BSG COMPREHENSIVE TEST FALL 2026 120
QUESTIONS WITH 100 PERCENT CORRECT
ANSWERS VERIFIED 26 PAGES
⩥A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the licensed practical nurse reinforces instructions to the client about
the test. Which statement by the client indicates a need for further
instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating.". Answer: C.
"I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films are taken at
intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must
be maintained for 8 hours before the test. After an upper GI series, the
client is prescribed a laxative to hasten elimination of the barium.
,Barium that remains in the colon may become hard and difficult to
expel, leading to fecal impaction.
⩥A nurse on the evening shift checks a physician's prescriptions and
notes that the dose of a prescribed medication is higher than the normal
dose. The nurse calls the physician's answering service and is told that
the physician is off for the night and will be available in the morning.
The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available. Answer: B. Ask the answering service to contact the
on-call physician
Rationale: The nurse has a duty to protect the client from harm. A nurse
who believes that a physician's prescription may be in error is
responsible for clarifying the prescription before carrying it out.
Therefore the nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can be clarified. The
nurse would not wait until the next morning to obtain clarification. It is
premature to call the nursing supervisor.
⩥An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting transfer to
,the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI. Answer: B.
Asking the ED physician to check the client
Rationale: PVCs are a result of increased irritability of ventricular cells.
Peripheral pulses may be absent or diminished with the PVCs
themselves because the decreased stroke volume of the premature beats
may in turn decrease peripheral perfusion. Because other rhythms also
cause widened QRS complexes, it is essential that the nurse determine
whether the premature beats are resulting in perfusion of the extremities.
This is done by palpating the carotid, brachial, or femoral artery while
observing the monitor for widened complexes or by auscultating for
apical heart sounds. In the situation of acute MI, PVCs may be
considered warning dysrhythmias, possibly heralding the onset of
ventricular tachycardia or ventricular fibrillation. Therefore the nurse
would not tell the client that the PVCs are expected. Although the nurse
will continue to monitor the client and document the findings, these are
not the most appropriate actions of those provided. The most appropriate
action would be to ask the ED physician to check the client.
, ⩥NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the
morning of the procedure, the nurse checks the client's record and notes
that the client routinely takes an oral antihypertensive medication each
morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT. Answer: A. Administer the antihypertensive with a small
sip of water
Rationale: General anesthesia is required for ECT, so NPO status is
imposed for 6 to 8 hours before treatment to help prevent aspiration.
Exceptions include clients who routinely receive cardiac medications,
antihypertensive agents, or histamine (H2) blockers, which should be
administered several hours before treatment with a small sip of water.
Withholding the antihypertensive and administering it at bedtime and
withholding the antihypertensive and resuming administration on the
day after the ECT are incorrect actions, because antihypertensives must
be administered on time; otherwise, the risk for rebound hypertension
exists. The nurse would not administer a medication by way of a route
that has not been prescribed.
⩥A client who recently underwent coronary artery bypass graft surgery
comes to the physician's office for a follow-up visit. On assessment, the
QUESTIONS WITH 100 PERCENT CORRECT
ANSWERS VERIFIED 26 PAGES
⩥A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the licensed practical nurse reinforces instructions to the client about
the test. Which statement by the client indicates a need for further
instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating.". Answer: C.
"I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films are taken at
intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must
be maintained for 8 hours before the test. After an upper GI series, the
client is prescribed a laxative to hasten elimination of the barium.
,Barium that remains in the colon may become hard and difficult to
expel, leading to fecal impaction.
⩥A nurse on the evening shift checks a physician's prescriptions and
notes that the dose of a prescribed medication is higher than the normal
dose. The nurse calls the physician's answering service and is told that
the physician is off for the night and will be available in the morning.
The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available. Answer: B. Ask the answering service to contact the
on-call physician
Rationale: The nurse has a duty to protect the client from harm. A nurse
who believes that a physician's prescription may be in error is
responsible for clarifying the prescription before carrying it out.
Therefore the nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can be clarified. The
nurse would not wait until the next morning to obtain clarification. It is
premature to call the nursing supervisor.
⩥An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting transfer to
,the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI. Answer: B.
Asking the ED physician to check the client
Rationale: PVCs are a result of increased irritability of ventricular cells.
Peripheral pulses may be absent or diminished with the PVCs
themselves because the decreased stroke volume of the premature beats
may in turn decrease peripheral perfusion. Because other rhythms also
cause widened QRS complexes, it is essential that the nurse determine
whether the premature beats are resulting in perfusion of the extremities.
This is done by palpating the carotid, brachial, or femoral artery while
observing the monitor for widened complexes or by auscultating for
apical heart sounds. In the situation of acute MI, PVCs may be
considered warning dysrhythmias, possibly heralding the onset of
ventricular tachycardia or ventricular fibrillation. Therefore the nurse
would not tell the client that the PVCs are expected. Although the nurse
will continue to monitor the client and document the findings, these are
not the most appropriate actions of those provided. The most appropriate
action would be to ask the ED physician to check the client.
, ⩥NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the
morning of the procedure, the nurse checks the client's record and notes
that the client routinely takes an oral antihypertensive medication each
morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT. Answer: A. Administer the antihypertensive with a small
sip of water
Rationale: General anesthesia is required for ECT, so NPO status is
imposed for 6 to 8 hours before treatment to help prevent aspiration.
Exceptions include clients who routinely receive cardiac medications,
antihypertensive agents, or histamine (H2) blockers, which should be
administered several hours before treatment with a small sip of water.
Withholding the antihypertensive and administering it at bedtime and
withholding the antihypertensive and resuming administration on the
day after the ECT are incorrect actions, because antihypertensives must
be administered on time; otherwise, the risk for rebound hypertension
exists. The nurse would not administer a medication by way of a route
that has not been prescribed.
⩥A client who recently underwent coronary artery bypass graft surgery
comes to the physician's office for a follow-up visit. On assessment, the
