1|Page
HESI 266 Medical-Surgical Nursing Comprehensive
Study Guide||Verified Exam!!||, Nightingale College
BSN, 2026/2027-Question NGN-Aligned Examination
with Verified Solutions
A 59-year-old male client presents to the clinic reporting
pain in
the right great toe. The client says that the pain feels like it
is
another attack of gout:
Question possibly on client teach on foods to avoid. -
Answer-- Purine
- Alcohol
can increase uric acid levels which can lead to gout.
(Teach client with gout to keep low purine diet that is free
from
alcohol to limit gout attacks.)
A 59-year-old male client presents to the clinic, reporting
pain in
the right great toe. The client says that the pain feels like it
is
,2|Page
another attack of gout, which he has had on 2 other
occasions
in the last 4 months.
The client tells the nurses that the pain started about 9
days ago in
the evening and that it got very painful and swollen shortly
there-
after. In the past, the gout attacks have resolved without
treatment
after about 5 days, but the client reports that his condition
has not
improved and that he is unable to walk or work
Exhibits
Select the 3 dietary choices that are not part of the
recommended
diet for a client with gout.
A. Garlic
B. Liver
C. Spinach
D. Oatmeal
E. Chicken
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F. Shrimp
G. Lentil
H. Quinoa
I. Oranges
J. Sardines - Answer-B. Organ meats (e.g. liver)
F. Shrimp (shellfish)
J. Sardines (Oily fish)
The nurse is providing teaching to a client about self-
manage-
ment to type 2 diabetes mellitus. Which information
provided by
the client indicates understanding? - Answer-Get an
influenze vaccine every year as soon as possible.
The nurse is obtaining a client's fingerstick glucose level.
After gently milking the client's finger, the nurse observes
that the
distal tip of the finger appears redded and engorged.
Which action
should the nurse take? - Answer-Apply pressure to the
site.
, 4|Page
The healthcare provided prescribes penicillin 200,000
units IM
for a client with pneumonia. The available vial is labeled,
"Penicillin
500,000 units/mL." How many mL should the nurse
administer to
this client? (Enter numerical value only. If rounding is
required,
round to the nearest tenth.) - Answer-200,000/500,000 =
0.4
The nurse is caring for a client in the post anesthesia care
unit (PACU) who underwent a thoracotomy two hours ago.
The
nurse observes vital signs of a heart rate of 140
beats/minute,
a respiratory rate of 26 breaths/minute, and a blood
pressure of
140/90 mm Hg. Which intervention is most important for
the nurse
to implement? - Answer-Medicate for pain and monitor
vital signs according to protocol.
HESI 266 Medical-Surgical Nursing Comprehensive
Study Guide||Verified Exam!!||, Nightingale College
BSN, 2026/2027-Question NGN-Aligned Examination
with Verified Solutions
A 59-year-old male client presents to the clinic reporting
pain in
the right great toe. The client says that the pain feels like it
is
another attack of gout:
Question possibly on client teach on foods to avoid. -
Answer-- Purine
- Alcohol
can increase uric acid levels which can lead to gout.
(Teach client with gout to keep low purine diet that is free
from
alcohol to limit gout attacks.)
A 59-year-old male client presents to the clinic, reporting
pain in
the right great toe. The client says that the pain feels like it
is
,2|Page
another attack of gout, which he has had on 2 other
occasions
in the last 4 months.
The client tells the nurses that the pain started about 9
days ago in
the evening and that it got very painful and swollen shortly
there-
after. In the past, the gout attacks have resolved without
treatment
after about 5 days, but the client reports that his condition
has not
improved and that he is unable to walk or work
Exhibits
Select the 3 dietary choices that are not part of the
recommended
diet for a client with gout.
A. Garlic
B. Liver
C. Spinach
D. Oatmeal
E. Chicken
,3|Page
F. Shrimp
G. Lentil
H. Quinoa
I. Oranges
J. Sardines - Answer-B. Organ meats (e.g. liver)
F. Shrimp (shellfish)
J. Sardines (Oily fish)
The nurse is providing teaching to a client about self-
manage-
ment to type 2 diabetes mellitus. Which information
provided by
the client indicates understanding? - Answer-Get an
influenze vaccine every year as soon as possible.
The nurse is obtaining a client's fingerstick glucose level.
After gently milking the client's finger, the nurse observes
that the
distal tip of the finger appears redded and engorged.
Which action
should the nurse take? - Answer-Apply pressure to the
site.
, 4|Page
The healthcare provided prescribes penicillin 200,000
units IM
for a client with pneumonia. The available vial is labeled,
"Penicillin
500,000 units/mL." How many mL should the nurse
administer to
this client? (Enter numerical value only. If rounding is
required,
round to the nearest tenth.) - Answer-200,000/500,000 =
0.4
The nurse is caring for a client in the post anesthesia care
unit (PACU) who underwent a thoracotomy two hours ago.
The
nurse observes vital signs of a heart rate of 140
beats/minute,
a respiratory rate of 26 breaths/minute, and a blood
pressure of
140/90 mm Hg. Which intervention is most important for
the nurse
to implement? - Answer-Medicate for pain and monitor
vital signs according to protocol.
