BSN 266 HESI MED SURGE (Latest 2025/
2026 Update) Questions and Verified
Answers |100% Correct| Grade A-
Nightingale
The nurse explains to a client with lung canceler that pleurodesis is performed to
achieve which expected outcome - ANSWER Prevents the formation
of effusion fluid
The nurse obtains a client's history that includes right mastectomy and radiation for
cancer of the breast 10 years ago. Which current health problem should the nurse
consider is a consequence of the radiation therapy? - ANSWER
Pathologic fracture of two ribs on the right chest
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client tells the nurse that he sleeps fine but his wife moved into the
spare bedroom to sleep when he returned home. He states, "I guess we will never
have sex again after this." Which response is best for the nurse to provide? -
ANSWER Sexual activity is similar in Cardiac workload and energy
expenditure as climbing two flights of stairs and may be resumed like other
activities.
The nurse is caring for a client scheduled to undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client asks the nurse to explain how a
PEG tube differs from a gastrostomy tube (GT) Which explanation best describes
how they are different? - ANSWER Method of insertion
,A client with a recent history of blood in his stools is scheduled for a
proctosigmoidoscopy. The nurse should implement which protocols to prepare the
client for this procedure? - ANSWER Administer an enema before the
procedure. Provide a clear liquid diet 48hrs before the procedure
A female client with type 2 dm reports dysuria. Which assessment finding is most
important. for the nurse to report to the HCP? - ANSWER Finger stick
glucose of 300mg/dl
When planning care for a client with right renal calculi, which nursing dx has the
highest priority? - ANSWER Acute pain related to movement of the
stone.
A client asks the nurse about the purpose of beginning Chemotherapy (CT)
because the tumor is still very small. Which information supports the explanation
that the nurse should provide? - ANSWER The cell count of the tumor
reduces by half with each dose
The nurse is caring for a client with end stage liver disease who is being assessed
for the presence of asterixis. To assess the client for asterixis, what position should
the nurse ask the client to demonstrate? - ANSWER Extend the arm
laterally, dorsiflex the wrist, and extend the fingers
The nurse is caring for a patient who is two days Post op. Which observation
should alert the nurse to call the Rapid Response Team (RRT)? - ANSWER
Pulse change from 85 to 160 beats/minute lasting more than 10 minutes.
, The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which
nursing action should be included in the POC? - ANSWER Teach
measures to avoid the Valsalva maneuver.
A client who just tested positive for HIV does not appear to hear what the nurse is
saying during the post-test counseling. Which information should the nurse offer to
facilitate the client's adjustment to HIV infection? - ANSWER Discuss
retesting to verify the results, which will ensure continuing contact.
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which items
should the nurse remove from the client? - ANSWER Nail Polish;
Hearing aid; Contact lenses; Partial dentures
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home? - ANSWER
Catheterize every 3 to 4 hours
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice practical
nurse (PN) - ANSWER Administer medications for pain relief,
Shortness of Breath, and nausea.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant. What
information is best for the nurse to provide? - ANSWER Smoking can
decrease the quantity and quality of sperm count. Cessation of smoking improves
general health and fertility.
2026 Update) Questions and Verified
Answers |100% Correct| Grade A-
Nightingale
The nurse explains to a client with lung canceler that pleurodesis is performed to
achieve which expected outcome - ANSWER Prevents the formation
of effusion fluid
The nurse obtains a client's history that includes right mastectomy and radiation for
cancer of the breast 10 years ago. Which current health problem should the nurse
consider is a consequence of the radiation therapy? - ANSWER
Pathologic fracture of two ribs on the right chest
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client tells the nurse that he sleeps fine but his wife moved into the
spare bedroom to sleep when he returned home. He states, "I guess we will never
have sex again after this." Which response is best for the nurse to provide? -
ANSWER Sexual activity is similar in Cardiac workload and energy
expenditure as climbing two flights of stairs and may be resumed like other
activities.
The nurse is caring for a client scheduled to undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client asks the nurse to explain how a
PEG tube differs from a gastrostomy tube (GT) Which explanation best describes
how they are different? - ANSWER Method of insertion
,A client with a recent history of blood in his stools is scheduled for a
proctosigmoidoscopy. The nurse should implement which protocols to prepare the
client for this procedure? - ANSWER Administer an enema before the
procedure. Provide a clear liquid diet 48hrs before the procedure
A female client with type 2 dm reports dysuria. Which assessment finding is most
important. for the nurse to report to the HCP? - ANSWER Finger stick
glucose of 300mg/dl
When planning care for a client with right renal calculi, which nursing dx has the
highest priority? - ANSWER Acute pain related to movement of the
stone.
A client asks the nurse about the purpose of beginning Chemotherapy (CT)
because the tumor is still very small. Which information supports the explanation
that the nurse should provide? - ANSWER The cell count of the tumor
reduces by half with each dose
The nurse is caring for a client with end stage liver disease who is being assessed
for the presence of asterixis. To assess the client for asterixis, what position should
the nurse ask the client to demonstrate? - ANSWER Extend the arm
laterally, dorsiflex the wrist, and extend the fingers
The nurse is caring for a patient who is two days Post op. Which observation
should alert the nurse to call the Rapid Response Team (RRT)? - ANSWER
Pulse change from 85 to 160 beats/minute lasting more than 10 minutes.
, The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which
nursing action should be included in the POC? - ANSWER Teach
measures to avoid the Valsalva maneuver.
A client who just tested positive for HIV does not appear to hear what the nurse is
saying during the post-test counseling. Which information should the nurse offer to
facilitate the client's adjustment to HIV infection? - ANSWER Discuss
retesting to verify the results, which will ensure continuing contact.
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which items
should the nurse remove from the client? - ANSWER Nail Polish;
Hearing aid; Contact lenses; Partial dentures
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home? - ANSWER
Catheterize every 3 to 4 hours
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice practical
nurse (PN) - ANSWER Administer medications for pain relief,
Shortness of Breath, and nausea.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant. What
information is best for the nurse to provide? - ANSWER Smoking can
decrease the quantity and quality of sperm count. Cessation of smoking improves
general health and fertility.
