BSN HESI 266 Test Bank Questions & Answers || Most
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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.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of
three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
,While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports
joint pain and
trouble twisting a door knob due to weaknesses. Which action should the nurses
take in response to these figures?
a. Implement fall precautions to reduce the clients risk of injury.
b. Explain that relief of the migraine pain will reduce related symptoms.
c. Gather additional assessment data about the pain and weakness.
d. Consult with the occupational therapist for a functional assessment
c. Gather additional assessment data about the pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to
the treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes
b. Tenderness upon palpation and generalized erythema
,An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the
vital signs are
temperature 101 F (38 3 C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg.
Which intervention is most important for the nurse to include in the client's plan
of care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily
c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments
will be needed for IV pain
medications.
c. Enrolling in a pain clinic can provide relief alternatives.
d. Wearing gloves when handling cold items guards against painful spasms.
d. Wearing gloves when handling cold items guards against painful spasms.
, A client with newly diagnosed Crohn's disease asks the nurse about
dietary restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods
d. Describe the use of an elimination diet to find trigger foods
Recent Exam Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already
Graded A+ | Guaranteed Success!! Newest Exam | Just
Released 2026-2027
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.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of
three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
,While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the clients hand grips. The client reports
joint pain and
trouble twisting a door knob due to weaknesses. Which action should the nurses
take in response to these figures?
a. Implement fall precautions to reduce the clients risk of injury.
b. Explain that relief of the migraine pain will reduce related symptoms.
c. Gather additional assessment data about the pain and weakness.
d. Consult with the occupational therapist for a functional assessment
c. Gather additional assessment data about the pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to
the treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes
b. Tenderness upon palpation and generalized erythema
,An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the
vital signs are
temperature 101 F (38 3 C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg.
Which intervention is most important for the nurse to include in the client's plan
of care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily
c. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments
will be needed for IV pain
medications.
c. Enrolling in a pain clinic can provide relief alternatives.
d. Wearing gloves when handling cold items guards against painful spasms.
d. Wearing gloves when handling cold items guards against painful spasms.
, A client with newly diagnosed Crohn's disease asks the nurse about
dietary restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods
d. Describe the use of an elimination diet to find trigger foods
