BSN 266 HESI MED-SURG Nightingale College ACTUAL FINAL EXAM 2026-
2027 COMPLETE ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH NGN (100% CORRECT VERIFIED SOLUTIONS) A NEW
UPDATED VERSION |GUARANTEED PASS A+
The nurse is teaching a female client about the best time to plan sexual intercourse in order
to conceive. Which information should the nurse
provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning.
Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins during a typical 28 day
cycle. Sexual intercourse should occur within 24 hours of ovulation for an increase
chance of conception to occur. High estrogen
levels occur during ovulation and increase the vaginal mucous membrane characteristics to
become more "slippery" and stretchy, along with a rise in basal temperature. The timing
during the day is not as significant in
determining conception as the day before and after ovulation.
,A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide?
Estrogen deficiency causes the vaginal tissues to become dry and thinner.
Infrequent intercourse results in the vaginal tissues losing their elasticity.
Dehydration from inadequate fluid intake causes vulva tissue dryness.
Lack of adequate stimulation is the most common reason for dyspareunia.
Estrogen deficiency causes the vaginal tissues to become dry and thinner.
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so vaginal
tissues tend to become thinner, drier, and the rugae become smoother which reduces
vaginal stretching that contributes to dyspareunia. The discomfort during intercourse,
primary cause can be
contributed to the decrease in estrogen hormone levels.
,Which discharge instruction is most important for a client after a kidney transplant?
Weigh weekly.
Report symptoms of secondary Candidiasis.
Use daily reminders to take immunosuppressant’s.
Stop cigarette smoking.
Use daily reminders to take immunosuppressant’s.
After a renal transplantation, acute rejection is a high risk for several months. The organ
recipient will have to take immunosuppressive therapy for the rest of their lives, such as
corticosteroids and azathioprine, to prevent organ transplant rejection. Discharge instructions
include measures such as daily reminders to ensure the client takes these medications
regularly to prevent organ rejection from occurring.
, The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most
important for the nurse to respond to first?
Potassium 6.0 mEq.
Daily urine output of 400 ml.
Peripheral neuropathy.
Uremic fetor.
Potassium 6.0 mEq.
When assessing a client with chronic kidney disease (CKD), hyperkalemia (normal serum
level, 3.5 to 5.5 mEq) is a serious electrolyte disorder that can cause fatal arrhythmias, so
the elevation of the potassium level is a
nursing priority.
2027 COMPLETE ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH NGN (100% CORRECT VERIFIED SOLUTIONS) A NEW
UPDATED VERSION |GUARANTEED PASS A+
The nurse is teaching a female client about the best time to plan sexual intercourse in order
to conceive. Which information should the nurse
provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning.
Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins during a typical 28 day
cycle. Sexual intercourse should occur within 24 hours of ovulation for an increase
chance of conception to occur. High estrogen
levels occur during ovulation and increase the vaginal mucous membrane characteristics to
become more "slippery" and stretchy, along with a rise in basal temperature. The timing
during the day is not as significant in
determining conception as the day before and after ovulation.
,A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide?
Estrogen deficiency causes the vaginal tissues to become dry and thinner.
Infrequent intercourse results in the vaginal tissues losing their elasticity.
Dehydration from inadequate fluid intake causes vulva tissue dryness.
Lack of adequate stimulation is the most common reason for dyspareunia.
Estrogen deficiency causes the vaginal tissues to become dry and thinner.
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so vaginal
tissues tend to become thinner, drier, and the rugae become smoother which reduces
vaginal stretching that contributes to dyspareunia. The discomfort during intercourse,
primary cause can be
contributed to the decrease in estrogen hormone levels.
,Which discharge instruction is most important for a client after a kidney transplant?
Weigh weekly.
Report symptoms of secondary Candidiasis.
Use daily reminders to take immunosuppressant’s.
Stop cigarette smoking.
Use daily reminders to take immunosuppressant’s.
After a renal transplantation, acute rejection is a high risk for several months. The organ
recipient will have to take immunosuppressive therapy for the rest of their lives, such as
corticosteroids and azathioprine, to prevent organ transplant rejection. Discharge instructions
include measures such as daily reminders to ensure the client takes these medications
regularly to prevent organ rejection from occurring.
, The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most
important for the nurse to respond to first?
Potassium 6.0 mEq.
Daily urine output of 400 ml.
Peripheral neuropathy.
Uremic fetor.
Potassium 6.0 mEq.
When assessing a client with chronic kidney disease (CKD), hyperkalemia (normal serum
level, 3.5 to 5.5 mEq) is a serious electrolyte disorder that can cause fatal arrhythmias, so
the elevation of the potassium level is a
nursing priority.
