BSN HESI 266 EXAM 2024 RETAKE 99 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW!!
1) Terms in this set (79) QUESTIONS VERIFIED ANSWERS
2) Client is recovering from a transurethral Drink 3L
prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare
provider?
3) A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should non-opioid medications
the nurse implement? simultaneously
4) A client experiences an AOB incompatibility reaction a. low back pain and
after multiple blood transfusions. Which finding hypotension
should the nurse report immediately to the health care
provider? ANSWER: (A) LOW
BACK PAIN AND
a. low back pain and hypotension HYPOTENSTION
, b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
5) When conducting discharge teaching for a client c. Eat a high fiber diet
diagnosed with diverticulosis, which diet instruction and increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least HIGH-FIBER DIET
two hours after meals. AND INCREASE FLUID
INTAKE
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
6) The nurse observes an increased number of blood c. Increase the flow of the
clots in the drainage tubing of a client with bladder
continuous bladder irrigation following a irrigation
transurethral resection of the prostate (TURP). What
is the best initial nursing action?
, ANSWER (C) Increase
a. Provide additional oral fluid intake the flow of the bladder
irrigation
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
7) A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
8) Coming down the basement steps, a client is brought Right foot pale with
to the emergency room X-ray ... cast, which sluggish capillary refill
assessment finding warrants immediate
Intervention by the nurse?
9) An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
type 2 diabetes mellitus is admitted for a hernia
repair. He tells the nurse that he is feeling very weak b. Assess skin
and jittery. temperature
, and moisture
Which actions should the nurse implement?
(Select all that apply.) c. Measure pulse and
blood
a. Check finger stick pressure
glucose
ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
10) A client who underwent cardiac stent placement four d. Obtain a 12-lead
days ago arrives to the electrocardiogram and
emergency department reporting a sudden onset of begin continuous cardiac
chest pressure and monitoring
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.
CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+||BRAND NEW!!
1) Terms in this set (79) QUESTIONS VERIFIED ANSWERS
2) Client is recovering from a transurethral Drink 3L
prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare
provider?
3) A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should non-opioid medications
the nurse implement? simultaneously
4) A client experiences an AOB incompatibility reaction a. low back pain and
after multiple blood transfusions. Which finding hypotension
should the nurse report immediately to the health care
provider? ANSWER: (A) LOW
BACK PAIN AND
a. low back pain and hypotension HYPOTENSTION
, b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
5) When conducting discharge teaching for a client c. Eat a high fiber diet
diagnosed with diverticulosis, which diet instruction and increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least HIGH-FIBER DIET
two hours after meals. AND INCREASE FLUID
INTAKE
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
6) The nurse observes an increased number of blood c. Increase the flow of the
clots in the drainage tubing of a client with bladder
continuous bladder irrigation following a irrigation
transurethral resection of the prostate (TURP). What
is the best initial nursing action?
, ANSWER (C) Increase
a. Provide additional oral fluid intake the flow of the bladder
irrigation
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
7) A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
8) Coming down the basement steps, a client is brought Right foot pale with
to the emergency room X-ray ... cast, which sluggish capillary refill
assessment finding warrants immediate
Intervention by the nurse?
9) An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
type 2 diabetes mellitus is admitted for a hernia
repair. He tells the nurse that he is feeling very weak b. Assess skin
and jittery. temperature
, and moisture
Which actions should the nurse implement?
(Select all that apply.) c. Measure pulse and
blood
a. Check finger stick pressure
glucose
ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
10) A client who underwent cardiac stent placement four d. Obtain a 12-lead
days ago arrives to the electrocardiogram and
emergency department reporting a sudden onset of begin continuous cardiac
chest pressure and monitoring
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.
