BSN 266 HESI Med Surg Exam

BSN 266 HESI Med Surg Exam (2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A- Nightingale

Question:

The nurse is administering a saturated solution of potassium iodide (SSKI).

The nurse should:

• Pour the solution over ice chips.
• Mix the solution with an antacid.
• Dilute the solution with water, milk, or fruit juice and have the client

drink it with a straw.

• Disguise the solution in a pureed fruit or vegetable.

Answer:

• Dilute the solution with water, milk, or fruit juice and have the client

drink it with a straw.

Question:

Following a subtotal thyroidectomy, the nurse asks the client to speak immediately upon regaining consciousness. The nurse does this to monitor for signs of which of the following?

• Internal hemorrhage. 1 / 4

• Decreasing level of consciousness.
• Laryngeal nerve damage.
• Upper airway obstruction.

Answer:

• Laryngeal nerve damage

Question:

A client who has undergone a subtotal thyroidectomy is subject to complications in the first 48 hours after surgery. The nurse should obtain

and keep at the bedside equipment to:

• Begin total parenteral nutrition.
• Start a cutdown infusion.
• Administer tube feedings.
• Perform a tracheotomy.

Answer:

• Perform a tracheotomy

Question:

One day following a subtotal thyroidectomy, a client begins to have tingling

in the fingers and toes. The nurse should first:

• Encourage the client to flex and extend the fingers and toes.
• Notify the physician.
• Assess the client for thrombophlebitis. 2 / 4

• Ask the client to speak.

Answer:

• Notify the physician.

Question:

Which of the following medications should be available to provide emergency treatment if a client develops tetany after a subtotal thyroidectomy?

• Sodium phosphate.
• Calcium gluconate.
• Echothiopate iodide.
• Sodium bicarbonate.

Answer:

• Calcium gluconate.

Question:

A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following?

• Tachycardia.
• Weight gain.
• Diarrhea.
• Nausea.

Answer: 3 / 4

• Weight gain

Question:

The nurse should assess a client with hypothyroidism for which of the following?

• Corneal abrasion due to inability to close the eyelids.
• Weight loss due to hypermetabolism.
• Fluid loss due to diarrhea.
• Decreased activity due to fatigue.

Answer:

• Decreased activity due to fatigue.

Question:

When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these

feelings are:

• The effects of thyroid hormone replacement therapy and will diminish

over time.

• Related to thyroid hormone replacement therapy and will not diminish

over time.

• A normal part of having a chronic illness.
• Most likely related to low thyroid hormone levels and will improve with

treatment.

Answer:

• / 4