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BSN 266
BSN 266 HESI MED SURG EXAM (2025/ 2026
UPDATE) QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)
1. The nurse is administering the second unit of whole blood to
an older adult client who was admitted yesterday with
gastrointestinal (GI bleeding. Which parameters should the nurse
monitor that indicate fluid overload?: Bounding pulse, hypertension,
and distended neck veins
2. The nurse is teaching a client with cancer about skincare for
the portal site receiving external beam radiation. Which client
action about skincare indicates a need for further teaching?: a.
Washes the radiation with antibacterial soap and water
3. The nurse observes that a client with Parkinson's disease
(PD) has a mask like face. Which follow up assessment is MOST
important for the nurse to implement?: a. Determine ability to chew
and swallow
BSN 266
,4. NGN - Amputation: The client is a 48-year-old male with
gangrene of the right lower leg which has not been responsive to
treatment. A below-the-knee amputation (BKA) of the right lower
leg has been performed. The client has a history of peripheral
vascular disease and hypertension and has a peacemaker for
2nd-degree Type II heart block. Highlight the assessment findings
that require follow-up by the nurse: Right leg hanging
Right leg cool to touch
Left leg whole paragraph
5. NGN - Amp: Select the 3 assessment findings that indicate
ineffective peripheral tissue perfusion for this client: a. Capillary
refill b. Edema
c. Pale skin
6. NGN - Amputation: Drag the word choices to complete the
sentence: The client is at risk for ____, ____, and ____.: a.
Infection b. Contractures
c. Neuroma
, 7. NGN - Amputation: Which items should the nurse teach the
client? (SATA): a. Alternating position c. Therapeutic coping
d. Prevention of skin breakdown
8. NGN - Amputation: For each client activity, click to indicate
whether the activity shows positive or negative health promotion
post amputation due to extensive peripheral vascular disease.: a.
Insures about blood pressure - positive b. Ask questions about self-
care - positive
c. Avoids looking at residual limb - negative
d. Requests nurse to perform wound care - negative
e. Turns side to side - positive
f. Executes pull-ups on trapeze bar - positive
8. Which client has the highest risk for developing skin
cancer?: a. A 65-year-old fair-skinned client who is a construction
worker.
9. When caring for a client with a cervical spinal cord injury,
which intervention is the MOST important for the nurse to
implement?: a. Immobilize the head in anatomical alignment
BSN 266
BSN 266 HESI MED SURG EXAM (2025/ 2026
UPDATE) QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)
1. The nurse is administering the second unit of whole blood to
an older adult client who was admitted yesterday with
gastrointestinal (GI bleeding. Which parameters should the nurse
monitor that indicate fluid overload?: Bounding pulse, hypertension,
and distended neck veins
2. The nurse is teaching a client with cancer about skincare for
the portal site receiving external beam radiation. Which client
action about skincare indicates a need for further teaching?: a.
Washes the radiation with antibacterial soap and water
3. The nurse observes that a client with Parkinson's disease
(PD) has a mask like face. Which follow up assessment is MOST
important for the nurse to implement?: a. Determine ability to chew
and swallow
BSN 266
,4. NGN - Amputation: The client is a 48-year-old male with
gangrene of the right lower leg which has not been responsive to
treatment. A below-the-knee amputation (BKA) of the right lower
leg has been performed. The client has a history of peripheral
vascular disease and hypertension and has a peacemaker for
2nd-degree Type II heart block. Highlight the assessment findings
that require follow-up by the nurse: Right leg hanging
Right leg cool to touch
Left leg whole paragraph
5. NGN - Amp: Select the 3 assessment findings that indicate
ineffective peripheral tissue perfusion for this client: a. Capillary
refill b. Edema
c. Pale skin
6. NGN - Amputation: Drag the word choices to complete the
sentence: The client is at risk for ____, ____, and ____.: a.
Infection b. Contractures
c. Neuroma
, 7. NGN - Amputation: Which items should the nurse teach the
client? (SATA): a. Alternating position c. Therapeutic coping
d. Prevention of skin breakdown
8. NGN - Amputation: For each client activity, click to indicate
whether the activity shows positive or negative health promotion
post amputation due to extensive peripheral vascular disease.: a.
Insures about blood pressure - positive b. Ask questions about self-
care - positive
c. Avoids looking at residual limb - negative
d. Requests nurse to perform wound care - negative
e. Turns side to side - positive
f. Executes pull-ups on trapeze bar - positive
8. Which client has the highest risk for developing skin
cancer?: a. A 65-year-old fair-skinned client who is a construction
worker.
9. When caring for a client with a cervical spinal cord injury,
which intervention is the MOST important for the nurse to
implement?: a. Immobilize the head in anatomical alignment
