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Exam (elaborations)

BSN HESI 266 Med Surg Exam – 2025 Nightingale College – Actual Questions with 100% Verified and Revised Answers

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This document contains the complete and updated set of actual questions and 100% verified answers for the 2025 HESI 266 Medical-Surgical (Med Surg) Exam used at Nightingale College. Topics include critical areas such as cardiovascular, respiratory, renal, endocrine, GI, neurological, and integumentary systems, as well as fluid & electrolyte management, lab values, prioritization, and clinical decision-making. Each question includes revised answers based on the latest HESI and NCLEX-RN standards, making this a trusted and high-yield study resource for BSN students.

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Pleurodesis

A procedure aimed at preventing the formation of a pleural effusion by causing the pleural spaces to seal tog


Radiation therapy consequences
Chronic esophagitis with gastroesophageal reflux is a potential consequence of radiation therapy for breast c


Pathologic fracture

Fractures that occur without evidence of trauma, often due to loss of bone density from radiation damage.


Sexual activity after myocardial infarction

Sexual intercourse after an MI requires no more energy expenditure or cardiac stress than walking briskly up
of stairs.


Percutaneous endoscopic gastrostomy (PEG) tube
A type of feeding tube that differs from a gastrostomy tube primarily in the method of insertion.


PEG tube

,A tube inserted endoscopically through the esophagus into the stomach, held in place by a bumper and a wa
balloon.


GT

A tube inserted through an incision in the abdomen and sutured to the gastric wall.


Proctosigmoidoscopy preparation

Includes obtaining consent, a clear-liquid diet for 24 to 48 hours prior, administration of an enema, and fastin
morning of the procedure.


Dysuria in diabetes

Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be reported to adjust the care plan.


Right renal calculi nursing diagnosis priority
Acute pain related to movement of the stone.

,Chemotherapy initiation

Starting chemotherapy early increases the chance of eradicating cancer cells, as 50% of tumor cells are kille
dose.


Asterixis

A clinical sign of liver disease characterized by a flapping tremor of the hands.


Clear-liquid diet

A diet consisting of clear fluids, often required 24 to 48 hours before certain medical procedures.


Enema

A procedure to introduce liquid into the rectum to stimulate a bowel movement or cleanse the bowel before a


Fasting protocol

Refraining from all food and drink for a specified period, often required before medical procedures.

, Suprapubic pain

Pain located in the lower abdomen, often associated with urinary issues.


Bounding pulse

A pulse that feels strong and full, often measured at 100 beats/minute in this context.


Small vesicular perineal lesions

Fluid-filled blisters in the perineal area, which may indicate an infection or other medical condition.


Acute pain

Severe discomfort that arises suddenly, often related to conditions like renal calculi.


Impaired urinary elimination

Difficulty in passing urine, often due to obstruction.


Risk for infection
Increased likelihood of developing an infection, often due to conditions like urinary stasis.

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