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Exam (elaborations)

Exam (elaborations) BSN 266

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is a standardized exam used by many nursing schools, including those offering BSN programs, to assess applicants' knowledge in various subjects, including medical-surgical nursing.

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50 Written questions

Definition 1 of
D
Rationale
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for microorganisms,
which can infect other areas of the genitourinary tract. Draining the prostate regularly through
intercourse or masturbation decreases the number of microorganisms present and reduces the risk
for further infection from stored contaminated seminal fluids




Definition 2 of
D
Rationale
immediate action is indicated for intraperitoneal hemorrhage which causes periumbilical
discoloration (D) and indicates the presence of a splenic rupture, a life-threatening complication of
blunt abdominal injury. (A, B, and C) indicate inflammation of the appendix or gallbladder but do not
represent an acute finding as a result of blunt abdominal trauma




Term 3 of
What instruction should the nurse include in the discharge teaching for a client who needs to
perform self-catheterization technique at home?
A. Catheterize every 3 to 4 hours.
B. Maintain sterile technique.
C. Use the Cred maneuver before catheterization.
D. Drink 500 ml of fluid within 2 hours of catheterization.

, Definition 4 of
D,E
Rationale
The usual preoperative preparation for proctosigmoidoscopy entails obtaining the client's consent to
the procedure, a clear-liquid diet for 24 to 48 hours prior to the procedure, administration of an
enema, and fasting on the morning of the procedure.




Definition 5 of
C
Rationale
Topical anesthetic creams, such as EMLA, should be applied to the puncture site at least 60 minutes
to 2 hours before the insertion of an IV catheter.




Term 6 of
When caring for a client with a percutaneous endoscopic gastrostomy (PEG) tube, what protocols
should the nurse implement for intermittent feedings? (Select all that apply.)
Select all that apply
A. Assessing residual amounts once a day.
B. Keeping the head of the bed elevated 30 degrees.
C. Changing the enteral-feeding bag every 24 hours.
D. Checking the placement of the tube by means of gastric aspiration.
E. Flushing the tube with 50 ml of normal saline solution after each feeding.




Definition 7 of
B
Rationale
Auscultation of the client's abdomen is performed next because manual manipulation of the
abdomen can stimulate peristalsis and create inaccurate assessment of bowel sounds heard during
auscultation.

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Uploaded on
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Written in
2024/2025
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