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HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+

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HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+ HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+ HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+ HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+ HESI – BSN 266 – Reviewed Exam Questions – 2025/2026 – Complete Set with Correct Answers Graded A+ This document includes a thoroughly reviewed and updated collection of HESI exam questions for the BSN 266 course, relevant to the 2025/2026 academic year. All questions come with accurate answers and were graded A+, offering a dependable study aid for nursing students preparing for their HESI assessments.

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BSN 266 HESI
Med Surg (3 Set Exams)
(NGN-Style Presentation & Case Scenarios) Actual

Qs & Verified Ans to Pass the Exam


This Hesi test contains:

 passing score Guarantee
 3 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 ..................................................61

BSN 266 Hesi Med surg Exam #3 ................................................126




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.




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?


Answer Choices:
a. Teach the client relaxation techniques to manage migraine pain.
b. Document the findings and continue with the neurological assessment.
c. Gather additional assessment data about the pain and weakness.

, d. Refer the client immediately to a neurologist.

Table of contents

  1. 01 (NGN-Style Presentation & Case Scenarios) Actual Q 1
  2. 02 This Hesi test contains: 1
    1. passing score Guarantee 1
    2. 3 Set Exam 1
    3. Format Set of Multiple-choice 1
    4. questions with incorporating Next Generation NCLEX 1
    5. Expert-Verified Explanations & Solutions 1
  3. 03 Table of Contents 2
  4. 04 BSN 266 HESI MED SURG EXAM #1 2
    1. A client who underwent cardiac stent placement 4 d 2
    2. Which action should the nurse take next? 2
    3. Answer Choices: 2
    4. ANSWER: b. Obtain a 12-lead electrocardiogram (EC 2
    5. Expert Rationale: 3
    6. ### 2. 3
    7. While completing a health assessment for a client 3
    8. Which action should the nurse take next? 3
    9. Answer Choices: 3
    10. Expert Rationale: 5
    11. ### 3. 5
    12. The nurse is caring for a client diagnosed with ps 5
    13. Which assessment finding indicates overexposure to 5
    14. Answer Choices: 5
    15. Expert Rationale: 6
    16. ### 4. 6
    17. An adult client who had gastric bypass surgery 2 w 6
    18. Which intervention is most important for the nurse 6
    19. Answer Choices: 6
    20. Expert Rationale: 7
    21. ### 5. 7
    22. A client recently diagnosed with Raynaud's disease 7
    23. Which instruction should the nurse provide? 7
    24. Answer Choices: 7
    25. Expert Rationale: 7
    26. ### 6. 9
    27. A client with newly diagnosed Crohn’s disease asks 9
    28. How should the nurse respond? 9
    29. Answer Choices: 9
    30. Expert Rationale: 9
    31. During a history, a client with kidney stones repo 10
    32. Which statement indicates increased risk for renal 10
    33. Answer Choices: 10
    34. Expert Rationale: 10
    35. ### 8. 10
    36. An older male complains of nocturia, difficulty in 11
    37. Which nursing intervention is appropriate? 11
    38. Answer Choices: 11
    39. Expert Rationale: 11
    40. A client with chronic kidney disease needs to star 11
    41. Answer Choices: 12
    42. Expert Rationale: 13
    43. When caring for an unconscious client who has seiz 13
    44. Answer Choices: 13
    45. Expert Rationale: 14
    46. A client arrives with chest pain radiating to the 14
    47. Which medication should the nurse anticipate after 14
    48. Answer Choices: 14
    49. Expert Rationale: 14
    50. An adult with newly diagnosed glaucoma says, "It f 15
    51. Which instruction is most important? 15
    52. Answer Choices: 15
    53. Expert Rationale: 15
    54. Which teaching should the nurse include for a clie 16
    55. Answer Choices: 16
    56. Expert Rationale: 16
    57. Which intervention should the nurse prioritize? 16
    58. Answer Choices: 17
    59. Expert Rationale: 17
    60. A client receives 1 liter of Ringer’s solution IV 17
    61. Expert Rationale: 17
    62. A client with chronic pancreatitis reports persist 18
    63. Answer Choices: 18
    64. Expert Rationale: 18
    65. An older adult with COPD is admitted with worsenin 19
    66. Answer Choices: 19
    67. Expert Rationale: 19
    68. To reduce the risk of vesicant extravasation in a 19
    69. Answer Choices: 20
    70. Expert Rationale: 20
    71. A client newly diagnosed with diabetes mellitus re 20
    72. Answer Choices: 20
    73. Expert Rationale: 22
    74. An older client with heart failure is dyspneic, or 22
    75. assessments are most important to evaluate treatme 22
    76. Answer Choices: 22
    77. Correct Answers: 22
    78. Expert Rationale: 23
    79. A client with a full-thickness burn over 40% of th 23
    80. Answer Choices: 23
    81. Expert Rationale: 23
    82. A client has petechiae and ecchymosis scattered on 24
    83. Answer Choices: 24
    84. Expert Rationale: 24
    85. A client 4 hours post-transurethral resection of t 26
    86. action should the nurse take? 26
    87. Answer Choices: 26
    88. Expert Rationale: 26
    89. A client with an open femur fracture and moderate 26
    90. Answer Choices: 27
    91. Expert Rationale: 27
    92. An obese client with emphysema and a smoking histo 27
    93. Answer Choices: 27
    94. Expert Rationale: 28
    95. A healthcare provider prescribes penicillin 200,00 28
    96. Expert Rationale: 28
    97. In the post-anesthesia care unit, a client post-th 29
    98. Answer Choices: 29
    99. Expert Rationale: 29
    100. While assessing a client with degenerative joint d 30
    101. Answer Choices: 30
    102. Expert Rationale: 30
    103. A client with draining leg lesions is suspected to 30
    104. Answer Choices: 30
    105. Correct Answers: 31
    106. Expert Rationale: 31
    107. A client exposed to COVID-19 eight days ago report 31
    108. Answer Choices: 31
    109. Expert Rationale: 33
    110. A client with multiple sclerosis (MS) reports urin 33
    111. Answer Choices: 33
    112. Expert Rationale: 34
    113. A client with hypothyroidism initially admitted wi 34
    114. Answer Choices: 34
    115. Expert Rationale: 34
    116. A client with HIV has developed oral thrush and co 36
    117. implement first? 36
    118. Answer Choices: 36
    119. Expert Rationale: 36
    120. A client’s chest X-ray indicates pneumonia. Which 37
    121. Answer Choices: 37
    122. Expert Rationale: 37
    123. The nurse identifies a client at risk for stroke b 37
    124. Answer Choices: 37
    125. Expert Rationale: 39
    126. A client with gouty arthritis is prescribed colchi 39
    127. Answer Choices: 39
    128. ANSWER: 39
    129. Expert Rationale: 40
    130. A client with pheochromocytoma reports a severe he 40
    131. Answer Choices: 40
    132. Expert Rationale: 40
    133. A client with cirrhosis has 4+ pitting edema and m 41
    134. Answer Choices: 41
    135. Expert Rationale: 41
    136. A client with asthma reports episodes of bronchoco 42
    137. increased mucus production during exercise. What i 42
    138. Answer Choices: 42
    139. Expert Rationale: 42
    140. The nurse evaluates a male client’s understanding 42
    141. Answer Choices: 42
    142. Expert Rationale: 43
    143. A client in the operating room receiving succinylc 43
    144. Answer Choices: 43
    145. Expert Rationale: 44
    146. A client reports upper mid-abdominal pain describe 44
    147. Answer Choices: 44
    148. Expert Rationale: 44
    149. An adult with flank pain is diagnosed with acute p 45
    150. Answer Choices: 45
    151. Expert Rationale: 45
    152. A client with aminoglycoside-induced acute kidney 45
    153. transitioning from oliguric to diuretic phase. Whi 45
    154. Answer Choices: 46
    155. Expert Rationale: 46
    156. Which teaching point should the nurse provide to a 46
    157. Answer Choices: 46
    158. Expert Rationale: 47
    159. A client presents with sudden facial droop and slu 47
    160. Answer Choices: 47
    161. Expert Rationale: 47
    162. A hospitalized client with heart failure is experi 48
    163. Answer Choices: 48
    164. Expert Rationale: 48
    165. During assessment, a bruit is heard over a patient 48
    166. Answer Choices: 49
    167. Expert Rationale: 50
    168. (Medication calculation) An infusion is ordered to 50
    169. Answer Choices: 50
    170. Expert Rationale: 51
    171. A client with Guillain-Barré syndrome reports loss 51
    172. Answer Choices: 51
    173. Expert Rationale: 51
    174. An Addison’s disease client is prescribed corticos 52
    175. Answer Choices: 52
    176. Expert Rationale: 52
    177. Which client is NOT a candidate for initiating per 52
    178. Answer Choices: 52
    179. Expert Rationale: 53
    180. A post-operative client develops an elevated tempe 53
    181. Answer Choices: 53
    182. Expert Rationale: 53
    183. A client with type 2 diabetes mellitus reports epi 54
    184. Answer Choices: 54
    185. Expert Rationale: 54
    186. After a cancer prevention education program, a par 54
    187. Answer Choices: 55
    188. Expert Rationale: 55
    189. A client with eczema is applying 10% urea cream on 55
    190. Answer Choices: 55
    191. Expert Rationale: 55
    192. A client with hyperparathyroidism reports a sudden 56
    193. Answer Choices: 56
    194. Expert Rationale: 56
    195. After falling down basement steps, a client’s righ 57
    196. Answer Choices: 57
    197. Expert Rationale: 57
    198. A client reports sudden, severe headache and right 57
    199. Answer Choices: 57
    200. Expert Rationale: 59
    201. Four days after abdominal aortic aneurysm repair, 59
    202. Answer Choices: 59
    203. Expert Rationale: 59
    204. A nurse routinely assesses a client with Amyotroph 60
    205. Answer Choices: 60
    206. Expert Rationale: 60
    207. During preoperative assessment for cervical spine 60
    208. Answer Choices: 62
    209. Expert Rationale: 62
    210. Three days post-colon surgery, while repositioning 62
    211. Answer Choices: 62
    212. Expert Rationale: 63
    213. Which diagnostic test is most appropriate to confi 63
    214. Answer Choices: 63
    215. Expert Rationale: 63
    216. What instructions should a nurse include when teac 64
    217. Answer Choices: 64
    218. Expert Rationale: 64
    219. A client with COPD is learning HUFF coughing techn 64
    220. Answer Choices: 64
    221. Expert Rationale: 65
    222. A burn described as brown-yellow color indicates w 65
    223. Answer Choices: 65
    224. Expert Rationale: 65
    225. In a client with colon and rectal surgery, what di 66
    226. Answer Choices: 66
    227. Expert Rationale: 66
    228. A client recovering from transurethral prostatecto 66
    229. Answer Choices: 66
    230. Expert Rationale: 67
    231. A client with stage IV bone cancer is admitted for 67
    232. Answer Choices: 67
    233. Expert Rationale: 67
    234. A client develops ABO incompatibility reaction aft 68
    235. Answer Choices: 68
    236. Expert Rationale: 68
    237. Which diet instruction is appropriate for a client 68
    238. Answer Choices: 68
    239. Expert Rationale: 70
    240. The nurse notes increased blood clots in drainage 70
    241. Answer Choices: 70
    242. Expert Rationale: 70
    243. A client with lung cancer wearing a morphine sulfa 71
    244. Answer Choices: 71
    245. Expert Rationale: 71
    246. Following cast application on leg fracture, which 71
    247. Answer Choices: 71
    248. Expert Rationale: 73
    249. An overweight young adult with new type 2 diabetes 73
    250. Answer Choices: 73
    251. Expert Rationale: 73
  5. 05 BSN 266 HESI MED SURG EXAM #2 74
    1. Three weeks post-MI, a client reports his wife mov 74
    2. Answer Choices: 74
    3. Expert Rationale: 75
    4. Answer Choices: 76
    5. Expert Rationale: 76
    6. The nurse explains to a client with lung cancer th 76
    7. Answer Choices: 77
    8. Expert Rationale: 78
    9. The nurse obtains a client's history of right mast 78
    10. Answer Choices: 78
    11. Expert Rationale: 80
    12. A client scheduled for a proctosigmoidoscopy has a 80
    13. client? 80
    14. Answer Choices: 80
    15. Expert Rationale: 80
    16. A female client with type 2 diabetes reports dysur 81
    17. Answer Choices: 81
    18. Expert Rationale: 81
    19. When planning care for a client with right renal c 81
    20. Answer Choices: 81
    21. Expert Rationale: 83
    22. A client asks about the purpose of beginning chemo 83
    23. Answer Choices: 83
    24. Expert Rationale: 83
    25. To assess a client for asterixis, what position sh 84
    26. Answer Choices: 84
    27. Expert Rationale: 84
    28. Which observation should alert the nurse to call t 86
    29. Answer Choices: 86
    30. Expert Rationale: 86
    31. Expert Rationale: 88
    32. A client who just tested positive for HIV appears 88
    33. response? 88
    34. Expert Rationale: 89
    35. You are preparing a client for orthopedic surgery 89
    36. Answer Choices: 89
    37. Expert Rationale: 90
    38. The hospice team is caring for a client with termi 92
    39. A man who smokes two packs of cigarettes daily ask 93
    40. Correct Answer: c 95
    41. When teaching a client with breast cancer about pr 95
    42. A client presents with an acute asthma exacerbatio 96
    43. Correct Answer: c 96
    44. The nurse identifies candidiasis beneath a client’ 96
    45. Correct Answer: b 97
    46. When caring for a client with a PEG tube undergoin 97
    47. 21.A client is admitted with a traumatic brain injury 98
    48. striking his head against a brick wall during a ga 98
    49. 22.A female oncology client with hyperesthesia is usi 100
    50. than delegate to a practical nurse (PN)? 100
    51. 23.The nurse is preparing a teaching plan for a clien 100
    52. 24.A client with multiple trauma and known secondary 102
    53. 25.The nurse is caring for a client with HIV infectio 103
    54. 26.A young adult female reports lack of appetite, hyp 104
    55. 27.PET scan is commonly used with oncology clients to 104
    56. 28.A client lost for several days in a national fores 105
    57. 29.Prior to inserting an IV catheter, the nurse appli 105
    58. 30.What is the priority nursing action when an electr 107
    59. 31.The nurse is teaching about lovastatin (Mevacor). 109
    60. 32.Which findings are considered normal urinalysis pa 109
    61. 33.After a liver biopsy in a client with chronic Hepa 110
    62. 34.A Korean-American client with limited English prof 111
    63. 35.A client returning to the unit post-percutaneous t 111
    64. 36.A college student with vulva irritation and "cotta 113
    65. 37.Preoperative teaching for radical neck dissection 113
    66. 38.During a transfusion of the 6th unit of packed RBC 114
    67. 39.Which method elicits the most accurate information 116
    68. 40.An older female client admitted with atrophic vagi 116
    69. 41.A client with a history of hypertension, myocardia 117
    70. Answer Choices: 117
    71. Expert Rationale: 117
    72. 42.Which sexually transmitted infection (STI) should 118
    73. Answer Choices: 118
    74. Expert Rationale: 118
    75. 43.A client is admitted for complaints of chest pain 118
    76. Answer Choices: 118
    77. Expert Rationale: 120
    78. 44.A male client with chronic atrial fibrillation and 120
    79. Answer Choices: 120
    80. Expert Rationale: 121
    81. 45.The nurse is assessing a client with a cuffed trac 122
    82. tolerate cuff deflation to promote speaking and sw 122
    83. Answer Choices: 122
    84. Expert Rationale: 122
    85. 46.Which client is at highest risk for compromised ps 123
    86. Answer Choices: 123
    87. Expert Rationale: 123
    88. 47.A client in the preoperative holding area receives 123
    89. Answer Choices: 123
    90. Expert Rationale: 125
    91. 48.A client who is admitted to the coronary care unit 125
    92. Answer Choices: 125
    93. Expert Rationale: 126
    94. 49.The nurse is caring for a client who returns to th 127
    95. Answer Choices: 127
    96. Expert Rationale: 127
    97. 50.Which finding should the nurse identify as an indi 127
    98. Answer Choices: 129
    99. Expert Rationale: 129
    100. 51.The nurse is caring for a male client who had an i 129
    101. Answer Choices: 129
    102. Expert Rationale: 130
    103. 52.A male client with sickle cell anemia, who has bee 130
    104. Answer Choices: 130
    105. Expert Rationale: 130
    106. 53.The nurse is completing the health assessment of a 131
    107. Answer Choices: 131
    108. Expert Rationale: 131
    109. 54.The nurse is providing postoperative instructions 131
    110. Answer Choices: 131
    111. Expert Rationale: 133
    112. 55.The nurse is caring for a client after a transuret 133
    113. Answer Choices: 133
    114. Expert Rationale: 133
    115. 56.A male client with a prostatic stent is preparing 134
    116. Answer Choices: 134
    117. Expert Rationale: 134
    118. 57.A 48-year-old client with endometrial cancer is be 134
    119. Answer Choices: 134
    120. Expert Rationale: 136
    121. 58.Which intervention should the nurse implement that 136
    122. Answer Choices: 136
    123. Expert Rationale: 136
    124. 59.A client with Meniere's disease is incapacitated b 137
    125. Answer Choices: 137
    126. Expert Rationale: 137
    127. 60.What is the Primary Nursing problem for a client w 137
    128. Answer Choices: 137
    129. Expert Rationale: 138
    130. 61.Which finding should the nurse report to the healt 138
    131. Answer Choices: 138
    132. Expert Rationale: 138
    133. 62.The nurse directs unlicensed assistive personnel ( 138
    134. mastectomy for cancer. What information should the 139
    135. Answer Choices: 139
    136. Expert Rationale: 139
    137. 63.A client who is admitted to the ER with a possible 139
    138. diagnostic tests. Which finding requires immediate 139
    139. Expert Rationale: 141
    140. 64.The nurse is caring for a client receiving tamoxif 141
    141. Answer Choices: 141
    142. Expert Rationale: 141
    143. 65.The HCP prescribes a high protein, high fat, low c 142
    144. Answer Choices: 142
    145. Expert Rationale: 142
    146. 66.The unlicensed assistive personnel (UAP) reports t 142
    147. Answer Choices: 142
    148. Expert Rationale: 144
    149. 67.The nurse completes the visual inspection of a cli 144
    150. Answer Choices: 144
    151. Expert Rationale: 144
    152. 68.A client with acute appendicitis is experiencing a 145
    153. Answer Choices: 145
    154. Expert Rationale: 145
    155. 69.A client with type II DM arrives at the clinic wit 145
    156. In 15 minutes, the client’s capillary glucose is 7 147
    157. Answer Choices: 147
    158. Expert Rationale: 147
    159. 70.The nurse is providing instruction about log rolli 147
    160. Answer Choices: 147
    161. Expert Rationale: 148
    162. 71.A client with rheumatoid arthritis is prescribed p 148
    163. Answer Choices: 148
    164. Expert Rationale: 148
    165. 72.A client with osteoarthritis requests information 150
    166. Answer Choices: 150
    167. Expert Rationale: 150
    168. 73.A 24-year-old female client diagnosed with HPV inf 150
    169. Answer Choices: 150
    170. Expert Rationale: 152
    171. 74.The nurse is assessing a client who is bedfast and 152
    172. Answer Choices: 152
    173. Expert Rationale: 152
    174. 75.A client's prostate-specific antigen (PSA) exam re 154
    175. accurate? 154
    176. Answer Choices: 154
    177. Expert Rationale: 154
    178. 76.Based on an analysis of the client's rhythm showin 154
    179. Answer Choices: 154
    180. Expert Rationale: 155
    181. 77.A nurse is preparing a teaching plan for a client 155
    182. Answer Choices: 155
    183. Expert Rationale: 155
    184. 78.The nurse is preparing an adult client for an uppe 157
    185. teaching plan? 157
    186. Answer Choices: 157
    187. Expert Rationale: 157
    188. 79.A client with Osteoarthritis receives a prescripti 157
    189. Answer Choices: 157
    190. Expert Rationale: 159
    191. 80.A client with sickle cell anemia is admitted with 159
    192. Answer Choices: 159
    193. Expert Rationale: 159
    194. 81.A couple trying to cope with an infertility proble 161
    195. Answer Choices: 161
    196. Expert Rationale: 161
    197. 82.The nurse is assessing a middle-aged male client f 161
    198. Answer Choices: 161
    199. Expert Rationale: 163
    200. 83.The nurse is preparing discharge instructions for 163
    201. Answer Choices: 163
    202. Expert Rationale: 163
    203. 84.The nurse is caring for a client with a small bowe 164
    204. Answer Choices: 164
    205. Expert Rationale: 164
    206. 85.The nurse is assessing a client with a chest tube 165
    207. Answer Choices: 165
    208. Expert Rationale: 165
    209. 86.Which client should the nurse assess first? Answer 165
    210. Expert Rationale: 167
    211. 87.An 85-year-old male client comes to the clinic for 167
    212. Answer Choices: 167
    213. Expert Rationale: 167
    214. 88.The nurse is providing discharge instructions to a 169
    215. prognosis? 169
    216. Answer Choices: 169
    217. Expert Rationale: 169
    218. 89.A client is admitted after a blunt abdominal injur 170
    219. Expert Rationale: 170
    220. 90.A client had abdominal surgery 2 days ago and has 170
    221. pains. What nursing intervention should be impleme 170
    222. Expert Rationale: 171
    223. 91.During the assessment of a client who is 24 hours 171
    224. hemicolectomy with a temporary colostomy, the nurs 171
    225. Answer Choices: 171
    226. Expert Rationale: 171
  6. 06 BSN 266 HESI MED SURG EXAM #3 172
    1. What types of medications should the nurse expect 172
    2. A female client is brought to the clinic by her da 172
    3. and wears inadequate clothing for cold weather. Th 173
    4. The nurse is assisting a client out of bed for the 173
    5. A 32-year-old female client complains of severe ab 175
    6. In assessing cancer risk, which woman is at greate 176
    7. A client taking thiazide diuretics for six months 178
    8. Which milestone indicates successful achievement o 178
    9. A client admitted 10 hours after a myocardial infa 180
    10. A client diagnosed with emphysema and who smokes c 182
    11. A)"Does the client take digitalis?" 184
    12. B)"When was the last meal?" 185
    13. C)"Is there a history of hypertension?" 185
    14. D)"Does the client have any allergies?" 185
    15. Correct Answer: A) "Does the client take digitalis 185
    16. A postoperative client is prescribed intravenous a 187
    17. Expert Rationale: 189
    18. A male client received a local anesthetic during s 189
    19. Postoperatively, the nurse observes slurred speech 189
    20. Which cluster of symptoms would most likely be exh 190
    21. A client with uncontrolled diabetes mellitus repor 191
    22. A female client asks about the most effective time 191
    23. A client has undergone a right above-the-knee ampu 193
    24. Two days after surgery, a male client reports achi 193
    25. A client is admitted for evaluation of suspected s 194
    26. Which hallmark clinical feature characterizes smal 195
    27. A client with chronic kidney disease has a serum p 195
    28. A middle-aged male with diabetes who continues to 196
    29. A female client requests counseling on the calenda 196
    30. contraception. What is the most important informat 196
    31. During assessment of a client with advanced cirrho 198
    32. During a lung assessment, the nurse places the ste 199
    33. client’s chest and asks him to say "99" repeatedly 199
    34. A client with multiple sclerosis has urinary reten 199
    35. sensorimotor deficits. Which nursing intervention 199
    36. When reviewing laboratory values of an 80-year-old 201
    37. A client with rheumatoid arthritis is prescribed a 201
    38. A 22-year-old male diagnosed with Buerger’s diseas 202
    39. A client with bacterial meningitis develops cyanos 202
    40. Which infection control guideline from the CDC sho 203
    41. A 74-year-old woman with recently diagnosed osteop 204
    42. A client has just received a kidney transplant. Wh 204
    43. A 67-year-old woman who lives alone trips on a rug 205
    44. During a preoperative interview, a client asks abo 206
    45. A client is receiving continuous tube feedings via 206
    46. During a clinical breast examination, the nurse de 207
    47. A client has been taking oral corticosteroids for 209
    48. healthcare provider? 209
    49. In planning care for a client with Parkinson’s dis 209
    50. A)“Do you have difficulty swallowing liquids?” 209
    51. B)“Have you ever been ‘frozen’ in one spot, unable t 209
    52. C)“Do you experience muscle spasms while resting?” 209
    53. D)“Are your joints stiff in the morning?” 209
    54. Correct Answer: B) “Have you ever been ‘frozen’ in 209
    55. A client on a telemetry unit is found unconscious 210
    56. A client with primary hyperaldosteronism has lab t 210
    57. A client with chronic kidney disease complains of 212
    58. A postmenopausal client reports discomfort during 214
    59. During a home visit, a nurse observes an 81-year-o 215
    60. Which teaching point about diaphragmatic breathing 215
    61. Before initiating insulin teaching for a newly dia 216
    62. A client with a 16-year history of diabetes mellit 217
    63. A female client on oral contraceptives reports cal 217
    64. A 58-year-old postmenopausal woman is concerned ab 218
    65. A client scheduled for stress-thallium testing is 219
    66. During CPR on an unresponsive client, the nurse at 219
    67. A client with a right knee fracture has skeletal t 220
    68. A client taking furosemide (Lasix) reports difficu 221
    69. A)"Do you drink caffeine late in the day?" 221
    70. B)"Have you experienced any recent anxiety?" 221
    71. C)"What time of day do you take your medication?" 221
    72. D)"Are you exercising before bedtime?" 221
    73. A postmenopausal client reports unexpected vaginal 221
    74. A client hospitalized with severe acute diverticul 223
    75. A client taking cholestyramine for hyperlipidemia 223
    76. Following permanent pacemaker insertion, the nurse 225
    77. A client with multiple sclerosis (MS) experiences 226
    78. When performing ophthalmoscopic examination of the 226
    79. A client with early breast cancer asks about the s 228
    80. A woman who had a left radical mastectomy develops 228
    81. After chemotherapy, a client’s lab results show: s 230
    82. A 20-year-old female calls the nurse worried about 232
    83. A client with newly diagnosed breast cancer asks w 232
    84. When gathering history for a newly diagnosed Type 233
    85. A client with trigeminal neuralgia reports pain. W 233
    86. A client with heart failure has serum potassium 2. 235
    87. A client with acute renal failure secondary to dia 235
    88. A 78-year-old client with persistent vision proble 237
    89. In planning care for a client with amyotrophic lat 238
    90. A female client receiving IV vasopressin (Pitressi 238
    91. What instruction should the nurse give a client di 240
    92. A 58-year-old client with no current health proble 240
    93. When preparing a client who had a total laryngecto 241
    94. The nurse receives report about a client with a Pe 243
    95. Which client is most likely to experience obstruct 243
    96. During suctioning of an uncuffed tracheostomy tube 244
    97. A client with uncontrolled atrial fibrillation is 244
    98. A sexually active client with multiple partners re 246
    99. An elderly client is admitted with bacterial pneum 247
    100. When planning a socialization group for older long 247
    101. A client diagnosed with primary hyperaldosteronism 249
    102. A client with cirrhosis develops pedal edema and a 249
    103. Which finding is most significant in a client diag 251
    104. A client with right-sided paresis and aphasia atte 252
    105. How should the nurse position electrodes for modif 252
    106. In preventing complications for a client with mult 253
    107. When teaching a female client who uses a contracep 254
    108. Which intervention is most appropriate for a femal 254
    109. A 55-year-old male with a “history of heart troubl 256
    110. A client on a mechanical ventilator after cerebral 256
    111. A male client with hypertension also has which his 258
    112. A client with a 5-year history of Parkinson's dise 259
    113. A client who is HIV positive asks, “How will I kno 259
    114. An adult with partial and full-thickness burns ove 260
    115. thickness burns? 260
    116. A client has been on long-term corticosteroid ther 260
    117. home visit, which nursing assessment should be pri 262
    118. A client with coronary artery disease has develope 262
    119. When teaching a client newly diagnosed with Type 1 264
    120. A 62-year-old postmenopausal woman asks about mamm 265
    121. An emergency room nurse is exposed to a client wit 265
    122. A client is receiving gentamicin sulfate (Garamyci 267
    123. Which client characteristic most increases suscept 269
    124. A 49-year-old woman reports excessive sweating and 269
    125. A 72-year-old male smoker presents with shortness 270
    126. A client who sustained an ischemic stroke has a bl 271
    127. A client receiving chemotherapy complains, “Why is 272
    128. Postoperatively, a client’s urinary output has bee 273
    129. A male client smoking 2 packs daily reports diffic 273
    130. A client with gastroesophageal reflux disease (GER 275
    131. A 51-year-old overweight truck driver, smoking two 277

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