BSN HESI 266 Med Surg Exam (Latest 2024/ 2025) Questions and Verified Answers|
100% Correct| Grade A- Nightingale
The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to
stop hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan - ANSWER Enjoys fat free yogurt as an occasional snack food
The nurse is caring for a client diagnosed with psoriasis Vulgaris who is receiving psoralen and ultraviolet light. Which finding indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
B. Tenderness upon palpation and generalized erythema
The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin sodium 5,000 units subcutaneously daily. What is the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
C. Notify the healthcare provider of the client's medication history
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is the most important for the nurse to take?
A. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with patient
B. Assist the client to recall everyone possibly exposed since onset of symptoms C. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test results.
D. Move the client to a private room, keep the door closed, and initiate droplet precautions. D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
A client arrives to the emergency department reporting an intermittent fever and night sweats for the past 3 weeks and has developed a productive cough containing small amounts of blood. Which intervention should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
D. Obtain a sputum sample
A. Move into airborne isolation
The nurse is caring for a client with human immunodeficiency virus (HIV) who has developed oral thrush and is experiencing burning and soreness in the mouth. Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
D. Administer a topical analgesic
D. Adminiter a topical analgesic
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?
A. Weakened cough effort
B. Inappropriate laughter
C. Increasing anxiety
D. Asymmetrical weakness
A. Weakened cough effort
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. Type 2 Diabetes Mellitus
B. Nephrotic syndrome history
C. Crohn's disease with colectomy
D. Latent hepatitis C C. Crohn's disease with colectomy
After falling down the basement steps, a client is brought to the emergency room. X-rays confirms that the client's right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse?
A. Complaint of throbbing right leg pain
B. Circumferential edema of right foot
C. Increased temperature to lower extremity
D. Right foot pale with sluggish capillary refill
D. Right foot pale with sluggish capillary refill
The nurse has conducted a cancer prevention community education program. In evaluating the participants understanding of the carcinogens, which statement indicates an accurate understanding?
A. Carcinogens are in the environment and cannot be avoided
B. Substances that change a cell so that it becomes cancerous
C. Carcinogens are substances that contain cancerous cells
D. Environmental factors such as sunlight and chemicals can cause cancer to spread
B. Substances that change a cell so that it becomes cancerous
The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that she is adhering to the eating plan?
A. Enjoys fat-free yogurt as an occasional snack food
B. No longer includes grains in daily diet
C. Carefully cleans and peels all fresh fruit and vegetables
D. Uses only lactose-free dairy products
A. Enjoys fat-free yogurt as an occasional snack food
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?
A. Explain that the need to restrict fluids is the primary limitation B. Instruct the client to avoid foods with gluten, such as wheat bread
C. Describe the use of an elimination diet to find trigger foods
D. Advise the client to limit foods that are high in calcium and iron
C. Describe the use of an elimination diet to find trigger foods
While completing a health assessment for a client with migraine headaches, the nurse assesses bilateral weakness _____. The client reports joint pain and trouble twisting a door knob due to weakness. Which action should the nurse take?
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