Page 1 of 84
BSN HESI 266 Exam COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
A client who was involved in a MVA is admitted with a fractured left femur which is
immobilized using a fracture traction splint in preparation for an open reduction internal
fixation (ORIF). The nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? Select all that apply
A) Verify pedal pulses using a doppler pulse device
B) Evaluate the application of the splint to the left leg
C) Offer ice chips and oral clear liquid
D) Monitor left leg for pain, pallor, paresthesia, paralysis, and pressure
E) Administer oral antispasmodics and narcotics analgesics
A, B, D
The healthcare provider prescribes diagnostic tests for a client whose chest x-ray indicates
pneumonia. Which diagnostic test should the nurse review for implementation is the most
therapeutic treatment of the pneumonia?
A) sputum culture and sensitivity
B) blood cultures
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C) arterial blood gasses (ABD)
D) CT of the chest
A
A client with a history of asthma and bronchitis arrives at the clinic with SOB, productive
cough with thickened, tenacious mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the
client about self-care?
A) call the clinic if undesirable side effects of medications occur
B) avoid crowded enclosed areas to reduce pathogen exposure
C) Increase daily intake of oral fluids to liquefy secretions
D) Teach anxiety reduction methods for feelings of suffocation
C
The home health nurse provides teaching about insulin self injection to a client who was
recently dx with diabetes mellitus. When the client begins to perform a return demonstration
of an insulin injection into the abdomen as seen in the video, which instruction should the
nurse provide?
A) select a different injection site
B) Continue with the insulin injection
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C) keep the skin flat rather than bunched
D) lie down flat for better skin exposure
B
The nurse observes an increased number of blood clots in the drainage tubing of a client with
continuous bladder irrigation following a trans-urethral resection of the prostate (TURP).
What is the best initial nursing action?
A) provide additional oral fluid intake
B) measure the client's intake and output
C) increase the flow of the bladder irrigation
D) administer a PRN dose of an antispasmodic agent
C
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of
both lower extremities, and pedal pulses are not palpable. Which action should the nurse
implement first?
A) elevate extremities on pillows
B) evaluate edema for pitting
C) Assess pulses with a vascular doppler
D) wrap the feet with warmed blankets
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C
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
A) serum sodium of 185 mEq/L
B) Dry skin with inelastic skin turgor
C) Apical rate of 100 beats per minute
D) Polyuria and excessive thirst
A
The nurse is obtaining the admission hx for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this medical diagnosis?
A)Frequent use of chewable and liquid antacids for indigestion
B) Severe abdominal cramps and diarrhea after eating spicy foods
C) Upper mid-abdominal pain described as gnawing and burning
E) Marked loss of weight and appetite over the last 3-4 months
C
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the
client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based
on this finding, which action should the nurse include in this client's plan of care?
BSN HESI 266 Exam COMPLETE QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
A client who was involved in a MVA is admitted with a fractured left femur which is
immobilized using a fracture traction splint in preparation for an open reduction internal
fixation (ORIF). The nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? Select all that apply
A) Verify pedal pulses using a doppler pulse device
B) Evaluate the application of the splint to the left leg
C) Offer ice chips and oral clear liquid
D) Monitor left leg for pain, pallor, paresthesia, paralysis, and pressure
E) Administer oral antispasmodics and narcotics analgesics
A, B, D
The healthcare provider prescribes diagnostic tests for a client whose chest x-ray indicates
pneumonia. Which diagnostic test should the nurse review for implementation is the most
therapeutic treatment of the pneumonia?
A) sputum culture and sensitivity
B) blood cultures
, Page 2 of 84
C) arterial blood gasses (ABD)
D) CT of the chest
A
A client with a history of asthma and bronchitis arrives at the clinic with SOB, productive
cough with thickened, tenacious mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the
client about self-care?
A) call the clinic if undesirable side effects of medications occur
B) avoid crowded enclosed areas to reduce pathogen exposure
C) Increase daily intake of oral fluids to liquefy secretions
D) Teach anxiety reduction methods for feelings of suffocation
C
The home health nurse provides teaching about insulin self injection to a client who was
recently dx with diabetes mellitus. When the client begins to perform a return demonstration
of an insulin injection into the abdomen as seen in the video, which instruction should the
nurse provide?
A) select a different injection site
B) Continue with the insulin injection
, Page 3 of 84
C) keep the skin flat rather than bunched
D) lie down flat for better skin exposure
B
The nurse observes an increased number of blood clots in the drainage tubing of a client with
continuous bladder irrigation following a trans-urethral resection of the prostate (TURP).
What is the best initial nursing action?
A) provide additional oral fluid intake
B) measure the client's intake and output
C) increase the flow of the bladder irrigation
D) administer a PRN dose of an antispasmodic agent
C
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of
both lower extremities, and pedal pulses are not palpable. Which action should the nurse
implement first?
A) elevate extremities on pillows
B) evaluate edema for pitting
C) Assess pulses with a vascular doppler
D) wrap the feet with warmed blankets
, Page 4 of 84
C
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
A) serum sodium of 185 mEq/L
B) Dry skin with inelastic skin turgor
C) Apical rate of 100 beats per minute
D) Polyuria and excessive thirst
A
The nurse is obtaining the admission hx for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this medical diagnosis?
A)Frequent use of chewable and liquid antacids for indigestion
B) Severe abdominal cramps and diarrhea after eating spicy foods
C) Upper mid-abdominal pain described as gnawing and burning
E) Marked loss of weight and appetite over the last 3-4 months
C
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the
client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based
on this finding, which action should the nurse include in this client's plan of care?
