MED-SURG BSN 266 with correct questions and answers
2025
A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a day
again like I used to?" Which of the following responses by the nurse is most
appropriate?
A. "Eating six meals a day is time-consuming, isn't it?"
B. "You will have to eat six small meals a day for the rest of your life."
C. "You will be able to tolerate three meals a day before you are discharged."
D. "Most clients can resume their normal meal patterns in about 6 to 12 months."
- correct answerD. "Most clients can resume their normal meal patterns in about
6 to 12 months."
What should the nurse teach a client about how to avoid the dumping syndrome?
Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment. - correct answerC. Reduce fluids with meals, but
take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
,A. Nutritional intake.
B. Management of alopecia.
C. Exercise and activity levels.
D. Access to community resources. - correct answerA. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31 ×109/L)
to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
D. Check for blood in the urine. - correct answerB. Assess for spontaneous
petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these data,
it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow. - correct answerD. Length and amount
of menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
,C. Migraine headache.
D. Sinus congestion. - correct answerB. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin." - correct answerB.
"Ecchymoses are large, purple skin bruises."
The nurse should instruct the client with a platelet count of less than
150,000/μL(150 × 109/L) to avoid which of the following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position. - correct answer2. Valsalva's maneuver.
A client who is taking acetylsalicylic acid (ASA) caplets develops prolonged
bleeding from a superficial skin injury on the forearm. The nurse should tell the
client to do which of the following first?
A. Place the forearm under a running stream of lukewarm water.
B. Pat the injury with a dry washcloth.
C. Wrap the entire forearm from the wrist to the elbow.
D. Apply an ice pack for 20 minutes. - correct answerD. Apply an ice pack for 20
minutes.
, A client's bone marrow report reveals normal stem cells and precursors of
platelets (megakaryocytes) in the presence of decreased circulating platelets. The
nurse recognizes a knowledge deficit when the client makes which of the
following statements?
A. "I need to stop flossing and throw away my hard toothbrush."
B. "I am glad that my report turned out normal."
C. "Now I know why I have all these bruises."
D. "I shouldn't jump off that last step anymore." - correct answerB. "I am glad that
my report turned out normal."
The nurse should assess a client with thrombocytopenia who has developed a
hemorrhage for which of the following?
A. Tachycardia.
B. Bradycardia.
C. Decreased PaCO2.
D. Narrowed pulse pressure. - correct answerA. Tachycardia
The client with idiopathic thrombocytopenic purpura (ITP) asks the nurse why it is
necessary to take steroids. Which is the nurse's best response?
A. Steroids destroy the antibodies and prolong the life of platelets.
B. Steroids neutralize the antigens and prolong the life of platelets.
C. Steroids increase phagocytosis and increase the life of platelets.
D. Steroids alter the spleen's recognition of platelets and increase the life of
platelets. - correct answerD. Steroids alter the spleen's recognition of platelets
and increase the life of platelets.
2025
A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a day
again like I used to?" Which of the following responses by the nurse is most
appropriate?
A. "Eating six meals a day is time-consuming, isn't it?"
B. "You will have to eat six small meals a day for the rest of your life."
C. "You will be able to tolerate three meals a day before you are discharged."
D. "Most clients can resume their normal meal patterns in about 6 to 12 months."
- correct answerD. "Most clients can resume their normal meal patterns in about
6 to 12 months."
What should the nurse teach a client about how to avoid the dumping syndrome?
Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment. - correct answerC. Reduce fluids with meals, but
take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
,A. Nutritional intake.
B. Management of alopecia.
C. Exercise and activity levels.
D. Access to community resources. - correct answerA. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31 ×109/L)
to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
D. Check for blood in the urine. - correct answerB. Assess for spontaneous
petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these data,
it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow. - correct answerD. Length and amount
of menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
,C. Migraine headache.
D. Sinus congestion. - correct answerB. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin." - correct answerB.
"Ecchymoses are large, purple skin bruises."
The nurse should instruct the client with a platelet count of less than
150,000/μL(150 × 109/L) to avoid which of the following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position. - correct answer2. Valsalva's maneuver.
A client who is taking acetylsalicylic acid (ASA) caplets develops prolonged
bleeding from a superficial skin injury on the forearm. The nurse should tell the
client to do which of the following first?
A. Place the forearm under a running stream of lukewarm water.
B. Pat the injury with a dry washcloth.
C. Wrap the entire forearm from the wrist to the elbow.
D. Apply an ice pack for 20 minutes. - correct answerD. Apply an ice pack for 20
minutes.
, A client's bone marrow report reveals normal stem cells and precursors of
platelets (megakaryocytes) in the presence of decreased circulating platelets. The
nurse recognizes a knowledge deficit when the client makes which of the
following statements?
A. "I need to stop flossing and throw away my hard toothbrush."
B. "I am glad that my report turned out normal."
C. "Now I know why I have all these bruises."
D. "I shouldn't jump off that last step anymore." - correct answerB. "I am glad that
my report turned out normal."
The nurse should assess a client with thrombocytopenia who has developed a
hemorrhage for which of the following?
A. Tachycardia.
B. Bradycardia.
C. Decreased PaCO2.
D. Narrowed pulse pressure. - correct answerA. Tachycardia
The client with idiopathic thrombocytopenic purpura (ITP) asks the nurse why it is
necessary to take steroids. Which is the nurse's best response?
A. Steroids destroy the antibodies and prolong the life of platelets.
B. Steroids neutralize the antigens and prolong the life of platelets.
C. Steroids increase phagocytosis and increase the life of platelets.
D. Steroids alter the spleen's recognition of platelets and increase the life of
platelets. - correct answerD. Steroids alter the spleen's recognition of platelets
and increase the life of platelets.
