BSN 266 HESI
Med Surg (5 Set Exams)
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
5 Set Exam
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case
studies questions
Expert-Verified Explanations & Solutions
,Table of Contents
BSN 266 Hesi Med surg Exam #1 ................................................................ 2
BSN 266 Hesi Med surg Exam #2 .............................................................. 58
BSN 266 Hesi Med surg Exam #3 ............................................................ 120
BSN 266 Hesi Med surg Exam #4 ............................................................ 188
BSN 266 Hesi Med surg Exam #5 ............................................................ 248
BSN 266 HESI MED SURG EXAM #1
### 1.
A client who underwent cardiac stent placement 4 days ago arrives to the emergency
department reporting sudden onset chest pressure and shortness of breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac monitoring.
,Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent stenting is at high
risk for acute stent thrombosis or myocardial infarction (MI). Immediate acquisition of a 12-
lead ECG is critical to assess for ischemic changes and to prioritize timely reperfusion
therapy if needed. Continuous cardiac monitoring is essential to detect arrhythmias.
Although oxygen and nitroglycerin may be administered per protocol, assessment data
guides further interventions. Immediate preparation for catheterization is premature before
diagnostic confirmation.
---
### 2.
While completing a health assessment for a client with migraine headaches, the
nurse identifies bilateral weakness in the client’s hand grips. The client reports joint
pain and difficulty twisting a door knob due to weakness.
Which action should the nurse take next?
Answert’Choices:t’t’
a.t’Teacht’thet’clientt’relaxationt’techniquest’tot’managet’migrainet’pain.t’t’
b.t’Documentt’thet’findingst’andt’continuet’witht’thet’neurologicalt’assessment.t’t’
c.t’Gathert’additionalt’assessmentt’datat’aboutt’thet’paint’andt’weakness.t’t’
d.t’Refert’thet’clientt’immediatelyt’tot’at’neurologist.
Correctt’Answer:t’t’
c.t’Gathert’additionalt’assessmentt’datat’aboutt’thet’paint’andt’weakness.
Expertt’Rationale:t’t’
, Bilateralt’handt’weaknesst’andt’jointt’paint’suggestt’possiblet’systemict’ort’neurologicalt’diseaset’bey
ondt’migrainest’(e.g.,t’rheumatoidt’arthritis,t’neuropathy).t’Furthert’assessmentt’tot’clarifyt’onset,t’du
ration,t’associatedt’symptoms,t’andt’functionalt’impactt’ist’neededt’beforet’specialistt’referral.t’Imme
diatet’referralt’withoutt’datat’mayt’delayt’appropriatet’care;t’documentingt’withoutt’furthert’inquiryt’ris
kst’missingt’earlyt’diagnostict’clues.
---
###t’3.t’t’
Thet’nurset’ist’caringt’fort’at’clientt’diagnosedt’witht’psoriasist’vulgarist’receivingt’psoralent’a
ndt’ultraviolett’At’lightt’(PUVA)t’treatment.t’t’
Whicht’assessmentt’findingt’indicatest’overexposuret’tot’treatment?
Answert’Choices:t’t’
a.t’Increasedt’thickeningt’andt’scalingt’oft’plaques.t’t’
b.t’Tendernesst’upont’palpationt’andt’generalizedt’erythema.t’t’
c.t’Developmentt’oft’vesiculart’lesionst’ont’treatedt’skin.t’t’
d.t’Mildt’tanningt’oft’treatedt’areas.
Correctt’Answer:t’t’
b.t’Tendernesst’upont’palpationt’andt’generalizedt’erythema.
Expertt’Rationale:t’t’
PUVAt’therapyt’carriest’at’riskt’oft’phototoxict’reactionst’causingt’erythema,t’tenderness,t’andt’burnin
gt’whicht’signalt’overexposure.t’Tendernesst’witht’generalizedt’erythemat’suggestst’at’burn-
liket’reactiont’requiringt’treatmentt’modification.t’Vesiculart’lesionst’aret’raret’butt’possible.t’Mildt’tan
Med Surg (5 Set Exams)
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
5 Set Exam
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case
studies questions
Expert-Verified Explanations & Solutions
,Table of Contents
BSN 266 Hesi Med surg Exam #1 ................................................................ 2
BSN 266 Hesi Med surg Exam #2 .............................................................. 58
BSN 266 Hesi Med surg Exam #3 ............................................................ 120
BSN 266 Hesi Med surg Exam #4 ............................................................ 188
BSN 266 Hesi Med surg Exam #5 ............................................................ 248
BSN 266 HESI MED SURG EXAM #1
### 1.
A client who underwent cardiac stent placement 4 days ago arrives to the emergency
department reporting sudden onset chest pressure and shortness of breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac monitoring.
,Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent stenting is at high
risk for acute stent thrombosis or myocardial infarction (MI). Immediate acquisition of a 12-
lead ECG is critical to assess for ischemic changes and to prioritize timely reperfusion
therapy if needed. Continuous cardiac monitoring is essential to detect arrhythmias.
Although oxygen and nitroglycerin may be administered per protocol, assessment data
guides further interventions. Immediate preparation for catheterization is premature before
diagnostic confirmation.
---
### 2.
While completing a health assessment for a client with migraine headaches, the
nurse identifies bilateral weakness in the client’s hand grips. The client reports joint
pain and difficulty twisting a door knob due to weakness.
Which action should the nurse take next?
Answert’Choices:t’t’
a.t’Teacht’thet’clientt’relaxationt’techniquest’tot’managet’migrainet’pain.t’t’
b.t’Documentt’thet’findingst’andt’continuet’witht’thet’neurologicalt’assessment.t’t’
c.t’Gathert’additionalt’assessmentt’datat’aboutt’thet’paint’andt’weakness.t’t’
d.t’Refert’thet’clientt’immediatelyt’tot’at’neurologist.
Correctt’Answer:t’t’
c.t’Gathert’additionalt’assessmentt’datat’aboutt’thet’paint’andt’weakness.
Expertt’Rationale:t’t’
, Bilateralt’handt’weaknesst’andt’jointt’paint’suggestt’possiblet’systemict’ort’neurologicalt’diseaset’bey
ondt’migrainest’(e.g.,t’rheumatoidt’arthritis,t’neuropathy).t’Furthert’assessmentt’tot’clarifyt’onset,t’du
ration,t’associatedt’symptoms,t’andt’functionalt’impactt’ist’neededt’beforet’specialistt’referral.t’Imme
diatet’referralt’withoutt’datat’mayt’delayt’appropriatet’care;t’documentingt’withoutt’furthert’inquiryt’ris
kst’missingt’earlyt’diagnostict’clues.
---
###t’3.t’t’
Thet’nurset’ist’caringt’fort’at’clientt’diagnosedt’witht’psoriasist’vulgarist’receivingt’psoralent’a
ndt’ultraviolett’At’lightt’(PUVA)t’treatment.t’t’
Whicht’assessmentt’findingt’indicatest’overexposuret’tot’treatment?
Answert’Choices:t’t’
a.t’Increasedt’thickeningt’andt’scalingt’oft’plaques.t’t’
b.t’Tendernesst’upont’palpationt’andt’generalizedt’erythema.t’t’
c.t’Developmentt’oft’vesiculart’lesionst’ont’treatedt’skin.t’t’
d.t’Mildt’tanningt’oft’treatedt’areas.
Correctt’Answer:t’t’
b.t’Tendernesst’upont’palpationt’andt’generalizedt’erythema.
Expertt’Rationale:t’t’
PUVAt’therapyt’carriest’at’riskt’oft’phototoxict’reactionst’causingt’erythema,t’tenderness,t’andt’burnin
gt’whicht’signalt’overexposure.t’Tendernesst’witht’generalizedt’erythemat’suggestst’at’burn-
liket’reactiont’requiringt’treatmentt’modification.t’Vesiculart’lesionst’aret’raret’butt’possible.t’Mildt’tan
