BSN 266 Exam Questions and Answers with
Verified Solutions | Latest Updated 2026
A client diagnosed with pancreatic Provide a bedside table for client to lean
reports severe epigastric pain. across
After
administering a narcotic analgesic,
the client insists on Tip sitting up
and
leaning forward. Which action
should
the nurse implement?
After an endotracheal tube (ETT) Auscultate for breath sounds bilaterally in
is all lung
initially placed for a client requiring fields
mechanical ventilation. which
intervention should the nurse
implement first?
The nurse assesses the telemetry Document that the client is experiencing a
monitor of a client who is 24 hours paced
postoperative from having a rhythm
permanent pacemaker insertion.
The
nurse observes that a pacemaker
spike is present before each QRS
complex in lead II of the
electrocardiogram (ECG). Which
intervention should the nurse
implement?
,After intubating a client, correct Firmly secure the ETT in place
placement o the endotracheal tube
(ETT) is confirmed wit a chest
x-ray.
Which intervention should the
nurse
implement to ensure that the ETT
placement is maintained?
A client has a chest tube Sterile gauze dressing
connected
to a closed water-seal drainage
system with suction. Which
equipment should the nurse
always
have available at the client's
bedside?
A client is admitted to the Respirations are shallow, labored, and 14
neurological intensive care unit breaths/minute
after
having just sustained a C5 spinal
cord injury (SCI). Which
assessment
finding for this client warrants
immediate intervention by the
nurse?
, The nurse is monitoring for signs Intersperse treatments and nursing care
of with
increases intracranial frequent rest periods
pressure(ICP) in
a client who attempted suicide by
jumping from a tenth floor balcony.
The client is intubated and
mechanically ventilated. Which
intervention should the nurse
implement to minimize rises in
ICP.
The nurse assesses a client Notify the healthcare provider
postoperatively who has an arterial
line in he right radial artery.
Assessment findings include
pallor,
paresthesia, and slow capillary
refill
in the client's right-hand fingers.
Which action should the nurse
take?
A client has been treated for Normal sinus rhythm (NSR) at 84
uncontrolled atrial fibrillation with beats/minute
cardioversion. Following the
cardioversion, which assessment
finding indicates to the nurse that
the
desired outcome was achieved?
Verified Solutions | Latest Updated 2026
A client diagnosed with pancreatic Provide a bedside table for client to lean
reports severe epigastric pain. across
After
administering a narcotic analgesic,
the client insists on Tip sitting up
and
leaning forward. Which action
should
the nurse implement?
After an endotracheal tube (ETT) Auscultate for breath sounds bilaterally in
is all lung
initially placed for a client requiring fields
mechanical ventilation. which
intervention should the nurse
implement first?
The nurse assesses the telemetry Document that the client is experiencing a
monitor of a client who is 24 hours paced
postoperative from having a rhythm
permanent pacemaker insertion.
The
nurse observes that a pacemaker
spike is present before each QRS
complex in lead II of the
electrocardiogram (ECG). Which
intervention should the nurse
implement?
,After intubating a client, correct Firmly secure the ETT in place
placement o the endotracheal tube
(ETT) is confirmed wit a chest
x-ray.
Which intervention should the
nurse
implement to ensure that the ETT
placement is maintained?
A client has a chest tube Sterile gauze dressing
connected
to a closed water-seal drainage
system with suction. Which
equipment should the nurse
always
have available at the client's
bedside?
A client is admitted to the Respirations are shallow, labored, and 14
neurological intensive care unit breaths/minute
after
having just sustained a C5 spinal
cord injury (SCI). Which
assessment
finding for this client warrants
immediate intervention by the
nurse?
, The nurse is monitoring for signs Intersperse treatments and nursing care
of with
increases intracranial frequent rest periods
pressure(ICP) in
a client who attempted suicide by
jumping from a tenth floor balcony.
The client is intubated and
mechanically ventilated. Which
intervention should the nurse
implement to minimize rises in
ICP.
The nurse assesses a client Notify the healthcare provider
postoperatively who has an arterial
line in he right radial artery.
Assessment findings include
pallor,
paresthesia, and slow capillary
refill
in the client's right-hand fingers.
Which action should the nurse
take?
A client has been treated for Normal sinus rhythm (NSR) at 84
uncontrolled atrial fibrillation with beats/minute
cardioversion. Following the
cardioversion, which assessment
finding indicates to the nurse that
the
desired outcome was achieved?
