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BSN 266
BSN 266 HESI MED SURG EXAM PREP (2025/
2026 UPDATE) QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS)
1. Which client is at highest risk for compromised
psychological adjustment after a hysterectomy?: A 29-year-old
woman whose uterus ruptured after giving birth to her first child.
2. The nurse is caring for a client who is two days
postoperative. Which observation should alert the nurse to call
the Rapid Response Team (RRT)?: 3. A nurse is preparing a
teaching plan for a client who is post-menopausal. Which
measure is most important for the nurse to include to prevent
osteoporosis?:
4. A college student who is diagnosed with a vaginal infection
and vulva irritation describes the vaginal discharge as having a
"cottage-cheese" appearance. Which prescription should the
nurse implement first?:
BSN 266
,5. A client with a chronic infection of Hepatitis C virus (HCV) is
scheduled for a liver biopsy. Which intervention should the nurse
perform after the procedure?:
6. During the assessment of a client who is 24 hours post-
hemicolectomy with a temporary colostomy, the nurse determines
that the client's stoma is dry and dark red in color. What action
should the nurse implement?:
7. The nurse is caring for a client scheduled to undergo
insertion of a percutaneous endoscopic gastrostomy (PEG) tube.
The client asks the nurse to explain how a PEG tube differs from a
gastrostomy tube (GT). Which explanation best describes how
they are different?:
8. The nurse is assessing a middle-aged male client for risk
factors related to chronic illness. Which finding should the nurse
assess further?:
9. A client is admitted for complaints of chest pain and aching
for the past 4 days. The results for serum creatine kinase-MB (CK-
,MB) and troponin levels are obtained. What rationale should the
nurse use to evaluate the laboratory findings?:
10. What is the primary nursing problem for a client with
asymptomatic primary syphilis?: Deficient knowledge.
An asymptomatic client with primary syphilis is most likely unaware of
this disease, so to prevent transmission to others and recurrence in the
client, the priority nursing diagnosis is deficient knowledge of the
disease pathophysiology.
11. A client who is admitted to the emergency department with a
possible tension pneumothorax after a motor vehicle collision is
having multiple diagnostic tests. Which finding requires
immediate action by the nurse?:
12. The nurse is preparing discharge instructions for a client
who is going home with a surgical wound on the coccyx that is
healing by secondary intention. What is the priority nursing
diagnosis that should guide the discharge instruction plan?:
, 13. A client in the preoperative holding area receives a
prescription for midazolam (Versed) IV. The nurse determines that
the surgical consent form needs to be signed by the client. Which
action should the nurse implement?:
14. The nurse is preparing a teaching plan for a client with newly
diagnosed glacoma and a history of allergic rhinitis. Which
information is most important for the nurse to provide the client
about using over-the-counter (OTC) medications for allergies?:
Avoid allergy medications that contain pseudoephedrine or
phenylephrine.
OTC allergy medications may contain ephedrine, phenylephrine, or
pseudoephedrine, which can cause adrenergic side effects, such as
increased intraocular pressure, so a client with glaucoma should avoid
using these OTC medications.
15. The nurse should explain to a client with lung cancer that
pleurodesis is performed to achieve which expected outcome?:
BSN 266
BSN 266 HESI MED SURG EXAM PREP (2025/
2026 UPDATE) QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS)
1. Which client is at highest risk for compromised
psychological adjustment after a hysterectomy?: A 29-year-old
woman whose uterus ruptured after giving birth to her first child.
2. The nurse is caring for a client who is two days
postoperative. Which observation should alert the nurse to call
the Rapid Response Team (RRT)?: 3. A nurse is preparing a
teaching plan for a client who is post-menopausal. Which
measure is most important for the nurse to include to prevent
osteoporosis?:
4. A college student who is diagnosed with a vaginal infection
and vulva irritation describes the vaginal discharge as having a
"cottage-cheese" appearance. Which prescription should the
nurse implement first?:
BSN 266
,5. A client with a chronic infection of Hepatitis C virus (HCV) is
scheduled for a liver biopsy. Which intervention should the nurse
perform after the procedure?:
6. During the assessment of a client who is 24 hours post-
hemicolectomy with a temporary colostomy, the nurse determines
that the client's stoma is dry and dark red in color. What action
should the nurse implement?:
7. The nurse is caring for a client scheduled to undergo
insertion of a percutaneous endoscopic gastrostomy (PEG) tube.
The client asks the nurse to explain how a PEG tube differs from a
gastrostomy tube (GT). Which explanation best describes how
they are different?:
8. The nurse is assessing a middle-aged male client for risk
factors related to chronic illness. Which finding should the nurse
assess further?:
9. A client is admitted for complaints of chest pain and aching
for the past 4 days. The results for serum creatine kinase-MB (CK-
,MB) and troponin levels are obtained. What rationale should the
nurse use to evaluate the laboratory findings?:
10. What is the primary nursing problem for a client with
asymptomatic primary syphilis?: Deficient knowledge.
An asymptomatic client with primary syphilis is most likely unaware of
this disease, so to prevent transmission to others and recurrence in the
client, the priority nursing diagnosis is deficient knowledge of the
disease pathophysiology.
11. A client who is admitted to the emergency department with a
possible tension pneumothorax after a motor vehicle collision is
having multiple diagnostic tests. Which finding requires
immediate action by the nurse?:
12. The nurse is preparing discharge instructions for a client
who is going home with a surgical wound on the coccyx that is
healing by secondary intention. What is the priority nursing
diagnosis that should guide the discharge instruction plan?:
, 13. A client in the preoperative holding area receives a
prescription for midazolam (Versed) IV. The nurse determines that
the surgical consent form needs to be signed by the client. Which
action should the nurse implement?:
14. The nurse is preparing a teaching plan for a client with newly
diagnosed glacoma and a history of allergic rhinitis. Which
information is most important for the nurse to provide the client
about using over-the-counter (OTC) medications for allergies?:
Avoid allergy medications that contain pseudoephedrine or
phenylephrine.
OTC allergy medications may contain ephedrine, phenylephrine, or
pseudoephedrine, which can cause adrenergic side effects, such as
increased intraocular pressure, so a client with glaucoma should avoid
using these OTC medications.
15. The nurse should explain to a client with lung cancer that
pleurodesis is performed to achieve which expected outcome?:
