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BSN 266
BSN 266 HESI MED SURG EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS) (2025/ 2026 UPDATE)
1. The nurse is caring for a patient who is two days Post op.
Which observation should alert the nurse to call the Rapid
Response Team (RRT)?: Pulse change from 85 to 160 beats/minute
lasting more than 10 minutes.
2. The nurse is caring for a client who is admitted with a
hemorrhagic stroke. Which nursing action should be included in
the POC?: Teach measures to avoid the Valsalva maneuver.
3. A client who just tested positive for HIV does not appear to
hear what the nurse is saying during the post-test counseling.
Which information should the nurse offer to facilitate the client's
adjustment to HIV infection?: Discuss retesting to verify the results,
which will ensure continuing contact.
4. The nurse is preparing a client for orthopedic surgery on the
left leg and completing a safety checklist before transport to the
BSN 266
,operating room. Which items should the nurse remove from the
client?: Nail Polish; Hearing aid; Contact lenses; Partial dentures
5. What instruction should the nurse include in the discharge
teaching for a client who needs to perform self-catheterization
technique at home?: Catheterize every 3 to 4 hours
6. The home health nurse is assessing a client with terminal
lung cancer who is receiving hospice care. Which activity should
be assigned to the hospice practical nurse (PN): Administer
medications for pain relief, Shortness of Breath, and nausea.
7. A man who smokes two packs of cigarettes a day wants to
know if smoking is contributing to the difficulty that he and his
wife are having getting pregnant. What information is best for the
nurse to provide?: Smoking can decrease the quantity and quality of
sperm count. Cessation of smoking improves general health and
fertility.
8. when teaching a client with breast cancer about the
prescribed radiation therapy for treatment, what information is
important to include?: Dry itchy skin changes may occur.
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BSN 266
9. What assessment findings should the nurse identify that
indicates a client with an acute asthma exacerbation is beginning
to improve after treatment?-
: Wheezing becomes louder
10. The Nurse assesses a long-term resident of a nursing home
and finds the client has a fungal infection (candidiasis) beneath
both breasts. To prevent nosocomial infection, which protocol
should the nurse review with the rest of the staff?: Wash hands
after caring for the client
11. When caring for a client with PEG tube, what protocols
should the ensure implement for intermittent feedings?: Keeping
the head of the bed elevated 30 degrees; Changing the enteral-feeding
bag every 24hrs; Checking the placement of the tube by means of
gastric aspiration; Flushing the tube 50mL of normal saline solution
after each feeding.
12. A client is admitted to the hospital with a traumatic brain
injury after his head violently struck a brick wall during a gang
BSN 266
BSN 266
BSN 266 HESI MED SURG EXAM QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS) (2025/ 2026 UPDATE)
1. The nurse is caring for a patient who is two days Post op.
Which observation should alert the nurse to call the Rapid
Response Team (RRT)?: Pulse change from 85 to 160 beats/minute
lasting more than 10 minutes.
2. The nurse is caring for a client who is admitted with a
hemorrhagic stroke. Which nursing action should be included in
the POC?: Teach measures to avoid the Valsalva maneuver.
3. A client who just tested positive for HIV does not appear to
hear what the nurse is saying during the post-test counseling.
Which information should the nurse offer to facilitate the client's
adjustment to HIV infection?: Discuss retesting to verify the results,
which will ensure continuing contact.
4. The nurse is preparing a client for orthopedic surgery on the
left leg and completing a safety checklist before transport to the
BSN 266
,operating room. Which items should the nurse remove from the
client?: Nail Polish; Hearing aid; Contact lenses; Partial dentures
5. What instruction should the nurse include in the discharge
teaching for a client who needs to perform self-catheterization
technique at home?: Catheterize every 3 to 4 hours
6. The home health nurse is assessing a client with terminal
lung cancer who is receiving hospice care. Which activity should
be assigned to the hospice practical nurse (PN): Administer
medications for pain relief, Shortness of Breath, and nausea.
7. A man who smokes two packs of cigarettes a day wants to
know if smoking is contributing to the difficulty that he and his
wife are having getting pregnant. What information is best for the
nurse to provide?: Smoking can decrease the quantity and quality of
sperm count. Cessation of smoking improves general health and
fertility.
8. when teaching a client with breast cancer about the
prescribed radiation therapy for treatment, what information is
important to include?: Dry itchy skin changes may occur.
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BSN 266
9. What assessment findings should the nurse identify that
indicates a client with an acute asthma exacerbation is beginning
to improve after treatment?-
: Wheezing becomes louder
10. The Nurse assesses a long-term resident of a nursing home
and finds the client has a fungal infection (candidiasis) beneath
both breasts. To prevent nosocomial infection, which protocol
should the nurse review with the rest of the staff?: Wash hands
after caring for the client
11. When caring for a client with PEG tube, what protocols
should the ensure implement for intermittent feedings?: Keeping
the head of the bed elevated 30 degrees; Changing the enteral-feeding
bag every 24hrs; Checking the placement of the tube by means of
gastric aspiration; Flushing the tube 50mL of normal saline solution
after each feeding.
12. A client is admitted to the hospital with a traumatic brain
injury after his head violently struck a brick wall during a gang
BSN 266
