BSN HESI 266 Med Surg Exam (Latest
2026/2027) Questions & Correct
Answers With Rationales
EXAM OVERVIEW
Component Details
Course BSN 266 –
Medical-Surgical
Nursing
Institution Nightingale College
Exam Type HESI Specialty Exam
Content Cardiovascular,
Areas Respiratory,
Gastrointestinal, Renal,
Endocrine,
Neurological,
Musculoskeletal,
Immunological/Hemat
ological,
Pharmacology,
Fluid/Electrolyte
Balance, Perioperative
Care,
, Prioritization/Delegatio
n, NGN Clinical
Judgment -
1
-
7
SECTION 1: CARDIOVASCULAR SYSTEM
Question 1
A client arrives with chest pain radiating to the left arm, shortness of
breath, and diaphoresis. Which medication should the nurse anticipate
after HCP assessment?
A. Aspirin
B. Nitroglycerin
C. Atorvastatin
D. Morphine
Correct Answer: D
Rationale: Morphine is used for chest pain unrelieved by initial treatment; it
reduces pain, anxiety, and myocardial oxygen demand. While aspirin and
nitroglycerin are first-line interventions for acute coronary syndrome,
morphine is the medication specifically anticipated for ongoing pain not
relieved by these initial measures. Statins are for long-term management,
not acute intervention -
13
.
2026/2027) Questions & Correct
Answers With Rationales
EXAM OVERVIEW
Component Details
Course BSN 266 –
Medical-Surgical
Nursing
Institution Nightingale College
Exam Type HESI Specialty Exam
Content Cardiovascular,
Areas Respiratory,
Gastrointestinal, Renal,
Endocrine,
Neurological,
Musculoskeletal,
Immunological/Hemat
ological,
Pharmacology,
Fluid/Electrolyte
Balance, Perioperative
Care,
, Prioritization/Delegatio
n, NGN Clinical
Judgment -
1
-
7
SECTION 1: CARDIOVASCULAR SYSTEM
Question 1
A client arrives with chest pain radiating to the left arm, shortness of
breath, and diaphoresis. Which medication should the nurse anticipate
after HCP assessment?
A. Aspirin
B. Nitroglycerin
C. Atorvastatin
D. Morphine
Correct Answer: D
Rationale: Morphine is used for chest pain unrelieved by initial treatment; it
reduces pain, anxiety, and myocardial oxygen demand. While aspirin and
nitroglycerin are first-line interventions for acute coronary syndrome,
morphine is the medication specifically anticipated for ongoing pain not
relieved by these initial measures. Statins are for long-term management,
not acute intervention -
13
.