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BSN 266 HESI
MED SURG STUDY GUIDE
(NGN~Style & Case Scenarios)
4oo+ Qs & Ans to Pass the Exam
This Hesi test contains:
4oo+ Qs & Ans
passing score Guarantee
Format Set of Multiple~choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenarios
Expert~Verified Explanations & Solutions
,### I.
A client who underwent cardiac stent placement 4 days ago arrives to the
emergency department reporting sudden onset chest pressure and shortness of
breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a I2~lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
b. Obtain a I2~lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent
stenting is at high risk for acute stent thrombosis or myocardial infarction
(MI). Immediate acquisition of a I2~lead ECG is critical to assess for ischemic
changes and to prioritize timely reperfusion therapy if needed. Continuous
cardiac monitoring is essential to detect arrhythmias. Although oxygen and
nitroglycerin may be administered per protocol, assessment data guides further
interventions. Immediate preparation for catheterization is premature before
diagnostic confirmation.
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~~~
### 2.
While completing a health assessment for a client with migraine headaches, the
nurse identifies bilateral weakness in the client‘s hand grips. The client reports
joint pain and difficulty twisting a door knob due to weakness.
Which action should the nurse take next?
Answer Choices:
a. Teach the client relaxation techniques to manage migraine pain.
b. Document the findings and continue with the neurological assessment.
c. Gather additional assessment data about the pain and weakness.
d. Refer the client immediately to a neurologist.
Correct Answer:
c. Gather additional assessment data about the pain and weakness.
Expert Rationale:
Bilateral hand weakness and joint pain suggest possible systemic or neurological
disease beyond migraines (e.g., rheumatoid arthritis, neuropathy). Further
assessment to clarify onset, duration, associated symptoms, and functional
impact is needed before specialist referral. Immediate referral without data may
delay appropriate care; documenting without further inquiry risks missing early
diagnostic clues.
, Downloaded by: Nursebenjamin ()
~~~
### 3.
The nurse is caring for a client diagnosed with psoriasis vulgaris receiving
psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates overexposure to treatment?
Answer Choices:
a. Increased thickening and scaling of plaques.
b. Tenderness upon palpation and generalized erythema.
c. Development of vesicular lesions on treated skin.
d. Mild tanning of treated areas.
Correct Answer:
b. Tenderness upon palpation and generalized erythema.
Expert Rationale:
PUVA therapy carries a risk of phototoxic reactions causing erythema,
tenderness, and burning which signal overexposure. Tenderness with
generalized erythema suggests a burn~like reaction requiring treatment
modification. Vesicular lesions are rare but possible. Mild tanning is expected,
while increased plaque scaling indicates disease progression, not treatment
toxicity.
~~~
BSN 266 HESI
MED SURG STUDY GUIDE
(NGN~Style & Case Scenarios)
4oo+ Qs & Ans to Pass the Exam
This Hesi test contains:
4oo+ Qs & Ans
passing score Guarantee
Format Set of Multiple~choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenarios
Expert~Verified Explanations & Solutions
,### I.
A client who underwent cardiac stent placement 4 days ago arrives to the
emergency department reporting sudden onset chest pressure and shortness of
breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a I2~lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
b. Obtain a I2~lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent
stenting is at high risk for acute stent thrombosis or myocardial infarction
(MI). Immediate acquisition of a I2~lead ECG is critical to assess for ischemic
changes and to prioritize timely reperfusion therapy if needed. Continuous
cardiac monitoring is essential to detect arrhythmias. Although oxygen and
nitroglycerin may be administered per protocol, assessment data guides further
interventions. Immediate preparation for catheterization is premature before
diagnostic confirmation.
, Downloaded by: Nursebenjamin ()
~~~
### 2.
While completing a health assessment for a client with migraine headaches, the
nurse identifies bilateral weakness in the client‘s hand grips. The client reports
joint pain and difficulty twisting a door knob due to weakness.
Which action should the nurse take next?
Answer Choices:
a. Teach the client relaxation techniques to manage migraine pain.
b. Document the findings and continue with the neurological assessment.
c. Gather additional assessment data about the pain and weakness.
d. Refer the client immediately to a neurologist.
Correct Answer:
c. Gather additional assessment data about the pain and weakness.
Expert Rationale:
Bilateral hand weakness and joint pain suggest possible systemic or neurological
disease beyond migraines (e.g., rheumatoid arthritis, neuropathy). Further
assessment to clarify onset, duration, associated symptoms, and functional
impact is needed before specialist referral. Immediate referral without data may
delay appropriate care; documenting without further inquiry risks missing early
diagnostic clues.
, Downloaded by: Nursebenjamin ()
~~~
### 3.
The nurse is caring for a client diagnosed with psoriasis vulgaris receiving
psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates overexposure to treatment?
Answer Choices:
a. Increased thickening and scaling of plaques.
b. Tenderness upon palpation and generalized erythema.
c. Development of vesicular lesions on treated skin.
d. Mild tanning of treated areas.
Correct Answer:
b. Tenderness upon palpation and generalized erythema.
Expert Rationale:
PUVA therapy carries a risk of phototoxic reactions causing erythema,
tenderness, and burning which signal overexposure. Tenderness with
generalized erythema suggests a burn~like reaction requiring treatment
modification. Vesicular lesions are rare but possible. Mild tanning is expected,
while increased plaque scaling indicates disease progression, not treatment
toxicity.
~~~
