BSN 266 HESI Exam Package with
Solution Updated 2025/2026 Complete
Nursing Course Study Resource
/BSN 266 HESI Exam Package –
Complete Study Resource
This comprehensive guide covers the BSN 266 HESI Medical-Surgical
Exam at Nightingale College, featuring verified practice questions with
detailed rationales for the 2026/2027 academic year.
EXAM OVERVIEW
Componen Details
t
Course BSN 266 – Concepts
of Nursing II
Institution Nightingale College
Exam Type HESI
Medical-Surgical
Specialty Exam
,Format Multiple-choice,
NGN-style case
scenarios,
prioritization
questions
Content Cardiovascular,
Areas Respiratory,
Neurological,
Gastrointestinal,
Renal, Endocrine,
Musculoskeletal,
Immunology/Hemat
ology,
Pharmacology,
Fluid/Electrolyte
Balance,
Perioperative Care,
Safety/Prioritization/
Delegation
SECTION 1: CARDIOVASCULAR SYSTEM
Question 1
A client is scheduled for a cardiac stress test. Which medication
should be withheld prior to the test?
, A. Metformin
B. Metoprolol
C. Lisinopril
D. Simvastatin
Correct Answer: B
Rationale: Beta-blockers like metoprolol blunt the heart rate response
to exercise, potentially masking ischemia. They are often held before
stress tests to allow for an accurate assessment of cardiac function.
Metformin is held before contrast studies but not typically before
stress tests. Lisinopril and simvastatin do not significantly affect
stress test results .
Question 2
A client with peripheral venous insufficiency should be taught to:
A. Elevate the legs when sitting
B. Walk with legs dangling
C. Apply heat to the legs
D. Cross legs at the knees
Correct Answer: A
Rationale: Elevating the legs when sitting promotes venous return and
reduces edema in clients with peripheral venous insufficiency.
Dangling legs worsens venous pooling. Heat application can increase
swelling. Crossing legs impairs venous return .
Solution Updated 2025/2026 Complete
Nursing Course Study Resource
/BSN 266 HESI Exam Package –
Complete Study Resource
This comprehensive guide covers the BSN 266 HESI Medical-Surgical
Exam at Nightingale College, featuring verified practice questions with
detailed rationales for the 2026/2027 academic year.
EXAM OVERVIEW
Componen Details
t
Course BSN 266 – Concepts
of Nursing II
Institution Nightingale College
Exam Type HESI
Medical-Surgical
Specialty Exam
,Format Multiple-choice,
NGN-style case
scenarios,
prioritization
questions
Content Cardiovascular,
Areas Respiratory,
Neurological,
Gastrointestinal,
Renal, Endocrine,
Musculoskeletal,
Immunology/Hemat
ology,
Pharmacology,
Fluid/Electrolyte
Balance,
Perioperative Care,
Safety/Prioritization/
Delegation
SECTION 1: CARDIOVASCULAR SYSTEM
Question 1
A client is scheduled for a cardiac stress test. Which medication
should be withheld prior to the test?
, A. Metformin
B. Metoprolol
C. Lisinopril
D. Simvastatin
Correct Answer: B
Rationale: Beta-blockers like metoprolol blunt the heart rate response
to exercise, potentially masking ischemia. They are often held before
stress tests to allow for an accurate assessment of cardiac function.
Metformin is held before contrast studies but not typically before
stress tests. Lisinopril and simvastatin do not significantly affect
stress test results .
Question 2
A client with peripheral venous insufficiency should be taught to:
A. Elevate the legs when sitting
B. Walk with legs dangling
C. Apply heat to the legs
D. Cross legs at the knees
Correct Answer: A
Rationale: Elevating the legs when sitting promotes venous return and
reduces edema in clients with peripheral venous insufficiency.
Dangling legs worsens venous pooling. Heat application can increase
swelling. Crossing legs impairs venous return .
