BSN HESI 266 MED SURG EXAM
QUESTIONS AND ANSWERS
1. The nurse is caring for a client diagnosed with psoriasis Vulgaris
who is receiving psoralen and ultraviolet light. Which finding
indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes: B. Tenderness upon
palpation and generalized erythema
2. The nurse is preparing a client for surgery who was admitted to
the emer- gency center following a motor vehicle collision. The client
has an open fracture of the femur and is bleeding moderately from
the bone protrusion site. During the preoperative assessment, the
nurse determines that the client currently receives heparin sodium
5,000 units subcutaneously daily. What is the priority nursing
action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
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14
, D. Have the client sign the surgical and transfusion permits: C. Notify
the healthcare provider of the client's medication history
3. The nurse is preparing to obtain a rapid COVID-19 test for a
client who was exposed to the virus eight days ago. The client is
experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
A. Counsel family members to monitor for illness symptoms for 2
weeks after last contact with patient
B. Assist the client to recall everyone possibly exposed since onset
of symp- toms
C. Start an intravenous infusion for antiviral drug to be
administered for posi- tive COVID-19 test results.
D. Move the client to a private room, keep the door closed, and
initiate droplet precautions.: D. Move the client to a private room, keep the door closed,
and initiate droplet precautions.
4. A client arrives to the emergency department reporting an
intermittent fever and night sweats for the past 3 weeks and has
developed a productive cough containing small amounts of blood.
Which intervention should the nurse pri- oritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
2/
14
QUESTIONS AND ANSWERS
1. The nurse is caring for a client diagnosed with psoriasis Vulgaris
who is receiving psoralen and ultraviolet light. Which finding
indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes: B. Tenderness upon
palpation and generalized erythema
2. The nurse is preparing a client for surgery who was admitted to
the emer- gency center following a motor vehicle collision. The client
has an open fracture of the femur and is bleeding moderately from
the bone protrusion site. During the preoperative assessment, the
nurse determines that the client currently receives heparin sodium
5,000 units subcutaneously daily. What is the priority nursing
action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
1/
14
, D. Have the client sign the surgical and transfusion permits: C. Notify
the healthcare provider of the client's medication history
3. The nurse is preparing to obtain a rapid COVID-19 test for a
client who was exposed to the virus eight days ago. The client is
experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
A. Counsel family members to monitor for illness symptoms for 2
weeks after last contact with patient
B. Assist the client to recall everyone possibly exposed since onset
of symp- toms
C. Start an intravenous infusion for antiviral drug to be
administered for posi- tive COVID-19 test results.
D. Move the client to a private room, keep the door closed, and
initiate droplet precautions.: D. Move the client to a private room, keep the door closed,
and initiate droplet precautions.
4. A client arrives to the emergency department reporting an
intermittent fever and night sweats for the past 3 weeks and has
developed a productive cough containing small amounts of blood.
Which intervention should the nurse pri- oritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
2/
14
