HESI REVIEW #1 BSN 266 Med Surgical Test Bank 2025
A client with acute osteomyelitis has undergone surgical debridement of the diseased bone and
asks the nurse how long will antibiotics have to be administered. Which information should the
nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks
C
Treatment of acute osteomyelitis requires the administration of high doses of parenteral
antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to 8 weeks
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A. Mid-Fowlers with knees supported.
B. Supine with trochanter rolls to the hips.
,C. Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone
D
Rationale
After an acute stroke, a positioning and turning schedule that minimizes lying on the affected
side, which can impair circulation and cause pain, and includes the prone position to help prevent
flexion contractures of the hips, prepares the client for optimal functioning and ambulation.
Which preexisting diagnosis places a client at the greatest risk of developing superior vena cava
syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
C
,Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is compressed by
outside structures, such as a growing tumor that impedes the return blood flow to the heart.
Superior vena cava syndrome is likely to occur with metastatic cancer from a primary tumor in
the upper lobe of the right lung that compresses the superior vena cava.
We have an expert-written solution to this problem!
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas of
the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
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
During the initial outbreak of genital herpes simplex for a female client, what should be the
nurse's primary focus in planning care?
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
A
Rationale
The initial outbreak of genital herpes simplex in a woman causes severe discomfort. Promotion
of comfort is the first priority
A client with acute osteomyelitis has undergone surgical debridement of the diseased bone and
asks the nurse how long will antibiotics have to be administered. Which information should the
nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks
C
Treatment of acute osteomyelitis requires the administration of high doses of parenteral
antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to 8 weeks
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A. Mid-Fowlers with knees supported.
B. Supine with trochanter rolls to the hips.
,C. Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone
D
Rationale
After an acute stroke, a positioning and turning schedule that minimizes lying on the affected
side, which can impair circulation and cause pain, and includes the prone position to help prevent
flexion contractures of the hips, prepares the client for optimal functioning and ambulation.
Which preexisting diagnosis places a client at the greatest risk of developing superior vena cava
syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
C
,Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is compressed by
outside structures, such as a growing tumor that impedes the return blood flow to the heart.
Superior vena cava syndrome is likely to occur with metastatic cancer from a primary tumor in
the upper lobe of the right lung that compresses the superior vena cava.
We have an expert-written solution to this problem!
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas of
the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
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
During the initial outbreak of genital herpes simplex for a female client, what should be the
nurse's primary focus in planning care?
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
A
Rationale
The initial outbreak of genital herpes simplex in a woman causes severe discomfort. Promotion
of comfort is the first priority
