BSN HESI 266 Medical Surgical TEST BANK EXAM
Questions with Correct Verified Answers (Graded A+)
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 - VERIFIED ANSWER - 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 - VERIFIED ANSWER - 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. -
VERIFIED ANSWER - 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 - VERIFIED ANSWER
- d. Describe the use of an elimination diet to find trigger foods
,The nurse is obtaining a health history from a new client who has a history of
kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
a. Jogs more frequently than usual daily routine.
b. Eats a vegetarian diet with
cheese 2 to 3 times a day
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily - VERIFIED ANSWER - b. Eats a
vegetarian diet with
cheese 2 to 3 times a day.
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, that he has trouble starting his
urinary system, and that he does not feel like his bladder is ever completely
empty.
Which intervention should the nurse implement?
a. Review the client's fluid intake prior to bedtime.
b. Obtain a finger stick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis - VERIFIED ANSWER - c. Palpate the
bladder above the symphysis pubis.
, A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus - VERIFIED ANSWER - c. Crohn's disease with
colectomy.
When providing care for an unconscious client who has seizures.
Which nursing intervention is most essential?
a. Maintain the client in a semi-Fowler's position.
b. Keep the room at a comfortable
temperature.
c. Ensure oral suction is available.
d. Provide frequent mouth care - VERIFIED ANSWER - c. Ensure oral suction is
available.
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.
Questions with Correct Verified Answers (Graded A+)
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 - VERIFIED ANSWER - 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 - VERIFIED ANSWER - 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. -
VERIFIED ANSWER - 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 - VERIFIED ANSWER
- d. Describe the use of an elimination diet to find trigger foods
,The nurse is obtaining a health history from a new client who has a history of
kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
a. Jogs more frequently than usual daily routine.
b. Eats a vegetarian diet with
cheese 2 to 3 times a day
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily - VERIFIED ANSWER - b. Eats a
vegetarian diet with
cheese 2 to 3 times a day.
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, that he has trouble starting his
urinary system, and that he does not feel like his bladder is ever completely
empty.
Which intervention should the nurse implement?
a. Review the client's fluid intake prior to bedtime.
b. Obtain a finger stick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis - VERIFIED ANSWER - c. Palpate the
bladder above the symphysis pubis.
, A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus - VERIFIED ANSWER - c. Crohn's disease with
colectomy.
When providing care for an unconscious client who has seizures.
Which nursing intervention is most essential?
a. Maintain the client in a semi-Fowler's position.
b. Keep the room at a comfortable
temperature.
c. Ensure oral suction is available.
d. Provide frequent mouth care - VERIFIED ANSWER - c. Ensure oral suction is
available.
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.
