BSN 266 HESI Med Surg Practice Questions with
Approved Answers |Graded A - Nightingale.
1. Question 1 of 125 - D Enjoys fat-free yogurt as an occasional
The nurse is evaluating a snack food.
client's understanding about
the DASH (Dietary Approach-
es to Stop Hypertension) eat-
ing plan. Which behavior indi-
cates that the client is adher-
ing to the eating plan?
- A Uses only lactose-free
dairy products.
- B Carefully cleans and peels
all fresh fruit and vegetables.
- C No longer incudes grains
in daily diet.
- D Enjoys fat-free yogurt as
an occasional snack food.
2. Question 2 of 125 - A Further decline in level of conscious-
A client who has a histo- ness.
ry of hypothyroidism was ini-
tially admitted with lethargy
and confusion. Which addi-
tional finding warrants the
most immediate action by
the nurse? [Hematocrit (Refer-
ence Range: Male: 42% to 52%
(0.42 to 0.52 volume fraction)]
- A Further decline in level of
consciousness.
- B Hematocrit of 30% (0.30
volume fraction)
- C Cold and dry skin.
- D Facial puffiness and peri-
orbital edema
3. Question 3 of 55 - B Full thickness.
The nurse is caring for a client
, BSN 266 HESI Med Surg Practice Questions with
Approved Answers |Graded A - Nightingale.
with a burn that is severe-
ly edematous with a wound
bed that is brown and yel-
low in appearance. The client
expresses feeling no pain.
Which classification of burn
depth should the nurse docu-
ment?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thick-
ness.
4. Question 4 of 55 - A Urinary output.
An older client who is ag- - B Oxygen saturation.
itated, dyspneic, orthopneic, - D Lung sounds.
and using accessory mus-
cles to breathe is admit- Orthopneic position, sometimes called tri-
ted for further treatment. Ini- pod position, is a sitting position where an
tial assessment includes a individual leans slightly forward with their
heart rate 128 beats/minute arms propped up on an overbed table or
and irregular, respirations 38 their knees.
breaths/minute, blood pres-
sure 168/100 mm Hg, wheezes Orthopnea is the sensation of breathless-
and crackles in all lung fields. ness in the recumbent (lying down) posi-
An hour after the administra- tion, relieved by sitting or standing.
tion of furosemide 60 mg in-
travenous (IV), which assess-
ment(s) should the nurse ob-
tain to determine the client's
response to treatment? (Se-
lect all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
, BSN 266 HESI Med Surg Practice Questions with
Approved Answers |Graded A - Nightingale.
- D Lung sounds.
- E Skin elasticity.
5. Question 5 of 55 - B Crohn's disease with colectomy.
A client is diagnosed with
chronic kidney disease and Question # 5
needs to begin dialysis. WhichRationale - B Crohn's disease with colecto-
condition entered on the my.
client's medical record shouldThe nurse should recognize that clients with
the nurse recognize as a con- extensive intra-abdominal surgical history
traindication for peritoneal are not candidates for peritoneal dialysis,
dialysis? as these clients may have decreased peri-
toneal membrane surface areas and scar
- A Nephrotic syndrome histo- tissue formation, which would make it insuf-
ry. ficient for adequate dialysis exchange.
- B Crohn's disease with
colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
6. Question 6 of 55 - D Hypoalbuminemia that results in a de-
The nurse assesses a client creased colloidal oncotic pressure.
with cirrhosis and finds 4+
pitting edema of the feet The three main things that the liver pro-
and legs, and massive as- duces are albumin, bile (digestive en-
cites. Which mechanism con- zymes), and prothrombin (clotting factors).
tributes to edema and ascites Albumin plays many important roles in-
in clients with cirrhosis? cluding maintenance of appropriate osmot-
- A Decreased portacaval ic pressure, binding and transport of vari-
pressure with greater collater- ous substances like hormones, drugs etc.
al circulation. in blood, and neutralisation of free radi-
- B Hyperaldosteronism caus- cals. It prevents fluid from leaking out of
ing an increased sodium reab- blood vessels into your tissues. Albumin is
sorption in renal tubules. also responsible for transporting vitamins,
- C Decreased renin-an- enzymes and hormones throughout your
giotensin response related to body. Albumin makes up 50% of the pro-
an increase in renal blood teins found in your plasma.
flow.
- D Hypoalbuminemia that re-
, BSN 266 HESI Med Surg Practice Questions with
Approved Answers |Graded A - Nightingale.
sults in a decreased colloidal
oncotic pressure.
7. Question 7 of 55 - B Discuss approaches to chronic pain
While assessing a client with control with the client.
degenerative joint disease,
the nurse observes Heber-
den's nodes, large promi-
nences on the client's fingers
that are reddened. The client
reports that the nodes are
painful. Which action should
the nurse take?
- A Review the client's dietary
intake of high-protein foods.
- B Discuss approaches to
chronic pain control with the
client.
- C Notify the healthcare
provider of the finding imme-
diately.
- D Assess the client's radi-
al pulses and capillary refill
time.
8. Question 8 of 55 - B Minimize symptoms by wearing loose,
Which information should the comfortable clothing.
nurse include in the teaching
plan of a client diagnosed with
gastroesophageal reflux dis-
ease (GERD)?
- A Adjust food intake to three
full meals per day and no
snacks.
- B Minimize symptoms by
wearing loose, comfortable
clothing.
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