MED SURG HESI BSN 266 Real Practice
Questions (2026) | Verified Answers | A+
• Pleurodesis. CORRECT ANSWER: A procedure aimed at preventing
the formation of a pleural effusion by causing the pleural spaces to seal
together.
• Radiation therapy consequences. CORRECT ANSWER: Chronic
esophagitis with gastroesophageal reflux is a potential consequence of
radiation therapy for breast cancer.
• Pathologic fracture. CORRECT ANSWER: Fractures that occur
without evidence of trauma, often due to loss of bone density from
radiation damage.
• Sexual activity after myocardial infarction. CORRECT ANSWER:
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. CORRECT
ANSWER: A type of feeding tube that differs from a gastrostomy tube
primarily in the method of insertion.
• PEG tube. CORRECT ANSWER: A tube inserted endoscopically
through the esophagus into the stomach, held in place by a bumper and a
water-filled balloon.
,• GT. CORRECT ANSWER: A tube inserted through an incision in the
abdomen and sutured to the gastric wall.
• Proctosigmoidoscopy preparation. CORRECT ANSWER: 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. CORRECT ANSWER: Elevated fingerstick
glucose levels (e.g., 300 mg/dl) need to be reported to adjust the care
plan.
• Right renal calculi nursing diagnosis priority. CORRECT ANSWER:
Acute pain related to movement of the stone.
• Chemotherapy initiation. CORRECT ANSWER: Starting
chemotherapy early increases the chance of eradicating cancer cells, as
50% of tumor cells are killed with each dose.
• Asterixis. CORRECT ANSWER: A clinical sign of liver disease
characterized by a flapping tremor of the hands.
• Clear-liquid diet. CORRECT ANSWER: A diet consisting of clear
fluids, often required 24 to 48 hours before certain medical procedures.
• Enema. CORRECT ANSWER: A procedure to introduce liquid into
the rectum to stimulate a bowel movement or cleanse the bowel before a
procedure.
,• Fasting protocol. CORRECT ANSWER: Refraining from all food and
drink for a specified period, often required before medical procedures.
• Suprapubic pain. CORRECT ANSWER: Pain located in the lower
abdomen, often associated with urinary issues.
• Bounding pulse. CORRECT ANSWER: A pulse that feels strong and
full, often measured at 100 beats/minute in this context.
• Small vesicular perineal lesions. CORRECT ANSWER: Fluid-filled
blisters in the perineal area, which may indicate an infection or other
medical condition.
• Acute pain. CORRECT ANSWER: Severe discomfort that arises
suddenly, often related to conditions like renal calculi.
• Impaired urinary elimination. CORRECT ANSWER: Difficulty in
passing urine, often due to obstruction.
• Risk for infection. CORRECT ANSWER: Increased likelihood of
developing an infection, often due to conditions like urinary stasis.
• Deficient knowledge. CORRECT ANSWER: A lack of understanding
or information regarding a specific health condition or its management.
, • Collateral circulation. CORRECT ANSWER: Alternative pathways of
blood flow that develop as a response to blockage or narrowing of blood
vessels.
• Cell cycle rate. CORRECT ANSWER: The speed at which a cell
progresses through the phases of growth and division, impacting its
sensitivity to chemotherapy.
• Tumor cell count reduction. CORRECT ANSWER: The process by
which chemotherapy reduces the number of cancer cells, with each dose
killing approximately 50%.
• Asterixis. CORRECT ANSWER: A hand-flapping tremor that is often
seen frequently in hepatic encephalopathy, induced by extending the arm
and dorsiflexing the wrist.
• Postoperative Observation. CORRECT ANSWER: 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). CORRECT ANSWER: A team called to
intervene for a client with an acute life-threatening change.
• Valsalva Maneuver. CORRECT ANSWER: Straining with bowel
movements while holding one's breath, which increases intracerebral
pressure (ICP) and may induce bleeding or rupture of cerebral blood
vessels.
Questions (2026) | Verified Answers | A+
• Pleurodesis. CORRECT ANSWER: A procedure aimed at preventing
the formation of a pleural effusion by causing the pleural spaces to seal
together.
• Radiation therapy consequences. CORRECT ANSWER: Chronic
esophagitis with gastroesophageal reflux is a potential consequence of
radiation therapy for breast cancer.
• Pathologic fracture. CORRECT ANSWER: Fractures that occur
without evidence of trauma, often due to loss of bone density from
radiation damage.
• Sexual activity after myocardial infarction. CORRECT ANSWER:
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. CORRECT
ANSWER: A type of feeding tube that differs from a gastrostomy tube
primarily in the method of insertion.
• PEG tube. CORRECT ANSWER: A tube inserted endoscopically
through the esophagus into the stomach, held in place by a bumper and a
water-filled balloon.
,• GT. CORRECT ANSWER: A tube inserted through an incision in the
abdomen and sutured to the gastric wall.
• Proctosigmoidoscopy preparation. CORRECT ANSWER: 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. CORRECT ANSWER: Elevated fingerstick
glucose levels (e.g., 300 mg/dl) need to be reported to adjust the care
plan.
• Right renal calculi nursing diagnosis priority. CORRECT ANSWER:
Acute pain related to movement of the stone.
• Chemotherapy initiation. CORRECT ANSWER: Starting
chemotherapy early increases the chance of eradicating cancer cells, as
50% of tumor cells are killed with each dose.
• Asterixis. CORRECT ANSWER: A clinical sign of liver disease
characterized by a flapping tremor of the hands.
• Clear-liquid diet. CORRECT ANSWER: A diet consisting of clear
fluids, often required 24 to 48 hours before certain medical procedures.
• Enema. CORRECT ANSWER: A procedure to introduce liquid into
the rectum to stimulate a bowel movement or cleanse the bowel before a
procedure.
,• Fasting protocol. CORRECT ANSWER: Refraining from all food and
drink for a specified period, often required before medical procedures.
• Suprapubic pain. CORRECT ANSWER: Pain located in the lower
abdomen, often associated with urinary issues.
• Bounding pulse. CORRECT ANSWER: A pulse that feels strong and
full, often measured at 100 beats/minute in this context.
• Small vesicular perineal lesions. CORRECT ANSWER: Fluid-filled
blisters in the perineal area, which may indicate an infection or other
medical condition.
• Acute pain. CORRECT ANSWER: Severe discomfort that arises
suddenly, often related to conditions like renal calculi.
• Impaired urinary elimination. CORRECT ANSWER: Difficulty in
passing urine, often due to obstruction.
• Risk for infection. CORRECT ANSWER: Increased likelihood of
developing an infection, often due to conditions like urinary stasis.
• Deficient knowledge. CORRECT ANSWER: A lack of understanding
or information regarding a specific health condition or its management.
, • Collateral circulation. CORRECT ANSWER: Alternative pathways of
blood flow that develop as a response to blockage or narrowing of blood
vessels.
• Cell cycle rate. CORRECT ANSWER: The speed at which a cell
progresses through the phases of growth and division, impacting its
sensitivity to chemotherapy.
• Tumor cell count reduction. CORRECT ANSWER: The process by
which chemotherapy reduces the number of cancer cells, with each dose
killing approximately 50%.
• Asterixis. CORRECT ANSWER: A hand-flapping tremor that is often
seen frequently in hepatic encephalopathy, induced by extending the arm
and dorsiflexing the wrist.
• Postoperative Observation. CORRECT ANSWER: 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). CORRECT ANSWER: A team called to
intervene for a client with an acute life-threatening change.
• Valsalva Maneuver. CORRECT ANSWER: Straining with bowel
movements while holding one's breath, which increases intracerebral
pressure (ICP) and may induce bleeding or rupture of cerebral blood
vessels.
