BSN 266 - MEDSURG HESI
2025/2026 EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next? ( correct
answers ) Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
While completing a health assessment for a client with migraine headaches,
the nurse assesses bilateral weakness in the clients hand grips. The client
reports joint pain and trouble twisting a door knob due to weaknesses. Which
action should the nurses take in response to these figures? ( correct
answers ) Gather additional assessment data about the pain and weakness
When assessing a male client's respiratory status, which technique should
the nurse use to assess his anterior-posteriour chest diameter? ( correct
answers ) Tenderness upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted
with possible anastomosis leakage. The client's abdomen is tender to touch,
and the vital signs are temperature 101* F (38 3* C). heart rate 130
beats/minute, Respiratory rate 26 breaths/minute, and blood pressure
100/50 mmHg. Which intervention is most important for the nurse to include
in the client's plan of care? ( correct answers ) .Strict IV fluid replacement
, A client who was recently diagnosed with Raynaud's disease is concerned
about pain management. Which nursing instructions should the nurse
provide? ( correct answers ) Wearing gloves when handling cold items
guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond? ( correct answers ) Describe
the use of an elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for
renal calculi.? ( correct answers ) Eats a vegetarian diet with cheese 2 to
3 times a day.
An older male client tells the nurse that he is losing sleep because he has to
get up several times at night to go to the bathroom, that he has trouble
starting his urinary system, and that he does not feel like his bladder is ever
completely empty. Which intervention should the nurse implement
( correct answers ) Palpate the bladder above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis? ( correct answers )
Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures. Which
nursing intervention is most essential? ( correct answers ) Ensure oral
suction is available.
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider? ( correct answers ) Morphine
2025/2026 EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next? ( correct
answers ) Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
While completing a health assessment for a client with migraine headaches,
the nurse assesses bilateral weakness in the clients hand grips. The client
reports joint pain and trouble twisting a door knob due to weaknesses. Which
action should the nurses take in response to these figures? ( correct
answers ) Gather additional assessment data about the pain and weakness
When assessing a male client's respiratory status, which technique should
the nurse use to assess his anterior-posteriour chest diameter? ( correct
answers ) Tenderness upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted
with possible anastomosis leakage. The client's abdomen is tender to touch,
and the vital signs are temperature 101* F (38 3* C). heart rate 130
beats/minute, Respiratory rate 26 breaths/minute, and blood pressure
100/50 mmHg. Which intervention is most important for the nurse to include
in the client's plan of care? ( correct answers ) .Strict IV fluid replacement
, A client who was recently diagnosed with Raynaud's disease is concerned
about pain management. Which nursing instructions should the nurse
provide? ( correct answers ) Wearing gloves when handling cold items
guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond? ( correct answers ) Describe
the use of an elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for
renal calculi.? ( correct answers ) Eats a vegetarian diet with cheese 2 to
3 times a day.
An older male client tells the nurse that he is losing sleep because he has to
get up several times at night to go to the bathroom, that he has trouble
starting his urinary system, and that he does not feel like his bladder is ever
completely empty. Which intervention should the nurse implement
( correct answers ) Palpate the bladder above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis? ( correct answers )
Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures. Which
nursing intervention is most essential? ( correct answers ) Ensure oral
suction is available.
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider? ( correct answers ) Morphine
