BSN 266 HESI RN Medical-Surgical Nursing Exam V1 (Latest Update 2024 / 2025) Questions & Answers | 100% Correct | Grade A - Nightingale
Question:
A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is most important for the nurse to include to prevent ost...
Question:
A nurse is preparing a teaching plan for a client who is post-menopausal.
Which measure is most important for the nurse to include to prevent
osteoporosis?
A. Take a multivitamin daily.
B. Use only low fat milk products.
C. Perform weight resistance exercises.
D. Bicycle for at least 3 miles every day.
Answer:
C
Rationale
Weight bearing on the skeletal system stimulates bone formation, so
recommending weight resistance exercises is most important in the
prevention of osteoporosis in post-menopausal women
,Question:
The nurse is preparing an adult client for an upper gastrointestinal (UGI)
series. Which information should the nurse include in the teaching plan?
A. The xray procedure may last for several hours.
B. A nasogastric tube (NGT) is inserted to instill the barium.
C. Enemas are given to empty the bowel after the procedure.
D. Nothing by mouth is allowed for 6 to 8 hours before the study.
Answer:
D
Rationale
The client should be NPO, to include smoking or chewing gum for at least 6
hours before the UGI study.
Question:
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn).
Which potential side effect should the nurse provide to the client about this
medication?
A. Sensitivity to sunlight.
B. Muscle fasciculations.
C. Increased urinary frequency.
D. Gastrointestinal disturbance.
Answer:
D
Rationale
,Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal
side effects such as nausea and gastric burning. It is recommended that this
drug be taken with food to avoid gastrointestinal upset
Question:
A client with sickle cell anemia is admitted with severe abdominal pain and
the diagnosis is sickle cell crisis. What is the most important nursing action to
implement?
A. Limit the client's intake of oral fluids and food.
B. Evaluate the effectiveness of narcotic analgesics.
C. Encourage the client to ambulate as tolerated.
D. Teach the client about prevention of crises.
Answer:
B
Rationale
Pain management is the priority for a client during sickle cell crisis.
Continuous narcotic analgesics are the mainstay of pain control, which
should be evaluated frequently to determine if the client's pain is adequately
controlled.
Question:
The nurse is assessing a middle-aged male client for risk factors related to
chronic illness. Which finding should the nurse assess further?
A. Thinning hair and dry scalp.
B. Increase in appetite and taste-bud acuity.
, C. Increase in muscle tone but decreased muscle strength.
D. Increase in abdominal fat deposits.
Answer:
D
Rationale
An increase in abdominal girth is a risk factor for the development of the
metabolic syndrome. According to the American Heart Association, men with
waist size 40 inches or larger and women 35 inches or larger double their risk
factor of developing CAD and increase their chances 5Xs of developing DMII
Question:
The nurse is caring for a client with a small bowel obstruction. The client is
vomiting foul-smelling fecal-like material. What action should the nurse
implement?
A. Administer antiemetics every 2 to 3 hours.
B. Position on the left side with knees drawn up.
C. Encourage ice chips sparingly.
D. Give IV fluids with electrolytes
Answer:
D
Rationale
When the bowel is obstructed, electrolytes and fluids are not absorbed, so
parenteral fluids with sodium chloride, bicarbonate, and potassium should be
administered to prevent electrolyte imbalance and dehydration
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