BSN HESI 266 Med Surg Complete Actual
Exam Study Questions with Verified
Answers | Brand New Version
1. A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
A. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
B. Administer intravenous fluids immediately
C. Schedule a stress test for the following day
D. Perform a chest X-ray before addressing the symptoms - ANSWER
A. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
2. 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. Palpate the bladder above the symphysis pubis
B. Ask the patient to cough and observe for changes in the abdomen
C. Perform a digital rectal exam for prostate evaluation
D. Measure the patient's urine output for 24 hours - ANSWER A.
Palpate the bladder above the symphysis pubis.
3. 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. Irritable bowel syndrome with dietary changes
B. Ulcerative colitis with corticosteroid therapy
C. Celiac disease with gluten-free diet
, D. Crohn's disease with colectomy - ANSWER D. Crohn's disease with
colectomy.
4. When providing care for an unconscious client who has seizures. Which
nursing intervention is most essential?
A. Administer oxygen immediately
B. Ensure oral suction is available
C. Apply a nasal cannula
D. Place the patient in a supine position - ANSWER B. Ensure oral
suction is available.
5. A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider?
A. Morphine
B. Ibuprofen
C. Acetaminophen
D. Lorazepam - ANSWER A. Morphine
6. An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind. Which nursing instruction is most important for the nurses to
provide this client?
A. Avoid wearing contact lenses while using the eye drops
B. Take the prescribed eye drops with food to avoid stomach upset
C. Maintain prescribed eye drop regimen
D. Discontinue use of the eye drops once symptoms improve -
ANSWER C. Maintain prescribed eye drop regimen
7. Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A. Apply thick layers of lotion and avoid washing the skin
, B. Minimize symptoms by wearing loose, comfortable clothing
C. Use harsh soaps and hot water to cleanse the skin
D. Keep the skin completely dry at all times - ANSWER B. Minimize
symptoms by wearing loose, comfortable clothing
8. 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. Administer pain medication and reassess in 30 minutes
B. Immobilize the affected leg and apply ice
C. Gather additional assessment data about the pain and weakness
D. Perform immediate surgery to address the issue - ANSWER C.
Gather additional assessment data about the pain and weakness
9. When assessing a male client's respiratory status, which technique should
the nurse use to assess his anterior-posteriour chest diameter?
A. Loss of sensation and cyanosis
B. Bruising and decreased range of motion
C. Tenderness upon palpation and generalized erythema
D. Swelling without discoloration - ANSWER C. Tenderness upon
palpation and generalized erythema
10.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. Strict IV fluid replacement
B. Encourage increased oral fluid intake
C. Provide diuretics to reduce fluid retention
D. Administer oxygen therapy - ANSWER A .Strict IV fluid
replacement
, 11.A client who was recently diagnosed with Raynaud's disease is concerned
about pain management. Which nursing instructions should the nurse
provide?
A. Avoiding any physical activity outdoors
B. Drinking warm fluids before handling cold items
C. Wearing loose clothing to improve circulation
D. Wearing gloves when handling cold items guards against painful
spasms - ANSWER D. Wearing gloves when handling cold items
guards against painful spasms
12.A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
A. Advise the patient to avoid eating altogether for 24 hours
B. Describe the use of an elimination diet to find trigger foods
C. Suggest taking antacids after every meal
D. Recommend a high-fat, high-calorie diet for symptom relief -
ANSWER B. Describe the use of an elimination diet to find trigger
foods
13.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. Follows a low-carb, high-protein diet with lean meats
B. Eats a vegetarian diet with cheese 2 to 3 times a day
C. Primarily consumes plant-based foods with minimal dairy intake
D. Eats a diet focused on whole grains, fruits, and legumes - ANSWER
B. Eats a vegetarian diet with cheese 2 to 3 times a day.
A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough containing
small amounts of blood. Which intervention should the nurse prioritize?
A. Administer antibiotics immediately and monitor for improvement
Exam Study Questions with Verified
Answers | Brand New Version
1. A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
A. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
B. Administer intravenous fluids immediately
C. Schedule a stress test for the following day
D. Perform a chest X-ray before addressing the symptoms - ANSWER
A. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
2. 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. Palpate the bladder above the symphysis pubis
B. Ask the patient to cough and observe for changes in the abdomen
C. Perform a digital rectal exam for prostate evaluation
D. Measure the patient's urine output for 24 hours - ANSWER A.
Palpate the bladder above the symphysis pubis.
3. 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. Irritable bowel syndrome with dietary changes
B. Ulcerative colitis with corticosteroid therapy
C. Celiac disease with gluten-free diet
, D. Crohn's disease with colectomy - ANSWER D. Crohn's disease with
colectomy.
4. When providing care for an unconscious client who has seizures. Which
nursing intervention is most essential?
A. Administer oxygen immediately
B. Ensure oral suction is available
C. Apply a nasal cannula
D. Place the patient in a supine position - ANSWER B. Ensure oral
suction is available.
5. A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider?
A. Morphine
B. Ibuprofen
C. Acetaminophen
D. Lorazepam - ANSWER A. Morphine
6. An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind. Which nursing instruction is most important for the nurses to
provide this client?
A. Avoid wearing contact lenses while using the eye drops
B. Take the prescribed eye drops with food to avoid stomach upset
C. Maintain prescribed eye drop regimen
D. Discontinue use of the eye drops once symptoms improve -
ANSWER C. Maintain prescribed eye drop regimen
7. Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A. Apply thick layers of lotion and avoid washing the skin
, B. Minimize symptoms by wearing loose, comfortable clothing
C. Use harsh soaps and hot water to cleanse the skin
D. Keep the skin completely dry at all times - ANSWER B. Minimize
symptoms by wearing loose, comfortable clothing
8. 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. Administer pain medication and reassess in 30 minutes
B. Immobilize the affected leg and apply ice
C. Gather additional assessment data about the pain and weakness
D. Perform immediate surgery to address the issue - ANSWER C.
Gather additional assessment data about the pain and weakness
9. When assessing a male client's respiratory status, which technique should
the nurse use to assess his anterior-posteriour chest diameter?
A. Loss of sensation and cyanosis
B. Bruising and decreased range of motion
C. Tenderness upon palpation and generalized erythema
D. Swelling without discoloration - ANSWER C. Tenderness upon
palpation and generalized erythema
10.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. Strict IV fluid replacement
B. Encourage increased oral fluid intake
C. Provide diuretics to reduce fluid retention
D. Administer oxygen therapy - ANSWER A .Strict IV fluid
replacement
, 11.A client who was recently diagnosed with Raynaud's disease is concerned
about pain management. Which nursing instructions should the nurse
provide?
A. Avoiding any physical activity outdoors
B. Drinking warm fluids before handling cold items
C. Wearing loose clothing to improve circulation
D. Wearing gloves when handling cold items guards against painful
spasms - ANSWER D. Wearing gloves when handling cold items
guards against painful spasms
12.A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
A. Advise the patient to avoid eating altogether for 24 hours
B. Describe the use of an elimination diet to find trigger foods
C. Suggest taking antacids after every meal
D. Recommend a high-fat, high-calorie diet for symptom relief -
ANSWER B. Describe the use of an elimination diet to find trigger
foods
13.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. Follows a low-carb, high-protein diet with lean meats
B. Eats a vegetarian diet with cheese 2 to 3 times a day
C. Primarily consumes plant-based foods with minimal dairy intake
D. Eats a diet focused on whole grains, fruits, and legumes - ANSWER
B. Eats a vegetarian diet with cheese 2 to 3 times a day.
A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough containing
small amounts of blood. Which intervention should the nurse prioritize?
A. Administer antibiotics immediately and monitor for improvement
