BSN HESI 266 Med Surg Exams
2026/2027 | Complete Exam Study
Bundle | Questions and Answers |
Nightingale College
Description: This comprehensive study bundle contains 200 multiple-
choice questions (MCQs) with answers and rationales covering Medical-
Surgical Nursing for the HESI 266 exam. It includes key
concepts in cardiovascular, respiratory, endocrine, gastrointestinal,
renal, neurological, musculoskeletal, hematologic, oncologic, and
integumentary systems, as well as perioperative care, fluid and
electrolytes, infection control, and emergency nursing. Each question is
designed to mirror the Nightingale College curriculum and HESI
266 exam blueprint.
Keywords: BSN HESI 266, Med Surg Exam, Nightingale College, HESI Study
Bundle, Medical-Surgical Nursing, HESI 2026/2027, NCLEX-style questions,
Nursing MCQ, Exam Revision, Patient Safety, Prioritization, Delegation,
Clinical Judgment.
1. A nurse is assessing a client with heart failure. Which finding
indicates fluid volume excess?
A. Flat neck veins
B. Decreased urine output
C. Weight loss
D. Dry mucous membranes
,Correct Answer: B ✅
2. A client is prescribed furosemide. Which laboratory value should the
nurse monitor most closely?
A. Calcium
B. Potassium
C. Sodium
D. Magnesium
Correct Answer: B ✅
3. A nurse is caring for a client with atrial fibrillation. Which
medication is prescribed to reduce the risk of stroke?
A. Digoxin
B. Warfarin
C. Adenosine
D. Atropine
Correct Answer: B ✅
4. A client with myocardial infarction reports chest pain. Which action
should the nurse take first?
A. Administer morphine
B. Obtain an ECG
,C. Give aspirin
D. Assess vital signs
Correct Answer: D ✅
5. A nurse is teaching a client about a low-sodium diet. Which food
should the client avoid?
A. Fresh apples
B. Canned soup
C. Brown rice
D. Grilled chicken
Correct Answer: B ✅
6. A client is admitted with exacerbation of COPD. Which position
should the nurse place the client in?
A. Supine
B. High-Fowler’s
C. Trendelenburg
D. Prone
Correct Answer: B ✅
7. A nurse is administering oxygen to a client with COPD. Which flow
rate is safest?
, A. 1–2 L/min
B. 4–6 L/min
C. 8–10 L/min
D. 12–15 L/min
Correct Answer: A ✅
8. A client with asthma is prescribed albuterol. Which side effect
should the nurse monitor for?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Constipation
Correct Answer: B ✅
9. A nurse is assessing a client with pneumonia. Which finding is most
concerning?
A. Productive cough
B. Fever
C. Confusion
D. Crackles
Correct Answer: C ✅
2026/2027 | Complete Exam Study
Bundle | Questions and Answers |
Nightingale College
Description: This comprehensive study bundle contains 200 multiple-
choice questions (MCQs) with answers and rationales covering Medical-
Surgical Nursing for the HESI 266 exam. It includes key
concepts in cardiovascular, respiratory, endocrine, gastrointestinal,
renal, neurological, musculoskeletal, hematologic, oncologic, and
integumentary systems, as well as perioperative care, fluid and
electrolytes, infection control, and emergency nursing. Each question is
designed to mirror the Nightingale College curriculum and HESI
266 exam blueprint.
Keywords: BSN HESI 266, Med Surg Exam, Nightingale College, HESI Study
Bundle, Medical-Surgical Nursing, HESI 2026/2027, NCLEX-style questions,
Nursing MCQ, Exam Revision, Patient Safety, Prioritization, Delegation,
Clinical Judgment.
1. A nurse is assessing a client with heart failure. Which finding
indicates fluid volume excess?
A. Flat neck veins
B. Decreased urine output
C. Weight loss
D. Dry mucous membranes
,Correct Answer: B ✅
2. A client is prescribed furosemide. Which laboratory value should the
nurse monitor most closely?
A. Calcium
B. Potassium
C. Sodium
D. Magnesium
Correct Answer: B ✅
3. A nurse is caring for a client with atrial fibrillation. Which
medication is prescribed to reduce the risk of stroke?
A. Digoxin
B. Warfarin
C. Adenosine
D. Atropine
Correct Answer: B ✅
4. A client with myocardial infarction reports chest pain. Which action
should the nurse take first?
A. Administer morphine
B. Obtain an ECG
,C. Give aspirin
D. Assess vital signs
Correct Answer: D ✅
5. A nurse is teaching a client about a low-sodium diet. Which food
should the client avoid?
A. Fresh apples
B. Canned soup
C. Brown rice
D. Grilled chicken
Correct Answer: B ✅
6. A client is admitted with exacerbation of COPD. Which position
should the nurse place the client in?
A. Supine
B. High-Fowler’s
C. Trendelenburg
D. Prone
Correct Answer: B ✅
7. A nurse is administering oxygen to a client with COPD. Which flow
rate is safest?
, A. 1–2 L/min
B. 4–6 L/min
C. 8–10 L/min
D. 12–15 L/min
Correct Answer: A ✅
8. A client with asthma is prescribed albuterol. Which side effect
should the nurse monitor for?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Constipation
Correct Answer: B ✅
9. A nurse is assessing a client with pneumonia. Which finding is most
concerning?
A. Productive cough
B. Fever
C. Confusion
D. Crackles
Correct Answer: C ✅
