BSN 266 HESI Med Surg Updated 2026–2027
Exam Questions and Answers | NGN Study
Guide & Verified Rationales
This document contains:
❖ BSN 266 HESI updated 2026
❖ BSN 266 Med Surg HESI exam
❖ BSN 266 HESI NGN questions
❖ HESI Med Surg practice exam 2026
❖ BSN 266 updated exam prep
❖ HESI Med Surg verified answers
https://www.stuvia.com/user/Registerednurse 1
, 1. An older adult client with a long history of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a per-
sistent cough. She is anxious and is complaining of a dry mouth. Which
intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask: B. Assist client to an upright position
2. A client with multiple sclerosis (MS) is admitted to the medical unit, The
client reports fatigue, muscle weakness, and diplopia. Which action should
the nurse implement to reduce the clients risk for falls? SATA
A. Provide assistance to bedside commode
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking: A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
3. A client arrives to the ED following a motor vehicle collision, The nurse
observes the client experiencing increasing dyspnea and notes absent breath
sounds on the left side, which procedure should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test: B. Chest tube insertion
4. Following a transurethral resection of the prostate (TURP) a client is dis-
charged from the hospital with an indwelling urinary catheter, Which instruc-
tion is most important for the nurse to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
https://www.stuvia.com/user/Registerednurse 2
, C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks: B. Drink 3 liters of water each day
5. An adult woman with Graves disease is admitted with severe dehydration
and malnutrition, She is currently restless and refusing to eat. Which action is
most important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool: C. Maintain a paten intravenous site
6. A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with
a person who was a casual acquaintance, Which action should the nurse
implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation: A. Obtain a specimen of urethral
drainage for culture
7. The nurse is caring for a client admitted to the hospital with a tentative di-
agnosis of bacterial meningitis, which diagnostic procedure should the nurse
prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT: A Lumbar puncture
8. An older adult client with long term type 2 DM is seen in the clinic for a
routine health assessment, which assessment would the nurse complete to
determine if a patient with type 2 DM is experiencing long term complica-
tions? SATA
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
https://www.stuvia.com/user/Registerednurse 3
Exam Questions and Answers | NGN Study
Guide & Verified Rationales
This document contains:
❖ BSN 266 HESI updated 2026
❖ BSN 266 Med Surg HESI exam
❖ BSN 266 HESI NGN questions
❖ HESI Med Surg practice exam 2026
❖ BSN 266 updated exam prep
❖ HESI Med Surg verified answers
https://www.stuvia.com/user/Registerednurse 1
, 1. An older adult client with a long history of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a per-
sistent cough. She is anxious and is complaining of a dry mouth. Which
intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask: B. Assist client to an upright position
2. A client with multiple sclerosis (MS) is admitted to the medical unit, The
client reports fatigue, muscle weakness, and diplopia. Which action should
the nurse implement to reduce the clients risk for falls? SATA
A. Provide assistance to bedside commode
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking: A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
3. A client arrives to the ED following a motor vehicle collision, The nurse
observes the client experiencing increasing dyspnea and notes absent breath
sounds on the left side, which procedure should the nurse prepare for the
client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test: B. Chest tube insertion
4. Following a transurethral resection of the prostate (TURP) a client is dis-
charged from the hospital with an indwelling urinary catheter, Which instruc-
tion is most important for the nurse to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
https://www.stuvia.com/user/Registerednurse 2
, C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks: B. Drink 3 liters of water each day
5. An adult woman with Graves disease is admitted with severe dehydration
and malnutrition, She is currently restless and refusing to eat. Which action is
most important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool: C. Maintain a paten intravenous site
6. A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with
a person who was a casual acquaintance, Which action should the nurse
implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation: A. Obtain a specimen of urethral
drainage for culture
7. The nurse is caring for a client admitted to the hospital with a tentative di-
agnosis of bacterial meningitis, which diagnostic procedure should the nurse
prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT: A Lumbar puncture
8. An older adult client with long term type 2 DM is seen in the clinic for a
routine health assessment, which assessment would the nurse complete to
determine if a patient with type 2 DM is experiencing long term complica-
tions? SATA
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
https://www.stuvia.com/user/Registerednurse 3
