1
BSN 266
BSN 266 HESI MED SURG EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)(2025/ 2026)
1. 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
2. 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?
BSN 266
, 2
BSN 266
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
3. 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
C. MRI
D. CT: A Lumbar puncture
4. An older adult client with long term type 2 DM is seen in the
clinic for a routine health assessment, which assessment would
the nurse complete to determine if a patient with type 2 DM is
experiencing long term complications?
SATA
BSN 266
, 3
BSN 266
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection: A. Sensation in
feet and legs B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
5. The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites, Which
mechanism contributes to edema and ascites in a client with
cirrhosis?
A. Decreased portacaval pressure with greater collateral
circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic
pressureC. Decreased renin angiotensin response related to an
increase in renal blood flow
BSN 266
, 4
BSN 266
D. Hyperaldosteronism causing an increased sodium absorption
in renal tubes: B. Hypoalbuminemia that results in decreased colloidal
oncotic pressure Hypoalbuminemia that results in a decreased
colloidal oncotic pressure, this is correct, in cirrhosis liver damage
leads to decreased synthesis of albumin, Albumin plays a crucial role
in maintaining colloidal oncotic pressure and when it is decreased
(hypoalbuminemia) fluid is more likely to leak out of blood vessels
resulting n edema, the same mechanism contributes to the
development of ascites in the abdominal cavity.
D: Incorrect hyperaldosteronism is characterized by an excess of
aldosterone a hormone that regulates sodium and water balance in
cirrhosis sodium retention is often related to other mechanisms such
as portal hypertension and hypoalbuminemia rather than
hyperaldosteronism.
C. Cirrhosis is more commonly associated with an activated renin
angiotensin aldosterone system, leading to increased sodium and
BSN 266
BSN 266
BSN 266 HESI MED SURG EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)(2025/ 2026)
1. 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
2. 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?
BSN 266
, 2
BSN 266
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
3. 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
C. MRI
D. CT: A Lumbar puncture
4. An older adult client with long term type 2 DM is seen in the
clinic for a routine health assessment, which assessment would
the nurse complete to determine if a patient with type 2 DM is
experiencing long term complications?
SATA
BSN 266
, 3
BSN 266
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection: A. Sensation in
feet and legs B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
5. The nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the feet and legs, and massive ascites, Which
mechanism contributes to edema and ascites in a client with
cirrhosis?
A. Decreased portacaval pressure with greater collateral
circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic
pressureC. Decreased renin angiotensin response related to an
increase in renal blood flow
BSN 266
, 4
BSN 266
D. Hyperaldosteronism causing an increased sodium absorption
in renal tubes: B. Hypoalbuminemia that results in decreased colloidal
oncotic pressure Hypoalbuminemia that results in a decreased
colloidal oncotic pressure, this is correct, in cirrhosis liver damage
leads to decreased synthesis of albumin, Albumin plays a crucial role
in maintaining colloidal oncotic pressure and when it is decreased
(hypoalbuminemia) fluid is more likely to leak out of blood vessels
resulting n edema, the same mechanism contributes to the
development of ascites in the abdominal cavity.
D: Incorrect hyperaldosteronism is characterized by an excess of
aldosterone a hormone that regulates sodium and water balance in
cirrhosis sodium retention is often related to other mechanisms such
as portal hypertension and hypoalbuminemia rather than
hyperaldosteronism.
C. Cirrhosis is more commonly associated with an activated renin
angiotensin aldosterone system, leading to increased sodium and
BSN 266
