[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
BSN HESI 266 Med Surg Exam Questions &
Answers, High-Accuracy Updated 2026/2027
Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
99 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 99 verified questions with correct answers and detailed rationales covering
medical-surgical nursing concepts. Each item pairs a board-style question with the correct answer and a
concise explanation of the underlying principle, making it suitable for nursing exam preparation, course review,
and certification study.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Chronic Obstructive Pulmonary This topic covers the management and complications
Disease (COPD) associated with COPD. 12 Qs 12.1%
This topic focuses on the pathophysiology, diagnosis, and
Heart Failure treatment of heart failure. 12 Qs 12.1%
This topic addresses the treatment strategies and potential
Hypertension Management consequences of uncontrolled hypertension. 10 Qs 10.1%
This topic examines various cardiac arrhythmias and their
Cardiac Dysrhythmias management. 10 Qs 10.1%
This topic discusses the pharmacological agents used in
Medications in Cardiac Care treating cardiovascular conditions. 10 Qs 10.1%
This topic involves the diagnosis and treatment of myocardial
Acute Coronary Syndromes infarction and related conditions. 9 Qs 9.1%
This topic focuses on fluid overload and diuretics in the
Fluid Management management of heart failure. 9 Qs 9.1%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
This topic addresses the causes and treatment options for
Respiratory Failure respiratory failure. 9 Qs 9.1%
Patient Assessment in Cardiac This topic covers the assessment findings and clinical
and Respiratory Care evaluations in cardiac and respiratory conditions. 9 Qs 9.1%
Lifestyle Modifications for This topic emphasizes the importance of lifestyle changes in
Health managing chronic conditions like hypertension. 9 Qs 9.1%
Total Exam Coverage 10 Integrated Topic Modules 99 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
12 Questions • 12.1% of Exam • This topic covers the management and complications associated with COPD.
QUESTION 1
A patient with chronic obstructive pulmonary disease (COPD) requires oxygen therapy.
What type of oxygen delivery system is most suitable for this patient?
[A] Helmets
[B] Respiratory masks
[C] Venturi masks
[D] Oxygen tents
Correct Answer: C.
Rationale: Venturi masks deliver precise concentrations of oxygen and are suitable for patients with COPD.
QUESTION 2
A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute
exacerbation. Which of the following is a priority nursing intervention?
[A] Administering oxygen therapy
[B] Implementing bronchodilator therapy
[C] Encouraging the patient to perform deep-breathing exercises
[D] Providing a humidifier to relieve respiratory secretions
Correct Answer: Administering oxygen therapy.
Rationale: Oxygen therapy is essential for patients with severe COPD exacerbations to improve oxygen saturation levels.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 43
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute
exacerbation. Which of the following is a characteristic of the patient's respiratory
pattern?
[A] Tachypnea with decreased respiratory rate
[B] Bradypnea with increased respiratory rate
[C] Decreased respiratory rate with normal tidal volume
[D] Increased respiratory rate with decreased tidal volume
Correct Answer: D. Increased respiratory rate with decreased tidal volume.
Rationale: COPD patients with acute exacerbations exhibit increased respiratory rate and decreased tidal volume due to
airway obstruction and hyperinflation.
QUESTION 4
A patient with chronic obstructive pulmonary disease (COPD) is experiencing a severe
exacerbation. Which of the following is a common complication of this condition?
[A] Pneumothorax
[B] Hypoxemia
[C] Cardiac failure
[D] All of the above
Correct Answer: D. All of the above.
Rationale: COPD patients are at increased risk of developing pneumothorax, hypoxemia, and cardiac failure due to
compromised lung function and gas exchange.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 43
BSN HESI 266 Med Surg Exam Questions &
Answers, High-Accuracy Updated 2026/2027
Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
99 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 99 verified questions with correct answers and detailed rationales covering
medical-surgical nursing concepts. Each item pairs a board-style question with the correct answer and a
concise explanation of the underlying principle, making it suitable for nursing exam preparation, course review,
and certification study.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Chronic Obstructive Pulmonary This topic covers the management and complications
Disease (COPD) associated with COPD. 12 Qs 12.1%
This topic focuses on the pathophysiology, diagnosis, and
Heart Failure treatment of heart failure. 12 Qs 12.1%
This topic addresses the treatment strategies and potential
Hypertension Management consequences of uncontrolled hypertension. 10 Qs 10.1%
This topic examines various cardiac arrhythmias and their
Cardiac Dysrhythmias management. 10 Qs 10.1%
This topic discusses the pharmacological agents used in
Medications in Cardiac Care treating cardiovascular conditions. 10 Qs 10.1%
This topic involves the diagnosis and treatment of myocardial
Acute Coronary Syndromes infarction and related conditions. 9 Qs 9.1%
This topic focuses on fluid overload and diuretics in the
Fluid Management management of heart failure. 9 Qs 9.1%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
This topic addresses the causes and treatment options for
Respiratory Failure respiratory failure. 9 Qs 9.1%
Patient Assessment in Cardiac This topic covers the assessment findings and clinical
and Respiratory Care evaluations in cardiac and respiratory conditions. 9 Qs 9.1%
Lifestyle Modifications for This topic emphasizes the importance of lifestyle changes in
Health managing chronic conditions like hypertension. 9 Qs 9.1%
Total Exam Coverage 10 Integrated Topic Modules 99 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 43
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
12 Questions • 12.1% of Exam • This topic covers the management and complications associated with COPD.
QUESTION 1
A patient with chronic obstructive pulmonary disease (COPD) requires oxygen therapy.
What type of oxygen delivery system is most suitable for this patient?
[A] Helmets
[B] Respiratory masks
[C] Venturi masks
[D] Oxygen tents
Correct Answer: C.
Rationale: Venturi masks deliver precise concentrations of oxygen and are suitable for patients with COPD.
QUESTION 2
A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute
exacerbation. Which of the following is a priority nursing intervention?
[A] Administering oxygen therapy
[B] Implementing bronchodilator therapy
[C] Encouraging the patient to perform deep-breathing exercises
[D] Providing a humidifier to relieve respiratory secretions
Correct Answer: Administering oxygen therapy.
Rationale: Oxygen therapy is essential for patients with severe COPD exacerbations to improve oxygen saturation levels.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 43
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute
exacerbation. Which of the following is a characteristic of the patient's respiratory
pattern?
[A] Tachypnea with decreased respiratory rate
[B] Bradypnea with increased respiratory rate
[C] Decreased respiratory rate with normal tidal volume
[D] Increased respiratory rate with decreased tidal volume
Correct Answer: D. Increased respiratory rate with decreased tidal volume.
Rationale: COPD patients with acute exacerbations exhibit increased respiratory rate and decreased tidal volume due to
airway obstruction and hyperinflation.
QUESTION 4
A patient with chronic obstructive pulmonary disease (COPD) is experiencing a severe
exacerbation. Which of the following is a common complication of this condition?
[A] Pneumothorax
[B] Hypoxemia
[C] Cardiac failure
[D] All of the above
Correct Answer: D. All of the above.
Rationale: COPD patients are at increased risk of developing pneumothorax, hypoxemia, and cardiac failure due to
compromised lung function and gas exchange.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 43
