BSN HESI 266 MED SURG QUESTIONS AND
ANSWERS
1. An older adult client with a long history of chronic obstructive
pulmonary dis- ease (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: B. Assist client to an upright position
2. A client with multiple sclerosis (MS) is admitted to the medical unit,
The client reports fatigue, 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. Provide assistance to bedside
commode\
C. Schedule frequent rest periods.
,E. Teach to patch one eye while walking
3. A client arrives to the ED following 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: B. Chest tube insertion
4. Following a transurethral resection of the prostate (TURP) a client
is dis- charged from the hospital with an indwelling urinary
catheter, Which instruc- tion 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: B. Drink 3 liters of water each day
5. An adult woman with Graves 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: C. Maintain a paten intravenous site
6. A client tells the clinic nurse 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 imple- ment?
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: A. Obtain a
specimen of urethral drainage for culture
7. The nurse is caring for a client admitted to the hospital with a
tentative diagnosis of bacterial meningitis, which diagnostic
procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT: A Lumbar puncture
8. An older adult client with long term type 2 DM is seen in the clinic
for a routine health assessment, which assessment would the nurse
, complete to determine if a patient with type 2 DM is experiencing
long term complications? SATA
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection: A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
9. The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites, Which mechanism
contributes to edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic
pressure
C. Decreased renin angiotensin response related to an increase in
renal blood flow
D.Hyperaldosteronism causing an increased sodium absorption in renal
tubes-
: B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
Hypoalbuminemia that results in a decreased colloidal oncotic pressure, this is correct, in amage
leads and
cirrhosis liver d to decreased synthesis of albumin, Albumin plays a crucial role in
when it is
me
ANSWERS
1. An older adult client with a long history of chronic obstructive
pulmonary dis- ease (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: B. Assist client to an upright position
2. A client with multiple sclerosis (MS) is admitted to the medical unit,
The client reports fatigue, 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. Provide assistance to bedside
commode\
C. Schedule frequent rest periods.
,E. Teach to patch one eye while walking
3. A client arrives to the ED following 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: B. Chest tube insertion
4. Following a transurethral resection of the prostate (TURP) a client
is dis- charged from the hospital with an indwelling urinary
catheter, Which instruc- tion 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: B. Drink 3 liters of water each day
5. An adult woman with Graves 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: C. Maintain a paten intravenous site
6. A client tells the clinic nurse 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 imple- ment?
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: A. Obtain a
specimen of urethral drainage for culture
7. The nurse is caring for a client admitted to the hospital with a
tentative diagnosis of bacterial meningitis, which diagnostic
procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT: A Lumbar puncture
8. An older adult client with long term type 2 DM is seen in the clinic
for a routine health assessment, which assessment would the nurse
, complete to determine if a patient with type 2 DM is experiencing
long term complications? SATA
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection: A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
9. The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites, Which mechanism
contributes to edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic
pressure
C. Decreased renin angiotensin response related to an increase in
renal blood flow
D.Hyperaldosteronism causing an increased sodium absorption in renal
tubes-
: B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
Hypoalbuminemia that results in a decreased colloidal oncotic pressure, this is correct, in amage
leads and
cirrhosis liver d to decreased synthesis of albumin, Albumin plays a crucial role in
when it is
me
