BSNl 266l HESIl Medl Surgl Examl (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Anl adultl clientl whol hadl al gastricl bypassl surgeryl 2l weeksl ago,l isl admittedl withl possiblel anastomosisl leakage.l Thel client'sl abdomenl isl tenderl tol touch,l andl thel vitall signsl arel temperaturel 101*l Fl (38l 3*l C).l heartl ratel 130l beats/minute,l Respiratoryl ratel 26l breaths/minute,l andl bloodl pressurel 100/50l mmHg.l Whichl interventionl isl mostl importantl forl thel nursel tol includel inl thel client'sl planl ofl care?a.l Encouragel regularl turning.b.l Monitorl skinl forl breakdown.c.l Strictl IVl fluidl replacement d.l Assessl woundl drainagel daily
Answer:
c.l Strictl IVl fluidl replacement
Q:l Al clientl whol wasl recentlyl diagnosedl withl Raynaud'sl diseasel isl concernedl aboutl painl management.l Whichl nursingl instructionsl shouldl thel nursel provide?
a.l Painfull areasl shouldl bel rubbedl gentlyl untill thel painl subsides.b.l Returnl appointmentsl willl bel neededl forl IVl painl medications.c.l Enrollingl inl al painl clinicl canl providel reliefl alternatives.d.l Wearingl glovesl whenl handlingl coldl itemsl guardsl againstl painfull spasms.
Answer:
d.l Wearingl glovesl whenl handlingl coldl itemsl guardsl againstl painfull spasms.
Q:l Al clientl withl newlyl diagnosedl Crohn'sl diseasel asksl thel nursel aboutl dietaryl restrictions.l Howl shouldl thel nursel respond?a.l Explainl thatl thel needl tol restrictl fluidsl isl thel primaryl limitation.b.l Advisel thel clientl tol limitl foodsl thatl arel highl inl calciuml andl iron. 1 / 3
c.l Instructl thel clientl tol avoidl foodsl withl gluten,l suchl asl wheatl bread.d.l Describel thel usel ofl anl eliminationl dietl tol findl triggerl foods
Answer:
d.l Describel thel usel ofl anl eliminationl dietl tol findl triggerl foods
Q:l Thel nursel isl obtainingl al healthl historyl froml al newl clientl whol hasl al historyl ofl kidneyl stones.l Whichl statementl byl thel clientl indicatesl anl increasedl riskl forl renall calculi.?a.l Jogsl morel frequentlyl thanl usuall dailyl routine.b.l Eatsl al vegetarianl dietl withl cheesel 2l tol 3l timesl al day.c.l Experiencesl additionall stressl sincel adoptingl al child.d.l Drinksl severall bottlesl ofl carbonatedl waterl daily
Answer:
b.l Eatsl al vegetarianl dietl withl cheesel 2l tol 3l timesl al day.
Q:l Anl olderl malel clientl tellsl thel nursel thatl hel isl losingl sleepl becausel hel hasl tol getl upl severall timesl atl nightl tol gol tol thel bathroom,l thatl hel hasl troublel startingl hisl urinaryl system,l andl thatl hel doesl notl feell likel hisl bladderl isl everl completelyl empty.l Whichl interventionl shouldl thel nursel implement?a.l Reviewl thel client'sl fluidl intakel priorl tol bedtime.b.l Obtainl al fingerl stickl bloodl glucosel level.c.l Palpatel thel bladderl abovel thel symphysisl pubis.d.l Collectl al urinel specimenl forl culturel analysis
Answer:
c.l Palpatel thel bladderl abovel thel symphysisl pubis.
Q:l Al clientl isl diagnosedl withl chronicl kidneyl diseasel andl needsl tol beginl dialysis.l Whichl conditionl enteredl onl thel client'sl medicall recordl shouldl thel nursel recognizel asl al contraindicationl forl peritoneall dialysis?a.l Nephroticl syndromel history.b.l Latentl hepatitisl C.c.l Crohn'sl diseasel withl colectomy.d.l Typel 2l diabetesl mellitus 2 / 3
Answer:
c.l Crohn'sl diseasel withl colectomy.
Q:l Whenl providingl carel forl anl unconsciousl clientl whol hasl seizures.l
Whichl nursingl interventionl isl mostl essential?a.l Maintainl thel clientl inl al semi-Fowler'sl position.b.l Keepl thel rooml atl al comfortablel temperature.c.l Ensurel orall suctionl isl available.d.l Providel frequentl mouthl care
Answer:
c.l Ensurel orall suctionl isl available.
Q:l Al clientl presentsl tol thel emergencyl departmentl reportingl chestl painl thatl isl radiationl tol thel leftl arm,l shortnessl ofl breath,l andl diaphoresis.l Whichl medicationl shouldl thel nursel anticipatel beingl prescribedl byl thel healthcarel provider?a.l Fentanyl.b.l Hydromorphone.c.l Oxycodone.d.l Morphine
Answer:
d.l Morphine
Q:l Anl adultl whol wasl recentlyl diagnosedl withl glaucomal tellsl thel nurse,l "Itl feelsl likel Il aml drivingl throughl al tunnel."l Thel clientl expressesl greatl concernl aboutl goingl blind.l Whichl nursingl instructionl isl mostl importantl forl thel nursesl tol providel thisl client?a.l Maintainl prescribedl eyel dropl regimen b.l Eatl al dietl highl inl carotene.c.l Wearl prescriptionl glasses.d.l Avoidl frequentl eyel pressurel measurement.
Answer:
a.l Maintainl prescribedl eyel dropl regimen
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