BSN HESI 266 Med Surg EXAM
(2026) UPDATE Questions With
100% Correct Verified Answers
Graded A+
Pleurodesis
A procedure aimed at preventing the formation of a pleural effusion
by causing the pleural spaces to seal together.
Radiation therapy consequences
Chronic esophagitis with gastroesophageal reflux is a potential
consequence of radiation therapy for breast cancer.
Pathologic fracture
Fractures that occur without evidence of trauma, often due to loss of
bone density from radiation damage.
Sexual activity after myocardial infarction
Sexual intercourse after an MI requires no more energy expenditure
or cardiac stress than walking briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube
A type of feeding tube that differs from a gastrostomy tube primarily
in the method of insertion.
PEG tube
A tube inserted endoscopically through the esophagus into the
stomach, held in place by a bumper and a water-filled balloon.
GT
,A tube inserted through an incision in the abdomen and sutured to
the gastric wall.
Proctosigmoidoscopy preparation
Includes obtaining consent, a clear-liquid diet for 24 to 48 hours prior,
administration of an enema, and fasting on the morning of the
procedure.
Dysuria in diabetes
Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be
reported to adjust the care plan.
Right renal calculi nursing diagnosis priority
Acute pain related to movement of the stone.
Chemotherapy initiation
Starting chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis
A clinical sign of liver disease characterized by a flapping tremor of
the hands.
Clear-liquid diet
A diet consisting of clear fluids, often required 24 to 48 hours before
certain medical procedures.
Enema
A procedure to introduce liquid into the rectum to stimulate a bowel
movement or cleanse the bowel before a procedure.
Fasting protocol
Refraining from all food and drink for a specified period, often
required before medical procedures.
Suprapubic pain
Pain located in the lower abdomen, often associated with urinary
issues.
,Bounding pulse
A pulse that feels strong and full, often measured at 100 beats/minute
in this context.
Small vesicular perineal lesions
Fluid-filled blisters in the perineal area, which may indicate an
infection or other medical condition.
Acute pain
Severe discomfort that arises suddenly, often related to conditions
like renal calculi.
Impaired urinary elimination
Difficulty in passing urine, often due to obstruction.
Risk for infection
Increased likelihood of developing an infection, often due to
conditions like urinary stasis.
Deficient knowledge
A lack of understanding or information regarding a specific health
condition or its management.
Collateral circulation
Alternative pathways of blood flow that develop as a response to
blockage or narrowing of blood vessels.
Cell cycle rate
The speed at which a cell progresses through the phases of growth
and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction
The process by which chemotherapy reduces the number of cancer
cells, with each dose killing approximately 50%.
Asterixis
, A hand-flapping tremor that is often seen frequently in hepatic
encephalopathy, induced by extending the arm and dorsiflexing the
wrist.
Postoperative Observation
The observation of a pulse change from 85 to 160 beats/minute
lasting more than 10 minutes should alert the nurse to call the Rapid
Response Team (RRT).
Rapid Response Team (RRT)
A team called to intervene for a client with an acute life-threatening
change.
Valsalva Maneuver
Straining with bowel movements while holding one's breath, which
increases intracerebral pressure (ICP) and may induce bleeding or
rupture of cerebral blood vessels.
HIV Post-Test Counseling
Encouraging retesting supports hope and gives the client time to
cope with the diagnosis.
Safety Checklist for Surgery
Items such as nail polish, contact lenses, and partial dentures should
be removed to provide accurate pulse oximetry readings and prevent
damage during surgery.
Nail Polish Removal
Removal provides a more accurate pulse oximetry reading and
evaluation of capillary refill.
Monitoring for Battle's Sign
A nursing action that should be included in the plan of care for a
client admitted with a hemorrhagic stroke.
Active Range of Motion
Performing active range of motion three times daily is a nursing
action for post-stroke care.
(2026) UPDATE Questions With
100% Correct Verified Answers
Graded A+
Pleurodesis
A procedure aimed at preventing the formation of a pleural effusion
by causing the pleural spaces to seal together.
Radiation therapy consequences
Chronic esophagitis with gastroesophageal reflux is a potential
consequence of radiation therapy for breast cancer.
Pathologic fracture
Fractures that occur without evidence of trauma, often due to loss of
bone density from radiation damage.
Sexual activity after myocardial infarction
Sexual intercourse after an MI requires no more energy expenditure
or cardiac stress than walking briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube
A type of feeding tube that differs from a gastrostomy tube primarily
in the method of insertion.
PEG tube
A tube inserted endoscopically through the esophagus into the
stomach, held in place by a bumper and a water-filled balloon.
GT
,A tube inserted through an incision in the abdomen and sutured to
the gastric wall.
Proctosigmoidoscopy preparation
Includes obtaining consent, a clear-liquid diet for 24 to 48 hours prior,
administration of an enema, and fasting on the morning of the
procedure.
Dysuria in diabetes
Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be
reported to adjust the care plan.
Right renal calculi nursing diagnosis priority
Acute pain related to movement of the stone.
Chemotherapy initiation
Starting chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis
A clinical sign of liver disease characterized by a flapping tremor of
the hands.
Clear-liquid diet
A diet consisting of clear fluids, often required 24 to 48 hours before
certain medical procedures.
Enema
A procedure to introduce liquid into the rectum to stimulate a bowel
movement or cleanse the bowel before a procedure.
Fasting protocol
Refraining from all food and drink for a specified period, often
required before medical procedures.
Suprapubic pain
Pain located in the lower abdomen, often associated with urinary
issues.
,Bounding pulse
A pulse that feels strong and full, often measured at 100 beats/minute
in this context.
Small vesicular perineal lesions
Fluid-filled blisters in the perineal area, which may indicate an
infection or other medical condition.
Acute pain
Severe discomfort that arises suddenly, often related to conditions
like renal calculi.
Impaired urinary elimination
Difficulty in passing urine, often due to obstruction.
Risk for infection
Increased likelihood of developing an infection, often due to
conditions like urinary stasis.
Deficient knowledge
A lack of understanding or information regarding a specific health
condition or its management.
Collateral circulation
Alternative pathways of blood flow that develop as a response to
blockage or narrowing of blood vessels.
Cell cycle rate
The speed at which a cell progresses through the phases of growth
and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction
The process by which chemotherapy reduces the number of cancer
cells, with each dose killing approximately 50%.
Asterixis
, A hand-flapping tremor that is often seen frequently in hepatic
encephalopathy, induced by extending the arm and dorsiflexing the
wrist.
Postoperative Observation
The observation of a pulse change from 85 to 160 beats/minute
lasting more than 10 minutes should alert the nurse to call the Rapid
Response Team (RRT).
Rapid Response Team (RRT)
A team called to intervene for a client with an acute life-threatening
change.
Valsalva Maneuver
Straining with bowel movements while holding one's breath, which
increases intracerebral pressure (ICP) and may induce bleeding or
rupture of cerebral blood vessels.
HIV Post-Test Counseling
Encouraging retesting supports hope and gives the client time to
cope with the diagnosis.
Safety Checklist for Surgery
Items such as nail polish, contact lenses, and partial dentures should
be removed to provide accurate pulse oximetry readings and prevent
damage during surgery.
Nail Polish Removal
Removal provides a more accurate pulse oximetry reading and
evaluation of capillary refill.
Monitoring for Battle's Sign
A nursing action that should be included in the plan of care for a
client admitted with a hemorrhagic stroke.
Active Range of Motion
Performing active range of motion three times daily is a nursing
action for post-stroke care.
