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2026 BSN 266 HESI MED SURG EXAMS NGN CASE SCENARIOS QUESTIONS & ANSWERS (DIGITAL DOWNLOAD)

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2026 BSN 266 HESI MED SURG EXAMS NGN CASE SCENARIOS QUESTIONS & ANSWERS (DIGITAL DOWNLOAD)ultimate study companion for the BSN 266 HESI Medical-Surgical Nursing Exam, specifically designed for nursing students at Nightingale College and beyond. Featuring 200+ evidence-based, verified questions and answers with detailed rationales, this meticulously updated guide reflects the 2026/2027 curriculum and the latest Next Generation NCLEX (NGN)-style format. The question bank spans the full spectrum of medical-surgical nursing, including: cardiovascular (MI, heart failure, atrial fibrillation, cardiac markers, post-CABG care), respiratory (COPD, asthma, pneumonia, chest tubes, pleurodesis), endocrine (diabetes management, thyroid disorders), renal (acute kidney injury, renal calculi, fluid/electrolyte balance), neurological (stroke, seizures, meningitis, Parkinson's disease, Alzheimer's), gastrointestinal (PUD, gastric surgery, bowel obstruction, PEG tubes), oncology (chemotherapy, thrombocytopenia, lymphoma, breast cancer), musculoskeletal (fractures, osteoarthritis, rheumatoid arthritis), immunological/hematological, infection control, perioperative care, pharmacology, prioritization, delegation, and clinical judgment. Each question includes a clear rationale explaining the correct answer and analyzing each distractor, reinforcing critical thinking

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, 2026 BSN 266 HESI MED SURG EXAMS |
NGN CASE SCENARIOS | QUESTIONS &
ANSWERS | (DIGITAL DOWNLOAD)

Which health pattern in Gordon's model describes the patient's spiritual attitude?

A. Value-belief pattern
B. Role-relationship pattern
C. Cognitive-perceptual pattern
D. Self-perception-- self-concept pattern

CORRECT ANSWER: A. Value-belief pattern

RATIONALE:

According to Gordon's Functional Health Patterns, there are 11 health patterns, and each
pattern describes a specific area of a person's health.

The value-belief pattern describes:

• The patient's spiritual attitude.

• Personal values and beliefs.

• Religious beliefs.

• Factors that guide choices and decisions.

Other patterns include:

• Role-relationship pattern: Describes roles, responsibilities, and relationships with
others.

• Cognitive-perceptual pattern: Describes memory, decision-making ability, language, and
sensory perception.

• Self-perception--self-concept pattern: Describes how a person views themselves.



Question 2

, Which standard of practice is the nurse performing when applying a cold compress to a
patient's sprained ankle and instructing the patient to elevate the leg?

A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation

CORRECT ANSWER: D. Implementation

RATIONALE:

The nurse is performing a nursing intervention by applying a cold compress and giving
instructions. This is part of the implementation phase of the nursing process.

The nursing process includes:

1. Assessment – Collecting patient information.

2. Diagnosis – Identifying patient problems.

3. Planning – Developing goals and interventions.

4. Implementation – Performing nursing actions.

5. Evaluation – Determining whether goals were achieved.



Question 3

Which standard of practice is being performed when a nurse administers the prescribed
medicated nebulizer treatment to a patient who has developed wheezing and shortness of
breath in the emergency department?

A. Planning
B. Evaluation
C. Assessment
D. Implementation

CORRECT ANSWER: D. Implementation

RATIONALE:

The nurse is carrying out a prescribed treatment, which is part of the implementation stage.

During implementation, the nurse:

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