Page 1 of 43
MED-SURG BSN 266 EXAM | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
The nurse is developing a discharge teaching plan for a client
who underwent a repair of abdominal aortic aneurysm 4 days
ago. The nurse reviews the client's chart for information about
the client's history. Key findings are noted in the chart below.
Based on the data and expected outcomes, which should the
nurse emphasize in the teaching plan?
A. Food intake.
B. Fluid volume.
C. Skin integrity.
D. Tissue perfusion. - ✔✔✔ Correct Answer > D. Tissue perfusion.
When teaching a client about propranolol hydrochloride, the
nurse should base the information on the knowledge that
propranolol:
A. Blocks beta-adrenergic stimulation and thus causes
decreased heart rate, myocardial contractility, and conduction.
B. Increases norepinephrine secretion and thus decreases blood
pressure and heartrate.
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C. Is a potent arterial and venous vasodilator that reduces
peripheral vascular resistance and lowers blood pressure.
D. Is an angiotensin-converting enzyme inhibitor that reduces
blood pressure by blocking the conversion of angiotensin I to
angiotensin II. - ✔✔✔ Correct Answer > A. Blocks beta-adrenergic
stimulation and thus causes decreased heart rate, myocardial
contractility, and conduction.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse
records findings from the initial assessment in the client's chart,
as shown below. At 10:30 AM, the client has sharp mid chest pain
after having a bowel movement. What should the nurse do first?
A. Assess the client's vital signs.
B. Administer a bolus of lactated Ringer's solution.
C. Assess the client's neurologic status.
D. Contact the physician. - ✔✔✔ Correct Answer > A. Assess the
client's vital signs.
Nursing assessment of a 54-year-old client in the emergency
department reveals severe back pain, Grey Turner's sign, nausea,
blood pressure of 90/40, heart rate 128bpm, and respirations
28/min. The nurse should first:
A. Assess the urine output.
B. Place a large-bore IV
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C. Position onto the left side.
D. Insert a nasogastric tube. - ✔✔✔ Correct Answer > B. Place a large-
bore IV
The most effective measure the nurse can use to prevent wound
infection when changing a client's dressing after coronary artery
bypass surgery is to:
A. Observe careful handwashing procedures.
B. Clean the incisional area with an antiseptic.
C. Use prepackaged sterile dressings to cover the incision.
D. Place soiled dressings in a waterproof bag before disposing of
them. - ✔✔✔ Correct Answer > A. Observe careful handwashing
procedures.
For a client who excretes excessive amounts of calcium during
the postoperative period after open heart surgery, which of the
following measures should the nurse institute to help prevent
complications associated with excessive calcium excretion?
A. Ensure a liberal fluid intake.
B. Provide an alkaline-ash diet.
C. Prevent constipation.
D. Enrich the client's diet with dairy products. - ✔✔✔ Correct Answer >
A. Ensure a liberal fluid intake.
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The nurse should teach the client who is receiving warfarin
sodium that:
A. Partial thromboplastin time values determine the dosage of
warfarin sodium.
B. Protamine sulfate is used to reverse the effects of warfarin
sodium.
C. International Normalized Ratio (INR) is used to assess
effectiveness.
D. Warfarin sodium will facilitate clotting of the blood. - ✔✔✔ Correct
Answer > C. International Normalized Ratio (INR) is used to assess
effectiveness.
Good dental care is an important measure in reducing the risk of
endocarditis. A teaching plan to promote good dental care in a
client with mitral stenosis should include instructing the client to
do which of the following? Select all that apply.
A. Brush the teeth at least twice a day.
B. Avoid use of an electric toothbrush.
C. Take an antibiotic prior to oral surgery.
D. Floss the teeth at least once a day.
E. Have regular dental checkups.
F. Rinse the mouth with an antibiotic mouthwash once a day. -
✔✔✔ Correct Answer > A. Brush the teeth at least twice a day.
D. Floss the teeth at least once a day.
MED-SURG BSN 266 EXAM | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
The nurse is developing a discharge teaching plan for a client
who underwent a repair of abdominal aortic aneurysm 4 days
ago. The nurse reviews the client's chart for information about
the client's history. Key findings are noted in the chart below.
Based on the data and expected outcomes, which should the
nurse emphasize in the teaching plan?
A. Food intake.
B. Fluid volume.
C. Skin integrity.
D. Tissue perfusion. - ✔✔✔ Correct Answer > D. Tissue perfusion.
When teaching a client about propranolol hydrochloride, the
nurse should base the information on the knowledge that
propranolol:
A. Blocks beta-adrenergic stimulation and thus causes
decreased heart rate, myocardial contractility, and conduction.
B. Increases norepinephrine secretion and thus decreases blood
pressure and heartrate.
,Page 2 of 43
C. Is a potent arterial and venous vasodilator that reduces
peripheral vascular resistance and lowers blood pressure.
D. Is an angiotensin-converting enzyme inhibitor that reduces
blood pressure by blocking the conversion of angiotensin I to
angiotensin II. - ✔✔✔ Correct Answer > A. Blocks beta-adrenergic
stimulation and thus causes decreased heart rate, myocardial
contractility, and conduction.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse
records findings from the initial assessment in the client's chart,
as shown below. At 10:30 AM, the client has sharp mid chest pain
after having a bowel movement. What should the nurse do first?
A. Assess the client's vital signs.
B. Administer a bolus of lactated Ringer's solution.
C. Assess the client's neurologic status.
D. Contact the physician. - ✔✔✔ Correct Answer > A. Assess the
client's vital signs.
Nursing assessment of a 54-year-old client in the emergency
department reveals severe back pain, Grey Turner's sign, nausea,
blood pressure of 90/40, heart rate 128bpm, and respirations
28/min. The nurse should first:
A. Assess the urine output.
B. Place a large-bore IV
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C. Position onto the left side.
D. Insert a nasogastric tube. - ✔✔✔ Correct Answer > B. Place a large-
bore IV
The most effective measure the nurse can use to prevent wound
infection when changing a client's dressing after coronary artery
bypass surgery is to:
A. Observe careful handwashing procedures.
B. Clean the incisional area with an antiseptic.
C. Use prepackaged sterile dressings to cover the incision.
D. Place soiled dressings in a waterproof bag before disposing of
them. - ✔✔✔ Correct Answer > A. Observe careful handwashing
procedures.
For a client who excretes excessive amounts of calcium during
the postoperative period after open heart surgery, which of the
following measures should the nurse institute to help prevent
complications associated with excessive calcium excretion?
A. Ensure a liberal fluid intake.
B. Provide an alkaline-ash diet.
C. Prevent constipation.
D. Enrich the client's diet with dairy products. - ✔✔✔ Correct Answer >
A. Ensure a liberal fluid intake.
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The nurse should teach the client who is receiving warfarin
sodium that:
A. Partial thromboplastin time values determine the dosage of
warfarin sodium.
B. Protamine sulfate is used to reverse the effects of warfarin
sodium.
C. International Normalized Ratio (INR) is used to assess
effectiveness.
D. Warfarin sodium will facilitate clotting of the blood. - ✔✔✔ Correct
Answer > C. International Normalized Ratio (INR) is used to assess
effectiveness.
Good dental care is an important measure in reducing the risk of
endocarditis. A teaching plan to promote good dental care in a
client with mitral stenosis should include instructing the client to
do which of the following? Select all that apply.
A. Brush the teeth at least twice a day.
B. Avoid use of an electric toothbrush.
C. Take an antibiotic prior to oral surgery.
D. Floss the teeth at least once a day.
E. Have regular dental checkups.
F. Rinse the mouth with an antibiotic mouthwash once a day. -
✔✔✔ Correct Answer > A. Brush the teeth at least twice a day.
D. Floss the teeth at least once a day.
