BSN 266 HESI Med Surg Exam (2023/ 2024) Questions and Verified Answers|100% Correct| Grade A- Nightingale

BSN 266 HESI Med Surg Exam (2023/ 2024)

Questions and Verified Answers|100%

Correct| Grade A- Nightingale

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

should:

A. Pour the solution over ice chips.

B. Mix the solution with an antacid.

C. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.

D. Disguise the solution in a pureed fruit or vegetable.

Answer:

C. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.

Q: 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?

A. Internal hemorrhage.

B. Decreasing level of consciousness.

C. Laryngeal nerve damage.

D. Upper airway obstruction.

Answer:

C. Laryngeal nerve damage

Q: 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:

A. Begin total parenteral nutrition.

B. Start a cutdown infusion.

C. Administer tube feedings.

D. Perform a tracheotomy.

Answer:

D. Perform a tracheotomy

Q: One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers

and toes. The nurse should first:

A. Encourage the client to flex and extend the fingers and toes.

B. Notify the physician.

C. Assess the client for thrombophlebitis.

D. Ask the client to speak.

Answer:

B. Notify the physician.

Q: Which of the following medications should be available to provide emergency treatment if a

client develops tetany after a subtotal thyroidectomy?

1. Sodium phosphate.

2. Calcium gluconate.

3. Echothiopate iodide.

4. Sodium bicarbonate.

Answer:

2. Calcium gluconate.

Q: A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the client

for which of the following?

A. Tachycardia.

B. Weight gain.

C. Diarrhea.

D. Nausea.

Answer:

B. Weight gain

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

A. Corneal abrasion due to inability to close the eyelids.

B. Weight loss due to hypermetabolism.

C. Fluid loss due to diarrhea.

D. Decreased activity due to fatigue.

Answer:

D. Decreased activity due to fatigue.

Q: 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:

A. The effects of thyroid hormone replacement therapy and will diminish over time.

B. Related to thyroid hormone replacement therapy and will not diminish over time.

C. A normal part of having a chronic illness.

D. Most likely related to low thyroid hormone levels and will improve with treatment.

Answer:

D. Most likely related to low thyroid hormone levels and will improve with treatment.

Q: The nurse is instructing the client with hypothyroidism who takes levothyroxine(Synthroid)

100 mcg, digoxin (Lanoxin) and simvastatin (Zocor). Teaching regarding medications is

effective if the client will take:

A. The Synthroid with breakfast and the other medications after breakfast.

B. The Synthroid before breakfast and the other medications 4 hours later.

C. All medications together 1 hour after eating breakfast.

D. All medications before going to bed.

Answer:

B. The Synthroid before breakfast and the other medications 4 hours later.

Q: The nurse is teaching a diabetic client using an empowerment approach. The nurse should

initiate teaching by asking which of the following?

A. "How much does your family need to be involved in learning about your condition?"

B. "What is required for your family to manage your symptoms?"

C. "What activities are most important for you to be able to maintain control of your diabetes?"

D. "What do you know about your medications and condition?"

Answer:

C. "What activities are most important for you to be able to maintain control of your diabetes?"