Page 1 of 99
“BSN HESI 266 MED SURG EXAM 2025 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
BSN HESI 266 MED SURG EXAM
A client with suspected gastric cancer undergoes an endoscopy of the
stomach. Which of the following assessments made after the procedure would
indicate the development of a potential complication?
A. The client has a sore throat.
B. The client displays signs of sedation.
C. The client experiences a sudden increase in temperature.
D. The client demonstrates a lack of appetite.
C. The client experiences a sudden increase in temperature.
A client has been diagnosed with adenocarcinoma of the stomach and is
scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During
preoperative teaching, the nurse is reinforcing information about the surgical
procedure. Which of the following explanations is most accurate?
A. The procedure will result in enlargement of the pyloric sphincter.
B. The procedure will result in anastomosis of the gastric stump to the
jejunum.
C. The procedure will result in removal of the duodenum.
D. The procedure will result in repositioning of the vagus nerve.
B. The procedure will result in anastomosis of the gastric stump to the jejunum.
Since the diagnosis of stomach cancer, the client has been having trouble
sleeping and is frequently preoccupied with thoughts about how life will
change. The client says, "I wish my life could stay the same." Based on this
information, the nurse should understand that the client:
A. Is having difficulty coping.
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B. Has a sleep disorder.
C. Is grieving.
D. Is anxious.
C. Is grieving
After a subtotal gastrectomy, the nasogastric tube drainage will be what color
for about 12 to 24 hours after surgery?
A. Dark brown.
B. Bile green.
C. Bright red.
D. Cloudy white.
A. Dark brown
A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
A. Irrigate the tube with 30 mL of sterile water every hour, if needed.
B. Reposition the tube if it is not draining well.
C. Monitor the client for nausea, vomiting, and abdominal distention.
D. Turn the machine to high suction if the drainage is sluggish on low suction.
C. Monitor the client for nausea, vomiting, and abdominal distention.
Following a gastrectomy, the nurse should position the client in which of the
following positions?
A. Prone.
B. Supine.
C. Low Fowler's
D. Right or left Sims.
C. Low fowlers
After a subtotal gastrectomy, the nurse is developing a plan with the client to
assist the client to gain weight. To help the client meet nutritional goals at
home, the nurse should:
A. Instruct the client to increase the amount eaten at each meal.
B. Encourage the client to eat smaller amounts more frequently.
C. Explain that if vomiting occurs after a meal, nothing more should be eaten
that day.
D. Inform the client that bland foods are typically less nutritional and should
be used minimally.
, Page 3 of 99
B. Encourage the client to eat smaller amounts more frequently.
To reduce the risk of dumping syndrome, the nurse should teach the client to
do which of the following?
A. Sit upright for 30 minutes after meals.
B. Drink liquids with meals, avoiding caffeine.
C. Avoid milk and other dairy products.
D. Decrease the carbohydrate content of meals.
D. Decrease the carbohydrate content of meals.
A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a
day again like I used to?" Which of the following responses by the nurse is
most appropriate?
A. "Eating six meals a day is time-consuming, isn't it?"
B. "You will have to eat six small meals a day for the rest of your life."
C. "You will be able to tolerate three meals a day before you are discharged."
D. "Most clients can resume their normal meal patterns in about 6 to 12
months."
D. "Most clients can resume their normal meal patterns in about 6 to 12 months."
What should the nurse teach a client about how to avoid the dumping
syndrome? Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
A. Nutritional intake.
B. Management of alopecia.
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C. Exercise and activity levels.
D. Access to community resources.
A. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31
×109/L) to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
D. Check for blood in the urine.
B. Assess for spontaneous petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these
data, it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow.
D. Length and amount of menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
C. Migraine headache.
D. Sinus congestion.
B. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs
and symptoms of bleeding when the client makes which of the following
statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin."
B. "Ecchymoses are large, purple skin bruises."
“BSN HESI 266 MED SURG EXAM 2025 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
BSN HESI 266 MED SURG EXAM
A client with suspected gastric cancer undergoes an endoscopy of the
stomach. Which of the following assessments made after the procedure would
indicate the development of a potential complication?
A. The client has a sore throat.
B. The client displays signs of sedation.
C. The client experiences a sudden increase in temperature.
D. The client demonstrates a lack of appetite.
C. The client experiences a sudden increase in temperature.
A client has been diagnosed with adenocarcinoma of the stomach and is
scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During
preoperative teaching, the nurse is reinforcing information about the surgical
procedure. Which of the following explanations is most accurate?
A. The procedure will result in enlargement of the pyloric sphincter.
B. The procedure will result in anastomosis of the gastric stump to the
jejunum.
C. The procedure will result in removal of the duodenum.
D. The procedure will result in repositioning of the vagus nerve.
B. The procedure will result in anastomosis of the gastric stump to the jejunum.
Since the diagnosis of stomach cancer, the client has been having trouble
sleeping and is frequently preoccupied with thoughts about how life will
change. The client says, "I wish my life could stay the same." Based on this
information, the nurse should understand that the client:
A. Is having difficulty coping.
, Page 2 of 99
B. Has a sleep disorder.
C. Is grieving.
D. Is anxious.
C. Is grieving
After a subtotal gastrectomy, the nasogastric tube drainage will be what color
for about 12 to 24 hours after surgery?
A. Dark brown.
B. Bile green.
C. Bright red.
D. Cloudy white.
A. Dark brown
A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
A. Irrigate the tube with 30 mL of sterile water every hour, if needed.
B. Reposition the tube if it is not draining well.
C. Monitor the client for nausea, vomiting, and abdominal distention.
D. Turn the machine to high suction if the drainage is sluggish on low suction.
C. Monitor the client for nausea, vomiting, and abdominal distention.
Following a gastrectomy, the nurse should position the client in which of the
following positions?
A. Prone.
B. Supine.
C. Low Fowler's
D. Right or left Sims.
C. Low fowlers
After a subtotal gastrectomy, the nurse is developing a plan with the client to
assist the client to gain weight. To help the client meet nutritional goals at
home, the nurse should:
A. Instruct the client to increase the amount eaten at each meal.
B. Encourage the client to eat smaller amounts more frequently.
C. Explain that if vomiting occurs after a meal, nothing more should be eaten
that day.
D. Inform the client that bland foods are typically less nutritional and should
be used minimally.
, Page 3 of 99
B. Encourage the client to eat smaller amounts more frequently.
To reduce the risk of dumping syndrome, the nurse should teach the client to
do which of the following?
A. Sit upright for 30 minutes after meals.
B. Drink liquids with meals, avoiding caffeine.
C. Avoid milk and other dairy products.
D. Decrease the carbohydrate content of meals.
D. Decrease the carbohydrate content of meals.
A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a
day again like I used to?" Which of the following responses by the nurse is
most appropriate?
A. "Eating six meals a day is time-consuming, isn't it?"
B. "You will have to eat six small meals a day for the rest of your life."
C. "You will be able to tolerate three meals a day before you are discharged."
D. "Most clients can resume their normal meal patterns in about 6 to 12
months."
D. "Most clients can resume their normal meal patterns in about 6 to 12 months."
What should the nurse teach a client about how to avoid the dumping
syndrome? Select all that apply.
A. Consume three regularly spaced meals per day.
B. Eat a diet with high-carbohydrate foods with each meal.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment.
C. Reduce fluids with meals, but take them between meals.
D. Obtain adequate amounts of protein and fat in each meal.
E. Eat in a relaxing environment
After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about
which of the following in the client's teaching plan?
A. Nutritional intake.
B. Management of alopecia.
, Page 4 of 99
C. Exercise and activity levels.
D. Access to community resources.
A. Nutritional intake
The nurse should instruct the client with a platelet count of 31,000/μL (31
×109/L) to:
A. Pad sharp surfaces to avoid minor trauma when walking.
B. Assess for spontaneous petechiae in the extremities.
C. Keep the room darkened.
D. Check for blood in the urine.
B. Assess for spontaneous petechiae in the extremities.
A client with a history of systemic lupus erythematosus was admitted with a
severe viral respiratory tract infection and diffuse petechiae. Based on these
data, it is most important that the nurse further evaluate the client's recent:
A. Quality and quantity of food intake.
B. Type and amount of fluid intake.
C. Weakness, fatigue, and ability to get around.
D. Length and amount of menstrual flow.
D. Length and amount of menstrual flow.
When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
A. Stress of the disease.
B. Cerebral bleeding.
C. Migraine headache.
D. Sinus congestion.
B. Cerebral bleeding
The nurse evaluates that the client correctly understands how to report signs
and symptoms of bleeding when the client makes which of the following
statements?
A. "Petechiae are large, red skin bruises."
B. "Ecchymoses are large, purple skin bruises."
C. "Purpura is an open cut on the skin."
D. "Abrasions are small pinpoint red dots on the skin."
B. "Ecchymoses are large, purple skin bruises."
