BSN HESI 266 Med Surg Exam
Questions and Answers Graded A+
Pleurodesis - Correct answer-A procedure aimed at preventing the formation of a
pleural effusion by causing the pleural spaces to seal together.
Radiation therapy consequences - Correct answer-Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - Correct answer-Fractures that occur without evidence of
trauma, often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - Correct answer-Sexual intercourse
after an MI requires no more energy expenditure or cardiac stress than walking
briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - Correct answer-A type of
feeding tube that differs from a gastrostomy tube primarily in the method of
insertion.
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,PEG tube - Correct answer-A tube inserted endoscopically through the esophagus
into the stomach, held in place by a bumper and a water-filled balloon.
GT - Correct answer-A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
Proctosigmoidoscopy preparation - Correct answer-Includes obtaining consent, a
clear-liquid diet for 24 to 48 hours prior, administration of an enema, and fasting
on the morning of the procedure.
Dysuria in diabetes - Correct answer-Elevated fingerstick glucose levels (e.g., 300
mg/dl) need to be reported to adjust the care plan.
Right renal calculi nursing diagnosis priority - Correct answer-Acute pain related
to movement of the stone.
Chemotherapy initiation - Correct answer-Starting chemotherapy early increases
the chance of eradicating cancer cells, as 50% of tumor cells are killed with each
dose.
Asterixis - Correct answer-A clinical sign of liver disease characterized by a
flapping tremor of the hands.
Clear-liquid diet - Correct answer-A diet consisting of clear fluids, often required
24 to 48 hours before certain medical procedures.
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,Enema - Correct answer-A procedure to introduce liquid into the rectum to
stimulate a bowel movement or cleanse the bowel before a procedure.
Fasting protocol - Correct answer-Refraining from all food and drink for a
specified period, often required before medical procedures.
Suprapubic pain - Correct answer-Pain located in the lower abdomen, often
associated with urinary issues.
Bounding pulse - Correct answer-A pulse that feels strong and full, often measured
at 100 beats/minute in this context.
Small vesicular perineal lesions - Correct answer-Fluid-filled blisters in the
perineal area, which may indicate an infection or other medical condition.
Acute pain - Correct answer-Severe discomfort that arises suddenly, often related
to conditions like renal calculi.
Impaired urinary elimination - Correct answer-Difficulty in passing urine, often
due to obstruction.
Risk for infection - Correct answer-Increased likelihood of developing an
infection, often due to conditions like urinary stasis.
Deficient knowledge - Correct answer-A lack of understanding or information
regarding a specific health condition or its management.
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, Collateral circulation - Correct answer-Alternative pathways of blood flow that
develop as a response to blockage or narrowing of blood vessels.
Cell cycle rate - Correct answer-The speed at which a cell progresses through the
phases of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - Correct answer-The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - Correct answer-A hand-flapping tremor that is often seen frequently in
hepatic encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - Correct answer-The observation of a pulse change
from 85 to 160 beats/minute lasting more than 10 minutes should alert the nurse to
call the Rapid Response Team (RRT).
Rapid Response Team (RRT) - Correct answer-A team called to intervene for a
client with an acute life-threatening change.
Valsalva Maneuver - Correct answer-Straining with bowel movements while
holding one's breath, which increases intracerebral pressure (ICP) and may induce
bleeding or rupture of cerebral blood vessels.
HIV Post-Test Counseling - Correct answer-Encouraging retesting supports hope
and gives the client time to cope with the diagnosis.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers Graded A+
Pleurodesis - Correct answer-A procedure aimed at preventing the formation of a
pleural effusion by causing the pleural spaces to seal together.
Radiation therapy consequences - Correct answer-Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - Correct answer-Fractures that occur without evidence of
trauma, often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - Correct answer-Sexual intercourse
after an MI requires no more energy expenditure or cardiac stress than walking
briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube - Correct answer-A type of
feeding tube that differs from a gastrostomy tube primarily in the method of
insertion.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,PEG tube - Correct answer-A tube inserted endoscopically through the esophagus
into the stomach, held in place by a bumper and a water-filled balloon.
GT - Correct answer-A tube inserted through an incision in the abdomen and
sutured to the gastric wall.
Proctosigmoidoscopy preparation - Correct answer-Includes obtaining consent, a
clear-liquid diet for 24 to 48 hours prior, administration of an enema, and fasting
on the morning of the procedure.
Dysuria in diabetes - Correct answer-Elevated fingerstick glucose levels (e.g., 300
mg/dl) need to be reported to adjust the care plan.
Right renal calculi nursing diagnosis priority - Correct answer-Acute pain related
to movement of the stone.
Chemotherapy initiation - Correct answer-Starting chemotherapy early increases
the chance of eradicating cancer cells, as 50% of tumor cells are killed with each
dose.
Asterixis - Correct answer-A clinical sign of liver disease characterized by a
flapping tremor of the hands.
Clear-liquid diet - Correct answer-A diet consisting of clear fluids, often required
24 to 48 hours before certain medical procedures.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Enema - Correct answer-A procedure to introduce liquid into the rectum to
stimulate a bowel movement or cleanse the bowel before a procedure.
Fasting protocol - Correct answer-Refraining from all food and drink for a
specified period, often required before medical procedures.
Suprapubic pain - Correct answer-Pain located in the lower abdomen, often
associated with urinary issues.
Bounding pulse - Correct answer-A pulse that feels strong and full, often measured
at 100 beats/minute in this context.
Small vesicular perineal lesions - Correct answer-Fluid-filled blisters in the
perineal area, which may indicate an infection or other medical condition.
Acute pain - Correct answer-Severe discomfort that arises suddenly, often related
to conditions like renal calculi.
Impaired urinary elimination - Correct answer-Difficulty in passing urine, often
due to obstruction.
Risk for infection - Correct answer-Increased likelihood of developing an
infection, often due to conditions like urinary stasis.
Deficient knowledge - Correct answer-A lack of understanding or information
regarding a specific health condition or its management.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Collateral circulation - Correct answer-Alternative pathways of blood flow that
develop as a response to blockage or narrowing of blood vessels.
Cell cycle rate - Correct answer-The speed at which a cell progresses through the
phases of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - Correct answer-The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - Correct answer-A hand-flapping tremor that is often seen frequently in
hepatic encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - Correct answer-The observation of a pulse change
from 85 to 160 beats/minute lasting more than 10 minutes should alert the nurse to
call the Rapid Response Team (RRT).
Rapid Response Team (RRT) - Correct answer-A team called to intervene for a
client with an acute life-threatening change.
Valsalva Maneuver - Correct answer-Straining with bowel movements while
holding one's breath, which increases intracerebral pressure (ICP) and may induce
bleeding or rupture of cerebral blood vessels.
HIV Post-Test Counseling - Correct answer-Encouraging retesting supports hope
and gives the client time to cope with the diagnosis.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
