BSN 266 HESI Med Surg Exam (2023\/ 2024) Grade A | Questions and Verified Answers|100% Correct – Nightingale<\/p>\n\n\n\n
BSN 266 HESI Med Surg Exam (2023\/ 2024)
Grade A | Questions and Verified
Answers|100% Correct – Nightingale
QUESTION
A client with a peptic ulcer has been instructed to avoid intense physical activity and stress.
Which strategy should the client incorporate into the home care plan?
A. Conduct physical activity in the morning in order to be able to rest in the afternoon.
B. Have the family agree to perform the necessary yard work at home.
C. Give up jogging and substitute a less demanding hobby.
D. Incorporate periods of physical and mental rest in the daily schedule.
Answer:
D. Incorporate periods of physical and mental rest in the daily schedule.
QUESTION
A client is to take one daily dose of ranitidine (Zantac) at home to treat a peptic ulcer. The client
understands proper drug administration of ranitidine when the client will take the drug at which
of the following times?
A. Before meals.
B. With meals.
C. At bedtime.
D. When pain occurs.
Answer:
C. At bedtime.
QUESTION
A client has been taking aluminum hydroxide 30 mL six times per day at home to treat a peptic
ulcer. The client has been unable to have a bowel movement for 3 days. Based on this
information, the nurse would determine that which of the following is the most likely cause of
the client’s constipation?
A. The client has not been including enough fiber in the diet.
B. The client needs to increase the daily exercise.
C. The client is experiencing an adverse effect of the aluminum hydroxide.<\/p>\n\n\n\n
D. The client has developed a gastrointestinal obstruction.
Answer:
C. The client is experiencing an adverse effect of the aluminum hydroxide.
QUESTION
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements
best indicates that the client understands how to correctly take the antacid?
A. “I should take my antacid before I take my other medications.”
B. “I need to decrease my intake of fluids so that I don’t dilute the effects of my antacid.”
C. “My antacid will be most effective if I take it whenever I experience stomach pains.”
D. “It is best for me to take my antacid 1 to 3 hours after meals.”
Answer:
D. “It is best for me to take my antacid 1 to 3 hours after meals.”
QUESTION
Which of the following would be an expected outcome for a client with peptic ulcer disease?
The client will:
A. Demonstrate appropriate use of analgesics to control pain.
B. Explain the rationale for eliminating alcohol from the diet.
C. Verbalize the importance of monitoring hemoglobin and hematocrit every 3months.
D. Eliminate engaging in contact sports. The Client with Cancer of the Stomach
Answer:
B. Explain the rationale for eliminating alcohol from the diet.
QUESTION
The nurse should assess the client who is being admitted to the hospital with upper GI bleeding
for which of the following? Select all that apply.<\/p>\n\n\n\n
Answer:
B. Decreased urine output
C. Tachycardia
E. Rapid respirations
F. Thirst
QUESTION
A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the
following assessments made after the procedure would indicate the development of a potential
complication?
A. The client has a sore throat.
B. The client displays signs of sedation.
C. The client experiences a sudden increase in temperature.
D. The client demonstrates a lack of appetite.
Answer:
C. The client experiences a sudden increase in temperature.
QUESTION
A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a
subtotal gastrectomy (Billroth II procedure). During preoperative teaching, the nurse is
reinforcing information about the surgical procedure. Which of the following explanations is
most accurate?
A. The procedure will result in enlargement of the pyloric sphincter.
B. The procedure will result in anastomosis of the gastric stump to the jejunum.
C. The procedure will result in removal of the duodenum.
D. The procedure will result in repositioning of the vagus nerve.
Answer:
B. The procedure will result in anastomosis of the gastric stump to the jejunum.
QUESTION
Since the diagnosis of stomach cancer, the client has been having trouble sleeping and is
frequently preoccupied with thoughts about how life will change. The client says, “I wish my life
could stay the same.” Based on this information, the nurse should understand that the client:<\/p>\n\n\n\n
A. Is having difficulty coping.
B. Has a sleep disorder.
C. Is grieving.
D. Is anxious.
Answer:
C. Is grieving
QUESTION
After a subtotal gastrectomy, the nasogastric tube drainage will be what color for about 12 to 24
hours after surgery?
A. Dark brown.
B. Bile green.
C. Bright red.
D. Cloudy white.
Answer:
A. Dark brown
QUESTION
A client has a nasogastric (NG) tube following a subtotal gastrectomy. The nurse should:
A. Irrigate the tube with 30 mL of sterile water every hour, if needed.
B. Reposition the tube if it is not draining well.
C. Monitor the client for nausea, vomiting, and abdominal distention.
D. Turn the machine to high suction if the drainage is sluggish on low suction.
Answer:
C. Monitor the client for nausea, vomiting, and abdominal distention.
QUESTION
Following a gastrectomy, the nurse should position the client in which of the following
positions?
A. Prone.
B. Supine.
C. Low Fowler’s
D. Right or left Sims.
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