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BSN HESI 266 Questions and Correct
Answers
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider? Ans: — Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement? Ans:
— Administer opioid and non-opioid medications simultaneously
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
d. arthritic joint changes and chronic pain Ans: — 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?
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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
Ans: — c. Eat a high fiber diet and increase fluid intake.
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 Ans: — c.
Increase the flow of the bladder
irrigation
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, 3 | Page
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
Ans: — Remove all morphine patches
Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse? Ans: — Right foot pale with sluggish
capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he
is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
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c. Measure pulse and blood
pressure Ans: — a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the
emergency department reporting a sudden onset of chest pressure
and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse
volume,
and pitting edema.
© 2025 All rights reserved
BSN HESI 266 Questions and Correct
Answers
Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider? Ans: — Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement? Ans:
— Administer opioid and non-opioid medications simultaneously
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
d. arthritic joint changes and chronic pain Ans: — 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?
© 2025 All rights reserved
, 2 | Page
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
Ans: — c. Eat a high fiber diet and increase fluid intake.
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 Ans: — c.
Increase the flow of the bladder
irrigation
© 2025 All rights reserved
, 3 | Page
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
Ans: — Remove all morphine patches
Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse? Ans: — Right foot pale with sluggish
capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he
is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
© 2025 All rights reserved
, 4 | Page
c. Measure pulse and blood
pressure Ans: — a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the
emergency department reporting a sudden onset of chest pressure
and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse
volume,
and pitting edema.
© 2025 All rights reserved
