BSN HESI 266 MED SURG FINAL PAPER
2026 FULL QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
◉ In preparing to administer intravenous albumin to a client
following surgery, what is the priority nursing intervention? (Select
all that apply.)
Select all that apply
A. Set the infusion pump to infuse the albumin within four hours.
B. Compare the client's blood type with the label on the albumin.
C. Assign a UAP to monitor blood pressure q15 minutes.
D. Administer through a large gauge catheter.
E. Monitor hemoglobin and hematocrit levels.
F. Assess for increased bleeding after administration.
Answer: A, D, E and F
Rationale
Albumin should be infused within four hours because it does not
contain any preservatives. Any fluid remaining after four hours
should be discarded. Albumin administration does not require blood
typing. Vital signs should be monitored periodically to assess for
fluid volume overload. A large gauge catheter allows for fast infusion
rate, which may be necessary. Hemodilution may decrease
,hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT
levels should be monitored. While monitoring for bleeding because
of the increased blood volume and blood pressure.
◉ A male client receives a local anesthetic during surgery. During
the post-operative assessment, the nurse notices the client is
slurring his speech. Which action should the nurse take?
A. Determine the client is anxious and allow him to sleep.
B. Evaluate his blood pressure, pulse, and respiratory status.
C. Review the client's pre-operative history for alcohol abuse.
D. Continue to monitor the client for reactivity to anesthesia.
Answer: B. Evaluate his blood pressure, pulse, and respiratory
status.
Rationale
Slurred speech in the post-operative client who received a local
anesthetic is an atypical finding and may indicate neurological
deficits that require further assessment, so obtaining the client's
vital signs will provide information about possible cardiovascular
complications, such as stroke.
◉ Which symptoms should the nurse expect a client to exhibit who
is diagnosed with a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
,C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness.
Answer: B. Headache, diaphoresis, and palpitations.
Rationale
Pheochromocytoma is a catecholamine secreting non-cancerous
tumor of the adrenal medulla, and a headache, profuse sweating and
palpitations is the typical triad of symptoms depending upon the
relative proportions of epinephrine and norepinephrine secretion.
Surgical removal of the tumor is the only treatment.
◉ A client with diabetes mellitus is experiencing polyphagia. Which
outcome statement is the priority for this client?
A. Fluid and electrolyte balance.
B. Prevention of water toxicity.
C. Reduced glucose in the urine.
D. Adequate cellular nourishment.
Answer: D. Adequate cellular nourishment.
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that
precipitates glucosuria and polyuria (frequent urination), polydipsia
(excessive thirst), and polyphagia (excessive hunger). Polyphagia is a
consequence of cellular malnourishment when insulin deficiency
prevents utilization of glucose into the cell for energy, so the
outcome statement should include stabilization of adequate cellular
, nutrition which is done by providing the insulin supplement the
client needs.
◉ The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information should
the nurse provide?
A. Two weeks before menstruation.
B. Vaginal mucous discharge is thick.
C. Low basal temperature.
D. First thing in the morning.
Answer: A. Two weeks before menstruation.
Rationale
Ovulation typically occurs 14 days before menstruation begins
during a typical 28 day cycle. Sexual intercourse should occur within
24 hours of ovulation for an increase chance of conception to occur.
High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics to become more "slippery" and
stretchy, along with a rise in basal temperature. The timing during
the day is not as significant in determining conception as the day
before and after ovulation.
◉ Which intervention should the nurse plan to implement when
caring for a client who has just undergone a right above-the-knee
amputation?
A. Maintain the residual limb on three pillows at all times.
2026 FULL QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
◉ In preparing to administer intravenous albumin to a client
following surgery, what is the priority nursing intervention? (Select
all that apply.)
Select all that apply
A. Set the infusion pump to infuse the albumin within four hours.
B. Compare the client's blood type with the label on the albumin.
C. Assign a UAP to monitor blood pressure q15 minutes.
D. Administer through a large gauge catheter.
E. Monitor hemoglobin and hematocrit levels.
F. Assess for increased bleeding after administration.
Answer: A, D, E and F
Rationale
Albumin should be infused within four hours because it does not
contain any preservatives. Any fluid remaining after four hours
should be discarded. Albumin administration does not require blood
typing. Vital signs should be monitored periodically to assess for
fluid volume overload. A large gauge catheter allows for fast infusion
rate, which may be necessary. Hemodilution may decrease
,hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT
levels should be monitored. While monitoring for bleeding because
of the increased blood volume and blood pressure.
◉ A male client receives a local anesthetic during surgery. During
the post-operative assessment, the nurse notices the client is
slurring his speech. Which action should the nurse take?
A. Determine the client is anxious and allow him to sleep.
B. Evaluate his blood pressure, pulse, and respiratory status.
C. Review the client's pre-operative history for alcohol abuse.
D. Continue to monitor the client for reactivity to anesthesia.
Answer: B. Evaluate his blood pressure, pulse, and respiratory
status.
Rationale
Slurred speech in the post-operative client who received a local
anesthetic is an atypical finding and may indicate neurological
deficits that require further assessment, so obtaining the client's
vital signs will provide information about possible cardiovascular
complications, such as stroke.
◉ Which symptoms should the nurse expect a client to exhibit who
is diagnosed with a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
,C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness.
Answer: B. Headache, diaphoresis, and palpitations.
Rationale
Pheochromocytoma is a catecholamine secreting non-cancerous
tumor of the adrenal medulla, and a headache, profuse sweating and
palpitations is the typical triad of symptoms depending upon the
relative proportions of epinephrine and norepinephrine secretion.
Surgical removal of the tumor is the only treatment.
◉ A client with diabetes mellitus is experiencing polyphagia. Which
outcome statement is the priority for this client?
A. Fluid and electrolyte balance.
B. Prevention of water toxicity.
C. Reduced glucose in the urine.
D. Adequate cellular nourishment.
Answer: D. Adequate cellular nourishment.
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that
precipitates glucosuria and polyuria (frequent urination), polydipsia
(excessive thirst), and polyphagia (excessive hunger). Polyphagia is a
consequence of cellular malnourishment when insulin deficiency
prevents utilization of glucose into the cell for energy, so the
outcome statement should include stabilization of adequate cellular
, nutrition which is done by providing the insulin supplement the
client needs.
◉ The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information should
the nurse provide?
A. Two weeks before menstruation.
B. Vaginal mucous discharge is thick.
C. Low basal temperature.
D. First thing in the morning.
Answer: A. Two weeks before menstruation.
Rationale
Ovulation typically occurs 14 days before menstruation begins
during a typical 28 day cycle. Sexual intercourse should occur within
24 hours of ovulation for an increase chance of conception to occur.
High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics to become more "slippery" and
stretchy, along with a rise in basal temperature. The timing during
the day is not as significant in determining conception as the day
before and after ovulation.
◉ Which intervention should the nurse plan to implement when
caring for a client who has just undergone a right above-the-knee
amputation?
A. Maintain the residual limb on three pillows at all times.
