BSN HESI 266 Med Surg Exam

BSN HESI 266 Med Surg Exam (Latest 2024 / 2025) Questions and Verified Answers |100% Correct | Grade A - Nightingale

Question:

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?

• Listen for extra heart sounds, murmurs, and rhythm with the bell of the

stethoscope.

• Evaluate upper and lower extremities for perfusion, pulse volume, and

pitting edema.

• Verify troponin level assessments are scheduled every 3-6 hours for a

series of three.

• Obtain a 12-lead electrocardiogram and begin continuous cardiac

monitoring

Answer:

• Obtain a 12-lead electrocardiogram and begin continuous cardiac

monitoring

• / 4

Question:

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?

• Implement fall precautions to reduce the clients risk of injury.
• Explain that relief of the migraine pain will reduce related symptoms.
• Gather additional assessment data about the pain and weakness.
• Consult with the occupational therapist for a functional assessment

Answer:

• Gather additional assessment data about the pain and weakness.

Question:

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?

• Thick skin plaques topped by silvery white scales
• Tenderness upon palpation and generalized erythema
• Brown, rough, greasy, wart-like papules on the face
• Requires sunglasses because sunlight hurts eyes

Answer:

• Tenderness upon palpation and generalized erythema 2 / 4

Question:

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?

• Encourage regular turning.
• Monitor skin for breakdown.
• Strict IV fluid replacement
• Assess wound drainage daily

Answer:

• Strict IV fluid replacement

Question:

A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instructions should the nurse provide?

• Painful areas should be rubbed gently until the pain subsides.
• Return appointments will be needed for IV pain medications.
• Enrolling in a pain clinic can provide relief alternatives.
• Wearing gloves when handling cold items guards against painful spasms.

Answer: 3 / 4

• Wearing gloves when handling cold items guards against painful spasms.

Question:

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

• Explain that the need to restrict fluids is the primary limitation.
• Advise the client to limit foods that are high in calcium and iron.
• Instruct the client to avoid foods with gluten, such as wheat bread.
• Describe the use of an elimination diet to find trigger foods

Answer:

• Describe the use of an elimination diet to find trigger foods

Question:

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.?

• Jogs more frequently than usual daily routine.
• Eats a vegetarian diet with cheese 2 to 3 times a day.
• Experiences additional stress since adopting a child.
• Drinks several bottles of carbonated water daily

Answer:

• / 4