BSN HESI 266 Med Surg EXAM (2026) UPDATE Verified
Questions And Answers | With 100% Correct Answers graded
A+ Guaranteed Success!!
Radiation therapy consequences - ANSWER: Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - ANSWER: Fractures that occur without evidence of trauma,
often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - 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 - ANSWER: A type of feeding
tube that differs from a gastrostomy tube primarily in the method of insertion.
PEG tube - ANSWER: A tube inserted endoscopically through the esophagus into
the stomach, held in place by a bumper and a water-filled balloon.
GT - ANSWER: A tube inserted through an incision in the abdomen and sutured to
the gastric wall.
Proctosigmoidoscopy preparation - 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 - 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 - ANSWER: Acute pain related to
movement of the stone.
,Chemotherapy initiation - ANSWER: Starting chemotherapy early increases the
chance of eradicating cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - ANSWER: A clinical sign of liver disease characterized by a flapping
tremor of the hands.
Clear-liquid diet - ANSWER: A diet consisting of clear fluids, often required 24 to 48
hours before certain medical procedures.
Enema - ANSWER: A procedure to introduce liquid into the rectum to stimulate a
bowel movement or cleanse the bowel before a procedure.
Fasting protocol - ANSWER: Refraining from all food and drink for a specified
period, often required before medical procedures.
Suprapubic pain - ANSWER: Pain located in the lower abdomen, often associated
with urinary issues.
Bounding pulse - ANSWER: A pulse that feels strong and full, often measured at 100
beats/minute in this context.
Small vesicular perineal lesions - ANSWER: Fluid-filled blisters in the perineal
area, which may indicate an infection or other medical condition.
Acute pain - ANSWER: Severe discomfort that arises suddenly, often related to
conditions like renal calculi.
Impaired urinary elimination - ANSWER: Difficulty in passing urine, often due to
obstruction.
Risk for infection - ANSWER: Increased likelihood of developing an infection, often
due to conditions like urinary stasis.
,Deficient knowledge - ANSWER: A lack of understanding or information regarding a
specific health condition or its management.
Collateral circulation - ANSWER: Alternative pathways of blood flow that develop as
a response to blockage or narrowing of blood vessels.
Cell cycle rate - ANSWER: The speed at which a cell progresses through the phases
of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - ANSWER: The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - ANSWER: A hand-flapping tremor that is often seen frequently in hepatic
encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - 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) - ANSWER: A team called to intervene for a client with
an acute life-threatening change.
Valsalva Maneuver - 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 - ANSWER: Encouraging retesting supports hope and
gives the client time to cope with the diagnosis.
Safety Checklist for Surgery - ANSWER: Items such as nail polish, contact lenses,
and partial dentures should be removed to provide accurate pulse oximetry
readings and prevent damage during surgery.
, Nail Polish Removal - ANSWER: Removal provides a more accurate pulse oximetry
reading and evaluation of capillary refill.
Monitoring for Battle's Sign - ANSWER: A nursing action that should be included in
the plan of care for a client admitted with a hemorrhagic stroke.
Active Range of Motion - ANSWER: Performing active range of motion three times
daily is a nursing action for post-stroke care.
Temperature and WBC Count - ANSWER: A temperature of 103.1 F and a white blood
cell (WBC) count of 16,000 mm3 are significant observations postoperatively.
Surgical Wound Dressing - ANSWER: Fresh bleeding noted on abdominal surgical
wound dressing is a concerning observation for a postoperative client.
Diaphoresis and Weakness - ANSWER: Weakness, diaphoresis, and complaints of
feeling faint with BP 100/56 mm Hg are signs that may indicate a need for urgent
care.
Dorsiflexing the Wrist - ANSWER: A movement that induces asterixis when
attempting to hold the position.
Client's Arm Position for Asterixis Test - ANSWER: The client should extend the
arm, dorsiflex the wrist, and extend the fingers.
Orthopedic Surgery Preparation - ANSWER: Completing a safety checklist before
transport to the operating room is essential.
Hearing Aid Removal - ANSWER: Hearing aids should be removed to prevent
damage, loss, or misplacement during surgery.
Wedding Band Removal - ANSWER: Wedding bands should be removed to prevent
injury during surgery.
Questions And Answers | With 100% Correct Answers graded
A+ Guaranteed Success!!
Radiation therapy consequences - ANSWER: Chronic esophagitis with
gastroesophageal reflux is a potential consequence of radiation therapy for breast
cancer.
Pathologic fracture - ANSWER: Fractures that occur without evidence of trauma,
often due to loss of bone density from radiation damage.
Sexual activity after myocardial infarction - 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 - ANSWER: A type of feeding
tube that differs from a gastrostomy tube primarily in the method of insertion.
PEG tube - ANSWER: A tube inserted endoscopically through the esophagus into
the stomach, held in place by a bumper and a water-filled balloon.
GT - ANSWER: A tube inserted through an incision in the abdomen and sutured to
the gastric wall.
Proctosigmoidoscopy preparation - 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 - 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 - ANSWER: Acute pain related to
movement of the stone.
,Chemotherapy initiation - ANSWER: Starting chemotherapy early increases the
chance of eradicating cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis - ANSWER: A clinical sign of liver disease characterized by a flapping
tremor of the hands.
Clear-liquid diet - ANSWER: A diet consisting of clear fluids, often required 24 to 48
hours before certain medical procedures.
Enema - ANSWER: A procedure to introduce liquid into the rectum to stimulate a
bowel movement or cleanse the bowel before a procedure.
Fasting protocol - ANSWER: Refraining from all food and drink for a specified
period, often required before medical procedures.
Suprapubic pain - ANSWER: Pain located in the lower abdomen, often associated
with urinary issues.
Bounding pulse - ANSWER: A pulse that feels strong and full, often measured at 100
beats/minute in this context.
Small vesicular perineal lesions - ANSWER: Fluid-filled blisters in the perineal
area, which may indicate an infection or other medical condition.
Acute pain - ANSWER: Severe discomfort that arises suddenly, often related to
conditions like renal calculi.
Impaired urinary elimination - ANSWER: Difficulty in passing urine, often due to
obstruction.
Risk for infection - ANSWER: Increased likelihood of developing an infection, often
due to conditions like urinary stasis.
,Deficient knowledge - ANSWER: A lack of understanding or information regarding a
specific health condition or its management.
Collateral circulation - ANSWER: Alternative pathways of blood flow that develop as
a response to blockage or narrowing of blood vessels.
Cell cycle rate - ANSWER: The speed at which a cell progresses through the phases
of growth and division, impacting its sensitivity to chemotherapy.
Tumor cell count reduction - ANSWER: The process by which chemotherapy
reduces the number of cancer cells, with each dose killing approximately 50%.
Asterixis - ANSWER: A hand-flapping tremor that is often seen frequently in hepatic
encephalopathy, induced by extending the arm and dorsiflexing the wrist.
Postoperative Observation - 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) - ANSWER: A team called to intervene for a client with
an acute life-threatening change.
Valsalva Maneuver - 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 - ANSWER: Encouraging retesting supports hope and
gives the client time to cope with the diagnosis.
Safety Checklist for Surgery - ANSWER: Items such as nail polish, contact lenses,
and partial dentures should be removed to provide accurate pulse oximetry
readings and prevent damage during surgery.
, Nail Polish Removal - ANSWER: Removal provides a more accurate pulse oximetry
reading and evaluation of capillary refill.
Monitoring for Battle's Sign - ANSWER: A nursing action that should be included in
the plan of care for a client admitted with a hemorrhagic stroke.
Active Range of Motion - ANSWER: Performing active range of motion three times
daily is a nursing action for post-stroke care.
Temperature and WBC Count - ANSWER: A temperature of 103.1 F and a white blood
cell (WBC) count of 16,000 mm3 are significant observations postoperatively.
Surgical Wound Dressing - ANSWER: Fresh bleeding noted on abdominal surgical
wound dressing is a concerning observation for a postoperative client.
Diaphoresis and Weakness - ANSWER: Weakness, diaphoresis, and complaints of
feeling faint with BP 100/56 mm Hg are signs that may indicate a need for urgent
care.
Dorsiflexing the Wrist - ANSWER: A movement that induces asterixis when
attempting to hold the position.
Client's Arm Position for Asterixis Test - ANSWER: The client should extend the
arm, dorsiflex the wrist, and extend the fingers.
Orthopedic Surgery Preparation - ANSWER: Completing a safety checklist before
transport to the operating room is essential.
Hearing Aid Removal - ANSWER: Hearing aids should be removed to prevent
damage, loss, or misplacement during surgery.
Wedding Band Removal - ANSWER: Wedding bands should be removed to prevent
injury during surgery.
