BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~3.pdfBSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN 266 HESI V2 UPDATED MED SURG EXAM (NEW
2025/ 2026 UPDATE) | QUESTIONS AND ANSWERS |
GRADE A | 100% CORRECT (COMPLETE ANSWERS) –
NIGHTINGALE
Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count
before contacting the HCP.
While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent
drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and family.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception
and she only eats half of the food on her meal tray. Her family expresses concern about her nutritional
status. How should the nurse respond to the family's concern?
High Fowler's Position- High fowlers helps to decrease venous return, which decreases fluid volume in
the heart that results in decreased cardiac workload.
Best position for respiratory distress?
High risk for injury
A patient with peripheral artery disease has marked peripheral neuropath. An appropriate nursing
diagnosis for the patient is
Check feet every day for cuts or injuries.
Page 1 of 10BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
, BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~3.pdfBSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Type 2 diabetes patient discharge teaching patient and family
Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis.
A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is related to
which problem and HCP should be notified?
Elevated blood urea nitrogen (BUN)
For a patient with SLE exacerbation what is the most important to report which assessment finding?
Rate of pain on a scale from 0-10.
Before selecting a medication to administer, which action should the nurse implement in the post-op
patient who reports incisional pain and has 2 PRN analgesia available in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully completed. The patient
should not take anything by mouth.
Patient had bariatric surgery 2 months ago who developed post-op strictures who is experiencing
nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which intervention should the
nurse implement?
Page 2 of 10BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~3.pdfBSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN 266 HESI V2 UPDATED MED SURG EXAM (NEW
2025/ 2026 UPDATE) | QUESTIONS AND ANSWERS |
GRADE A | 100% CORRECT (COMPLETE ANSWERS) –
NIGHTINGALE
Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count
before contacting the HCP.
While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent
drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and family.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception
and she only eats half of the food on her meal tray. Her family expresses concern about her nutritional
status. How should the nurse respond to the family's concern?
High Fowler's Position- High fowlers helps to decrease venous return, which decreases fluid volume in
the heart that results in decreased cardiac workload.
Best position for respiratory distress?
High risk for injury
A patient with peripheral artery disease has marked peripheral neuropath. An appropriate nursing
diagnosis for the patient is
Check feet every day for cuts or injuries.
Page 1 of 10BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
, BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~3.pdfBSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Type 2 diabetes patient discharge teaching patient and family
Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis.
A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is related to
which problem and HCP should be notified?
Elevated blood urea nitrogen (BUN)
For a patient with SLE exacerbation what is the most important to report which assessment finding?
Rate of pain on a scale from 0-10.
Before selecting a medication to administer, which action should the nurse implement in the post-op
patient who reports incisional pain and has 2 PRN analgesia available in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully completed. The patient
should not take anything by mouth.
Patient had bariatric surgery 2 months ago who developed post-op strictures who is experiencing
nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which intervention should the
nurse implement?
Page 2 of 10BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
BSN266~32026/2027!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
