BSN 266
HESI Med Surg Exam 2026/2027 | Nightingale College | Practice
Questions, Answers & Detailed Rationales | Complete Study Guide
RESOURCE FEATURES
• BSN HESI 266 Med Surg exam preparation
• 2026/2027-focused study material
• Nightingale College-focused review
,BSN 266 HESI Med Surg Exam 2026/2027 |
Nightingale College | Practice Questions,
Answers & Detailed Rationales | Complete
Study Guide
1. A client is recovering from a transurethral
prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare
provider?
A. Drink 3L
B. Ambulate independently
C. Drive a car
D. Resume sexual activity
Answer: A
Rationale: After TURP, excessive fluid intake (3L) can
overdistend the bladder and stress the surgical site. Fluids
should be limited until the first postoperative visit.
,2. A client with stage IV bone cancer is admitted to the
hospital for pain management on a 1–10 scale. Which
intervention should the nurse implement?
A. Administer opioid and non-opioid medications
simultaneously
B. Wait until pain is severe before medicating
C. Use only non-opioid analgesics
D. Administer opioids only as needed
Answer: A
Rationale: Multimodal analgesia combining opioids and non-
opioids provides better pain control with fewer side effects.
Simultaneous administration is recommended for cancer pain.
3. A client experiences an ABO incompatibility reaction
after multiple blood transfusions. Which finding should
the nurse report immediately to the healthcare
provider?
, A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticaria
D. Arthritic joint changes and chronic pain
Answer: A
Rationale: Acute hemolytic transfusion reaction presents with
low back pain, hypotension, fever, chills, and dark urine. It is
life-threatening and requires immediate intervention.
4. When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction
should the nurse include?
A. Have small frequent meals and sit up for at least two hours
after meals
B. Eat a bland diet and avoid spicy foods
C. Eat a high-fiber diet and increase fluid intake
D. Eat a soft diet with increased intake of milk and milk
products
HESI Med Surg Exam 2026/2027 | Nightingale College | Practice
Questions, Answers & Detailed Rationales | Complete Study Guide
RESOURCE FEATURES
• BSN HESI 266 Med Surg exam preparation
• 2026/2027-focused study material
• Nightingale College-focused review
,BSN 266 HESI Med Surg Exam 2026/2027 |
Nightingale College | Practice Questions,
Answers & Detailed Rationales | Complete
Study Guide
1. A client is recovering from a transurethral
prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare
provider?
A. Drink 3L
B. Ambulate independently
C. Drive a car
D. Resume sexual activity
Answer: A
Rationale: After TURP, excessive fluid intake (3L) can
overdistend the bladder and stress the surgical site. Fluids
should be limited until the first postoperative visit.
,2. A client with stage IV bone cancer is admitted to the
hospital for pain management on a 1–10 scale. Which
intervention should the nurse implement?
A. Administer opioid and non-opioid medications
simultaneously
B. Wait until pain is severe before medicating
C. Use only non-opioid analgesics
D. Administer opioids only as needed
Answer: A
Rationale: Multimodal analgesia combining opioids and non-
opioids provides better pain control with fewer side effects.
Simultaneous administration is recommended for cancer pain.
3. A client experiences an ABO incompatibility reaction
after multiple blood transfusions. Which finding should
the nurse report immediately to the healthcare
provider?
, A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticaria
D. Arthritic joint changes and chronic pain
Answer: A
Rationale: Acute hemolytic transfusion reaction presents with
low back pain, hypotension, fever, chills, and dark urine. It is
life-threatening and requires immediate intervention.
4. When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction
should the nurse include?
A. Have small frequent meals and sit up for at least two hours
after meals
B. Eat a bland diet and avoid spicy foods
C. Eat a high-fiber diet and increase fluid intake
D. Eat a soft diet with increased intake of milk and milk
products
