BSN HESI 266 Med Surg Exam
(Latest 2025/ 2026) Questions and
Verified Answers|100% Correct|
Grade A- Nightingale
Question 1
A client with acute osteomyelitis has undergone surgical
debridement of the diseased bone and asks the nurse how long
antibiotics will have to be administered. Which information
should the nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental
procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics
for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics
for 4 to 8 weeks.
D. Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics
for 4 weeks.
,Correct Answer: C
Rationale:
The document states that treatment of acute osteomyelitis
requires high-dose parenteral antibiotics for 4 to 8 weeks,
followed by oral antibiotics for another 4 to 8 weeks.
Question 2
In planning care for a client with an acute stroke resulting in
right-sided hemiplegia, which positioning should the nurse
use to maintain optimal functioning?
A. Mid-Fowler's with knees supported.
B. Supine with trochanter rolls to the hips.
C. Sim's position alternated with right lateral position every 2
hours.
D. Left lateral, supine, brief periods on the right side, and
prone.
Correct Answer: D
Rationale:
The document identifies alternating the client among left
,lateral, supine, brief periods on the right side, and prone
positions as the appropriate positioning strategy for
maintaining optimal function following a stroke with
hemiplegia.
Question 3
Which preexisting diagnosis places a client at the greatest risk
of developing superior vena cava syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
Correct Answer: C
Rationale:
Superior vena cava syndrome occurs when the SVC is
compressed by an external structure. The document identifies
metastatic cancer, particularly from a tumor in the upper
lobe of the right lung, as a major cause because the tumor can
compress the SVC and obstruct venous return.
, Question 4
The nurse is giving discharge instructions to a client with
chronic prostatitis. What instruction should the nurse provide
the client to reduce the risk of spreading the infection to other
areas of the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
Correct Answer: D
Rationale:
The document explains that the prostate can serve as a
reservoir for microorganisms because antibiotics do not easily
penetrate it. Regular drainage through intercourse or
masturbation decreases microorganisms in the prostate and
reduces the risk of further infection from contaminated
seminal fluid.
(Latest 2025/ 2026) Questions and
Verified Answers|100% Correct|
Grade A- Nightingale
Question 1
A client with acute osteomyelitis has undergone surgical
debridement of the diseased bone and asks the nurse how long
antibiotics will have to be administered. Which information
should the nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental
procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics
for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics
for 4 to 8 weeks.
D. Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics
for 4 weeks.
,Correct Answer: C
Rationale:
The document states that treatment of acute osteomyelitis
requires high-dose parenteral antibiotics for 4 to 8 weeks,
followed by oral antibiotics for another 4 to 8 weeks.
Question 2
In planning care for a client with an acute stroke resulting in
right-sided hemiplegia, which positioning should the nurse
use to maintain optimal functioning?
A. Mid-Fowler's with knees supported.
B. Supine with trochanter rolls to the hips.
C. Sim's position alternated with right lateral position every 2
hours.
D. Left lateral, supine, brief periods on the right side, and
prone.
Correct Answer: D
Rationale:
The document identifies alternating the client among left
,lateral, supine, brief periods on the right side, and prone
positions as the appropriate positioning strategy for
maintaining optimal function following a stroke with
hemiplegia.
Question 3
Which preexisting diagnosis places a client at the greatest risk
of developing superior vena cava syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
Correct Answer: C
Rationale:
Superior vena cava syndrome occurs when the SVC is
compressed by an external structure. The document identifies
metastatic cancer, particularly from a tumor in the upper
lobe of the right lung, as a major cause because the tumor can
compress the SVC and obstruct venous return.
, Question 4
The nurse is giving discharge instructions to a client with
chronic prostatitis. What instruction should the nurse provide
the client to reduce the risk of spreading the infection to other
areas of the client's urinary tract?
A. Wear a condom when having sexual intercourse.
B. Avoid consuming alcohol and caffeinated beverages.
C. Empty the bladder completely with each voiding.
D. Have intercourse or masturbate at least twice a week.
Correct Answer: D
Rationale:
The document explains that the prostate can serve as a
reservoir for microorganisms because antibiotics do not easily
penetrate it. Regular drainage through intercourse or
masturbation decreases microorganisms in the prostate and
reduces the risk of further infection from contaminated
seminal fluid.
