BSN 246 HESI - Medical Surgical Nursing Nightingale College
COMPREHENSIVE TEST BANK FINAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONLAES ASSURED
PASS ALREADY GRDAED A+ BEST FOR FINAL EXAM PREP 2026-
2027
A client is being treated for dehydration. Which statement made by the client
indicates understanding of this condition?
a. I will use a salt substitute when making and eating my meals.
b. I must drink a quart of water or other liquid each day.
c. I will not drink liquids after 6 PM so I won't have to get up at night.
d. I will weigh myself each morning before I eat or drink.
D
Because 1 L of water weighs 1 kg, change in body weight is a good measure of
excess fluid loss or fluid retention. Weight loss greater than 0.5 lb daily is
indicative of excessive fluid loss. The other statements are not indicative of
practices that will prevent dehydration.
,The nurse notes that the handgrip of the client with hypokalemia has
diminished since the previous assessment one hour ago. Which intervention by
the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth
b. document findings and monitor the client
c. measure the client's pulse and blood pressure
d. call the health care provider
A
In a client with hypokkalemia, progressive skeletal muscle weakness is
associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency. It is
imperative for the nurse to perform a respiratory assessment first to make
sure that the client is not in immediate jeopardy. Next, the nurse would call the
health care provider to obtain orders for potassium replacement.
,The physician orders Lasix (furosemide) 60 mg po every day for your
patient. On hand you have Lasix 40 mg. How many tablets will you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5
C
60/40 (desired/have)
A client has been taught to restrict dietary sodium. Which food selection by the
client indicates to the nurse that teaching has been effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers
C
Clients on restricted sodium diets generally should avoid processed, smoked,
and pickled foods and those with sauces and other condiments. Foods lowest
in sodium include fish, poultry, and fresh produce. The chinese food likely would
have soy sauce, the tomato soup is processed, and the
crackers are a snack food - a category of foods often high in sodium.
, When a client is assessed, which behavior best indicates that he or she is
experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility
A
The characteristics most common to chronic pain are psychosocial
withdrawal, anger and hostility, depression, and hopelessness. The inability
to concentrate is associated much more with acute pain, before any
physiologic or behavioral adaptation has occurred.
COMPREHENSIVE TEST BANK FINAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONLAES ASSURED
PASS ALREADY GRDAED A+ BEST FOR FINAL EXAM PREP 2026-
2027
A client is being treated for dehydration. Which statement made by the client
indicates understanding of this condition?
a. I will use a salt substitute when making and eating my meals.
b. I must drink a quart of water or other liquid each day.
c. I will not drink liquids after 6 PM so I won't have to get up at night.
d. I will weigh myself each morning before I eat or drink.
D
Because 1 L of water weighs 1 kg, change in body weight is a good measure of
excess fluid loss or fluid retention. Weight loss greater than 0.5 lb daily is
indicative of excessive fluid loss. The other statements are not indicative of
practices that will prevent dehydration.
,The nurse notes that the handgrip of the client with hypokalemia has
diminished since the previous assessment one hour ago. Which intervention by
the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth
b. document findings and monitor the client
c. measure the client's pulse and blood pressure
d. call the health care provider
A
In a client with hypokkalemia, progressive skeletal muscle weakness is
associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency. It is
imperative for the nurse to perform a respiratory assessment first to make
sure that the client is not in immediate jeopardy. Next, the nurse would call the
health care provider to obtain orders for potassium replacement.
,The physician orders Lasix (furosemide) 60 mg po every day for your
patient. On hand you have Lasix 40 mg. How many tablets will you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5
C
60/40 (desired/have)
A client has been taught to restrict dietary sodium. Which food selection by the
client indicates to the nurse that teaching has been effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers
C
Clients on restricted sodium diets generally should avoid processed, smoked,
and pickled foods and those with sauces and other condiments. Foods lowest
in sodium include fish, poultry, and fresh produce. The chinese food likely would
have soy sauce, the tomato soup is processed, and the
crackers are a snack food - a category of foods often high in sodium.
, When a client is assessed, which behavior best indicates that he or she is
experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility
A
The characteristics most common to chronic pain are psychosocial
withdrawal, anger and hostility, depression, and hopelessness. The inability
to concentrate is associated much more with acute pain, before any
physiologic or behavioral adaptation has occurred.
