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Exam (elaborations)

HESI Med-Surg 3 Set Exams – NGN Style & Verified Rationales (2025/2026)

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This exam preparation guide for BSN 266 includes three full sets of HESI-style Med-Surg exams designed with Next Generation NCLEX (NGN) formatting and updated rationales. Each exam contains realistic case-based questions, clinical judgment scenarios, dosage calculations, and select-all-that-apply items, with expert-verified answers and in-depth rationales. Topics cover all major systems, including cardiovascular, respiratory, endocrine, renal, musculoskeletal, and neurological, emphasizing critical thinking, patient safety, and nursing prioritization.

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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 ....................................61
BSN 266 Hesi Med surg Exam #3 ..................................126
BSN 266 Hesi Med surg Exam #4 ..................................197
BSN 266 Hesi Med surg Exam #5 ................................. 259




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.

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