BSN 246 HESI RN MED SURG VERSION A & B 2026 -2027
COMPREHENSIVE TEST BANK FINAL EXAM EACH EXAM
CONTAINS 180 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONLAES ASSURED PASS ALREADY
GRDAED A+ BEST FOR FINAL EXAM PREP 2026-2027
Which nursing action would be appropriate for a client who is newly
diagnosed with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium. C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu.
A
Rationale:Cushing syndrome results from a hypersecretion of glucocorticoids
in the adrenal cortex. Clients with Cushing syndrome often develop diabetes
mellitus. Monitoring of serum glucose levels assesses for increased blood
glucose levels so that treatment can begin early. A common finding in
Cushing syndrome is generalized edema. Although potassium is needed, it is
generally obtained from food intake, not by offering potassium-enhanced
fluids. Fatigue is usually not an overwhelming factor in Cushing syndrome, so
an emphasis on the need for rest is not indicated. A low-calorie, low-
carbohydrate, low-sodium diet is not recommended.
,A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the nurse would
offer the client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than 50
years.
B.
The immunization is administered once to older adults or those at risk for
illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up
to 5 years.
B
Rationale:It is usually recommended that persons older than 65 years and
those with a history of chronic illness should receive the vaccine once in their
lifetime. Some recommend receiving the vaccine at 50 years of age. The
influenza vaccine is given once a year. Although the vaccine might be given to
a person traveling overseas, that is not the main rationale for administering the
vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
,A client is admitted to the hospital with severe lower left abdominal pain,
nausea, vomiting, fever, and chills. Which nursing action has the highest
priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids.
A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk
for peritonitis and intestinal obstruction. The nurse should make the client
NPO to reduce risk of intestinal rupture. Options B, C, and D are important
but are less of a priority than option A, which is implemented to prevent a
severe complication.
, A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push.
B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is
synchronized cardioversion to convert the cardiac rhythm back to normal sinus
rhythm. Option A is a medication used for ventricular dysrhythmias. Option C is
not for a client with atrial fibrillation; it is reserved for clients with life-
threatening dysrhythmias, such as ventricular fibrillation and unstable
ventricular tachycardia. Option D is the drug of choice in symptomatic sinus
bradycardia, not atrial fibrillation.
COMPREHENSIVE TEST BANK FINAL EXAM EACH EXAM
CONTAINS 180 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONLAES ASSURED PASS ALREADY
GRDAED A+ BEST FOR FINAL EXAM PREP 2026-2027
Which nursing action would be appropriate for a client who is newly
diagnosed with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium. C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu.
A
Rationale:Cushing syndrome results from a hypersecretion of glucocorticoids
in the adrenal cortex. Clients with Cushing syndrome often develop diabetes
mellitus. Monitoring of serum glucose levels assesses for increased blood
glucose levels so that treatment can begin early. A common finding in
Cushing syndrome is generalized edema. Although potassium is needed, it is
generally obtained from food intake, not by offering potassium-enhanced
fluids. Fatigue is usually not an overwhelming factor in Cushing syndrome, so
an emphasis on the need for rest is not indicated. A low-calorie, low-
carbohydrate, low-sodium diet is not recommended.
,A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the nurse would
offer the client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than 50
years.
B.
The immunization is administered once to older adults or those at risk for
illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up
to 5 years.
B
Rationale:It is usually recommended that persons older than 65 years and
those with a history of chronic illness should receive the vaccine once in their
lifetime. Some recommend receiving the vaccine at 50 years of age. The
influenza vaccine is given once a year. Although the vaccine might be given to
a person traveling overseas, that is not the main rationale for administering the
vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
,A client is admitted to the hospital with severe lower left abdominal pain,
nausea, vomiting, fever, and chills. Which nursing action has the highest
priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids.
A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk
for peritonitis and intestinal obstruction. The nurse should make the client
NPO to reduce risk of intestinal rupture. Options B, C, and D are important
but are less of a priority than option A, which is implemented to prevent a
severe complication.
, A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push.
B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is
synchronized cardioversion to convert the cardiac rhythm back to normal sinus
rhythm. Option A is a medication used for ventricular dysrhythmias. Option C is
not for a client with atrial fibrillation; it is reserved for clients with life-
threatening dysrhythmias, such as ventricular fibrillation and unstable
ventricular tachycardia. Option D is the drug of choice in symptomatic sinus
bradycardia, not atrial fibrillation.
