______________________________________
BSN 266 HESI
MED SURG
(NGN-STYLE PRESENTATION & CASE
SCENARIOS)
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 266
COURSE NAME: Professional Nursing Practice
EXAM NAME: HESI
(5 SET EXAMS)
,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 #4.............................................. 197
BSN 266 Hesi Med surg Exam #5.............................................. 259
BSN 266 HESI MED SURG EXAM #1
### 1.
Question: Post-Cardiac Stent Chest Pain and Emergency Assessment
A client who underwent cardiac stent placement 4 days ago arrives in
the emergency department reporting sudden onset chest pressure and
shortness of breath. The nurse recognizes that these symptoms may
indicate an acute cardiac complication, such as stent thrombosis,
myocardial ischemia, or another cardiac event. The nurse must
prioritize the action that provides immediate assessment of cardiac
status and helps identify life-threatening changes. 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.
Question: Neurological Assessment and Bilateral Hand Weakness
A nurse is completing a health assessment for a client who has a history
of migraine headaches. During the assessment, the nurse identifies
bilateral weakness in the client’s hand grips. The client reports
experiencing joint pain and difficulty twisting a doorknob because of
decreased hand strength. The nurse recognizes that these findings may
not be related only to migraines and require further assessment to
determine the cause. 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.
BSN 266 HESI
MED SURG
(NGN-STYLE PRESENTATION & CASE
SCENARIOS)
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 266
COURSE NAME: Professional Nursing Practice
EXAM NAME: HESI
(5 SET EXAMS)
,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 #4.............................................. 197
BSN 266 Hesi Med surg Exam #5.............................................. 259
BSN 266 HESI MED SURG EXAM #1
### 1.
Question: Post-Cardiac Stent Chest Pain and Emergency Assessment
A client who underwent cardiac stent placement 4 days ago arrives in
the emergency department reporting sudden onset chest pressure and
shortness of breath. The nurse recognizes that these symptoms may
indicate an acute cardiac complication, such as stent thrombosis,
myocardial ischemia, or another cardiac event. The nurse must
prioritize the action that provides immediate assessment of cardiac
status and helps identify life-threatening changes. 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.
Question: Neurological Assessment and Bilateral Hand Weakness
A nurse is completing a health assessment for a client who has a history
of migraine headaches. During the assessment, the nurse identifies
bilateral weakness in the client’s hand grips. The client reports
experiencing joint pain and difficulty twisting a doorknob because of
decreased hand strength. The nurse recognizes that these findings may
not be related only to migraines and require further assessment to
determine the cause. 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.
