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BSN 266 HESI QUESTIONS ABD ANSWERS
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BSN 266 HESI QUESTIONS ABD ANSWERS
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BSN 266 HESI QUESTIONS ABD ANSWERS- D Enjoys fat-free yogurt as an occasional snack food.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary Approaches
to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering
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.
- A Further decline in level of consciousness.
Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with lethargy and
confusion. Which additional finding warrants the most immediate action by the nurse?
[Hematocrit (Reference 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 periorbital edema
- B Full thickness.
Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous with a wound bed
that is brown and yellow in appearance. The client expresses feeling no pain. Which
classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
,Orthopneic position, sometimes called tripod position, is a sitting position where an
individual leans slightly forward with their arms propped up on an overbed table or their
knees.
Orthopnea is the sensation of breathlessness in the recumbent (lying down) position,
relieved by sitting or standing.
Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to
breathe is admitted for further treatment. Initial assessment includes a heart rate 128
beats/minute and irregular, respirations 38 breaths/minute, blood pressure 168/100 mm
Hg, wheezes and crackles in all lung fields. An hour after the administration of
furosemide 60 mg intravenous (IV), which assessment(s) should the nurse obtain to
determine the client's response to treatment? (Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
- B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with colectomy.
The nurse should recognize that clients with extensive intra-abdominal surgical history
are not candidates for peritoneal dialysis, as these clients may have decreased
peritoneal membrane surface areas and scar tissue formation, which would make it
insufficient for adequate dialysis exchange.
Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which
condition entered on the client's medical record should the nurse recognize as a
contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
,- D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
The three main things that the liver produces are albumin, bile (digestive enzymes), and
prothrombin (clotting factors).
Albumin plays many important roles including maintenance of appropriate osmotic
pressure, binding and transport of various substances like hormones, drugs etc. in
blood, and neutralisation of free radicals. It prevents fluid from leaking out of blood
vessels into your tissues. Albumin is also responsible for transporting vitamins, enzymes
and hormones throughout your body. Albumin makes up 50% of the proteins found in
your plasma.
Question 6 of 55
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and
legs, and massive ascites. Which mechanism contributes to edema and ascites in
clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation.
- B Hyperaldosteronism causing an increased sodium reabsorption in renal tubules.
- C Decreased renin-angiotensin response related to an increase in renal blood flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
- B Discuss approaches to chronic pain control with the client.
Question 7 of 55
While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences 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 immediately.
- D Assess the client's radial pulses and capillary refill time.
- B Minimize symptoms by wearing loose, comfortable clothing.
Question 8 of 55
Which information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
- C Avoid participation in any aerobic exercise programs.
- D Sleep without pillows at night to maintain neck alignment.
- D Platelet count.
Question 9 of 55
, The nurse assesses a client with petechiae and ecchymosis scattered across the arms
and legs. Which laboratory result should the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
- A Family members can help with regular foot exams.
Question 10 of 55
The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
- A Family members can help with regular foot exams.
- B Heating pads are useful if on the lowest setting.
- C Shoes should be worn outside the house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in lukewarm water for one hour or more.
- A: Inspect ankles daily for areas of darkening skin.
Regular inspection can help detect any changes or worsening of the condition early.
- C: Keep legs elevated when sitting or lying down.
Elevation can help reduce swelling and improve blood circulation.
- E: Eat a diet that is high in protein and vitamins A and C.
A nutritious diet can support wound healing and overall health.
The nurse should not include the following instructions:
- B: Apply intermittent cold compresses four times daily. There is no evidence from the
search results that cold compresses are beneficial for venous leg ulcers.
- D: Maintain bed rest as much as possible. On the contrary, physical activity, such as
walking, can promote blood circulation and aid in wound healing.
Question 11 of 55
The nurse is providing discharge teaching to an older adult client hospitalized for
treatment of venous leg ulcers. Which instruction(s) should the nurse include in the
teaching plan? (Select all that apply.)
- A Inspect ankles daily for areas of darkening skin.
- B Apply intermittent cold compresses four times daily.
- C Keep legs elevated when sitting or lying down.
- D Maintain bed rest as much as possible.
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