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Exam (elaborations)

BSN HESI 266 QUESTIONS AND ANSWERS 2024/2025

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  • Course
  • BSN 266
  • Institution
  • BSN 266

Client is recovering from a transurethral prostatectomy. Which activity should be limited until after the first postoperative visit with the healthcare provider? → Drink 3L A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which intervention should the nurse i...

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  • October 15, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BSN 266
  • BSN 266
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2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!


BSN HESI 266 QUESTIONS AND
ANSWERS 2024/2025
Client is recovering from a transurethral prostatectomy. Which activity should be limited until

after the first postoperative visit with the healthcare provider?


→ Drink 3L


A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which

intervention should the nurse implement?

→ Administer opioid and non-opioid medications simultaneously


A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which

finding should the nurse report immediately to the health care provider?




a. low back pain and hypotension




b. rhinitis and nasal stuffiness




c. delayed painful rash with urticarial




d. arthritic joint changes and chronic pain

→ a. low back pain and hypotension

→ ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION



1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

When conducting discharge teaching for a client

diagnosed with diverticulosis, which diet instruction should the nurse include?




a. Have small frequent meals and sit up for at least two hours after meals.




b. Eat a bland diet and avoid spicy foods.




c. Eat a high fiber diet and increase fluid intake.




d. Eat a soft diet with increased intake of milk and milk products

→ c. Eat a high fiber diet and increase fluid intake.

→ ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE


The nurse observes an increased number of blood clots in the drainage tubing of a client with

continuous bladder irrigation following a transurethral resection of the prostate (TURP). What

is the best initial nursing action?




a. Provide additional oral fluid intake




b. Measure the client's intake and output.




1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

c. Increase the flow of the bladder

irrigation




d. Administer a PRN dose of an antispasmodic agent


→ c. Increase the flow of the bladder
→ irrigation


→ ANSWER (C) Increase the flow of the bladder irrigation


A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of

breath and difficult to arouse. When performing a head

-to-toe assessment, the nurse discovers four analgesic patches on

→ Remove all morphine patches


Coming down the basement steps, a client is brought to the emergency room X-ray ... cast,

which assessment finding warrants immediate

Intervention by the nurse?

→ Right foot pale with sluggish capillary refill


An overweight, young adult who was

recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a

hernia repair. He tells the nurse that he is feeling very weak and jittery.




Which actions should the nurse implement?

1|Page| GradeA+ | 2 0 0 2 5

, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

(Select all that apply.)




a. Check finger stick

glucose




b. Assess skin temperature

and moisture




c. Measure pulse and blood

pressure

→ a. Check finger stick
→ glucose

→ b. Assess skin temperature
→ and moisture

→ c. Measure pulse and blood
→ pressure

→ ANSWER: (CAM)


A client who underwent cardiac stent placement four days ago arrives to the

emergency department reporting a sudden onset of chest pressure and

shortness of breath. Which action should the nurse take next?




1|Page| GradeA+ | 2 0 0 2 5

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