BSN HESI 266 MED SURG EXAM QUESTIONS AND ANSWERS
ALL CORRECT RATED A+ | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, A procedure aimed at preventing the formation of a pleural effusion by causing the pleural
spaces to seal together. Answer: Pleurodesis
Chronic esophagitis with gastroesophageal reflux is a potential consequence of radiation therapy
for breast cancer. Answer: Radiation therapy consequences
Fractures that occur without evidence of trauma, often due to loss of bone density from radiation
damage. Answer: Pathologic fracture
Sexual intercourse after an MI requires no more energy expenditure or cardiac stress than
walking briskly up two flights of stairs. Answer: Sexual activity after myocardial infarction
A type of feeding tube that differs from a gastrostomy tube primarily in the method of insertion.
Answer: Percutaneous endoscopic gastrostomy (PEG) tube
A tube inserted endoscopically through the esophagus into the stomach, held in place by a
bumper and a water-filled balloon. Answer: PEG tube
A tube inserted through an incision in the abdomen and sutured to the gastric wall. Answer: GT
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. Answer: Proctosigmoidoscopy preparation
Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be reported to adjust the care plan.
Answer: Dysuria in diabetes
Acute pain related to movement of the stone. Answer: Right renal calculi nursing diagnosis
priority
Starting chemotherapy early increases the chance of eradicating cancer cells, as 50% of tumor
cells are killed with each dose. Answer: Chemotherapy initiation
A clinical sign of liver disease characterized by a flapping tremor of the hands. Answer:
Asterixis
A diet consisting of clear fluids, often required 24 to 48 hours before certain medical
procedures. Answer: Clear-liquid diet
A procedure to introduce liquid into the rectum to stimulate a bowel movement or cleanse the
bowel before a procedure. Answer: Enema
Refraining from all food and drink for a specified period, often required before medical
procedures. Answer: Fasting protocol
Pain located in the lower abdomen, often associated with urinary issues. Answer: Suprapubic
pain
A pulse that feels strong and full, often measured at 100 beats/minute in this context. Answer:
Bounding pulse
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
ALL CORRECT RATED A+ | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, A procedure aimed at preventing the formation of a pleural effusion by causing the pleural
spaces to seal together. Answer: Pleurodesis
Chronic esophagitis with gastroesophageal reflux is a potential consequence of radiation therapy
for breast cancer. Answer: Radiation therapy consequences
Fractures that occur without evidence of trauma, often due to loss of bone density from radiation
damage. Answer: Pathologic fracture
Sexual intercourse after an MI requires no more energy expenditure or cardiac stress than
walking briskly up two flights of stairs. Answer: Sexual activity after myocardial infarction
A type of feeding tube that differs from a gastrostomy tube primarily in the method of insertion.
Answer: Percutaneous endoscopic gastrostomy (PEG) tube
A tube inserted endoscopically through the esophagus into the stomach, held in place by a
bumper and a water-filled balloon. Answer: PEG tube
A tube inserted through an incision in the abdomen and sutured to the gastric wall. Answer: GT
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. Answer: Proctosigmoidoscopy preparation
Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be reported to adjust the care plan.
Answer: Dysuria in diabetes
Acute pain related to movement of the stone. Answer: Right renal calculi nursing diagnosis
priority
Starting chemotherapy early increases the chance of eradicating cancer cells, as 50% of tumor
cells are killed with each dose. Answer: Chemotherapy initiation
A clinical sign of liver disease characterized by a flapping tremor of the hands. Answer:
Asterixis
A diet consisting of clear fluids, often required 24 to 48 hours before certain medical
procedures. Answer: Clear-liquid diet
A procedure to introduce liquid into the rectum to stimulate a bowel movement or cleanse the
bowel before a procedure. Answer: Enema
Refraining from all food and drink for a specified period, often required before medical
procedures. Answer: Fasting protocol
Pain located in the lower abdomen, often associated with urinary issues. Answer: Suprapubic
pain
A pulse that feels strong and full, often measured at 100 beats/minute in this context. Answer:
Bounding pulse
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
