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of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
BSN 266 HESI UPDATED MED SURG EXAM (NEW 2025/
2026 UPDATE) | QUESTIONS AND ANSWERS | GRADE
A | 100% CORRECT (COMPLETE ANSWERS) –
NIGHTINGALE
An older adult client with a long history of chronic obstructive pulmonary disease (COPD)
is admitted with progressive shortness of breath and a persistent cough. She is anxious
and is complaining of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
B. Assist client to an upright position
A client with multiple sclerosis (MS) is admitted to the medical unit, The client reports
fatigue, muscle weakness, and diplopia. Which action should the nurse implement to
reduce the clients risk for falls? SATA
A. Provide assistance to bedside commode
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of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
A client arrives to the ED following a motor vehicle collision, The nurse observes the client
experiencing increasing dyspnea and notes absent breath sounds on the left side, which
procedure should the nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
B. Chest tube insertion
Following a transurethral resection of the prostate (TURP) a client is discharged from the
hospital with an indwelling urinary catheter, Which instruction is most important for the
nurse to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
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of 30https://www.stuvia.com/user/filwe1099salmin
of 30https://www.stuvia.com/user/filwe1099salmin
of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
An adult woman with Graves disease is admitted with severe dehydration and
malnutrition, She is currently restless and refusing to eat. Which action is most important
for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
C. Maintain a paten intravenous site
A client tells the clinic nurse about experiencing burning on urination, and assessment
reveals that the client had sexual intercourse four days ago with a person who was a
casual acquaintance, Which action should the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation
A. Obtain a specimen of urethral drainage for culture
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of
bacterial meningitis, which diagnostic procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
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of 30https://www.stuvia.com/user/filwe1099salmin
of 30https://www.stuvia.com/user/filwe1099salmin
of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
BSN 266 HESI UPDATED MED SURG EXAM (NEW 2025/
2026 UPDATE) | QUESTIONS AND ANSWERS | GRADE
A | 100% CORRECT (COMPLETE ANSWERS) –
NIGHTINGALE
An older adult client with a long history of chronic obstructive pulmonary disease (COPD)
is admitted with progressive shortness of breath and a persistent cough. She is anxious
and is complaining of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
B. Assist client to an upright position
A client with multiple sclerosis (MS) is admitted to the medical unit, The client reports
fatigue, muscle weakness, and diplopia. Which action should the nurse implement to
reduce the clients risk for falls? SATA
A. Provide assistance to bedside commode
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of 30https://www.stuvia.com/user/filwe1099salmin
of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
A client arrives to the ED following a motor vehicle collision, The nurse observes the client
experiencing increasing dyspnea and notes absent breath sounds on the left side, which
procedure should the nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
B. Chest tube insertion
Following a transurethral resection of the prostate (TURP) a client is discharged from the
hospital with an indwelling urinary catheter, Which instruction is most important for the
nurse to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
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of 30https://www.stuvia.com/user/filwe1099salmin
of 30https://www.stuvia.com/user/filwe1099salmin
of 30httpMED SURG EXAM (NEW 2025-2026 UPDA
An adult woman with Graves disease is admitted with severe dehydration and
malnutrition, She is currently restless and refusing to eat. Which action is most important
for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
C. Maintain a paten intravenous site
A client tells the clinic nurse about experiencing burning on urination, and assessment
reveals that the client had sexual intercourse four days ago with a person who was a
casual acquaintance, Which action should the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation
A. Obtain a specimen of urethral drainage for culture
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of
bacterial meningitis, which diagnostic procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
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