BSN HESI 266 Med Surg Exam | 2025/2026 Edition |
Nightingale College | Real Exam Q&A
A client who has developed acute kidney injury (AKI) due to aminoglycoside antibiotics has
moved from the oliguric phase to the diuretic phase of AKI.
Which parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN) Answer-:b. Hypovolemia and
electrocardiographic (ECG) changes.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
a. Aching feet may be soaked in lukewarm water for one hour or more.
b. Shoes should be worn outside the house, but it is fine to be barefoot inside.
,c. Family members can help with regular foot exams.
d. Heating pads are useful if on the lowest setting Answer-:c. Family members can help with
regular foot exams.
Question about facial droop Answer-:prepare for fiberlyntic therapy
Client is hospitalized with Heart failure. What nursing interventions will be implemented
for patient to improve ventilation and reduce venous return? Answer-:Place in high fowlers
Dialysis access bruit heard in R arm Answer-:normal/ document
math (drops question) Answer-:42 gtt/min
TURP QUESTION Answer-:decrease urinary output
Assessment question Guillan Barre Answer-:loss of sensation at T-8
Addison's question Answer-:educate to take steroids
Peritoneal dialysis can't be started on Answer-:patient with necrotic syndrome
post op w/ elevated temperature Answer-:apply ice packs
a client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and
palpitations.
Which finding should the nurse
,recognize as a possible complication?
a. anxiety and sighing
b. myalgia in wrists and hands
c. hyperactive bowel sounds
d. dark yellow urine Answer-:b. myalgia in wrists and hands
The nurse has conducted a cancer prevention community education program. In evaluating the
participants' understanding of the carcinogens,
which statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer
d. Carcinogens are in the environment and cannot be avoided. Answer-:c. Substances that
change a cell so that it becomes cancerous are
potential sources of cancer
, A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding
reflects the expected therapeutic response?
a. Hydration of affected dry skin areas
b. Reduced pain in eczematous areas.
c. Decreased weeping of ulcerations in affected areas.
d. Healing with a return to normal skin appearance. Answer-:a. Hydration of affected dry skin
areas
A client with hyperparathyroidism reports a sudden monster of severe flank
pain.
Which intervention should the nurse include in the client's plan of care?
a. Implement seizure precautions.
b. Initiate cardiac telemetry.
c. Administer a PRN dose of a laxative.
d. Begin straining all urine Answer-:d. Begin straining all urine
After falling down the basement steps, a client
is brought to the emergency
room. X-ray confirms that the client's right leg is fractured. Following application
Nightingale College | Real Exam Q&A
A client who has developed acute kidney injury (AKI) due to aminoglycoside antibiotics has
moved from the oliguric phase to the diuretic phase of AKI.
Which parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN) Answer-:b. Hypovolemia and
electrocardiographic (ECG) changes.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
a. Aching feet may be soaked in lukewarm water for one hour or more.
b. Shoes should be worn outside the house, but it is fine to be barefoot inside.
,c. Family members can help with regular foot exams.
d. Heating pads are useful if on the lowest setting Answer-:c. Family members can help with
regular foot exams.
Question about facial droop Answer-:prepare for fiberlyntic therapy
Client is hospitalized with Heart failure. What nursing interventions will be implemented
for patient to improve ventilation and reduce venous return? Answer-:Place in high fowlers
Dialysis access bruit heard in R arm Answer-:normal/ document
math (drops question) Answer-:42 gtt/min
TURP QUESTION Answer-:decrease urinary output
Assessment question Guillan Barre Answer-:loss of sensation at T-8
Addison's question Answer-:educate to take steroids
Peritoneal dialysis can't be started on Answer-:patient with necrotic syndrome
post op w/ elevated temperature Answer-:apply ice packs
a client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and
palpitations.
Which finding should the nurse
,recognize as a possible complication?
a. anxiety and sighing
b. myalgia in wrists and hands
c. hyperactive bowel sounds
d. dark yellow urine Answer-:b. myalgia in wrists and hands
The nurse has conducted a cancer prevention community education program. In evaluating the
participants' understanding of the carcinogens,
which statement indicates an accurate understanding?
a. Environmental factors such as sunlight and chemicals can cause cancer to spread.
b. Carcinogens are substances that contain cancerous cells.
c. Substances that change a cell so that it becomes cancerous are
potential sources of cancer
d. Carcinogens are in the environment and cannot be avoided. Answer-:c. Substances that
change a cell so that it becomes cancerous are
potential sources of cancer
, A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding
reflects the expected therapeutic response?
a. Hydration of affected dry skin areas
b. Reduced pain in eczematous areas.
c. Decreased weeping of ulcerations in affected areas.
d. Healing with a return to normal skin appearance. Answer-:a. Hydration of affected dry skin
areas
A client with hyperparathyroidism reports a sudden monster of severe flank
pain.
Which intervention should the nurse include in the client's plan of care?
a. Implement seizure precautions.
b. Initiate cardiac telemetry.
c. Administer a PRN dose of a laxative.
d. Begin straining all urine Answer-:d. Begin straining all urine
After falling down the basement steps, a client
is brought to the emergency
room. X-ray confirms that the client's right leg is fractured. Following application
