Med Surg 266 HESI Compiled Exam Questions With
Answers 2025-2026
Med Surg 266 HESI Compiled Exam Questions With
Answers 2025-2026
The ,nurse ,is ,evaluating ,a ,client's ,understanding ,about ,the ,DASH ,(Dietary
,Approaches ,to ,Stop ,Hypertension) ,eating ,plan. ,Which ,behavior ,indicates ,that
,the ,client ,is ,adhering ,to ,the ,eating ,plan?
- ,A ,Uses ,only ,lactose-free ,dairy ,products.
- ,B ,Carefully ,cleans ,and ,peels ,all ,fresh ,fruit ,and ,vegetables.
- ,C ,No ,longer ,includes ,grains ,in ,daily ,diet.
- ,D ,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food. ,- ,CORRECT ,ANSWER-D
,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food
A ,client ,who ,has ,a ,history ,of ,hypothyroidism ,was ,initially ,admitted ,with
,lethargy ,and ,confusion. ,Which ,additional ,finding ,warrants ,the ,most ,immediate
,action ,by ,the ,nurse? ,Hematocrit ,(Reference ,Range: ,Male: ,42% ,to ,52% ,(0.42 ,to
,0.52 ,volume ,fraction)]
- ,A ,Further ,decline ,in ,level ,of ,consciousness.
- ,B ,Hematocrit ,of ,30% ,(0.30 ,volume ,fraction)
- ,C ,Cold ,and ,dry ,skin.
- ,D ,Facial ,puffiness ,and ,periorbital ,edema ,- ,CORRECT ,ANSWER-A ,Further
,decline ,in ,level ,of ,consciousness.
The ,nurse ,is ,caring ,for ,a ,client ,with ,a ,burn ,that ,is ,severely ,edematous ,with ,a
,wound ,bed ,that ,is ,brown ,and ,yellow ,in ,appearance. ,The ,client ,expresses
,feeling ,no ,pain. ,Which ,classification ,of ,burn ,depth ,should ,the ,nurse
,document?
- ,A ,Deep ,full-thickness.
- ,B ,Full ,thickness.
- ,C ,Deep ,partial-thickness.
- ,D ,Superficial ,partial-thickness. ,- ,CORRECT ,ANSWER-B ,Full ,thickness.
An ,older ,client ,who ,is ,agitated, ,dyspneic, ,orthopneic, ,and ,using ,accessory
,muscles ,to ,breathe ,is ,admitted ,for ,further ,treatment. ,Initial ,assessment
,includes ,a ,heart ,rate ,128 ,beats/minute ,and ,irregular, ,respirations ,38
,breaths/minute, ,blood ,pressure ,168/100 ,mm ,Hg, ,wheezes ,and ,crackles ,in ,all
,lung ,fields. ,An ,hour ,after ,the ,administration ,of ,furosemide ,60 ,mg ,intravenous
,(IV), ,which ,assessment(s) ,should ,the ,nurse ,obtain ,to ,determine ,the ,client's
,response ,to ,treatment? ,(Select ,all ,that ,apply.) -
,A ,Urinary ,output.
, Med Surg 266 HESI Compiled Exam Questions With
Answers 2025-2026
- ,B ,Oxygen ,saturation.
- ,C ,Pain ,scale.
- ,D ,Lung ,sounds.
- ,E ,Skin ,elasticity ,- ,CORRECT ,ANSWER-A ,Urinary ,output.
B ,Oxygen ,saturation.
D ,Lung ,sounds.
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?
- ,A ,Nephrotic ,syndrome ,history.
- ,B ,Crohn's ,disease ,with ,colectomy.
- ,C ,Type ,2 ,diabetes ,mellitus.
- ,D ,Latent ,hepatitis ,C. ,- ,CORRECT ,ANSWER-B ,Crohn's ,disease ,with ,colectomy.
The ,nurse ,assesses ,a ,client ,with ,cirrhosis ,and ,finds ,4+ ,pitting ,edema ,of ,the
,feet ,and ,legs, ,and ,massive ,ascites. ,Which ,mechanism ,contributes ,to ,edema
,and ,ascites ,in ,clients ,with ,cirrhosis?
- ,A ,Decreased ,portacaval ,pressure ,with ,greater ,collateral ,circulation. - ,B
,Hyperaldosteronism ,causing ,an ,increased ,sodium ,reabsorption ,in ,renal
,tubules.
- ,C ,Decreased ,renin-angiotensin ,response ,related ,to ,an ,increase ,in ,renal ,blood
,flow.
- ,D ,Hypoalbuminemia ,that ,results ,in ,a ,decreased ,colloidal ,oncotic ,pressure. ,-
,CORRECT ,ANSWER-- ,D ,Hypoalbuminemia ,that ,results ,in ,a ,decreased ,colloidal
,oncotic ,pressure.
While ,assessing ,a ,client ,with ,degenerative ,joint ,disease, ,the ,nurse ,observes
,Heberden's ,nodes, ,large ,prominences ,on ,the ,client's ,fingers ,that ,are ,reddened.
,The ,client ,reports ,that ,the ,nodes ,are ,painful. ,Which ,action ,should ,the ,nurse
,take?
- ,A ,Review ,the ,client's ,dietary ,intake ,of ,high-protein ,foods.
- ,B ,Discuss ,approaches ,to ,chronic ,pain ,control ,with ,the ,client.
- ,C ,Notify ,the ,healthcare ,provider ,of ,the ,finding ,immediately.
- ,D ,Assess ,the ,client's ,radial ,pulses ,and ,capillary ,refill ,time. ,- ,CORRECT
,ANSWER-- ,B ,Discuss ,approaches ,to ,chronic ,pain ,control ,with ,the ,client.
Which ,information ,should ,the ,nurse ,include ,in ,the ,teaching ,plan ,of ,a ,client
,diagnosed ,with ,gastroesophageal ,reflux ,disease ,(GERD)?
- ,A ,Adjust ,food ,intake ,to ,three ,full ,meals ,per ,day ,and ,no ,snacks.
- ,B ,Minimize ,symptoms ,by ,wearing ,loose, ,comfortable ,clothing.
- ,C ,Avoid ,participation ,in ,any ,aerobic ,exercise ,programs.
Answers 2025-2026
Med Surg 266 HESI Compiled Exam Questions With
Answers 2025-2026
The ,nurse ,is ,evaluating ,a ,client's ,understanding ,about ,the ,DASH ,(Dietary
,Approaches ,to ,Stop ,Hypertension) ,eating ,plan. ,Which ,behavior ,indicates ,that
,the ,client ,is ,adhering ,to ,the ,eating ,plan?
- ,A ,Uses ,only ,lactose-free ,dairy ,products.
- ,B ,Carefully ,cleans ,and ,peels ,all ,fresh ,fruit ,and ,vegetables.
- ,C ,No ,longer ,includes ,grains ,in ,daily ,diet.
- ,D ,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food. ,- ,CORRECT ,ANSWER-D
,Enjoys ,fat-free ,yogurt ,as ,an ,occasional ,snack ,food
A ,client ,who ,has ,a ,history ,of ,hypothyroidism ,was ,initially ,admitted ,with
,lethargy ,and ,confusion. ,Which ,additional ,finding ,warrants ,the ,most ,immediate
,action ,by ,the ,nurse? ,Hematocrit ,(Reference ,Range: ,Male: ,42% ,to ,52% ,(0.42 ,to
,0.52 ,volume ,fraction)]
- ,A ,Further ,decline ,in ,level ,of ,consciousness.
- ,B ,Hematocrit ,of ,30% ,(0.30 ,volume ,fraction)
- ,C ,Cold ,and ,dry ,skin.
- ,D ,Facial ,puffiness ,and ,periorbital ,edema ,- ,CORRECT ,ANSWER-A ,Further
,decline ,in ,level ,of ,consciousness.
The ,nurse ,is ,caring ,for ,a ,client ,with ,a ,burn ,that ,is ,severely ,edematous ,with ,a
,wound ,bed ,that ,is ,brown ,and ,yellow ,in ,appearance. ,The ,client ,expresses
,feeling ,no ,pain. ,Which ,classification ,of ,burn ,depth ,should ,the ,nurse
,document?
- ,A ,Deep ,full-thickness.
- ,B ,Full ,thickness.
- ,C ,Deep ,partial-thickness.
- ,D ,Superficial ,partial-thickness. ,- ,CORRECT ,ANSWER-B ,Full ,thickness.
An ,older ,client ,who ,is ,agitated, ,dyspneic, ,orthopneic, ,and ,using ,accessory
,muscles ,to ,breathe ,is ,admitted ,for ,further ,treatment. ,Initial ,assessment
,includes ,a ,heart ,rate ,128 ,beats/minute ,and ,irregular, ,respirations ,38
,breaths/minute, ,blood ,pressure ,168/100 ,mm ,Hg, ,wheezes ,and ,crackles ,in ,all
,lung ,fields. ,An ,hour ,after ,the ,administration ,of ,furosemide ,60 ,mg ,intravenous
,(IV), ,which ,assessment(s) ,should ,the ,nurse ,obtain ,to ,determine ,the ,client's
,response ,to ,treatment? ,(Select ,all ,that ,apply.) -
,A ,Urinary ,output.
, Med Surg 266 HESI Compiled Exam Questions With
Answers 2025-2026
- ,B ,Oxygen ,saturation.
- ,C ,Pain ,scale.
- ,D ,Lung ,sounds.
- ,E ,Skin ,elasticity ,- ,CORRECT ,ANSWER-A ,Urinary ,output.
B ,Oxygen ,saturation.
D ,Lung ,sounds.
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?
- ,A ,Nephrotic ,syndrome ,history.
- ,B ,Crohn's ,disease ,with ,colectomy.
- ,C ,Type ,2 ,diabetes ,mellitus.
- ,D ,Latent ,hepatitis ,C. ,- ,CORRECT ,ANSWER-B ,Crohn's ,disease ,with ,colectomy.
The ,nurse ,assesses ,a ,client ,with ,cirrhosis ,and ,finds ,4+ ,pitting ,edema ,of ,the
,feet ,and ,legs, ,and ,massive ,ascites. ,Which ,mechanism ,contributes ,to ,edema
,and ,ascites ,in ,clients ,with ,cirrhosis?
- ,A ,Decreased ,portacaval ,pressure ,with ,greater ,collateral ,circulation. - ,B
,Hyperaldosteronism ,causing ,an ,increased ,sodium ,reabsorption ,in ,renal
,tubules.
- ,C ,Decreased ,renin-angiotensin ,response ,related ,to ,an ,increase ,in ,renal ,blood
,flow.
- ,D ,Hypoalbuminemia ,that ,results ,in ,a ,decreased ,colloidal ,oncotic ,pressure. ,-
,CORRECT ,ANSWER-- ,D ,Hypoalbuminemia ,that ,results ,in ,a ,decreased ,colloidal
,oncotic ,pressure.
While ,assessing ,a ,client ,with ,degenerative ,joint ,disease, ,the ,nurse ,observes
,Heberden's ,nodes, ,large ,prominences ,on ,the ,client's ,fingers ,that ,are ,reddened.
,The ,client ,reports ,that ,the ,nodes ,are ,painful. ,Which ,action ,should ,the ,nurse
,take?
- ,A ,Review ,the ,client's ,dietary ,intake ,of ,high-protein ,foods.
- ,B ,Discuss ,approaches ,to ,chronic ,pain ,control ,with ,the ,client.
- ,C ,Notify ,the ,healthcare ,provider ,of ,the ,finding ,immediately.
- ,D ,Assess ,the ,client's ,radial ,pulses ,and ,capillary ,refill ,time. ,- ,CORRECT
,ANSWER-- ,B ,Discuss ,approaches ,to ,chronic ,pain ,control ,with ,the ,client.
Which ,information ,should ,the ,nurse ,include ,in ,the ,teaching ,plan ,of ,a ,client
,diagnosed ,with ,gastroesophageal ,reflux ,disease ,(GERD)?
- ,A ,Adjust ,food ,intake ,to ,three ,full ,meals ,per ,day ,and ,no ,snacks.
- ,B ,Minimize ,symptoms ,by ,wearing ,loose, ,comfortable ,clothing.
- ,C ,Avoid ,participation ,in ,any ,aerobic ,exercise ,programs.
