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BSN 266
BSN 266 HESI MED SURG EXAM (2025/ 2026)
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. The nurse is caring for a client in the post anesthesia care unit
(PACU) who underwent a thoracotomy two hours ago. The nurse
observes the following vital signs: heart rate 140 beats/minute,
respirations 26 breaths/minute, and blood pressure 140/90 mm
Hg. Which intervention is most important for the nurse to
implement?: MEDICATE FOR PAIN AND MONITOR VITAL SIGNS
ACCORDING TO PROTOCOL
2. The nurse assesses a client with cirrhosis and find 4+ pitting
edema of the feet and legs, and massive ascites. Which
mechanism contributes to edema
and ascites in clients with cirrhosis?: HYPOALBUMINEMIA THAT
RESULTS IN
BSN 266
,A DECREASED COLLOIDAL ONCOTIC PRESSURE
3. The home health nurse provides teaching about insulin self
injection to a client who was recently diagnosed with diabetes
mellitus. When the client begins to perform a return
demonstration of an insulin injection into the abdomen as seen in
the video, which instructions should he nurse provide? (Video of
client Picture of thighs): CONTINUE WITH THE INSULIN
INJECTION 4. A client arrives to the medical-surgical unit 4 hours
after a transurethral resection of the prostate. A triple-lumen
catheter for continuous *** irrigation with normal saline is infusing
and the nurse observes dark, pink-tinged outflow with blood clots
in the tubing and collection bag. What action should the nurse
take?: MONITORING CATHETER DRAINAGE
5. A client arrives to the emergency department reporting an
intermittent fever and night sweats for the past 3 weeks and has
developed a productive cough containing small amounts of
blood. Which intervention should the nurse prioritize?: MOVE
INTO AIRBORNE ISOLATION
, 6. A client with right hydronephrosis and a history of renal
calculi is preparing for discharge following a retrograde
pyelogram. Which instruction should
the nurse include in the client's discharge instructions?:
MONITOR URINARY
STREAM FOR DECREASED OUTPUT
7. While caring for a client with Guillain-Barre syndrome, the
nurse performs a neurological assessment every four hours.
Which assessment finding warrants immediate intervention by
the nurse?: SENSORY LOSS AT T-8
8. Which action should the nurse implement to reduce the risk
of vesicant extravasation in the client who is receiving
intravenous chemotherapy?: MONITOR THE CLIENT'S
INTRAVENOUS SITE HOURLY DURING THE TREATMENT
9. The nurse is providing discharge teaching to an older adult
client hospitalized for treatment of venous leg ulcers. Which
instruction(s) should the nurse include in the teaching plan?
BSN 266
BSN 266 HESI MED SURG EXAM (2025/ 2026)
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. The nurse is caring for a client in the post anesthesia care unit
(PACU) who underwent a thoracotomy two hours ago. The nurse
observes the following vital signs: heart rate 140 beats/minute,
respirations 26 breaths/minute, and blood pressure 140/90 mm
Hg. Which intervention is most important for the nurse to
implement?: MEDICATE FOR PAIN AND MONITOR VITAL SIGNS
ACCORDING TO PROTOCOL
2. The nurse assesses a client with cirrhosis and find 4+ pitting
edema of the feet and legs, and massive ascites. Which
mechanism contributes to edema
and ascites in clients with cirrhosis?: HYPOALBUMINEMIA THAT
RESULTS IN
BSN 266
,A DECREASED COLLOIDAL ONCOTIC PRESSURE
3. The home health nurse provides teaching about insulin self
injection to a client who was recently diagnosed with diabetes
mellitus. When the client begins to perform a return
demonstration of an insulin injection into the abdomen as seen in
the video, which instructions should he nurse provide? (Video of
client Picture of thighs): CONTINUE WITH THE INSULIN
INJECTION 4. A client arrives to the medical-surgical unit 4 hours
after a transurethral resection of the prostate. A triple-lumen
catheter for continuous *** irrigation with normal saline is infusing
and the nurse observes dark, pink-tinged outflow with blood clots
in the tubing and collection bag. What action should the nurse
take?: MONITORING CATHETER DRAINAGE
5. A client arrives to the emergency department reporting an
intermittent fever and night sweats for the past 3 weeks and has
developed a productive cough containing small amounts of
blood. Which intervention should the nurse prioritize?: MOVE
INTO AIRBORNE ISOLATION
, 6. A client with right hydronephrosis and a history of renal
calculi is preparing for discharge following a retrograde
pyelogram. Which instruction should
the nurse include in the client's discharge instructions?:
MONITOR URINARY
STREAM FOR DECREASED OUTPUT
7. While caring for a client with Guillain-Barre syndrome, the
nurse performs a neurological assessment every four hours.
Which assessment finding warrants immediate intervention by
the nurse?: SENSORY LOSS AT T-8
8. Which action should the nurse implement to reduce the risk
of vesicant extravasation in the client who is receiving
intravenous chemotherapy?: MONITOR THE CLIENT'S
INTRAVENOUS SITE HOURLY DURING THE TREATMENT
9. The nurse is providing discharge teaching to an older adult
client hospitalized for treatment of venous leg ulcers. Which
instruction(s) should the nurse include in the teaching plan?
