MED SURG HESI BSN 266 LATEST EXAM

MED SURG HESI BSN 266 LATEST EXAM

QUESTIONS & VERIFIED ANSWERS (ALL

CORRECTLY SOLVED) – NIGHTINGALE

Question: A client with acute osteomyelitis has undergone

surgical debridement of the diseased bone and asks the nurse how long will antibiotics have to be administered. Which information should the nurse communicate?

• Oral antibiotics for 2 to 4 months, then for dental

procedure prophylaxis.

• Parenteral antibiotics for 4 to 6 weeks, then oral

antibiotics for up to 1 year.

• Parenteral antibiotics for 4 to 8 weeks, then oral

antibiotics for 4 to 8 weeks.

• Parenteral antibiotics for 2 to 3 weeks, then oral

antibiotics for 4 weeks.

Correct answer: C

Question: In planning care for a client with an acute stroke

resulting in right-sided hemiplegia, which positioning should the nurse should use to maintain optimal functioning?

• Mid-Fowlers with knees supported.
• Supine with trochanter rolls to the hips.
• Sim's position alternated with right lateral position q2

hours.

• Left lateral, supine, brief periods on the right side, and

prone.

Correct answer: D

Question: Which preexisting diagnosis places a client at the

greatest risk of developing superior vena cava syndrome?

• Carotid stenosis.
• Steatosis hepatitis.
• Metastatic cancer.
• Clavicular fracture.

Correct answer: C

Question: The nurse is giving discharge instructions to a

client with chronic prostatitis. What instruction should the nurse provide the client to reduce the risk of spreading the infection to other areas of the client's urinary tract?

• Wear a condom when having sexual intercourse.
• Avoid consuming alcohol and caffeinated beverages.
• Empty the bladder completely with each voiding.
• Have intercourse or masturbate at least twice a week.

Correct answer: D

Question: During the initial outbreak of genital herpes

simplex for a female client, what should be the nurse's primary focus in planning care?

• Promotion of comfort.

• Prevention of pregnancy.
• Instruction in condom use.
• Information about transmission.

Correct answer: A

Question: A client who has a chronic cough with blood-

tinged sputum returns to the unit after a bronchoscopy. What nursing interventions should be implemented in the immediate post-procedural period?

• Keep the client on bed rest for eight hours.
• Check vital signs every 15 minutes for two hours.
• Allow the client nothing by mouth until the gag reflex

returns.

• Encourage fluid intake to promote elimination of the

contrast media.

Correct answer: C

Question: The nurse is assessing a client admitted from the

emergency room with gastrointestinal bleeding related to peptic ulcer disease (PUD). Which physiological factors can produce ulceration? (Select all that apply.)

• Vagal stimulation.
• An increased level of stress.
• Decreased duodenal inhibition.
• Hypersecretion of hydrochloric acid.
• An increased number of parietal cells.

Correct answer: D, E

Question: The nurse is caring for a client with non-Hodgkin’s

lymphoma who is receiving chemotherapy. Laboratory results reveal a platelet count of 10,000/ml. What action should the nurse implement?

• Encourage fluids to 3000 ml/day.
• Check stools for occult blood.
• Provide oral hygiene every 2 hours.
• Check for fever every 4 hours.

Correct answer: B

Question: Which action should the nurse implement on the

scheduled day of surgery for a client with type 1 diabetes mellitus (DM)?

• Obtain a prescription for an adjusted dose of insulin.
• Administer an oral anti-diabetic agent.
• Give an insulin dose using parameters of a sliding scale.
• Withhold insulin while the client is NPO.

Correct answer: A

Question: The nurse should explain to a client with lung

cancer that pleurodesis is performed to achieve which expected outcome?

• Prevent the formation of effusion fluid.
• Remove fluid from the intrapleural space.