BSN HESI 266 Med Surg Exam (Latest Updates)
Questions and Verified Answers|100% Correct|
Grade A- Nightingale
An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind.
Which nursing instruction is most important for the nurses to provide
this client?
a. Maintain prescribed eye drop regimen
b. Eat a diet high in carotene.
c. Wear prescription glasses.
d. Avoid frequent eye pressure measurement. - ANSWER -a. Maintain prescribed
eye drop regimen
Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
a. Adjust food intake to three full meals per day and no snacks.
b. Sleep without pillows at night to maintain neck alignment.
c. Minimize symptoms by wearing loose, comfortable clothing.
d. Avoid participation in any aerobic exercise programs - ANSWER -c. Minimize
symptoms by wearing loose, comfortable clothing.
A client arrives to the emergency department
reporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood.
Which intervention should the nurse
prioritize?
a. Move into airborne isolation
,b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - ANSWER -a. Move into airborne isolation
A client receives a prescription for 1 liter of Ringer's intravenously to be infused
over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole
number.) - ANSWER -167 mL
1000mL/6(hours) =166.6=167mL
The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment
data is
most important for the nurse to obtain?
a. Activity level of bowel sounds.
b. Eating patterns of dietary intake.
c. Level and amount of physical activity
d. Color and consistency of feces - ANSWER -b. Eating patterns of dietary intake.
An older adult client with a long hist
ory of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a
persistent cough. The client is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement?
a. Apply a tight flow venturi mask.
b. Encourage client to drink water.
, c. Assist client to an upright position.
d. Administer a prescribed sedative - ANSWER -c. Assist client to an upright
position.
Which action should the nurse implement to reduce the risk of vesicant
extravasation in the client who is receiving intravenous chemotherapy?
a. Monitor the client's intravenous site hourly during the treatment
b. Keep the head of the bed
elevated until the treatment is completed.
c. Instruct the client to drink plenty of fluids during the treatment.
d. Administer an antiemetic before starting the chemotherapy - ANSWER -a.
Monitor the client's intravenous site hourly during the treatment
The home health nurse provides teaching about self injection to a client
who was recently diagnosed with diabetes mellitus.
When the client begins to perform
a return demonstration of an insulin injection into the abdomen as seen in the
video, which instruction should the nurse provide? (Please view the video to
select the opt
ion that applies. To repeat the video, click the play button again.)
a. Continue with the insulin injection.
b. Keep the skin flat rather than bunched.
c. Lie down flat for better skin exposure.
d. Select a different injection site - ANSWER -a. Continue with the insulin
injection.
An older client who is agitated, dyspneic, orthopneic, and using accessory
muscles to breathe is admitted for further treatment. Initial assessment includes a
heart rate 128 beats/minute and irregular, respirations 38 breathe/minute. blood
Questions and Verified Answers|100% Correct|
Grade A- Nightingale
An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind.
Which nursing instruction is most important for the nurses to provide
this client?
a. Maintain prescribed eye drop regimen
b. Eat a diet high in carotene.
c. Wear prescription glasses.
d. Avoid frequent eye pressure measurement. - ANSWER -a. Maintain prescribed
eye drop regimen
Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
a. Adjust food intake to three full meals per day and no snacks.
b. Sleep without pillows at night to maintain neck alignment.
c. Minimize symptoms by wearing loose, comfortable clothing.
d. Avoid participation in any aerobic exercise programs - ANSWER -c. Minimize
symptoms by wearing loose, comfortable clothing.
A client arrives to the emergency department
reporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood.
Which intervention should the nurse
prioritize?
a. Move into airborne isolation
,b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - ANSWER -a. Move into airborne isolation
A client receives a prescription for 1 liter of Ringer's intravenously to be infused
over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole
number.) - ANSWER -167 mL
1000mL/6(hours) =166.6=167mL
The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment
data is
most important for the nurse to obtain?
a. Activity level of bowel sounds.
b. Eating patterns of dietary intake.
c. Level and amount of physical activity
d. Color and consistency of feces - ANSWER -b. Eating patterns of dietary intake.
An older adult client with a long hist
ory of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a
persistent cough. The client is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement?
a. Apply a tight flow venturi mask.
b. Encourage client to drink water.
, c. Assist client to an upright position.
d. Administer a prescribed sedative - ANSWER -c. Assist client to an upright
position.
Which action should the nurse implement to reduce the risk of vesicant
extravasation in the client who is receiving intravenous chemotherapy?
a. Monitor the client's intravenous site hourly during the treatment
b. Keep the head of the bed
elevated until the treatment is completed.
c. Instruct the client to drink plenty of fluids during the treatment.
d. Administer an antiemetic before starting the chemotherapy - ANSWER -a.
Monitor the client's intravenous site hourly during the treatment
The home health nurse provides teaching about self injection to a client
who was recently diagnosed with diabetes mellitus.
When the client begins to perform
a return demonstration of an insulin injection into the abdomen as seen in the
video, which instruction should the nurse provide? (Please view the video to
select the opt
ion that applies. To repeat the video, click the play button again.)
a. Continue with the insulin injection.
b. Keep the skin flat rather than bunched.
c. Lie down flat for better skin exposure.
d. Select a different injection site - ANSWER -a. Continue with the insulin
injection.
An older client who is agitated, dyspneic, orthopneic, and using accessory
muscles to breathe is admitted for further treatment. Initial assessment includes a
heart rate 128 beats/minute and irregular, respirations 38 breathe/minute. blood
