1
BSN HESI 266 Med Surg Exam
BSN HESI 266 Med Surg Exam 4 (Latest
2026 -2027) Questions & Correct Answers
With Rationales, 100% Guaranteed Pass ||
Complete A+ Guide – Nightingale
For the client undergoing hemodialysis, the nurse suspects the client has an air embolism.
What symptoms lead the nurse to this conclusion? (Select all that apply.)
A.
Dyspnea
B.
B/P 168/92 mm Hg
C.
Chest pain
D.
, 2
BSN HESI 266 Med Surg Exam
Anxiety
E.
O2 saturation of 98%
F.
Blue nail beds –
Correct Answer :A, C, D, F
Rationale:
For the client experiencing an air embolism, the nurse will see hypotension and not
hypertension. The O2 saturation will also fall with an air embolism. The remaining are signs of
an air embolism.
The nurse is preparing teaching for nursing students who are participating in a flu vaccine
clinic at a local school. Who should receive the vaccine? (Select all that apply.)
A.
Health care personnel
B.
Those who are allergic to eggs
C.
Individuals who are over 50 years old
D.
Individuals with chronic health conditions
E.
Those who live in nursing homes
F.
Infants under 6 months of age –
Correct Answer :A, C, D, E
Rationale:
, 3
BSN HESI 266 Med Surg Exam
The current recommendation is those who are allergic to eggs can receive the flu vaccine if it
is administered in a healthcare environment that can quickly deliver treatment for
anaphylaxis. Infants over 6 months van receive the flu shot, but not under 6 months. The
remaining options are recommended to receive the flu vaccine.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to
be assigned to one particular resident. She reports that the male client keeps insisting that
she is his daughter and begs her to stay in his room. What is the best managerial decision?
A.
Notify the family that the resident will have to be discharged if his behavior does not improve.
B.
Notify administration of the PN's insubordination and need for counseling about her
statements.
C.
Ask the PN what she has done to encourage the resident to believe that she is his daughter.
D.
Reassign the PN until the resident can be assessed more completely for reality orientation. –
Correct Answer :D
Rationale:
Temporary reassignment is the best option until the resident can be examined and his
medications reviewed. He may have worsening cerebral dysfunction from an infection or
electrolyte imbalance. Option A is not the best option because the family cannot control the
resident's actions. The administration may need to know about the situation, but not as a
case of insubordination. Implying that the PN is somehow creating the situation is
inappropriate until a further evaluation has been conducted.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom of
hyperglycemia is an older adult most likely to exhibit?
A.
Polyuria
, 4
BSN HESI 266 Med Surg Exam
B.
Polydipsia
C.
Weight loss
D.
Infection –
Correct Answer :D
ptoms of hyperglycemia in older adults may include fatigue, infection, and evidence of
neuropathy (e.g., sensory changes). The nurse needs to remember that classic signs and
symptoms of hyperglycemia, such as options A, B, and C and polyphagia, may be absent in
older adults.
A client with chronic asthma is admitted to the PACU complaining of pain at a level of 8 on a 1
to 10 scale, with a blood pressure of 124/78 mm Hg, pulse of 88 beats/min, and respirations of
20 breaths/min. The PACU recovery prescription is "Morphine, 2 to 4 mg IV push, while in
recovery for pain level over 5." Which action should the nurse take first?
A.
Give the medication as prescribed to decrease the client's pain.
B.
Call the anesthesia provider for a different medication for pain.
C.
Use nonpharmacologic techniques before giving the medication.
D.
Reassess the pain level in 30 minutes and medicate if it remains elevated. –
Correct Answer :B
Rationale:
The nurse should call the provider for a different medication because morphine is a histamine-
releasing opioid and should be avoided when the client has asthma. Option A is unsafe
because it puts the client at risk for an asthma exacerbation. Even if the drug were safe for
BSN HESI 266 Med Surg Exam
BSN HESI 266 Med Surg Exam 4 (Latest
2026 -2027) Questions & Correct Answers
With Rationales, 100% Guaranteed Pass ||
Complete A+ Guide – Nightingale
For the client undergoing hemodialysis, the nurse suspects the client has an air embolism.
What symptoms lead the nurse to this conclusion? (Select all that apply.)
A.
Dyspnea
B.
B/P 168/92 mm Hg
C.
Chest pain
D.
, 2
BSN HESI 266 Med Surg Exam
Anxiety
E.
O2 saturation of 98%
F.
Blue nail beds –
Correct Answer :A, C, D, F
Rationale:
For the client experiencing an air embolism, the nurse will see hypotension and not
hypertension. The O2 saturation will also fall with an air embolism. The remaining are signs of
an air embolism.
The nurse is preparing teaching for nursing students who are participating in a flu vaccine
clinic at a local school. Who should receive the vaccine? (Select all that apply.)
A.
Health care personnel
B.
Those who are allergic to eggs
C.
Individuals who are over 50 years old
D.
Individuals with chronic health conditions
E.
Those who live in nursing homes
F.
Infants under 6 months of age –
Correct Answer :A, C, D, E
Rationale:
, 3
BSN HESI 266 Med Surg Exam
The current recommendation is those who are allergic to eggs can receive the flu vaccine if it
is administered in a healthcare environment that can quickly deliver treatment for
anaphylaxis. Infants over 6 months van receive the flu shot, but not under 6 months. The
remaining options are recommended to receive the flu vaccine.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to
be assigned to one particular resident. She reports that the male client keeps insisting that
she is his daughter and begs her to stay in his room. What is the best managerial decision?
A.
Notify the family that the resident will have to be discharged if his behavior does not improve.
B.
Notify administration of the PN's insubordination and need for counseling about her
statements.
C.
Ask the PN what she has done to encourage the resident to believe that she is his daughter.
D.
Reassign the PN until the resident can be assessed more completely for reality orientation. –
Correct Answer :D
Rationale:
Temporary reassignment is the best option until the resident can be examined and his
medications reviewed. He may have worsening cerebral dysfunction from an infection or
electrolyte imbalance. Option A is not the best option because the family cannot control the
resident's actions. The administration may need to know about the situation, but not as a
case of insubordination. Implying that the PN is somehow creating the situation is
inappropriate until a further evaluation has been conducted.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom of
hyperglycemia is an older adult most likely to exhibit?
A.
Polyuria
, 4
BSN HESI 266 Med Surg Exam
B.
Polydipsia
C.
Weight loss
D.
Infection –
Correct Answer :D
ptoms of hyperglycemia in older adults may include fatigue, infection, and evidence of
neuropathy (e.g., sensory changes). The nurse needs to remember that classic signs and
symptoms of hyperglycemia, such as options A, B, and C and polyphagia, may be absent in
older adults.
A client with chronic asthma is admitted to the PACU complaining of pain at a level of 8 on a 1
to 10 scale, with a blood pressure of 124/78 mm Hg, pulse of 88 beats/min, and respirations of
20 breaths/min. The PACU recovery prescription is "Morphine, 2 to 4 mg IV push, while in
recovery for pain level over 5." Which action should the nurse take first?
A.
Give the medication as prescribed to decrease the client's pain.
B.
Call the anesthesia provider for a different medication for pain.
C.
Use nonpharmacologic techniques before giving the medication.
D.
Reassess the pain level in 30 minutes and medicate if it remains elevated. –
Correct Answer :B
Rationale:
The nurse should call the provider for a different medication because morphine is a histamine-
releasing opioid and should be avoided when the client has asthma. Option A is unsafe
because it puts the client at risk for an asthma exacerbation. Even if the drug were safe for
