HESI BSN 266||BSN 266 MED SURG
EXAM QUESTION/ANSW LATEST
UPDATE (2026/2027) BEST FOR
DISTINCTION-NIGHTINGLE
Clientmismrecoveringmfrommamtransurethralmprostatectomy.mWhichmactivitymshouldmbemlimitedmuntil
maftermthemfirstmpostoperativemvisitmwithmthemhealthcaremprovider?m-
mCORRECTmANSWERmDrinkm3L
AmclientmwithmstagemIVmbonemcancermismadmittedmtomthemhospitalmformam1-
10mscale.mWhichminterventionmshouldmthemnursemimplement?m-
mCORRECTmANSWERmAdministermopioidmandmnon-opioidmmedicationsmsimultaneously
AmclientmexperiencesmanmAOBmincompatibilitymreactionmaftermmultiplembloodmtransfusions.mWhich
mfindingmshouldmthemnursemreportmimmediatelymtomthemhealthmcaremprovider?
a.mlowmbackmpainmandmhypotension
b.mrhinitismandmnasalmstuffiness
c.mdelayedmpainfulmrashmwithmurticarial
d.marthriticmjointmchangesmandmchronicmpainm-
mCORRECTmANSWERma.mlowmbackmpainmandmhypotension
ANSWER:m(A)mLOWmBACKmPAINmANDmHYPOTENSTION
Whenmconductingmdischargemteachingmformamclient
,diagnosedmwithmdiverticulosis,mwhichmdietminstructionmshouldmthemnurseminclude?
a.mHavemsmallmfrequentmmealsmandmsitmupmformatmleastmtwomhoursmaftermmeals.
b.mEatmamblandmdietmandmavoidmspicymfoods.
c.mEatmamhighmfibermdietmandmincreasemfluidmintake.
d.mEatmamsoftmdietmwithmincreasedmintakemofmmilkmandmmilkmproductsm-
mCORRECTmANSWERmc.mEatmamhighmfibermdietmandmincreasemfluidmintake.
ANSWERm(C)mEATmAmHIGH-FIBERmDIETmANDmINCREASEmFLUIDmINTAKE
Themnursemobservesmanmincreasedmnumbermofmbloodmclotsminmthemdrainagemtubingmofmamclientmwi
thmcontinuousmbladdermirrigationmfollowingmamtransurethralmresectionmofmthemprostatem(TURP).mW
hatmismthembestminitialmnursingmaction?
a.mProvidemadditionalmoralmfluidmintake
b.mMeasuremthemclient'smintakemandmoutput.
c.mIncreasemthemflowmofmthembladder
irrigation
d.mAdministermamPRNmdosemofmanmantispasmodicmagentm-
mCORRECTmANSWERmc.mIncreasemthemflowmofmthembladder
irrigation
,ANSWERm(C)mIncreasemthemflowmofmthembladdermirrigation
Amclientmwitmlungmcancermwhomwearsmamsubcutaneousmmorphinemsulfatempatchmformpainmismshortm
ofmbreathmandmdifficultmtomarouse.mWhenmperformingmamhead
-to-toemassessment,mthemnursemdiscoversmfourmanalgesicmpatchesmonm-
mCORRECTmANSWERmRemovemallmmorphinempatches
Comingmdownmthembasementmsteps,mamclientmismbroughtmtomthememergencymroommX-
raym...mcast,mwhichmassessmentmfindingmwarrantsmimmediate
Interventionmbymthemnurse?m-mCORRECTmANSWERmRightmfootmpalemwithmsluggishmcapillarymrefill
Anmoverweight,myoungmadultmwhomwas
recentlymCheckmfingermstickmglucosemdiagnosedmwithmtypem2mdiabetesmmellitusmismadmittedmformam
herniamrepair.mHemtellsmthemnursemthatmhemismfeelingmverymweakmandmjittery.
Whichmactionsmshouldmthemnursemimplement?
(Selectmallmthatmapply.)
a.mCheckmfingermstick
glucose
b.mAssessmskinmtemperature
andmmoisture
c.mMeasurempulsemandmblood
, pressurem-mCORRECTmANSWERma.mCheckmfingermstick
glucose
b.mAssessmskinmtemperature
andmmoisture
c.mMeasurempulsemandmblood
pressure
ANSWER:m(CAM)
Amclientmwhomunderwentmcardiacmstentmplacementmfourmdaysmagomarrivesmtomthe
emergencymdepartmentmreportingmamsuddenmonsetmofmchestmpressuremand
shortnessmofmbreath.mWhichmactionmshouldmthemnursemtakemnext?
a.mListenmformextramheartmsounds,mmurmurs,mandmr
hythmmwithmthembellmof
themstethoscope.
b.mEvaluatemuppermandmlowermextremitiesmformperfusion,mpulsemvolume,
andmpittingmedema.
c.mVerifymtroponinmlevelmassessmentsmaremscheduledmeverym3-6mhoursmformamseriesmofmthree.
d.mObtainmam12-leadmelectrocardiogrammandmbeginmcontinuousmcardiacmmonitoring
EXAM QUESTION/ANSW LATEST
UPDATE (2026/2027) BEST FOR
DISTINCTION-NIGHTINGLE
Clientmismrecoveringmfrommamtransurethralmprostatectomy.mWhichmactivitymshouldmbemlimitedmuntil
maftermthemfirstmpostoperativemvisitmwithmthemhealthcaremprovider?m-
mCORRECTmANSWERmDrinkm3L
AmclientmwithmstagemIVmbonemcancermismadmittedmtomthemhospitalmformam1-
10mscale.mWhichminterventionmshouldmthemnursemimplement?m-
mCORRECTmANSWERmAdministermopioidmandmnon-opioidmmedicationsmsimultaneously
AmclientmexperiencesmanmAOBmincompatibilitymreactionmaftermmultiplembloodmtransfusions.mWhich
mfindingmshouldmthemnursemreportmimmediatelymtomthemhealthmcaremprovider?
a.mlowmbackmpainmandmhypotension
b.mrhinitismandmnasalmstuffiness
c.mdelayedmpainfulmrashmwithmurticarial
d.marthriticmjointmchangesmandmchronicmpainm-
mCORRECTmANSWERma.mlowmbackmpainmandmhypotension
ANSWER:m(A)mLOWmBACKmPAINmANDmHYPOTENSTION
Whenmconductingmdischargemteachingmformamclient
,diagnosedmwithmdiverticulosis,mwhichmdietminstructionmshouldmthemnurseminclude?
a.mHavemsmallmfrequentmmealsmandmsitmupmformatmleastmtwomhoursmaftermmeals.
b.mEatmamblandmdietmandmavoidmspicymfoods.
c.mEatmamhighmfibermdietmandmincreasemfluidmintake.
d.mEatmamsoftmdietmwithmincreasedmintakemofmmilkmandmmilkmproductsm-
mCORRECTmANSWERmc.mEatmamhighmfibermdietmandmincreasemfluidmintake.
ANSWERm(C)mEATmAmHIGH-FIBERmDIETmANDmINCREASEmFLUIDmINTAKE
Themnursemobservesmanmincreasedmnumbermofmbloodmclotsminmthemdrainagemtubingmofmamclientmwi
thmcontinuousmbladdermirrigationmfollowingmamtransurethralmresectionmofmthemprostatem(TURP).mW
hatmismthembestminitialmnursingmaction?
a.mProvidemadditionalmoralmfluidmintake
b.mMeasuremthemclient'smintakemandmoutput.
c.mIncreasemthemflowmofmthembladder
irrigation
d.mAdministermamPRNmdosemofmanmantispasmodicmagentm-
mCORRECTmANSWERmc.mIncreasemthemflowmofmthembladder
irrigation
,ANSWERm(C)mIncreasemthemflowmofmthembladdermirrigation
Amclientmwitmlungmcancermwhomwearsmamsubcutaneousmmorphinemsulfatempatchmformpainmismshortm
ofmbreathmandmdifficultmtomarouse.mWhenmperformingmamhead
-to-toemassessment,mthemnursemdiscoversmfourmanalgesicmpatchesmonm-
mCORRECTmANSWERmRemovemallmmorphinempatches
Comingmdownmthembasementmsteps,mamclientmismbroughtmtomthememergencymroommX-
raym...mcast,mwhichmassessmentmfindingmwarrantsmimmediate
Interventionmbymthemnurse?m-mCORRECTmANSWERmRightmfootmpalemwithmsluggishmcapillarymrefill
Anmoverweight,myoungmadultmwhomwas
recentlymCheckmfingermstickmglucosemdiagnosedmwithmtypem2mdiabetesmmellitusmismadmittedmformam
herniamrepair.mHemtellsmthemnursemthatmhemismfeelingmverymweakmandmjittery.
Whichmactionsmshouldmthemnursemimplement?
(Selectmallmthatmapply.)
a.mCheckmfingermstick
glucose
b.mAssessmskinmtemperature
andmmoisture
c.mMeasurempulsemandmblood
, pressurem-mCORRECTmANSWERma.mCheckmfingermstick
glucose
b.mAssessmskinmtemperature
andmmoisture
c.mMeasurempulsemandmblood
pressure
ANSWER:m(CAM)
Amclientmwhomunderwentmcardiacmstentmplacementmfourmdaysmagomarrivesmtomthe
emergencymdepartmentmreportingmamsuddenmonsetmofmchestmpressuremand
shortnessmofmbreath.mWhichmactionmshouldmthemnursemtakemnext?
a.mListenmformextramheartmsounds,mmurmurs,mandmr
hythmmwithmthembellmof
themstethoscope.
b.mEvaluatemuppermandmlowermextremitiesmformperfusion,mpulsemvolume,
andmpittingmedema.
c.mVerifymtroponinmlevelmassessmentsmaremscheduledmeverym3-6mhoursmformamseriesmofmthree.
d.mObtainmam12-leadmelectrocardiogrammandmbeginmcontinuousmcardiacmmonitoring
