HESI 266 Nightingale Exam Questions
and Answers 2026–2027 | BSN Med-
Surg Study Guide
This document contains:
❖ HESI 266 Nightingale
❖ BSN 266 Nightingale HESI
❖ Nightingale College HESI 266
❖ BSN 266 Med Surg exam questions
❖ HESI Med Surg 2026
❖ Nightingale BSN exam prep
, 1. The nurse assists a client with Parkinson's disease to ambulate
in the hallway. The client appears to "freeze" and then carefully lifts
on leg and steps forward. The client tells the nurse of pretending
to step over a crack on the floor. How should the nurse respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.: c. Confirm that
this is an ettective technique to help with ambulation.
2. The nurse is teaching a client with glomerulonephritis about self
care. Which dietary recommendation should the nurse encourage
the client to follow?
a. Increase intake of high-fiber foods, such as bran cereal
b. Restrict protein intake by limiting meats and other high-protein foods
c. Limit oral fluid intake of 500 ml per day
d. Increase intake of potassium rich foods such as bananas and cantaloupe.: b.
Restrict protein intake by limiting meats and other high-protein foods
3. a 37 year old female client reports to the preoperative area for herscheduled
bariatric surgery. The decision to have bariatric surgerycame after multiple
attempts to lose weight by diet and exercisewhich resulted in intial weight
attempts were not sustained
Choose the most likely options for the information missing fromthe statement
by selecting from the lists of options provided?
The nurse recognizes that the most common serious complica-tion after
having gastric bypass surgery is as evidenced byincreased back, shoulder,
or abdominal pain, restlessness, and tachcardia.: First line - Anastomotic leak
Second line - Arrythmia (I think)
https://www.stuvia.com/user/Registerednurse 1
, 4. A client is diagnosed with chronic kidney disease and needsto begin dialy-
sis. Which condition entered on the client's medicalrecord should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrom history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C: b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients with extensive intra-abdominal
surgical history are not candidates for peritoneal dialysis, as these clients may have decreased peritoneal membrane
surface areas and scar tissue formation, which would make it insuflcient for adequate dialysis exchange.
5. A client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this
client?
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Muscle cramping and dry, flushed skin
d. Lethargy and lack of appetite: a. Palpitations and shortness of breath
Rationales: Palpitations and shortness of breath are symptoms of thyrotoxicosis, indicating excessive thyroid hormone
levels, which could result from an overdose of Levothyroxine Sodium.
6. The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema
and ascites in clients with cirrhosis?
a. Decreased portacaval pressure with greater collateral circulation.
b. Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
c. Decreased renin-angiotensin response related to an increase in renal blood-
https://www.stuvia.com/user/Registerednurse 2
and Answers 2026–2027 | BSN Med-
Surg Study Guide
This document contains:
❖ HESI 266 Nightingale
❖ BSN 266 Nightingale HESI
❖ Nightingale College HESI 266
❖ BSN 266 Med Surg exam questions
❖ HESI Med Surg 2026
❖ Nightingale BSN exam prep
, 1. The nurse assists a client with Parkinson's disease to ambulate
in the hallway. The client appears to "freeze" and then carefully lifts
on leg and steps forward. The client tells the nurse of pretending
to step over a crack on the floor. How should the nurse respond?
a. Assist the client to a carpeted area where he can walk more easily.
b. Re-orient the client to his present location and circumstance.
c. Confirm that this is an effective technique to help with ambulation.
d. Plan to assess the client's cognition after returning to his room.: c. Confirm that
this is an ettective technique to help with ambulation.
2. The nurse is teaching a client with glomerulonephritis about self
care. Which dietary recommendation should the nurse encourage
the client to follow?
a. Increase intake of high-fiber foods, such as bran cereal
b. Restrict protein intake by limiting meats and other high-protein foods
c. Limit oral fluid intake of 500 ml per day
d. Increase intake of potassium rich foods such as bananas and cantaloupe.: b.
Restrict protein intake by limiting meats and other high-protein foods
3. a 37 year old female client reports to the preoperative area for herscheduled
bariatric surgery. The decision to have bariatric surgerycame after multiple
attempts to lose weight by diet and exercisewhich resulted in intial weight
attempts were not sustained
Choose the most likely options for the information missing fromthe statement
by selecting from the lists of options provided?
The nurse recognizes that the most common serious complica-tion after
having gastric bypass surgery is as evidenced byincreased back, shoulder,
or abdominal pain, restlessness, and tachcardia.: First line - Anastomotic leak
Second line - Arrythmia (I think)
https://www.stuvia.com/user/Registerednurse 1
, 4. A client is diagnosed with chronic kidney disease and needsto begin dialy-
sis. Which condition entered on the client's medicalrecord should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrom history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C: b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients with extensive intra-abdominal
surgical history are not candidates for peritoneal dialysis, as these clients may have decreased peritoneal membrane
surface areas and scar tissue formation, which would make it insuflcient for adequate dialysis exchange.
5. A client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this
client?
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Muscle cramping and dry, flushed skin
d. Lethargy and lack of appetite: a. Palpitations and shortness of breath
Rationales: Palpitations and shortness of breath are symptoms of thyrotoxicosis, indicating excessive thyroid hormone
levels, which could result from an overdose of Levothyroxine Sodium.
6. The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema
and ascites in clients with cirrhosis?
a. Decreased portacaval pressure with greater collateral circulation.
b. Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
c. Decreased renin-angiotensin response related to an increase in renal blood-
https://www.stuvia.com/user/Registerednurse 2
