Created By: A Solution
BSN HESI 266
BSN HESI 266Med
MedSurg
SurgExam
Exam latest
latest FallFall 2026/2027
2023/2024
updated Questions
updated Questions andand Verified
Verified Answers
Answers with with Complete
Complete
Solutions| Nightingale
Solutions| Nightingale Graded
Graded A A+
A client with acute osteomyelitis has undergone surgical debridement of the diseased bone and
asks the nurse how long antibiotics will have to be administered. Which information should the
nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks
C
Treatmentofofacute
Treatment acute osteomyelitis
osteomyelitis requires
requires the administration
the administration of highofdoses
high of
doses of parenteral
parenteral
antibiotics for44toto88weeks,
antibiotics for weeks, followed
followed by by
oraloral antibiotics
antibiotics for another
for another 4 to 84weeks
to 8 weeks
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A. Mid-Fowlers with knees supported.
B. Supine with trochanter rolls to the hips.
C. Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone
Which preexisting diagnosis places a client at the greatest risk of developing superior vena cava
syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
,
Created By:
Created By:A Elitestudyvault
Solution
D. Clavicular fracture.
C
Rationale
Superiorvena
Superior venacava
cava syndrome
syndrome occurs
occurs whenwhen the superior
the superior vena
vena cava cavais(SVC)
(SVC) is compressed
compressed by by
outside structures,
outside structures, suchsuch
as aas a growing
growing tumortumor that impedes
that impedes theblood
the return returnflow
blood flow
to the to the heart.
heart.
Superior venacava
Superior vena cava syndrome
syndrome is likely
is likely to occur
to occur with with metastatic
metastatic cancercancer
from a from
primarya primary
tumor intumor in
the upperlobe
the upper lobeofofthethe right
right lung
lung thatthat compresses
compresses the superior
the superior vena cava.
vena cava.
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas of
the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
D
Rationale
The prostate
The prostateisisnot
not easily
easily penetrated
penetrated by antibiotics
by antibiotics and
and can canasserve
serve as a reservoir
a reservoir for for
microorganisms,
microorganisms, whichwhich can
can infect
infect other
other areas
areas of theofgenitourinary
the genitourinary tract. Draining
tract. Draining the prostate
the prostate
regularly throughintercourse
regularly through intercourse or masturbation
or masturbation decreases
decreases the number
the number of microorganisms
of microorganisms present present
and reduces
and reduces thethe risk
risk forfor further
further infection
infection fromfrom stored
stored contaminated
contaminated seminal seminal
fluids fluids
During the initial outbreak of genital herpes simplex for a female client, what should be the
nurse's primary focus in planning care?
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
A
,
Created By:
Created By:A Elitestudyvault
Solution
Rationale
The initial
The initial outbreak
outbreakofofgenital
genital herpes
herpes simplex
simplex in a in a woman
woman causes
causes severe severe discomfort.
discomfort. Promotion
Promotion
of comfort
comfort isisthe
thefirst
firstpriority
priority
A client who has a chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What nursing interventions should be implemented in the immediate post-
procedural period?
A. Keep the client on bed rest for eight hours.
B. Check vital signs every 15 minutes for two hours.
C. Allow the client nothing by mouth until the gag reflex returns.
D. Encourage fluid intake to promote elimination of the contrast media.
C
Rationale
The nasal
The nasalpharynx
pharynx andand
oraloral pharynx
pharynx are anesthetized
are anesthetized withanesthetic
with local local anesthetic spray
spray prior to prior to
bronchoscopy,
bronchoscopy, andandthethe bronchoscope
bronchoscope is coated
is coated with lidocaine
with lidocaine (Xylocaine)
(Xylocaine) gel tothe
gel to inhibit inhibit
gag the gag
reflex andprevent
reflex and preventlaryngeal
laryngeal spasm
spasm during
during insertion.
insertion. The client
The client shouldshould
be NPObeuntil
NPOtheuntil the client's
client's
gag reflexreturns
gag reflex returnstoto prevent
prevent aspiration
aspiration fromfrom any intake
any oral oral intake or secretions.
or secretions.
We have an expert-written solution to this problem!
The nurse is assessing a client admitted from the emergency room with gastrointestinal bleeding
related to peptic ulcer disease (PUD). Which physiological factors can produce ulceration?
(Select all that apply.)
Select all that apply
A. Vagal stimulation.
B. An increased level of stress.
C. Decreased duodenal inhibition.
D. Hypersecretion of hydrochloric acid.
,
Created By: A Solution
An increased number of parietal cells
D,E
Rationale
Hypersecretionofofgastric
Hypersecretion gastric juices
juices andand an increased
an increased numbernumber of parietal
of parietal cells
cells that that stimulate
stimulate secretion secretion
are mostoften
are most oftenthe
the causes
causes of ulceration.
of ulceration. VagalVagal stimulation
stimulation and decreased
and decreased duodenalduodenal
inhibitioninhibition
also also
increase thesecretion
increase the secretion of caustic
of caustic fluids.
fluids.
The nurse is caring for a client with non-Hodgkin’s lymphoma who is receiving chemotherapy.
Laboratory results reveal a platelet count of 10,000/ml. What action should the nurse implement?
A. Encourage fluids to 3000 ml/day.
B. Check stools for occult blood.
C. Provide oral hygiene every 2 hours.
Check for fever every 4 hours
B
Rationale
Plateletcounts
Platelet countsless
less than
than 100,000/mm3
100,000/mm3 are indicative
are indicative of thrombocytopenia,
of thrombocytopenia, a commona common side effect
side effect
of chemotherapy.
chemotherapy.A Aclient
client with
with thrombocytopenia
thrombocytopenia should
should be assessed
be assessed frequently
frequently for occult
for occult
bleeding ininthe
bleeding theemesis,
emesis, sputum,
sputum, feces,
feces, urine,urine, nasogastric
nasogastric secretions,
secretions, or wounds.
or wounds.
Which action should the nurse implement on the scheduled day of surgery for a client with type
1 diabetes mellitus (DM)?
A. Obtain a prescription for an adjusted dose of insulin.
B. Administer an oral anti-diabetic agent.
C. Give an insulin dose using parameters of a sliding scale.
Withhold insulin while the client is NPO
A
BSN HESI 266
BSN HESI 266Med
MedSurg
SurgExam
Exam latest
latest FallFall 2026/2027
2023/2024
updated Questions
updated Questions andand Verified
Verified Answers
Answers with with Complete
Complete
Solutions| Nightingale
Solutions| Nightingale Graded
Graded A A+
A client with acute osteomyelitis has undergone surgical debridement of the diseased bone and
asks the nurse how long antibiotics will have to be administered. Which information should the
nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks
C
Treatmentofofacute
Treatment acute osteomyelitis
osteomyelitis requires
requires the administration
the administration of highofdoses
high of
doses of parenteral
parenteral
antibiotics for44toto88weeks,
antibiotics for weeks, followed
followed by by
oraloral antibiotics
antibiotics for another
for another 4 to 84weeks
to 8 weeks
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A. Mid-Fowlers with knees supported.
B. Supine with trochanter rolls to the hips.
C. Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone
Which preexisting diagnosis places a client at the greatest risk of developing superior vena cava
syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
,
Created By:
Created By:A Elitestudyvault
Solution
D. Clavicular fracture.
C
Rationale
Superiorvena
Superior venacava
cava syndrome
syndrome occurs
occurs whenwhen the superior
the superior vena
vena cava cavais(SVC)
(SVC) is compressed
compressed by by
outside structures,
outside structures, suchsuch
as aas a growing
growing tumortumor that impedes
that impedes theblood
the return returnflow
blood flow
to the to the heart.
heart.
Superior venacava
Superior vena cava syndrome
syndrome is likely
is likely to occur
to occur with with metastatic
metastatic cancercancer
from a from
primarya primary
tumor intumor in
the upperlobe
the upper lobeofofthethe right
right lung
lung thatthat compresses
compresses the superior
the superior vena cava.
vena cava.
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas of
the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
D
Rationale
The prostate
The prostateisisnot
not easily
easily penetrated
penetrated by antibiotics
by antibiotics and
and can canasserve
serve as a reservoir
a reservoir for for
microorganisms,
microorganisms, whichwhich can
can infect
infect other
other areas
areas of theofgenitourinary
the genitourinary tract. Draining
tract. Draining the prostate
the prostate
regularly throughintercourse
regularly through intercourse or masturbation
or masturbation decreases
decreases the number
the number of microorganisms
of microorganisms present present
and reduces
and reduces thethe risk
risk forfor further
further infection
infection fromfrom stored
stored contaminated
contaminated seminal seminal
fluids fluids
During the initial outbreak of genital herpes simplex for a female client, what should be the
nurse's primary focus in planning care?
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
A
,
Created By:
Created By:A Elitestudyvault
Solution
Rationale
The initial
The initial outbreak
outbreakofofgenital
genital herpes
herpes simplex
simplex in a in a woman
woman causes
causes severe severe discomfort.
discomfort. Promotion
Promotion
of comfort
comfort isisthe
thefirst
firstpriority
priority
A client who has a chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What nursing interventions should be implemented in the immediate post-
procedural period?
A. Keep the client on bed rest for eight hours.
B. Check vital signs every 15 minutes for two hours.
C. Allow the client nothing by mouth until the gag reflex returns.
D. Encourage fluid intake to promote elimination of the contrast media.
C
Rationale
The nasal
The nasalpharynx
pharynx andand
oraloral pharynx
pharynx are anesthetized
are anesthetized withanesthetic
with local local anesthetic spray
spray prior to prior to
bronchoscopy,
bronchoscopy, andandthethe bronchoscope
bronchoscope is coated
is coated with lidocaine
with lidocaine (Xylocaine)
(Xylocaine) gel tothe
gel to inhibit inhibit
gag the gag
reflex andprevent
reflex and preventlaryngeal
laryngeal spasm
spasm during
during insertion.
insertion. The client
The client shouldshould
be NPObeuntil
NPOtheuntil the client's
client's
gag reflexreturns
gag reflex returnstoto prevent
prevent aspiration
aspiration fromfrom any intake
any oral oral intake or secretions.
or secretions.
We have an expert-written solution to this problem!
The nurse is assessing a client admitted from the emergency room with gastrointestinal bleeding
related to peptic ulcer disease (PUD). Which physiological factors can produce ulceration?
(Select all that apply.)
Select all that apply
A. Vagal stimulation.
B. An increased level of stress.
C. Decreased duodenal inhibition.
D. Hypersecretion of hydrochloric acid.
,
Created By: A Solution
An increased number of parietal cells
D,E
Rationale
Hypersecretionofofgastric
Hypersecretion gastric juices
juices andand an increased
an increased numbernumber of parietal
of parietal cells
cells that that stimulate
stimulate secretion secretion
are mostoften
are most oftenthe
the causes
causes of ulceration.
of ulceration. VagalVagal stimulation
stimulation and decreased
and decreased duodenalduodenal
inhibitioninhibition
also also
increase thesecretion
increase the secretion of caustic
of caustic fluids.
fluids.
The nurse is caring for a client with non-Hodgkin’s lymphoma who is receiving chemotherapy.
Laboratory results reveal a platelet count of 10,000/ml. What action should the nurse implement?
A. Encourage fluids to 3000 ml/day.
B. Check stools for occult blood.
C. Provide oral hygiene every 2 hours.
Check for fever every 4 hours
B
Rationale
Plateletcounts
Platelet countsless
less than
than 100,000/mm3
100,000/mm3 are indicative
are indicative of thrombocytopenia,
of thrombocytopenia, a commona common side effect
side effect
of chemotherapy.
chemotherapy.A Aclient
client with
with thrombocytopenia
thrombocytopenia should
should be assessed
be assessed frequently
frequently for occult
for occult
bleeding ininthe
bleeding theemesis,
emesis, sputum,
sputum, feces,
feces, urine,urine, nasogastric
nasogastric secretions,
secretions, or wounds.
or wounds.
Which action should the nurse implement on the scheduled day of surgery for a client with type
1 diabetes mellitus (DM)?
A. Obtain a prescription for an adjusted dose of insulin.
B. Administer an oral anti-diabetic agent.
C. Give an insulin dose using parameters of a sliding scale.
Withhold insulin while the client is NPO
A
