EXAM STUDY GUIDE: BSN 266 MED
SURG HESI, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
nurse is caring for a client who is postoperative and has
a history Addison's disease. For which of the following
manifestations should the nurse monitor? - CORRECT ANSWERS-
Hypotension
A nurse is reinforcing discharge teaching on actions that
improve gas exchange to a client diagnosed with em-
physema. Which of the following instructions should be
included in the teaching? - CORRECT ANSWERS- 3) Breathe in
through her nose and out through pursed
lips.
A nurse is reinforcing discharge instructions with a client
who has hepatitis A. Which of the following statements by
the client indicates an understanding of the teaching? - CORRECT
ANSWERS- 2) "I will abstain from sexual intercourse."
A nurse is assisting with the care of a client who is
,postoperative and has a closed-wound drainage system
in place. Which of the following actions should the nurse
take? - CORRECT ANSWERS- 1) Fully recollapse the reservoir
after emptying it.
A nurse is caring for a client who is postoperative following
foot surgery and is not to bear weight on the operative
foot. The nurse enters the room to discover the client
hopped on one foot to the bathroom, using an IV pole for
support. Which of the following actions should the nurse
take? - CORRECT ANSWERS- 2) Tell the client to remain in the
bathroom after toileting
and obtain a wheelchair
A nurse is caring for a client scheduled for coronary
artery bypass grafting who reports he is no longer certain
he wants to have the procedure. Which of the following
responses should the nurse make - CORRECT ANSWERS- 2)
"Bypass surgery must be very frightening for you.
A nurse is caring for a client who has heart failure and
respiratory arrest. Which of the following actions should
the nurse take first? - CORRECT ANSWERS- 2) Feel for a carotid
pulse.
, A nurse is contributing to the plan of care for an older
adult client who is postoperative following a right hip
arthroplasty. Which of the following interventions should
the nurse include in the plan? - CORRECT ANSWERS- 4) Maintain
abduction of the right hip.
A nurse is caring for a client who has multiple myeloma
and has a WBC count of 2,200/mm3. Which of the fol-
lowing food items brought by the family should the nurse
prohibit from being given to the client? - CORRECT ANSWERS- 4)
Fresh fruit basket
A nurse is collecting data on a client's wound. The nurse
observes that the wound surface is covered with soft, red
tissue that bleeds easily. The nurse should recognize this
is a manifestation of which of the following - CORRECT ANSWERS-
3) Granulation tissue
nurse is preparing to provide morning hygiene care for
a client who has Alzheimer's disease. The client becomes
agitated and combative when the nurse approaches him.
Which of the following actions should the nurse plan to
SURG HESI, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
nurse is caring for a client who is postoperative and has
a history Addison's disease. For which of the following
manifestations should the nurse monitor? - CORRECT ANSWERS-
Hypotension
A nurse is reinforcing discharge teaching on actions that
improve gas exchange to a client diagnosed with em-
physema. Which of the following instructions should be
included in the teaching? - CORRECT ANSWERS- 3) Breathe in
through her nose and out through pursed
lips.
A nurse is reinforcing discharge instructions with a client
who has hepatitis A. Which of the following statements by
the client indicates an understanding of the teaching? - CORRECT
ANSWERS- 2) "I will abstain from sexual intercourse."
A nurse is assisting with the care of a client who is
,postoperative and has a closed-wound drainage system
in place. Which of the following actions should the nurse
take? - CORRECT ANSWERS- 1) Fully recollapse the reservoir
after emptying it.
A nurse is caring for a client who is postoperative following
foot surgery and is not to bear weight on the operative
foot. The nurse enters the room to discover the client
hopped on one foot to the bathroom, using an IV pole for
support. Which of the following actions should the nurse
take? - CORRECT ANSWERS- 2) Tell the client to remain in the
bathroom after toileting
and obtain a wheelchair
A nurse is caring for a client scheduled for coronary
artery bypass grafting who reports he is no longer certain
he wants to have the procedure. Which of the following
responses should the nurse make - CORRECT ANSWERS- 2)
"Bypass surgery must be very frightening for you.
A nurse is caring for a client who has heart failure and
respiratory arrest. Which of the following actions should
the nurse take first? - CORRECT ANSWERS- 2) Feel for a carotid
pulse.
, A nurse is contributing to the plan of care for an older
adult client who is postoperative following a right hip
arthroplasty. Which of the following interventions should
the nurse include in the plan? - CORRECT ANSWERS- 4) Maintain
abduction of the right hip.
A nurse is caring for a client who has multiple myeloma
and has a WBC count of 2,200/mm3. Which of the fol-
lowing food items brought by the family should the nurse
prohibit from being given to the client? - CORRECT ANSWERS- 4)
Fresh fruit basket
A nurse is collecting data on a client's wound. The nurse
observes that the wound surface is covered with soft, red
tissue that bleeds easily. The nurse should recognize this
is a manifestation of which of the following - CORRECT ANSWERS-
3) Granulation tissue
nurse is preparing to provide morning hygiene care for
a client who has Alzheimer's disease. The client becomes
agitated and combative when the nurse approaches him.
Which of the following actions should the nurse plan to
