BSN HESI 266 Med Surg Exam V2 |
2026/2027 | Nightingale | Verified Questions
& Answers | 100% Correct | Grade A
A client who underwent cardiac stent placement four days ago arrives to the emergency
department reporting a sudden onset of chest pressure and shortness of breath. Which action
should the nurse take next?
Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the nurse assesses
bilateral weakness in the clients hand grips. The client reports joint pain and trouble twisting a
door knob due to weaknesses. Which action should the nurses take in response to these figures?
Gather additional assessment data about the pain and weakness
When assessing a male client's respiratory status, which technique should the nurse use to
assess his anterior-posteriour chest diameter?
Tenderness upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101 F (38 3 C). heart rate 130 beats/minute, Respiratory rate 26 breaths/minute,
and blood pressure 100/50 mmHg. Which intervention is most important for the nurse to
include in the client's plan of care?
.Strict IV fluid replacement
, A client who was recently diagnosed with Raynaud's disease is concerned about pain
management. Which nursing instructions should the nurse provide?
Wearing gloves when handling cold items guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How
should the nurse respond?
Describe the use of an elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
Eats a vegetarian diet with cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to get up several times
at night to go to the bathroom, that he has trouble starting his urinary system, and that he does
not feel like his bladder is ever completely empty. Which intervention should the nurse
implement
Palpate the bladder above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition
entered on the client's medical record should the nurse recognize as a contraindication for
peritoneal dialysis?
Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures. Which nursing intervention is
most essential?
Ensure oral suction is available.
2026/2027 | Nightingale | Verified Questions
& Answers | 100% Correct | Grade A
A client who underwent cardiac stent placement four days ago arrives to the emergency
department reporting a sudden onset of chest pressure and shortness of breath. Which action
should the nurse take next?
Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the nurse assesses
bilateral weakness in the clients hand grips. The client reports joint pain and trouble twisting a
door knob due to weaknesses. Which action should the nurses take in response to these figures?
Gather additional assessment data about the pain and weakness
When assessing a male client's respiratory status, which technique should the nurse use to
assess his anterior-posteriour chest diameter?
Tenderness upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101 F (38 3 C). heart rate 130 beats/minute, Respiratory rate 26 breaths/minute,
and blood pressure 100/50 mmHg. Which intervention is most important for the nurse to
include in the client's plan of care?
.Strict IV fluid replacement
, A client who was recently diagnosed with Raynaud's disease is concerned about pain
management. Which nursing instructions should the nurse provide?
Wearing gloves when handling cold items guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How
should the nurse respond?
Describe the use of an elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
Eats a vegetarian diet with cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to get up several times
at night to go to the bathroom, that he has trouble starting his urinary system, and that he does
not feel like his bladder is ever completely empty. Which intervention should the nurse
implement
Palpate the bladder above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition
entered on the client's medical record should the nurse recognize as a contraindication for
peritoneal dialysis?
Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures. Which nursing intervention is
most essential?
Ensure oral suction is available.
