BSN HESI 266 Med Surg Exam (Latest 2025/
2026) Questions and Verified Answers|100%
Correct| Grade A- Nightingale
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the
most immediate intervention by the nurse? - ANSWER Serum sodium of
185
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease. Which subjective data reported by the client supports this medical
diagnosis? - ANSWER Upper mid-abdominal pain described as gnawing and
burning
The nurse assesses a client who is newly diagnose with hyperthyroidism and
observes that the client's eyeballs are protuberant, causing a wide-eyed appearance
and eye discomfort. Based on this finding, which action should the nurse include in
the clients plan of care? - ANSWER Obtain a prescription for artificial tear
drops
To reduce the risk for pulmonary complication for a client with ALS, which
intervention should the nurse implement? SATA - ANSWER Perform chest
physiotherapy
Teach the client breathing exercises
Encourage use of incentive spirometer
A client is hospitalized with HF. Which intervention should the nurse implement to
improve ventilation and reduce venous return? - ANSWER Place the client
in high Fowler position
, A client who was involved in a motor vehicle collision is admitted with a fractured
left femur which immobilized using a fracture traction splint in preparation for an
ORIF. The nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? SATA - ANSWER
Verify pedal pulses using doppler pulse device
Evaluate the application of the splint to the left leg
Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The HCP prescribes diagnostic tests for a client whose chest xray indicates
pneumonia. Which diagnostic test should the nurse review for implementation of
the most therapeutic treatment of the pneumonia? - ANSWER Sputum
culture and sensitivity
A client with a history of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened, tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care? - ANSWER Increase the
daily intake of oral fluids to liquefy secretions
The home health nurse provides teaching about insulin injection to a client who
was recently dx with DM. When the clients begins to perform a return
demonstration of an insulin injection into the abdomen as seen in the video, which
instruction should the nurse provide? - ANSWER Continue with the insulin
injection
The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a trans-urethral resection of the
prostate. What is the best initial nursing action? - ANSWER Increase the
flow of the bladder irrigation
2026) Questions and Verified Answers|100%
Correct| Grade A- Nightingale
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the
most immediate intervention by the nurse? - ANSWER Serum sodium of
185
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease. Which subjective data reported by the client supports this medical
diagnosis? - ANSWER Upper mid-abdominal pain described as gnawing and
burning
The nurse assesses a client who is newly diagnose with hyperthyroidism and
observes that the client's eyeballs are protuberant, causing a wide-eyed appearance
and eye discomfort. Based on this finding, which action should the nurse include in
the clients plan of care? - ANSWER Obtain a prescription for artificial tear
drops
To reduce the risk for pulmonary complication for a client with ALS, which
intervention should the nurse implement? SATA - ANSWER Perform chest
physiotherapy
Teach the client breathing exercises
Encourage use of incentive spirometer
A client is hospitalized with HF. Which intervention should the nurse implement to
improve ventilation and reduce venous return? - ANSWER Place the client
in high Fowler position
, A client who was involved in a motor vehicle collision is admitted with a fractured
left femur which immobilized using a fracture traction splint in preparation for an
ORIF. The nurse determines that the client's distal pulses are diminished in the left
foot. Which interventions should the nurse implement? SATA - ANSWER
Verify pedal pulses using doppler pulse device
Evaluate the application of the splint to the left leg
Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The HCP prescribes diagnostic tests for a client whose chest xray indicates
pneumonia. Which diagnostic test should the nurse review for implementation of
the most therapeutic treatment of the pneumonia? - ANSWER Sputum
culture and sensitivity
A client with a history of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened, tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care? - ANSWER Increase the
daily intake of oral fluids to liquefy secretions
The home health nurse provides teaching about insulin injection to a client who
was recently dx with DM. When the clients begins to perform a return
demonstration of an insulin injection into the abdomen as seen in the video, which
instruction should the nurse provide? - ANSWER Continue with the insulin
injection
The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a trans-urethral resection of the
prostate. What is the best initial nursing action? - ANSWER Increase the
flow of the bladder irrigation
