BSN 266
HESIMed Surg Exam 2026/2027 | Nightingale College | Practice
Questions, Answers & Detailed Rationales | Complete A+ Study
Guide
RESOURCE FEATURES
• BSN HESI 266 Med Surg exam preparation
• 2026/2027-focused study material
• Nightingale College-focused review
, BSN 266 HESIMed Surg Exam 2026/2027 |
Nightingale College | Practice Questions, Answers
& Detailed Rationales | Complete A+ Study Guide
Question 1
A client receiving radiation therapy for breast cancer reports difficulty
swallowing and a burning sensation in the chest after meals. Which
complication should the nurse suspect?
A) Pathologic fracture
B) Chronic esophagitis with gastroesophageal reflux
C) Superior vena cava syndrome
D) Radiation pneumonitis
Answer: B
Rationale: Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer. Radiation
can damage the esophageal mucosa, leading to inflammation and reflux
symptoms.
Question 2
,A client who underwent radiation therapy for bone metastasis presents
with a fracture after minimal trauma. The nurse understands this is
most likely:
A) A pathologic fracture
B) An open fracture
C) A stress fracture
D) A compound fracture
Answer: A
Rationale: Pathologic fractures occur without evidence of trauma,
often due to loss of bone density from radiation damage. Radiation
weakens bone structure, making them susceptible to fracture with
minimal stress.
Question 3
A client who had a myocardial infarction 6 weeks ago asks the nurse
when it is safe to resume sexual activity. Which is the best response?
A) "You should wait at least 6 months before resuming sexual activity."
B) "Sexual intercourse requires no more energy expenditure or cardiac
stress than walking briskly up two flights of stairs."
, C) "You will need to take nitroglycerin before any sexual activity."
D) "Sexual activity is contraindicated after a myocardial infarction."
Answer: B
Rationale: Sexual intercourse after an MI requires no more energy
expenditure or cardiac stress than walking briskly up two flights of
stairs. This provides a practical benchmark for clients to assess their
readiness.
Question 4
A nurse is explaining the difference between a percutaneous
endoscopic gastrostomy (PEG) tube and a gastrostomy tube (GT).
Which statement is accurate?
A) "A PEG tube and GT tube are identical in placement method."
B) "A PEG tube differs from a GT primarily in the method of insertion."
C) "A GT tube is inserted endoscopically."
D) "A PEG tube requires open abdominal surgery."
Answer: B
Rationale: A PEG tube differs from a gastrostomy tube primarily in the
method of insertion. The PEG is placed endoscopically, while the GT
requires surgical incision.
HESIMed Surg Exam 2026/2027 | Nightingale College | Practice
Questions, Answers & Detailed Rationales | Complete A+ Study
Guide
RESOURCE FEATURES
• BSN HESI 266 Med Surg exam preparation
• 2026/2027-focused study material
• Nightingale College-focused review
, BSN 266 HESIMed Surg Exam 2026/2027 |
Nightingale College | Practice Questions, Answers
& Detailed Rationales | Complete A+ Study Guide
Question 1
A client receiving radiation therapy for breast cancer reports difficulty
swallowing and a burning sensation in the chest after meals. Which
complication should the nurse suspect?
A) Pathologic fracture
B) Chronic esophagitis with gastroesophageal reflux
C) Superior vena cava syndrome
D) Radiation pneumonitis
Answer: B
Rationale: Chronic esophagitis with gastroesophageal reflux is a
potential consequence of radiation therapy for breast cancer. Radiation
can damage the esophageal mucosa, leading to inflammation and reflux
symptoms.
Question 2
,A client who underwent radiation therapy for bone metastasis presents
with a fracture after minimal trauma. The nurse understands this is
most likely:
A) A pathologic fracture
B) An open fracture
C) A stress fracture
D) A compound fracture
Answer: A
Rationale: Pathologic fractures occur without evidence of trauma,
often due to loss of bone density from radiation damage. Radiation
weakens bone structure, making them susceptible to fracture with
minimal stress.
Question 3
A client who had a myocardial infarction 6 weeks ago asks the nurse
when it is safe to resume sexual activity. Which is the best response?
A) "You should wait at least 6 months before resuming sexual activity."
B) "Sexual intercourse requires no more energy expenditure or cardiac
stress than walking briskly up two flights of stairs."
, C) "You will need to take nitroglycerin before any sexual activity."
D) "Sexual activity is contraindicated after a myocardial infarction."
Answer: B
Rationale: Sexual intercourse after an MI requires no more energy
expenditure or cardiac stress than walking briskly up two flights of
stairs. This provides a practical benchmark for clients to assess their
readiness.
Question 4
A nurse is explaining the difference between a percutaneous
endoscopic gastrostomy (PEG) tube and a gastrostomy tube (GT).
Which statement is accurate?
A) "A PEG tube and GT tube are identical in placement method."
B) "A PEG tube differs from a GT primarily in the method of insertion."
C) "A GT tube is inserted endoscopically."
D) "A PEG tube requires open abdominal surgery."
Answer: B
Rationale: A PEG tube differs from a gastrostomy tube primarily in the
method of insertion. The PEG is placed endoscopically, while the GT
requires surgical incision.
