BSN 266 MedSurg HESI 2024/2025 Exam
with Questions and Correct Answers
GRADED A+
A ,client ,who ,underwent ,cardiac ,stent ,placement ,four ,days ,ago ,arrives ,at ,the
,emergency ,department ,reporting ,a ,sudden ,onset ,of ,chest ,pressure ,and
,shortness ,of ,breath. ,Which ,action ,should ,the ,nurse ,take ,next? ,- ,CORRECT
,ANSWER-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 ,ANSWER-
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-posterior ,chest ,diameter? ,- ,CORRECT
,ANSWER-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 ,ANSWER-.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 ,ANSWER-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 ,ANSWER-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 ,ANSWER-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
,ANSWER-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 ,ANSWER-
Crohn's ,disease ,with ,colectomy.
When ,providing ,care ,for ,an ,unconscious ,client ,who ,has ,seizures. ,Which
,nursing ,intervention ,is ,most ,essential? ,- ,CORRECT ,ANSWER-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 ,ANSWER-Morphine
An ,adult ,who ,was ,recently ,diagnosed ,with ,glaucoma ,tells ,the ,nurse, ,"It ,feels
,like ,I ,am ,driving ,through ,a ,tunnel." ,The ,client ,expresses ,great ,concern ,about
,going ,blind. ,Which ,nursing ,instruction ,is ,most ,important ,for ,the ,nurses ,to
,provide ,this ,client? ,- ,CORRECT ,ANSWER-Maintain ,prescribed ,eye ,drop
,regimen
Which ,information ,should ,the ,nurse ,include ,on ,the ,teaching ,plan ,of ,a ,client
,diagnosed ,with ,gastroesophageal ,reflux ,disease ,(GERD)? ,- ,CORRECT
,ANSWER-Minimize ,symptoms ,by ,wearing ,loose, ,comfortable ,clothin
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? ,- ,CORRECT ,ANSWER-Move ,into ,airborne ,isolation
A ,client ,receives ,a ,prescription ,for ,1 ,liter ,of ,Ringer's ,intravenously ,to ,be
,infused ,over ,6 ,hours. ,How ,many ,mL/hr ,should ,the ,nurse ,program ,the ,infusion
,pump ,to ,deliver? ,- ,CORRECT ,ANSWER-167 ,mL ,
1000mL/6(hours) ,=166.6=167mL
with Questions and Correct Answers
GRADED A+
A ,client ,who ,underwent ,cardiac ,stent ,placement ,four ,days ,ago ,arrives ,at ,the
,emergency ,department ,reporting ,a ,sudden ,onset ,of ,chest ,pressure ,and
,shortness ,of ,breath. ,Which ,action ,should ,the ,nurse ,take ,next? ,- ,CORRECT
,ANSWER-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 ,ANSWER-
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-posterior ,chest ,diameter? ,- ,CORRECT
,ANSWER-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 ,ANSWER-.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 ,ANSWER-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 ,ANSWER-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 ,ANSWER-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
,ANSWER-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 ,ANSWER-
Crohn's ,disease ,with ,colectomy.
When ,providing ,care ,for ,an ,unconscious ,client ,who ,has ,seizures. ,Which
,nursing ,intervention ,is ,most ,essential? ,- ,CORRECT ,ANSWER-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 ,ANSWER-Morphine
An ,adult ,who ,was ,recently ,diagnosed ,with ,glaucoma ,tells ,the ,nurse, ,"It ,feels
,like ,I ,am ,driving ,through ,a ,tunnel." ,The ,client ,expresses ,great ,concern ,about
,going ,blind. ,Which ,nursing ,instruction ,is ,most ,important ,for ,the ,nurses ,to
,provide ,this ,client? ,- ,CORRECT ,ANSWER-Maintain ,prescribed ,eye ,drop
,regimen
Which ,information ,should ,the ,nurse ,include ,on ,the ,teaching ,plan ,of ,a ,client
,diagnosed ,with ,gastroesophageal ,reflux ,disease ,(GERD)? ,- ,CORRECT
,ANSWER-Minimize ,symptoms ,by ,wearing ,loose, ,comfortable ,clothin
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? ,- ,CORRECT ,ANSWER-Move ,into ,airborne ,isolation
A ,client ,receives ,a ,prescription ,for ,1 ,liter ,of ,Ringer's ,intravenously ,to ,be
,infused ,over ,6 ,hours. ,How ,many ,mL/hr ,should ,the ,nurse ,program ,the ,infusion
,pump ,to ,deliver? ,- ,CORRECT ,ANSWER-167 ,mL ,
1000mL/6(hours) ,=166.6=167mL
