BSN 266 Hesi updated | Questions and answers
Questions in this set (55)
An older adult client with a long B. Assist client to an upright position
history of chronic obstructive
pulmonary disease (COPD) is
admitted with progressive
shortness of breath and a
persistent cough. She is anxious
and is complaining of a dry
mouth. Which intervention should
the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright
position
C. Encourage client to drink water
D. Apply a high flow venturi
mask
A client with multiple sclerosis A. Provide assistance to bedside commode\
(MS) is admitted to the medical C. Schedule frequent rest periods.
unit, The client reports fatigue, E. Teach to patch one eye while walking
muscle weakness, and diplopia.
Which action should the nurse
implement to reduce the clients
risk for falls? SATA
A. Provide assistance to bedside
commode
B. Provide frequent rest periods.
C. Offer to assist with warm
baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye
while walking
,A client arrives to the ED following B. Chest tube insertion
a motor vehicle collision, The
nurse observes the client
experiencing increasing dyspnea
and notes absent breath sounds
on the left side, which procedure
should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
Following a transurethral B. Drink 3 liters of water each day
resection of the prostate (TURP)
a client is discharged from the
hospital with an indwelling
urinary catheter, Which
instruction is most important for
the nurse to include in the
discharge teaching plan?
A. Eliminate all spicy foods from your
diet
B. Drink 3 liters of water each day
C. Clamp the catheter when
taking a shower
D. Avoid driving a car for 2
weeks
An adult woman with Graves C. Maintain a paten intravenous site
disease is admitted with severe
dehydration and malnutrition, She
is currently restless and refusing to
eat. Which action is most
important for the nurse to
implement?
A. Teach client relaxation techniques
B. Determine the clients food
preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
A client tells the clinic nurse A. Obtain a specimen of urethral drainage for culture
about experiencing burning on
urination, and assessment
reveals that the client had
sexual intercourse four days
ago with a person who was a
casual acquaintance, Which
action should the nurse
, implement?
A. Obtain a specimen of urethral
drainage for culture
B. Observe the perineal area for a
chancre like lesion
C. Identify all sexual partners in
the last four days.
D. Assess for perineal itching
erythema and excoriation
Questions in this set (55)
An older adult client with a long B. Assist client to an upright position
history of chronic obstructive
pulmonary disease (COPD) is
admitted with progressive
shortness of breath and a
persistent cough. She is anxious
and is complaining of a dry
mouth. Which intervention should
the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright
position
C. Encourage client to drink water
D. Apply a high flow venturi
mask
A client with multiple sclerosis A. Provide assistance to bedside commode\
(MS) is admitted to the medical C. Schedule frequent rest periods.
unit, The client reports fatigue, E. Teach to patch one eye while walking
muscle weakness, and diplopia.
Which action should the nurse
implement to reduce the clients
risk for falls? SATA
A. Provide assistance to bedside
commode
B. Provide frequent rest periods.
C. Offer to assist with warm
baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye
while walking
,A client arrives to the ED following B. Chest tube insertion
a motor vehicle collision, The
nurse observes the client
experiencing increasing dyspnea
and notes absent breath sounds
on the left side, which procedure
should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
Following a transurethral B. Drink 3 liters of water each day
resection of the prostate (TURP)
a client is discharged from the
hospital with an indwelling
urinary catheter, Which
instruction is most important for
the nurse to include in the
discharge teaching plan?
A. Eliminate all spicy foods from your
diet
B. Drink 3 liters of water each day
C. Clamp the catheter when
taking a shower
D. Avoid driving a car for 2
weeks
An adult woman with Graves C. Maintain a paten intravenous site
disease is admitted with severe
dehydration and malnutrition, She
is currently restless and refusing to
eat. Which action is most
important for the nurse to
implement?
A. Teach client relaxation techniques
B. Determine the clients food
preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
A client tells the clinic nurse A. Obtain a specimen of urethral drainage for culture
about experiencing burning on
urination, and assessment
reveals that the client had
sexual intercourse four days
ago with a person who was a
casual acquaintance, Which
action should the nurse
, implement?
A. Obtain a specimen of urethral
drainage for culture
B. Observe the perineal area for a
chancre like lesion
C. Identify all sexual partners in
the last four days.
D. Assess for perineal itching
erythema and excoriation
