BSN HESI 266 Medical-Surgical
Test Bank 2025–2026 |
Comprehensive Exam &
Rationales |PASS 100%
GUARANTEED | Brand new!!
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What is the
best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
,c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
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
Test Bank 2025–2026 |
Comprehensive Exam &
Rationales |PASS 100%
GUARANTEED | Brand new!!
A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What is the
best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
,c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
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
