BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
1. An older adult client with a B. Assist client to an upright position
long history of chronic ob-
structive pulmonary disease
(COPD) is admitted with pro-
gressive shortness of breath
and a persistent cough. She is
anxious and is complaining of
a dry mouth. Which interven-
tion should the nurse imple-
ment?
A. Administer a prescribed
sedative
B. Assist client to an upright
position
C. Encourage client to drink
water
D. Apply a high flow venturi
mask
2. A client with multiple sclerosis A. Provide assistance to bedside commode\
(MS) is admitted to the med- C. Schedule frequent rest periods.
ical unit, The client reports fa- E. Teach to patch one eye while walking
tigue, muscle weakness, and
diplopia. Which action should
the nurse implement to re-
duce the clients risk for falls?
SATA
A. Provide assistance to bed-
side commode
B. Provide frequent rest peri-
ods.
C. Offer to assist with warm
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
baths in the morning
D. Monitor pulse ox during ac-
tivities
E. Teach to patch one eye
while walking
3. A client arrives to the ED fol- B. Chest tube insertion
lowing a motor vehicle colli-
sion, The nurse observes the
client experiencing increasing
dyspnea and notes absent
breath sounds on the left side,
which procedure should the
nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
4. Following a transurethral re- B. Drink 3 liters of water each day
section of the prostate (TURP)
a client is discharged from the
hospital with an indwelling
urinary catheter, Which in-
struction is most important
for the nurse to include in the
discharge teaching plan?
A. Eliminate all spicy foods
from your diet
B. Drink 3 liters of water each
day
C. Clamp the catheter when
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
taking a shower
D. Avoid driving a car for 2
weeks
5. An adult woman with Graves C. Maintain a paten intravenous site
disease is admitted with se-
vere dehydration and malnu-
trition, She is currently rest-
less and refusing to eat. Which
action is most important for
the nurse to implement?
A. Teach client relaxation tech-
niques
B. Determine the clients food
preferences
C. Maintain a patent Intra-
venous site
D. Keep room temperature
cool
6. A client tells the clinic nurse A. Obtain a specimen of urethral drainage for culture
about experiencing burning
on urination, and assessment
reveals that the client had sex-
ual intercourse four days ago
with a person who was a casu-
al acquaintance, Which action
should the nurse implement?
A. Obtain a specimen of ure-
thral drainage for culture
B. Observe the perineal area
for a chancre like lesion
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
C. Identify all sexual partners
in the last four days.
D. Assess for perineal itching
erythema and excoriation
7. The nurse is caring for a client A Lumbar puncture
admitted to the hospital with
a tentative diagnosis of bac-
terial meningitis, which diag-
nostic procedure should the
nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
8. An older adult client with A. Sensation in feet and legs
long term type 2 DM is seen B. Skin condition of lower extremities
in the clinic for a routine C. Visual acuity
health assessment, which as- D. Serum Creatinine and blood urea nitrogen (BUN)
sessment would the nurse
complete to determine if a pa-
tient with type 2 DM is expe-
riencing long term complica-
tions? SATA
A. Sensation in feet and legs
B. Skin condition of lower ex-
tremities
C. Visual acuity
D Serum creatinine and blood
urea nitrogen (BUN)
Study online at https://quizlet.com/_gyumyw
1. An older adult client with a B. Assist client to an upright position
long history of chronic ob-
structive pulmonary disease
(COPD) is admitted with pro-
gressive shortness of breath
and a persistent cough. She is
anxious and is complaining of
a dry mouth. Which interven-
tion should the nurse imple-
ment?
A. Administer a prescribed
sedative
B. Assist client to an upright
position
C. Encourage client to drink
water
D. Apply a high flow venturi
mask
2. A client with multiple sclerosis A. Provide assistance to bedside commode\
(MS) is admitted to the med- C. Schedule frequent rest periods.
ical unit, The client reports fa- E. Teach to patch one eye while walking
tigue, muscle weakness, and
diplopia. Which action should
the nurse implement to re-
duce the clients risk for falls?
SATA
A. Provide assistance to bed-
side commode
B. Provide frequent rest peri-
ods.
C. Offer to assist with warm
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
baths in the morning
D. Monitor pulse ox during ac-
tivities
E. Teach to patch one eye
while walking
3. A client arrives to the ED fol- B. Chest tube insertion
lowing a motor vehicle colli-
sion, The nurse observes the
client experiencing increasing
dyspnea and notes absent
breath sounds on the left side,
which procedure should the
nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
4. Following a transurethral re- B. Drink 3 liters of water each day
section of the prostate (TURP)
a client is discharged from the
hospital with an indwelling
urinary catheter, Which in-
struction is most important
for the nurse to include in the
discharge teaching plan?
A. Eliminate all spicy foods
from your diet
B. Drink 3 liters of water each
day
C. Clamp the catheter when
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
taking a shower
D. Avoid driving a car for 2
weeks
5. An adult woman with Graves C. Maintain a paten intravenous site
disease is admitted with se-
vere dehydration and malnu-
trition, She is currently rest-
less and refusing to eat. Which
action is most important for
the nurse to implement?
A. Teach client relaxation tech-
niques
B. Determine the clients food
preferences
C. Maintain a patent Intra-
venous site
D. Keep room temperature
cool
6. A client tells the clinic nurse A. Obtain a specimen of urethral drainage for culture
about experiencing burning
on urination, and assessment
reveals that the client had sex-
ual intercourse four days ago
with a person who was a casu-
al acquaintance, Which action
should the nurse implement?
A. Obtain a specimen of ure-
thral drainage for culture
B. Observe the perineal area
for a chancre like lesion
, BSN 266 Hesi updated
Study online at https://quizlet.com/_gyumyw
C. Identify all sexual partners
in the last four days.
D. Assess for perineal itching
erythema and excoriation
7. The nurse is caring for a client A Lumbar puncture
admitted to the hospital with
a tentative diagnosis of bac-
terial meningitis, which diag-
nostic procedure should the
nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
8. An older adult client with A. Sensation in feet and legs
long term type 2 DM is seen B. Skin condition of lower extremities
in the clinic for a routine C. Visual acuity
health assessment, which as- D. Serum Creatinine and blood urea nitrogen (BUN)
sessment would the nurse
complete to determine if a pa-
tient with type 2 DM is expe-
riencing long term complica-
tions? SATA
A. Sensation in feet and legs
B. Skin condition of lower ex-
tremities
C. Visual acuity
D Serum creatinine and blood
urea nitrogen (BUN)
