2026 BSN 266 HESI
Med Surg (3 Full Set Exams)
(NGN-Style Questions & Case Scenarios)
Questions & Answers to Pass the Exam
This Hesi Test Contains:
❖ 3 Set Exam
❖ Format Set of Multiple-choice
❖ Questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
❖ Expert-Verified Explanations & Solutions
,Table of Contents
BSN 266 Hesi Med surg Exam #1 .................................................. 2
BSN 266 Hesi Med surg Exam #2 ................................................ 61
BSN 266 Hesi Med surg Exam #3 .............................................. 126
BSN 266 HESI MED SURG EXAM #1
### 1.
A client who underwent cardiac stent placement 4 days ago arrives to
the emergency department reporting sudden onset chest pressure and
shortness of breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
,b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent
stenting is at high risk for acute stent thrombosis or myocardial infarction
(MI). Immediate acquisition of a 12-lead ECG is critical to assess for ischemic
changes and to prioritize timely reperfusion therapy if needed. Continuous
cardiac monitoring is essential to detect arrhythmias. Although oxygen and
nitroglycerin may be administered per protocol, assessment data guides
further interventions. Immediate preparation for catheterization is
premature before diagnostic confirmation.
---
### 2.
While completing a health assessment for a client with migraine
headaches, the nurse identifies bilateral weakness in the client’s hand
grips. The client reports joint pain and difficulty twisting a door knob
due to weakness.
Which action should the nurse take next?
Answer Choices:
a. Teach the client relaxation techniques to manage migraine pain.
b. Document the findings and continue with the neurological assessment.
c. Gather additional assessment data about the pain and weakness.
d. Refer the client immediately to a neurologist.
, Correct Answer:
c. Gather additional assessment data about the pain and weakness.
Expert Rationale:
Bilateral hand weakness and joint pain suggest possible systemic or
neurological disease beyond migraines (e.g., rheumatoid arthritis,
neuropathy). Further assessment to clarify onset, duration, associated
symptoms, and functional impact is needed before specialist referral.
Immediate referral without data may delay appropriate care; documenting
without further inquiry risks missing early diagnostic clues.
---
### 3.
The nurse is caring for a client diagnosed with psoriasis vulgaris
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates overexposure to treatment?
Answer Choices:
a. Increased thickening and scaling of plaques.
b. Tenderness upon palpation and generalized erythema.
c. Development of vesicular lesions on treated skin.
d. Mild tanning of treated areas.
Correct Answer:
b. Tenderness upon palpation and generalized erythema.
Med Surg (3 Full Set Exams)
(NGN-Style Questions & Case Scenarios)
Questions & Answers to Pass the Exam
This Hesi Test Contains:
❖ 3 Set Exam
❖ Format Set of Multiple-choice
❖ Questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
❖ Expert-Verified Explanations & Solutions
,Table of Contents
BSN 266 Hesi Med surg Exam #1 .................................................. 2
BSN 266 Hesi Med surg Exam #2 ................................................ 61
BSN 266 Hesi Med surg Exam #3 .............................................. 126
BSN 266 HESI MED SURG EXAM #1
### 1.
A client who underwent cardiac stent placement 4 days ago arrives to
the emergency department reporting sudden onset chest pressure and
shortness of breath.
Which action should the nurse take next?
Answer Choices:
a. Administer prescribed nitroglycerin sublingually.
b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
c. Give oxygen at 2 liters per minute via nasal cannula.
d. Prepare the client for immediate cardiac catheterization.
Correct Answer:
,b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
A client with sudden chest pressure and shortness of breath after recent
stenting is at high risk for acute stent thrombosis or myocardial infarction
(MI). Immediate acquisition of a 12-lead ECG is critical to assess for ischemic
changes and to prioritize timely reperfusion therapy if needed. Continuous
cardiac monitoring is essential to detect arrhythmias. Although oxygen and
nitroglycerin may be administered per protocol, assessment data guides
further interventions. Immediate preparation for catheterization is
premature before diagnostic confirmation.
---
### 2.
While completing a health assessment for a client with migraine
headaches, the nurse identifies bilateral weakness in the client’s hand
grips. The client reports joint pain and difficulty twisting a door knob
due to weakness.
Which action should the nurse take next?
Answer Choices:
a. Teach the client relaxation techniques to manage migraine pain.
b. Document the findings and continue with the neurological assessment.
c. Gather additional assessment data about the pain and weakness.
d. Refer the client immediately to a neurologist.
, Correct Answer:
c. Gather additional assessment data about the pain and weakness.
Expert Rationale:
Bilateral hand weakness and joint pain suggest possible systemic or
neurological disease beyond migraines (e.g., rheumatoid arthritis,
neuropathy). Further assessment to clarify onset, duration, associated
symptoms, and functional impact is needed before specialist referral.
Immediate referral without data may delay appropriate care; documenting
without further inquiry risks missing early diagnostic clues.
---
### 3.
The nurse is caring for a client diagnosed with psoriasis vulgaris
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates overexposure to treatment?
Answer Choices:
a. Increased thickening and scaling of plaques.
b. Tenderness upon palpation and generalized erythema.
c. Development of vesicular lesions on treated skin.
d. Mild tanning of treated areas.
Correct Answer:
b. Tenderness upon palpation and generalized erythema.
