BSN HESI 266 MED SURG EXAM / BSN 266 HESI
MED SURG LATEST 2025-2026 ACTUAL EXAM TEST
BANK. REVISED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with Type 1 diabetes mellitus takes a combination of short acting and
intermediate acting insulin. The client complains of headaches when awakening
and his blood glucose average for the past week has been 210. The nurse
recognizes the client is experiencing a daily Somogyi, or rebound effect. Which
dosing method is likely to relieve these symptoms?
- CORRECT ANS>>Move the PM intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6-year-old with possible streptococcal
infection, which action is most important for the nurse to implement?
- CORRECT ANS>>Swab the child's erythematous oropharyngeal surfaces or
tonsillar pustules.
The nurse is caring for a 42-year-old male client who is excreting less sodium than
he is consuming. If this condition continues, what complication can the nurse
expect this client to exhibit?
- CORRECT ANS>>Edema
Which condition would likely cause secondary polycythaemia?
- CORRECT ANS>>High altitude exposure.
An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents’ teaching plan?
- CORRECT ANS>>s/s of reoccurrence
,A client with type 1 diabetes mellitus is prescribed 10 units of intermediate acting
insulin to be administered at bedtime. For which health problem is the insulin
being administered at this time of day?
- CORRECT ANS>>dawn phenomenon
The nurse is obtaining a throat culture of a client’s posterior oropharyngeal region.
For which health problem will this specimen be used to diagnose?
- CORRECT ANS>>strep throat
A middle-aged male client is being evaluated for lower extremity edema. Which
laboratory value will be used to aid in determining the cause of this client’s
manifestation?
- CORRECT ANS>>serum sodium
A client is diagnosed with secondary polycythemia. Which health condition
contributed to the development of this secondary problem?
- CORRECT ANS>>Hypovolemia
A client in the oliguric phase of acute renal failure (ARF) has a 24-hour urine output
of 400ml. nurse should allow this client to have how much oral intake during the
next 24 hours?
- CORRECT ANS>>limit oral intake to 900. to 1000ml
A female client on the mental health unit tells the nurse that her roommate is
sitting on the bathroom floor with superficial cuts on her wrists. The nurse cleans
and assesses the client’s wrists and asks her what happened. She doesn’t
respond. Next?
- CORRECT ANS>>take the client to a room for supervision by staff
What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
- CORRECT ANS>>inspection of the mouth
,The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to a male
client experiencing acute alcohol withdrawal and peripheral neuritis. The client
belligerently states, “what do you think you’re doing?” Response?
- CORRECT ANS>>"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
- CORRECT ANS>>select a large, deep muscle mass Locate the optic disk the really
light area on the right
When completing a mental health assessment, the nurse wishes to obtain
information about a client’s insight and judgment. Which interview technique is
most useful in assessing these mental abilities
- CORRECT ANS>>have the client describe what should be done if a child was
observed alone in a locked car on a hot day
An adult Muslim client with ulcerative colitis was admitted to the post-surgical unit
earlier today following a bowel resection with temporary colostomy. Which
intervention is most important for the nurse to implement?
- CORRECT ANS>>assign a care provider of the same gender
The parents of a 6-year-old recently diagnosed with Duchene muscular dystrophy
tell the nurse that their child wants to continue attending swimming classes. How
should the nurse respond?
- CORRECT ANS>>encourage the parents to allow the child to continue attending
swimming lessons with supervision
The nurse initiates a one-to-one relationship with a 35-year-old depressed female
client who was recently admitted to the psychiatric facility. Which nursing action is
most effective in promoting the development of a therapeutic relationship?
- CORRECT ANS>>ensure that scheduled appointments begin according to the
schedule
, An 18-year-old female client is admitted to the unit after ingesting an overdose of
Phenobarbital (Luminal). She is unresponsive and ABG results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26 mEq/L. Which interpretation of the client’s ABG results by
the nurse is accurate?
- CORRECT ANS>>respiratory acidosis, uncompensated
A male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
identifies a platelet count of 20,000 cells/mm3. Which intervention should the
nurse include in the client’s plan of care?
- CORRECT ANS>>avoid intramuscular injections
The nurse is planning care for a 48-year-old client, diagnosed with schizophrenia at
age 25, who has been taking antipsychotic drugs since diagnosis. Long-term use of
these drugs is associated with which side effect?
- CORRECT ANS>>tardive dyskinesia
What instruction is most important for the nurse to provide a client with
neutropenia?
- CORRECT ANS>>avoid sources of potential infection
A client with acute laryngitis reports feeling “short of breath”. The nurse assesses
that the client’s respiratory rate has increased from 16/minute to 28/minute.
What intervention should the nurse implement?
- CORRECT ANS>>assess the client for stridor and increased respiratory effort
When caring for a client who had a craniotomy yesterday for removal of a pituitary
tumor, which finding indicates to the nurse that further information is needed?
- CORRECT ANS>>urine output for 8 hours is 2000 ml with a specific gravity of 1.001
The nurse is working with an interdisciplinary group to write procedures for
assessment of clients from a multiracial inner-city population. The guidelines
MED SURG LATEST 2025-2026 ACTUAL EXAM TEST
BANK. REVISED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with Type 1 diabetes mellitus takes a combination of short acting and
intermediate acting insulin. The client complains of headaches when awakening
and his blood glucose average for the past week has been 210. The nurse
recognizes the client is experiencing a daily Somogyi, or rebound effect. Which
dosing method is likely to relieve these symptoms?
- CORRECT ANS>>Move the PM intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6-year-old with possible streptococcal
infection, which action is most important for the nurse to implement?
- CORRECT ANS>>Swab the child's erythematous oropharyngeal surfaces or
tonsillar pustules.
The nurse is caring for a 42-year-old male client who is excreting less sodium than
he is consuming. If this condition continues, what complication can the nurse
expect this client to exhibit?
- CORRECT ANS>>Edema
Which condition would likely cause secondary polycythaemia?
- CORRECT ANS>>High altitude exposure.
An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents’ teaching plan?
- CORRECT ANS>>s/s of reoccurrence
,A client with type 1 diabetes mellitus is prescribed 10 units of intermediate acting
insulin to be administered at bedtime. For which health problem is the insulin
being administered at this time of day?
- CORRECT ANS>>dawn phenomenon
The nurse is obtaining a throat culture of a client’s posterior oropharyngeal region.
For which health problem will this specimen be used to diagnose?
- CORRECT ANS>>strep throat
A middle-aged male client is being evaluated for lower extremity edema. Which
laboratory value will be used to aid in determining the cause of this client’s
manifestation?
- CORRECT ANS>>serum sodium
A client is diagnosed with secondary polycythemia. Which health condition
contributed to the development of this secondary problem?
- CORRECT ANS>>Hypovolemia
A client in the oliguric phase of acute renal failure (ARF) has a 24-hour urine output
of 400ml. nurse should allow this client to have how much oral intake during the
next 24 hours?
- CORRECT ANS>>limit oral intake to 900. to 1000ml
A female client on the mental health unit tells the nurse that her roommate is
sitting on the bathroom floor with superficial cuts on her wrists. The nurse cleans
and assesses the client’s wrists and asks her what happened. She doesn’t
respond. Next?
- CORRECT ANS>>take the client to a room for supervision by staff
What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
- CORRECT ANS>>inspection of the mouth
,The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to a male
client experiencing acute alcohol withdrawal and peripheral neuritis. The client
belligerently states, “what do you think you’re doing?” Response?
- CORRECT ANS>>"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
- CORRECT ANS>>select a large, deep muscle mass Locate the optic disk the really
light area on the right
When completing a mental health assessment, the nurse wishes to obtain
information about a client’s insight and judgment. Which interview technique is
most useful in assessing these mental abilities
- CORRECT ANS>>have the client describe what should be done if a child was
observed alone in a locked car on a hot day
An adult Muslim client with ulcerative colitis was admitted to the post-surgical unit
earlier today following a bowel resection with temporary colostomy. Which
intervention is most important for the nurse to implement?
- CORRECT ANS>>assign a care provider of the same gender
The parents of a 6-year-old recently diagnosed with Duchene muscular dystrophy
tell the nurse that their child wants to continue attending swimming classes. How
should the nurse respond?
- CORRECT ANS>>encourage the parents to allow the child to continue attending
swimming lessons with supervision
The nurse initiates a one-to-one relationship with a 35-year-old depressed female
client who was recently admitted to the psychiatric facility. Which nursing action is
most effective in promoting the development of a therapeutic relationship?
- CORRECT ANS>>ensure that scheduled appointments begin according to the
schedule
, An 18-year-old female client is admitted to the unit after ingesting an overdose of
Phenobarbital (Luminal). She is unresponsive and ABG results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26 mEq/L. Which interpretation of the client’s ABG results by
the nurse is accurate?
- CORRECT ANS>>respiratory acidosis, uncompensated
A male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
identifies a platelet count of 20,000 cells/mm3. Which intervention should the
nurse include in the client’s plan of care?
- CORRECT ANS>>avoid intramuscular injections
The nurse is planning care for a 48-year-old client, diagnosed with schizophrenia at
age 25, who has been taking antipsychotic drugs since diagnosis. Long-term use of
these drugs is associated with which side effect?
- CORRECT ANS>>tardive dyskinesia
What instruction is most important for the nurse to provide a client with
neutropenia?
- CORRECT ANS>>avoid sources of potential infection
A client with acute laryngitis reports feeling “short of breath”. The nurse assesses
that the client’s respiratory rate has increased from 16/minute to 28/minute.
What intervention should the nurse implement?
- CORRECT ANS>>assess the client for stridor and increased respiratory effort
When caring for a client who had a craniotomy yesterday for removal of a pituitary
tumor, which finding indicates to the nurse that further information is needed?
- CORRECT ANS>>urine output for 8 hours is 2000 ml with a specific gravity of 1.001
The nurse is working with an interdisciplinary group to write procedures for
assessment of clients from a multiracial inner-city population. The guidelines
