BSN HESI 266 MED SURG EXAM
QUESTIONS AND ANSWERS ALL
CORRECT RATED A+
Pleurodesis - Correct Answer ✔✔ A procedure aimed at preventing the formation of a
pleural effusion by causing the pleural spaces to seal together.
Radiation therapy consequences - Correct Answer ✔✔ Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - Correct Answer ✔✔ Fractures that occur without evidence of
trauma, often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - Correct Answer ✔✔ Sexual intercourse after
an MI requires no more energy expenditure or cardiac stress than walking briskly up two
flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - Correct Answer ✔✔ A type of
feeding tube that differs from a gastrostomy tube primarily in the method of insertion.
PEG tube - Correct Answer ✔✔ A tube inserted endoscopically through the esophagus
into the stomach, held in place by a bumper and a water-filled balloon.
GT - Correct Answer ✔✔ A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
Proctosigmoidoscopy preparation - Correct Answer ✔✔ Includes obtaining consent, a
clear-liquid diet for 24 to 48 hours prior, administration of an enema, and fasting on the
morning of the procedure.
Dysuria in diabetes - Correct Answer ✔✔ Elevated fingerstick glucose levels (e.g., 300
mg/dl) need to be reported to adjust the care plan.
Right renal calculi nursing diagnosis priority - Correct Answer ✔✔ Acute pain related to
movement of the stone.
Chemotherapy initiation - Correct Answer ✔✔ Starting chemotherapy early increases
the chance of eradicating cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - Correct Answer ✔✔ A clinical sign of liver disease characterized by a
flapping tremor of the hands.
,Clear-liquid diet - Correct Answer ✔✔ A diet consisting of clear fluids, often required 24
to 48 hours before certain medical procedures.
Enema - Correct Answer ✔✔ A procedure to introduce liquid into the rectum to
stimulate a bowel movement or cleanse the bowel before a procedure.
Fasting protocol - Correct Answer ✔✔ Refraining from all food and drink for a specified
period, often required before medical procedures.
Suprapubic pain - Correct Answer ✔✔ Pain located in the lower abdomen, often
associated with urinary issues.
Bounding pulse - Correct Answer ✔✔ A pulse that feels strong and full, often measured
at 100 beats/minute in this context.
Small vesicular perineal lesions - Correct Answer ✔✔ Fluid-filled blisters in the perineal
area, which may indicate an infection or other medical condition.
Acute pain - Correct Answer ✔✔ Severe discomfort that arises suddenly, often related
to conditions like renal calculi.
Impaired urinary elimination - Correct Answer ✔✔ Difficulty in passing urine, often due
to obstruction.
Risk for infection - Correct Answer ✔✔ Increased likelihood of developing an infection,
often due to conditions like urinary stasis.
Deficient knowledge - Correct Answer ✔✔ A lack of understanding or information
regarding a specific health condition or its management.
Collateral circulation - Correct Answer ✔✔ Alternative pathways of blood flow that
develop as a response to blockage or narrowing of blood vessels.
Cell cycle rate - Correct Answer ✔✔ The speed at which a cell progresses through the
phases of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - Correct Answer ✔✔ The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - Correct Answer ✔✔ A hand-flapping tremor that is often seen frequently in
hepatic encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - Correct Answer ✔✔ The observation of a pulse change
from 85 to 160 beats/minute lasting more than 10 minutes should alert the nurse to call
the Rapid Response Team (RRT).
, Rapid Response Team (RRT) - Correct Answer ✔✔ A team called to intervene for a
client with an acute life-threatening change.
Valsalva Maneuver - Correct Answer ✔✔ Straining with bowel movements while holding
one's breath, which increases intracerebral pressure (ICP) and may induce bleeding or
rupture of cerebral blood vessels.
HIV Post-Test Counseling - Correct Answer ✔✔ Encouraging retesting supports hope
and gives the client time to cope with the diagnosis.
Safety Checklist for Surgery - Correct Answer ✔✔ Items such as nail polish, contact
lenses, and partial dentures should be removed to provide accurate pulse oximetry
readings and prevent damage during surgery.
Nail Polish Removal - Correct Answer ✔✔ Removal provides a more accurate pulse
oximetry reading and evaluation of capillary refill.
Monitoring for Battle's Sign - Correct Answer ✔✔ A nursing action that should be
included in the plan of care for a client admitted with a hemorrhagic stroke.
Active Range of Motion - Correct Answer ✔✔ Performing active range of motion three
times daily is a nursing action for post-stroke care.
Temperature and WBC Count - Correct Answer ✔✔ A temperature of 103.1 F and a
white blood cell (WBC) count of 16,000 mm3 are significant observations
postoperatively.
Surgical Wound Dressing - Correct Answer ✔✔ Fresh bleeding noted on abdominal
surgical wound dressing is a concerning observation for a postoperative client.
Diaphoresis and Weakness - Correct Answer ✔✔ Weakness, diaphoresis, and
complaints of feeling faint with BP 100/56 mm Hg are signs that may indicate a need for
urgent care.
Dorsiflexing the Wrist - Correct Answer ✔✔ A movement that induces asterixis when
attempting to hold the position.
Client's Arm Position for Asterixis Test - Correct Answer ✔✔ The client should extend
the arm, dorsiflex the wrist, and extend the fingers.
Orthopedic Surgery Preparation - Correct Answer ✔✔ Completing a safety checklist
before transport to the operating room is essential.
Hearing Aid Removal - Correct Answer ✔✔ Hearing aids should be removed to prevent
damage, loss, or misplacement during surgery.
QUESTIONS AND ANSWERS ALL
CORRECT RATED A+
Pleurodesis - Correct Answer ✔✔ A procedure aimed at preventing the formation of a
pleural effusion by causing the pleural spaces to seal together.
Radiation therapy consequences - Correct Answer ✔✔ Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - Correct Answer ✔✔ Fractures that occur without evidence of
trauma, often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - Correct Answer ✔✔ Sexual intercourse after
an MI requires no more energy expenditure or cardiac stress than walking briskly up two
flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - Correct Answer ✔✔ A type of
feeding tube that differs from a gastrostomy tube primarily in the method of insertion.
PEG tube - Correct Answer ✔✔ A tube inserted endoscopically through the esophagus
into the stomach, held in place by a bumper and a water-filled balloon.
GT - Correct Answer ✔✔ A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
Proctosigmoidoscopy preparation - Correct Answer ✔✔ Includes obtaining consent, a
clear-liquid diet for 24 to 48 hours prior, administration of an enema, and fasting on the
morning of the procedure.
Dysuria in diabetes - Correct Answer ✔✔ Elevated fingerstick glucose levels (e.g., 300
mg/dl) need to be reported to adjust the care plan.
Right renal calculi nursing diagnosis priority - Correct Answer ✔✔ Acute pain related to
movement of the stone.
Chemotherapy initiation - Correct Answer ✔✔ Starting chemotherapy early increases
the chance of eradicating cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - Correct Answer ✔✔ A clinical sign of liver disease characterized by a
flapping tremor of the hands.
,Clear-liquid diet - Correct Answer ✔✔ A diet consisting of clear fluids, often required 24
to 48 hours before certain medical procedures.
Enema - Correct Answer ✔✔ A procedure to introduce liquid into the rectum to
stimulate a bowel movement or cleanse the bowel before a procedure.
Fasting protocol - Correct Answer ✔✔ Refraining from all food and drink for a specified
period, often required before medical procedures.
Suprapubic pain - Correct Answer ✔✔ Pain located in the lower abdomen, often
associated with urinary issues.
Bounding pulse - Correct Answer ✔✔ A pulse that feels strong and full, often measured
at 100 beats/minute in this context.
Small vesicular perineal lesions - Correct Answer ✔✔ Fluid-filled blisters in the perineal
area, which may indicate an infection or other medical condition.
Acute pain - Correct Answer ✔✔ Severe discomfort that arises suddenly, often related
to conditions like renal calculi.
Impaired urinary elimination - Correct Answer ✔✔ Difficulty in passing urine, often due
to obstruction.
Risk for infection - Correct Answer ✔✔ Increased likelihood of developing an infection,
often due to conditions like urinary stasis.
Deficient knowledge - Correct Answer ✔✔ A lack of understanding or information
regarding a specific health condition or its management.
Collateral circulation - Correct Answer ✔✔ Alternative pathways of blood flow that
develop as a response to blockage or narrowing of blood vessels.
Cell cycle rate - Correct Answer ✔✔ The speed at which a cell progresses through the
phases of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - Correct Answer ✔✔ The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - Correct Answer ✔✔ A hand-flapping tremor that is often seen frequently in
hepatic encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - Correct Answer ✔✔ The observation of a pulse change
from 85 to 160 beats/minute lasting more than 10 minutes should alert the nurse to call
the Rapid Response Team (RRT).
, Rapid Response Team (RRT) - Correct Answer ✔✔ A team called to intervene for a
client with an acute life-threatening change.
Valsalva Maneuver - Correct Answer ✔✔ Straining with bowel movements while holding
one's breath, which increases intracerebral pressure (ICP) and may induce bleeding or
rupture of cerebral blood vessels.
HIV Post-Test Counseling - Correct Answer ✔✔ Encouraging retesting supports hope
and gives the client time to cope with the diagnosis.
Safety Checklist for Surgery - Correct Answer ✔✔ Items such as nail polish, contact
lenses, and partial dentures should be removed to provide accurate pulse oximetry
readings and prevent damage during surgery.
Nail Polish Removal - Correct Answer ✔✔ Removal provides a more accurate pulse
oximetry reading and evaluation of capillary refill.
Monitoring for Battle's Sign - Correct Answer ✔✔ A nursing action that should be
included in the plan of care for a client admitted with a hemorrhagic stroke.
Active Range of Motion - Correct Answer ✔✔ Performing active range of motion three
times daily is a nursing action for post-stroke care.
Temperature and WBC Count - Correct Answer ✔✔ A temperature of 103.1 F and a
white blood cell (WBC) count of 16,000 mm3 are significant observations
postoperatively.
Surgical Wound Dressing - Correct Answer ✔✔ Fresh bleeding noted on abdominal
surgical wound dressing is a concerning observation for a postoperative client.
Diaphoresis and Weakness - Correct Answer ✔✔ Weakness, diaphoresis, and
complaints of feeling faint with BP 100/56 mm Hg are signs that may indicate a need for
urgent care.
Dorsiflexing the Wrist - Correct Answer ✔✔ A movement that induces asterixis when
attempting to hold the position.
Client's Arm Position for Asterixis Test - Correct Answer ✔✔ The client should extend
the arm, dorsiflex the wrist, and extend the fingers.
Orthopedic Surgery Preparation - Correct Answer ✔✔ Completing a safety checklist
before transport to the operating room is essential.
Hearing Aid Removal - Correct Answer ✔✔ Hearing aids should be removed to prevent
damage, loss, or misplacement during surgery.
