BSNl 266l HESIl Medl Surgl Practicel Examl (2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l l Fourl daysl followingl anl abdominall aorticl aneurysml repair,l thel clientl isl exhibitingl edemal ofl bothl lowerl extremities,l andl pedall pulsesl arel notl palpable.l Whichl actionl shouldl thel nursel implementl first?
A.l Elevatel extremitiesl onl pillows B.l Evaluatel edemal forl pitting C.l Assessl pulsesl withl al vascularl Doppler.D.l Wrapl thel feetl withl warmedl blankets
Answer:
C.l Assessl pulsesl withl al vascularl Doppler.
Q:l Al clientl arrivesl tol thel medicall surgicall unitl 4l hoursl afterl al trans-urethrall resectionl ofl thel prostate.l Al triplel -l lumenl catheterl forl continuousl bladderl irrigationl withl normall salinel isl infusingl andl thel nursel observersl dark,l pink-tingedl outflowl withl bloodl clotsl inl thel tubingl andl collectionl bag.l Whichl actionl shouldl thel nursel take?l
A.l Monitoringl catheterl drainage B.l Decreasingl thel flowl rate C.l Irrigatingl thel catheterl manually D.l Discontinuingl infusingl solution
Answer:
A.l Monitoringl catheterl drainage
Q:l Thel nursel isl planningl carel forl anl olderl adultl clientl whol experiencedl al cerebrovascularl accidentl severall weeksl ago.l Thel clientl hasl expressivel aphasial andl oftenl 1 / 3
becomesl frustratedl withl thel nursingl staff.l Whichl interventionl shouldl thel nursel implement?l
A.l Teachl thel clientl usel ofl basicl signl language B.l Speakl slowlyl tol thel client C.l Encouragel clientsl usel ofl picturel charts D.l Askl thel clientl simplel questions
Answer:
C.l Encouragel clientsl usel ofl picturel charts
Q:l Afterl threel daysl ofl persistentl epigastricl pain,l al femalel clientl presentsl tol thel clinic.l Shel hasl beenl takingl orall antacidsl withoutl relief.l Herl vitall signsl arel heartl ratel 122l beats/minute,l respirationsl 16l breaths/minute,l oxygenl saturationl 96%,l andl al bloodl pressurel 116/70l mmHg.l Thel nursel obtainsl al 12-leadl electrocardiograml (ECG).l Whichl assessmentl isl mostl critical?
A.l Irregularl pulsel rate B.l Bilel coloredl emesis C.l STl elevationl inl threel leads D.l Complaintl ofl radiatingl jawl pain.
Answer:
C.l STl elevationl inl threel leads
Q:l Al clientl withl acutel renall injuryl (AKI)l weighsl 50l kgl andl hasl al potassiuml levell ofl 6.7l mEq/Ll (6.7l mmol/L)l isl admittedl tol thel hospital.l Whichl prescribedl medicationl shouldl thel nursel administerl first?
A.l Calciuml acetate B.l Sodiuml polystyrenel sulfonatel 15l gramsl byl mouth.C.l Epoetinl alfa,l recombinantl 2,500l unitsl subcutaneously.D.l Sevelamerl onel tabletl byl mouth.
Answer:
B.l Sodiuml polystyrenel sulfonatel 15l gramsl byl mouth.
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Q:l Al clientl withl goutyl arthritisl reportsl tendernessl andl swellingl ofl thel rightl anklel andl greatl toe.l thel nursel observesl thel areal ofl inflammationl extendsl abovel thel anklel area.l Thel clientl receivesl prescriptionsl forl colchicinel andl indomethacin.l Whichl instructionl shouldl thel nursel includel inl thel dischargel teaching?
A.l Eatl highl proteinl foodsl tol achievel ideal bodyl weight.B.l Drinkl atl leastl 8l cupsl (1920mL)l ofl waterl perl day.C.l Usel electricl heatingl padl whenl painl isl atl itsl worse.D.l Encouragel activel rangel ofl motionl tol limitl stiffness.
Answer:
B.l Drinkl atl leastl 8l cupsl (1920mL)l ofl waterl perl day.
Q:l Al clientl receivesl al prescriptionl forl 1l literl ofl Lactatedl Ringer'sl intravenouslyl tol bel infusedl overl 6l hours.l Howl manyl mL/hrl shouldl thel nursel programl thel infusionl pumpl tol deliver?l (Enterl numericl valuel only.l Ifl roundingl isl required,l roundl tol thel nearestl wholel number.)
Answer:
167l mL/hr
Q:l Al clientl withl historyl ofl pepticl ulcerl diseasel (PUD)l isl admittedl afterl vomitingl brightl redl bloodl severall timesl overl thel coursel ofl 2l hours.l Inl reviewingl thel laboratoryl results,l thel nursel findsl thel client'sl hemoglobinl isl 12g/dLl (120l g/L)l andl thel hematocritl isl 35%l (0.35).l Whichl actionl shouldl thel nursel preparel tol take?
A.l Continuel tol monitorl forl bloodl loss B.l Administerl 1,000mLl (1L)l normall saline.C.l Transfusel 2l unitsl ofl platelets.D.l Preparel thel clientl forl emergencyl surgery.
Answer:
B.l Administerl 1,000mLl (1L)l normall saline.
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