BSN HESI 266 EXAM QUESTIONS AND
ANSWERS
1. Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider?-
: Drink 3L
2. A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement?: Administer opioid
and non-opioid medications simultaneously
3. A client experiences an AOB incompatibility reaction after
multiple blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain: a. low back pain and
hypotension ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,4. When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products: c. Eat
a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
5. The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral 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. Increase the flow of
the bladder irrigation
ANSWER (C) Increase the flow of the bladder irrigation
6. A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on:
Remove all morphine patches
7. Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse?: Right foot pale with sluggish capillary refill
8. An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery.
, Which actions should the nurse
implement? (Select all that apply.)
a. Check finger
stick glucose
b. Assess skin
temperature and
moisture
c. Measure pulse and
blood pressure: a. Check
finger stick glucose
b. Assess skin temperature
and moisture
c. Measure pulse and
blood pressure
ANSWER: (CAM)
9. 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?
ANSWERS
1. Client is recovering from a transurethral prostatectomy. Which
activity should be limited until after the first postoperative visit
with the healthcare provider?-
: Drink 3L
2. A client with stage IV bone cancer is admitted to the hospital for a
1-10 scale. Which intervention should the nurse implement?: Administer opioid
and non-opioid medications simultaneously
3. A client experiences an AOB incompatibility reaction after
multiple blood transfusions. Which finding should the nurse report
immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain: a. low back pain and
hypotension ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,4. When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products: c. Eat
a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
5. The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral 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. Increase the flow of
the bladder irrigation
ANSWER (C) Increase the flow of the bladder irrigation
6. A client wit lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on:
Remove all morphine patches
7. Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse?: Right foot pale with sluggish capillary refill
8. An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery.
, Which actions should the nurse
implement? (Select all that apply.)
a. Check finger
stick glucose
b. Assess skin
temperature and
moisture
c. Measure pulse and
blood pressure: a. Check
finger stick glucose
b. Assess skin temperature
and moisture
c. Measure pulse and
blood pressure
ANSWER: (CAM)
9. 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?
