Page 1 of 23
BSN 266 HESI MED SURG EXAM (OFFICIAL) |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
The nurse is preparing a client for surgery who was admitted to
the emergency center following a motor vehicle collision. The
client has an open fracture of the femur and is bleeding
moderately from the bone protrusion site. During the
preoperative assessment, the nurse determines that the client
currently receives heparin sodium 5,000 units subcutaneously
daily. What is the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
C. Notify the healthcare provider of the client's medication history
The nurse is providing teaching to a client with Type 2 Diabetes
Mellitus and peripheral neuropathy. What information should the
nurse provide?
A. Family members can help with regular foot exams
,Page 2 of 23
B. Shoes should be worn outside the house, but it is fine to be
barefoot inside
C. Aching feet may be soaked in lukewarm water for one hour or
more
D. Heating pads are useful if on the lowest setting
A. Family members can help with regular foot exams
A female college student comes to the school's health clinic
complaining of urinary frequency and burning with right lower
back pain. What should the nurse do first?
A. Measure her temperature and pulse rate
B. Palpate the right flank for tenderness
C. Evaluate the urine for a strong odor
d. Test her urine for the presence of hematuria
A. Measure her temperature and pulse rate
An adult client who had a gastric bypass surgery 2 weeks ago is
admitted with possible anastamosis leakage. The client's
abdomen is tender and soft and vital signs are: temp 101 F, heart
rate 130 beats/minute, respiratory rate 26. Which intervention is
most important for the nurse to include in the client's plan of
care?
, Page 3 of 23
A. Assess wound drainage daily
B. Encourage regular turning
C. Strict IV fluid replacement
D. Monitor skin breakdown
A. Assess wound drainage daily
An older male client tells the nurse that he is losing sleep
because he has to get up several times at night to go to the
bathroom but he doesn't feel his bladder is completely empty.
Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Obtain a fingerstick blood glucose level
C. Review the client's fluid intake prior to bedtime
D. Palpate the bladder above the symphysis pubis
D. Palpate the bladder above the symphysis pubis
A client receives a prescripton for 1 liter of lactated Ringer's IV to
be infused over 6 hours. How many ml/hr should the nurse set
the pump to deliver? (round to the nearest whole number)
167
BSN 266 HESI MED SURG EXAM (OFFICIAL) |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
The nurse is preparing a client for surgery who was admitted to
the emergency center following a motor vehicle collision. The
client has an open fracture of the femur and is bleeding
moderately from the bone protrusion site. During the
preoperative assessment, the nurse determines that the client
currently receives heparin sodium 5,000 units subcutaneously
daily. What is the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
C. Notify the healthcare provider of the client's medication history
The nurse is providing teaching to a client with Type 2 Diabetes
Mellitus and peripheral neuropathy. What information should the
nurse provide?
A. Family members can help with regular foot exams
,Page 2 of 23
B. Shoes should be worn outside the house, but it is fine to be
barefoot inside
C. Aching feet may be soaked in lukewarm water for one hour or
more
D. Heating pads are useful if on the lowest setting
A. Family members can help with regular foot exams
A female college student comes to the school's health clinic
complaining of urinary frequency and burning with right lower
back pain. What should the nurse do first?
A. Measure her temperature and pulse rate
B. Palpate the right flank for tenderness
C. Evaluate the urine for a strong odor
d. Test her urine for the presence of hematuria
A. Measure her temperature and pulse rate
An adult client who had a gastric bypass surgery 2 weeks ago is
admitted with possible anastamosis leakage. The client's
abdomen is tender and soft and vital signs are: temp 101 F, heart
rate 130 beats/minute, respiratory rate 26. Which intervention is
most important for the nurse to include in the client's plan of
care?
, Page 3 of 23
A. Assess wound drainage daily
B. Encourage regular turning
C. Strict IV fluid replacement
D. Monitor skin breakdown
A. Assess wound drainage daily
An older male client tells the nurse that he is losing sleep
because he has to get up several times at night to go to the
bathroom but he doesn't feel his bladder is completely empty.
Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Obtain a fingerstick blood glucose level
C. Review the client's fluid intake prior to bedtime
D. Palpate the bladder above the symphysis pubis
D. Palpate the bladder above the symphysis pubis
A client receives a prescripton for 1 liter of lactated Ringer's IV to
be infused over 6 hours. How many ml/hr should the nurse set
the pump to deliver? (round to the nearest whole number)
167
