BSN HESI 266 Med Surg EXAM (2026)
Verified Questions And Answers With
100% Correct Answers graded A+
Pleurodesis - A procedure aimed at preventing the formation of a pleural effusion by causing the
pleural spaces to seal together.
Radiation therapy consequences - Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer.
Pathologic fracture - Fractures that occur without evidence of trauma, often due to loss of bone
density from radiation damage.
Sexual activity after myocardial infarction - Sexual intercourse after an MI requires no more
energy expenditure or cardiac stress than walking briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - A type of feeding tube that differs from a
gastrostomy tube primarily in the method of insertion.
PEG tube - A tube inserted endoscopically through the esophagus into the stomach, held in
place by a bumper and a water-filled balloon.
GT - A tube inserted through an incision in the abdomen and sutured to the gastric wall.
Proctosigmoidoscopy preparation - Includes obtaining consent, a clear-liquid diet for 24 to 48
hours prior, administration of an enema, and fasting on the morning of the procedure.
,Dysuria in diabetes - Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be reported to
adjust the care plan.
Right renal calculi nursing diagnosis priority - Acute pain related to movement of the stone.
Chemotherapy initiation - Starting chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - A clinical sign of liver disease characterized by a flapping tremor of the hands.
Clear-liquid diet - A diet consisting of clear fluids, often required 24 to 48 hours before certain
medical procedures.
Enema - A procedure to introduce liquid into the rectum to stimulate a bowel movement or
cleanse the bowel before a procedure.
Fasting protocol - Refraining from all food and drink for a specified period, often required before
medical procedures.
Suprapubic pain - Pain located in the lower abdomen, often associated with urinary issues.
Bounding pulse - A pulse that feels strong and full, often measured at 100 beats/minute in this
context.
Small vesicular perineal lesions - Fluid-filled blisters in the perineal area, which may indicate an
infection or other medical condition.
Acute pain - Severe discomfort that arises suddenly, often related to conditions like renal calculi.
,Impaired urinary elimination - Difficulty in passing urine, often due to obstruction.
Risk for infection - Increased likelihood of developing an infection, often due to conditions like
urinary stasis.
Deficient knowledge - A lack of understanding or information regarding a specific health
condition or its management.
Collateral circulation - Alternative pathways of blood flow that develop as a response to
blockage or narrowing of blood vessels.
Cell cycle rate - The speed at which a cell progresses through the phases of growth and division,
impacting its sensitivity to chemotherapy.
Tumor cell count reduction - The process by which chemotherapy reduces the number of cancer
cells, with each dose killing approximately 50%.
Asterixis - A hand-flapping tremor that is often seen frequently in hepatic encephalopathy,
induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - The observation of a pulse change from 85 to 160 beats/minute
lasting more than 10 minutes should alert the nurse to call the Rapid Response Team (RRT).
Rapid Response Team (RRT) - A team called to intervene for a client with an acute life-
threatening change.
, Valsalva Maneuver - Straining with bowel movements while holding one's breath, which
increases intracerebral pressure (ICP) and may induce bleeding or rupture of cerebral blood
vessels.
HIV Post-Test Counseling - Encouraging retesting supports hope and gives the client time to
cope with the diagnosis.
Safety Checklist for Surgery - Items such as nail polish, contact lenses, and partial dentures
should be removed to provide accurate pulse oximetry readings and prevent damage during
surgery.
Nail Polish Removal - Removal provides a more accurate pulse oximetry reading and evaluation
of capillary refill.
Monitoring for Battle's Sign - A nursing action that should be included in the plan of care for a
client admitted with a hemorrhagic stroke.
Active Range of Motion - Performing active range of motion three times daily is a nursing action
for post-stroke care.
Temperature and WBC Count - A temperature of 103.1 F and a white blood cell (WBC) count of
16,000 mm3 are significant observations postoperatively.
Surgical Wound Dressing - Fresh bleeding noted on abdominal surgical wound dressing is a
concerning observation for a postoperative client.
Diaphoresis and Weakness - Weakness, diaphoresis, and complaints of feeling faint with BP
100/56 mm Hg are signs that may indicate a need for urgent care.
Verified Questions And Answers With
100% Correct Answers graded A+
Pleurodesis - A procedure aimed at preventing the formation of a pleural effusion by causing the
pleural spaces to seal together.
Radiation therapy consequences - Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer.
Pathologic fracture - Fractures that occur without evidence of trauma, often due to loss of bone
density from radiation damage.
Sexual activity after myocardial infarction - Sexual intercourse after an MI requires no more
energy expenditure or cardiac stress than walking briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - A type of feeding tube that differs from a
gastrostomy tube primarily in the method of insertion.
PEG tube - A tube inserted endoscopically through the esophagus into the stomach, held in
place by a bumper and a water-filled balloon.
GT - A tube inserted through an incision in the abdomen and sutured to the gastric wall.
Proctosigmoidoscopy preparation - Includes obtaining consent, a clear-liquid diet for 24 to 48
hours prior, administration of an enema, and fasting on the morning of the procedure.
,Dysuria in diabetes - Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be reported to
adjust the care plan.
Right renal calculi nursing diagnosis priority - Acute pain related to movement of the stone.
Chemotherapy initiation - Starting chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - A clinical sign of liver disease characterized by a flapping tremor of the hands.
Clear-liquid diet - A diet consisting of clear fluids, often required 24 to 48 hours before certain
medical procedures.
Enema - A procedure to introduce liquid into the rectum to stimulate a bowel movement or
cleanse the bowel before a procedure.
Fasting protocol - Refraining from all food and drink for a specified period, often required before
medical procedures.
Suprapubic pain - Pain located in the lower abdomen, often associated with urinary issues.
Bounding pulse - A pulse that feels strong and full, often measured at 100 beats/minute in this
context.
Small vesicular perineal lesions - Fluid-filled blisters in the perineal area, which may indicate an
infection or other medical condition.
Acute pain - Severe discomfort that arises suddenly, often related to conditions like renal calculi.
,Impaired urinary elimination - Difficulty in passing urine, often due to obstruction.
Risk for infection - Increased likelihood of developing an infection, often due to conditions like
urinary stasis.
Deficient knowledge - A lack of understanding or information regarding a specific health
condition or its management.
Collateral circulation - Alternative pathways of blood flow that develop as a response to
blockage or narrowing of blood vessels.
Cell cycle rate - The speed at which a cell progresses through the phases of growth and division,
impacting its sensitivity to chemotherapy.
Tumor cell count reduction - The process by which chemotherapy reduces the number of cancer
cells, with each dose killing approximately 50%.
Asterixis - A hand-flapping tremor that is often seen frequently in hepatic encephalopathy,
induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - The observation of a pulse change from 85 to 160 beats/minute
lasting more than 10 minutes should alert the nurse to call the Rapid Response Team (RRT).
Rapid Response Team (RRT) - A team called to intervene for a client with an acute life-
threatening change.
, Valsalva Maneuver - Straining with bowel movements while holding one's breath, which
increases intracerebral pressure (ICP) and may induce bleeding or rupture of cerebral blood
vessels.
HIV Post-Test Counseling - Encouraging retesting supports hope and gives the client time to
cope with the diagnosis.
Safety Checklist for Surgery - Items such as nail polish, contact lenses, and partial dentures
should be removed to provide accurate pulse oximetry readings and prevent damage during
surgery.
Nail Polish Removal - Removal provides a more accurate pulse oximetry reading and evaluation
of capillary refill.
Monitoring for Battle's Sign - A nursing action that should be included in the plan of care for a
client admitted with a hemorrhagic stroke.
Active Range of Motion - Performing active range of motion three times daily is a nursing action
for post-stroke care.
Temperature and WBC Count - A temperature of 103.1 F and a white blood cell (WBC) count of
16,000 mm3 are significant observations postoperatively.
Surgical Wound Dressing - Fresh bleeding noted on abdominal surgical wound dressing is a
concerning observation for a postoperative client.
Diaphoresis and Weakness - Weakness, diaphoresis, and complaints of feeling faint with BP
100/56 mm Hg are signs that may indicate a need for urgent care.
