BSN HESI 266 Medical-Surgical Nursing, Nightingale
College, 2026–2027, Complete Exam Preparation
Questions with Correct Answers and Rationales
Introduction
This document provides comprehensive HESI 266 Medical-
Surgical Nursing examination preparation materials,
including multiple-choice, SATA, NGN, and Bowtie-style
questions with correct answers and rationales. It covers major
medical-surgical nursing concepts such as cardiovascular,
respiratory, renal, endocrine, neurological, gastrointestinal,
and musculoskeletal disorders, as well as pharmacology,
perioperative nursing, and patient education. The content
aligns with current nursing examination formats and includes
clinical judgment and prioritization scenarios designed to
support successful exam preparation.
Exam Questions and Answers
27.The nurse is obtaining the admission history for a client
with suspected ulcer disease (PUD) which objective data
reported by the client supports this medical diagnosis?
,A.Severe abdominal cramps and diarrhea after eating spicy
foods
B.Frequent use of chewable and liquid antacids for indigestion
C.Upper and mid abdominal pain is described as gnawing and
burning
D.Marked loss of weight and appetite over the last 3 or 4
months--- correct precise answer --- A. Upper and mid
abdominal pain is described as gnawing and burning
28.Five months following treatment for herpes zoster
(shingles) an older adult client tells the home health nurse of
continuing to experience pain where the
rash occurred. which action should the nurse
A.Complete an assessment of the clients pain
B.Determine if the client has had a shingles vaccination
C.Teach the client about phantom pain symptoms
D.Perform a complete mental status exam--- correct precise
answer --- A. Complete an assessment of the clients pain
29.The nurse calls the health care provider because a client
diagnosed with an aortic aneurysm (AAA) is reporting of low
back pain Which additional information about the client would
be important for the nurse to tell the health care provider?
A.Calcium level and skin condition
B.Serum amylase and level of consciousness
C.Hematocrit and blood pressure
D.White blood cell count and heart rate--- correct precise
answer ---C. Hematocrit and blood pressure
30.A client who has developed acute kidney injury (AKI) due
to an aminogly-coside antibiotic has moved from the oliguric
, phase to the diuretic phase of AKI which parameters are most
important for the nurse to plan to carefully monitor?
A.Elevated creatinine and blood urea nitrogen (BUN)
B.Side effects of total parenteral nutrition (TPN) and
intralipids
C.Uremic irritation of mucous membranes and skin surfaces
D.Hypovolemia and ECG Changes--- correct precise answer ---
D. Hypovolemia and ECH changes
31.An adult woman with primary Raynaud's phenomenon
develops pallor and then cyanosis of her fingers. After
warming her hands the fingers turn red and the client reports
burning sensation. What action should the nurse take? A,
Report the finding to the healthcare provider as soon as
possible
B. Continue to monitor the fingers until color returns to
normal
C. Secure a pulse oximeter to clients oxygen saturation
D. Apply a cool compress to the affected fingers for 20
minutes--- correct precise answer --- B. Continue to monitor
the fingers until color returns to normal
32.Which information should the nurse include when giving
discharge instruc-tions to a client following a left eye cataract
extraction with a lens implant?
A.Administer a stool softener
B.Observe pupil response of the right eye
C.Turn, cough and deep breathe every 2 hours
D.Sleep flat in a supine position--- correct precise answer ---
A. Administer a stool softner
College, 2026–2027, Complete Exam Preparation
Questions with Correct Answers and Rationales
Introduction
This document provides comprehensive HESI 266 Medical-
Surgical Nursing examination preparation materials,
including multiple-choice, SATA, NGN, and Bowtie-style
questions with correct answers and rationales. It covers major
medical-surgical nursing concepts such as cardiovascular,
respiratory, renal, endocrine, neurological, gastrointestinal,
and musculoskeletal disorders, as well as pharmacology,
perioperative nursing, and patient education. The content
aligns with current nursing examination formats and includes
clinical judgment and prioritization scenarios designed to
support successful exam preparation.
Exam Questions and Answers
27.The nurse is obtaining the admission history for a client
with suspected ulcer disease (PUD) which objective data
reported by the client supports this medical diagnosis?
,A.Severe abdominal cramps and diarrhea after eating spicy
foods
B.Frequent use of chewable and liquid antacids for indigestion
C.Upper and mid abdominal pain is described as gnawing and
burning
D.Marked loss of weight and appetite over the last 3 or 4
months--- correct precise answer --- A. Upper and mid
abdominal pain is described as gnawing and burning
28.Five months following treatment for herpes zoster
(shingles) an older adult client tells the home health nurse of
continuing to experience pain where the
rash occurred. which action should the nurse
A.Complete an assessment of the clients pain
B.Determine if the client has had a shingles vaccination
C.Teach the client about phantom pain symptoms
D.Perform a complete mental status exam--- correct precise
answer --- A. Complete an assessment of the clients pain
29.The nurse calls the health care provider because a client
diagnosed with an aortic aneurysm (AAA) is reporting of low
back pain Which additional information about the client would
be important for the nurse to tell the health care provider?
A.Calcium level and skin condition
B.Serum amylase and level of consciousness
C.Hematocrit and blood pressure
D.White blood cell count and heart rate--- correct precise
answer ---C. Hematocrit and blood pressure
30.A client who has developed acute kidney injury (AKI) due
to an aminogly-coside antibiotic has moved from the oliguric
, phase to the diuretic phase of AKI which parameters are most
important for the nurse to plan to carefully monitor?
A.Elevated creatinine and blood urea nitrogen (BUN)
B.Side effects of total parenteral nutrition (TPN) and
intralipids
C.Uremic irritation of mucous membranes and skin surfaces
D.Hypovolemia and ECG Changes--- correct precise answer ---
D. Hypovolemia and ECH changes
31.An adult woman with primary Raynaud's phenomenon
develops pallor and then cyanosis of her fingers. After
warming her hands the fingers turn red and the client reports
burning sensation. What action should the nurse take? A,
Report the finding to the healthcare provider as soon as
possible
B. Continue to monitor the fingers until color returns to
normal
C. Secure a pulse oximeter to clients oxygen saturation
D. Apply a cool compress to the affected fingers for 20
minutes--- correct precise answer --- B. Continue to monitor
the fingers until color returns to normal
32.Which information should the nurse include when giving
discharge instruc-tions to a client following a left eye cataract
extraction with a lens implant?
A.Administer a stool softener
B.Observe pupil response of the right eye
C.Turn, cough and deep breathe every 2 hours
D.Sleep flat in a supine position--- correct precise answer ---
A. Administer a stool softner
