurate?
| | | | | | | | | |
respiratory acidosis, uncompensated | |
A male client with multiple myeloma is admitted with pneumonia and
| | | | | | | | | |
pancytopenia. The nurse reviews the complete blood cell count findings
| | | | | | | | | |
and identifies a platelet count of 20,000 cells/mm3. Which intervention
| | | | | | | | | |
should the nurse include in the client’s plan of care?
| | | | | | | | | |
avoid intramuscular injections
| |
The nurse is planning care for a 48-year-old client, diagnosed with
| | | | | | | | | |
schizophrenia at age 25, who has been taking antipsychotic drugs since
| | | | | | | | | | |
diagnosis. Long-term use of these drugs is associated with which side
| | | | | | | | | | |
effect?
|
tardive dyskinesia |
What instruction is most important for the nurse to provide a client with
| | | | | | | | | | | |
neutropenia?
|
, avoid sources of potential infection
| | | |
A client with acute laryngitis reports feeling “short of breath”. The nurse
| | | | | | | | | | |
assesses that the client’s respiratory rate has increased from 16/minute to
| | | | | | | | | | |
28/minute. What intervention should the nurse implement?
| | | | | | |
assess the client for stridor and increased respiratory effort
| | | | | | | |
When caring for a client who had a craniotomy yesterday for removal of a
| | | | | | | | | | | | |
pituitary tumor, which finding indicates to the nurse that further
| | | | | | | | | |
information is needed?
| | |
urine output for 8 hours is 2000 ml with a specific gravity of 1.001
| | | | | | | | | | | | |
The nurse is working with an interdisciplinary group to write procedures for
| | | | | | | | | | |
assessment of clients from a multiracial inner city population. The
| | | | | | | | | |
guidelines include a statement that reads, “Remember that all Hispanic
| | | | | | | | |
clients may not wish to give personal medical information to a stranger.”
| | | | | | | | | | | |
Which action should the nurse take?
| | | | | |
recommend changing the language that stereotypes one ethnic group
| | | | | | | |
| A 6-month-old client is diagnosed with intussusception. For which
| | | | | | | |
medical intervention will the nurse prepare this client?
| | | | | | | |
an enema |
The nurse is reviewing the medication history of a client who is
| | | | | | | | | | |
demonstrating tardive dyskinesia. Which medication classification will the
| | | | | | | |
nurse focus on during this review?
| | | | |
antipsycotics
A client receiving chemotherapy as part of cancer treatment has
| | | | | | | | |
developed an upper respiratory infection. The nurse realizes the cause of
| | | | | | | | | | |
this infection may be due to:
| | | | |
2026 questions with accurate
solutions (latest update)
Which self-care measure is most important for the clinic nurse to emphasize
| | | | | | | | | | |
when teaching a client who was recently diagnosed with osteoporosis?
| | | | | | | | | |
inspect your home for safety hazards
| | | | |
The nurse has explained safety precautions and infant care to a primigravida
| | | | | | | | | | |
mother and observes the mother as she gives care to her newborn during
| | | | | | | | | | | | |
the first two days of rooming-in. which action indicates the mother
| | | | | | | | | | |
understands instructions?
| |
positions the infant supine in the crib to sleep
| | | | | | | |
The nurse is caring for a 42-year-old male client who is excreting less sodium
| | | | | | | | | | | | |
than he is consuming. If this condition continues, what complication can
| | | | | | | | | | |
the nurse expect this client to exhibit?
| | | | | | |
edema
Which condition would likely cause secondary polycythemia?
| | | | | |
High altitude exposure.
| |
The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to
| | | | | | | | | | | | |
a male client experiencing acute alcohol withdrawal and peripheral
| | | | | | | | |
neuritis. The client belligerently states, “what do you think you’re
| | | | | | | | | |
doing?” Response?
| |
"This shot will help relieve the pain in your feet
| | | | | | | | |
,When administering an intramuscular injection containing 3 ml of a painful
| | | | | | | | | |
medication, Intervention? select a large, deep muscle mass
| | | | | | | |
Locate the optic disk | | |
the really light area on the right
| | | | | |
When completing a mental health assessment, the nurse wishes to obtain
| | | | | | | | | |
information about a client’s insight and judgment. Which interview
| | | | | | | | |
technique is most useful in assessing these mental abilities
| | | | | | | | |
have the client describe what should be done if a child was observed alone
| | | | | | | | | | | | |
in a locked car on a hot day
| | | | | | | |
A male client with Type 1 diabetes mellitus takes a combination of short
| | | | | | | | | | | |
acting and intermediate acting insulin. The client complains of headaches
| | | | | | | | | |
when awakening and his blood glucose average for the past week has
| | | | | | | | | | | |
been
|
210. The nurse recognizes the client is experiencing a daily Somogyi, or
| | | | | | | | | | |
rebound effect. Which dosing method is likely to relieve these symptoms?
| | | | | | | | | | |
Move the PM intermediate- acting dose to bedtime.
| | | | | | |
When obtaining a throat culture from a 6 year old with possible
| | | | | | | | | | |
strepococcal infection, which action is most important for the nurse to
| | | | | | | | | | |
implement?
|
Swab the child's erythematous oropharyngeal surfaces or tonsilar
| | | | | | |
pustules.
|
An adult Muslim client with ulcerative colitis was admitted to the post-
| | | | | | | | | | |
surgical unit earlier today following a bowel resection with temporary
| | | | | | | | | |
colostomy. Which intervention is most important for the nurse to
| | | | | | | | | |
implement?
|
assign a care provider of the same gender
| | | | | | |
,The parents of a 6-year-old recently diagnosed with Duchene muscular
| | | | | | | | |
dystrophy tell the nurse that their child wants to continue attending
| | | | | | | | | | |
swimming classes. How should the nurse respond?
| | | | | | |
encourage the parents to allow the child to continue attending swimming
| | | | | | | | | |
lessons with supervision
| | |
The nurse initiates a one-to-one relationship with a 35-year-old depressed
| | | | | | | | |
female client who was recently admitted to the psychiatric facility. Which
| | | | | | | | | | |
nursing action is most effective in promoting the development of a
| | | | | | | | | | |
therapeutic relationship?
| |
ensure that scheduled appointments begin according to the schedule
| | | | | | | |
An 18-year-old female client is admitted to the unit after ingesting an
| | | | | | | | | | |
overdose of Phenobarbital (Luminal). She is unresponsive and ABG results
| | | | | | | | | |
are: pH 7.18, PaCO2 60 mmHg, and HCO3 26 mEq/L. Which interpretation
| | | | | | | | | | | |
of the client’s ABG results by the nurse is accurate?
| | | | | | | | | |
respiratory acidosis, uncompensated | |
A male client with multiple myeloma is admitted with pneumonia and
| | | | | | | | | |
pancytopenia. The nurse reviews the complete blood cell count findings
| | | | | | | | | |
and identifies a platelet count of 20,000 cells/mm3. Which intervention
| | | | | | | | | |
should the nurse include in the client’s plan of care?
| | | | | | | | | |
avoid intramuscular injections
| |
The nurse is planning care for a 48-year-old client, diagnosed with
| | | | | | | | | |
schizophrenia at age 25, who has been taking antipsychotic drugs since
| | | | | | | | | | |
diagnosis. Long-term use of these drugs is associated with which side
| | | | | | | | | | |
effect?
|
tardive dyskinesia |
What instruction is most important for the nurse to provide a client with
| | | | | | | | | | | |
neutropenia?
|
, avoid sources of potential infection
| | | |
A client with acute laryngitis reports feeling “short of breath”. The nurse
| | | | | | | | | | |
assesses that the client’s respiratory rate has increased from 16/minute to
| | | | | | | | | | |
28/minute. What intervention should the nurse implement?
| | | | | | |
assess the client for stridor and increased respiratory effort
| | | | | | | |
When caring for a client who had a craniotomy yesterday for removal of a
| | | | | | | | | | | | |
pituitary tumor, which finding indicates to the nurse that further
| | | | | | | | | |
information is needed?
| | |
urine output for 8 hours is 2000 ml with a specific gravity of 1.001
| | | | | | | | | | | | |
The nurse is working with an interdisciplinary group to write procedures for
| | | | | | | | | | |
assessment of clients from a multiracial inner city population. The
| | | | | | | | | |
guidelines include a statement that reads, “Remember that all Hispanic
| | | | | | | | |
clients may not wish to give personal medical information to a stranger.”
| | | | | | | | | | | |
Which action should the nurse take?
| | | | | |
recommend changing the language that stereotypes one ethnic group
| | | | | | | |
| A 6-month-old client is diagnosed with intussusception. For which
| | | | | | | |
medical intervention will the nurse prepare this client?
| | | | | | | |
an enema |
The nurse is reviewing the medication history of a client who is
| | | | | | | | | | |
demonstrating tardive dyskinesia. Which medication classification will the
| | | | | | | |
nurse focus on during this review?
| | | | |
antipsycotics
A client receiving chemotherapy as part of cancer treatment has
| | | | | | | | |
developed an upper respiratory infection. The nurse realizes the cause of
| | | | | | | | | | |
this infection may be due to:
| | | | |
