11/2/25, 11:27 PM HESI REVIEW #1 BSN 266
HESI BSN 266 Med Surg Practice Exam
(Latest 2025-2026) Questions & Correct
Answers \Verified 100% \\Graded A+||
Nightingale College
A client who is receiving A. "Chemotherapy affects the cells of the body that
chemotherapy asks the grow rapidly, both normal and malignant."
nurse, "Why is so much of my Rationale
The common adverse effects of chemotherapy
hair falling out each day?"
(nausea, vomiting, alopecia, bone marrow
Which response by the
depression) are due to chemotherapy's effect on the
nurse best explains the
rapidly reproducing cells, both normal and
reason for
alopecia? malignant.
A. "Chemotherapy affects
the cells of the body that
grow rapidly, both normal
and malignant."
B. "Alopecia is a common
side effect you will
experience during long-
term steroid therapy."
C. "Your hair will grow
back completely after
your course of
chemotherapy is
completed."
D. "The chemotherapy
causes permanent
alterations in your hair
follicles that lead to hair
loss."
1/71
,11/2/25, 11:38 PM BSN 266 Practice HESI
A 49-year-old female client B. Discuss perimenopause and related
arrives at the clinic for an comfort measures. Rationale
annual exam and asks the The perimenopausal period begins about 10 years before
menopause with the
nurse why she becomes cessation of menstruation at the average ages of 52
excessively diaphoretic and to 54. Lower estrogen levels causes FSH and LH
feels warm during secretion in bursts (surges), which triggers vasomotor
nighttime. What is the instability, night sweats, and hot flashes, so discussions
nurse's best response? about the perimenopausal body's changes, comfort
A. Explain the effect of measures, and treatment options should be
the follicle- stimulating provided.
and luteinizing
hormones.
B. Discuss perimenopause
and related comfort
measures.
C. Assess lung fields and
for a cough productive
of blood-tinged
mucous.
D. Ask if a fever above 101 F
(38.3 C) has
occurred in the last 24 hours.
/ 1/71
,11/2/25, 11:38 PM BSN 266 Practice HESI
The nurse is assisting a D. Allow the client to sit with the bed in a high
client out of bed for the first Fowler's position. Rationale
time after surgery. What The first step is to raise the head of the bed to a high
action Fowler's position, which allow venous return to
should the nurse do first? compensate from lying flat and the vasodilation
A. Place a chair at a right
effects of
angle to the bedside.
perioperative drugs. This helps prevent the client from
B. Encourage deep
becoming light-headed and decreases the chance of a
breathing prior to
client fall.
standing.
C. Help the client to sit and
dangle legs on the side of
the bed.
D. Allow the client to sit with
the bed in a
high Fowler's position.
/ 2/71
, 11/2/25, 11:38 PM BSN 266 Practice HESI
After checking the urinary A. Report the findings to the
drainage system for kinks in surgeon. Rationale
the tubing, the nurse An adult who weighs 132 pounds (60 kg) should
determines that a client who produce about 60 ml of urine hourly (1 ml/kg/hour).
has returned from the Dark, concentrated, and low volume of urine output
post-anesthesia care has a should be
dark, reported to the surgeon.
concentrated urinary output
of 54 ml for the last 2
hours. What priority
nursing action should be
implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling
urinary catheter.
C. Apply manual pressure to
the bladder.
D. Increase the IV flow rate for
15 minutes.
A client with D. Raising the head of the bed
gastroesophageal reflux on blocks. Rationale
disease (GERD) has been Raising the head of the bed on blocks (reverse
experiencing severe reflux Trendelenburg position) to reduce reflux and
during sleep. Which subsequent aspiration is the most non-
recommendation by the pharmacological effective
nurse is most effective to recommendation for a client experiencing severe
assist the client? gastroesophageal reflux during sleep.
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed
on blocks.
/ 3/71
HESI BSN 266 Med Surg Practice Exam
(Latest 2025-2026) Questions & Correct
Answers \Verified 100% \\Graded A+||
Nightingale College
A client who is receiving A. "Chemotherapy affects the cells of the body that
chemotherapy asks the grow rapidly, both normal and malignant."
nurse, "Why is so much of my Rationale
The common adverse effects of chemotherapy
hair falling out each day?"
(nausea, vomiting, alopecia, bone marrow
Which response by the
depression) are due to chemotherapy's effect on the
nurse best explains the
rapidly reproducing cells, both normal and
reason for
alopecia? malignant.
A. "Chemotherapy affects
the cells of the body that
grow rapidly, both normal
and malignant."
B. "Alopecia is a common
side effect you will
experience during long-
term steroid therapy."
C. "Your hair will grow
back completely after
your course of
chemotherapy is
completed."
D. "The chemotherapy
causes permanent
alterations in your hair
follicles that lead to hair
loss."
1/71
,11/2/25, 11:38 PM BSN 266 Practice HESI
A 49-year-old female client B. Discuss perimenopause and related
arrives at the clinic for an comfort measures. Rationale
annual exam and asks the The perimenopausal period begins about 10 years before
menopause with the
nurse why she becomes cessation of menstruation at the average ages of 52
excessively diaphoretic and to 54. Lower estrogen levels causes FSH and LH
feels warm during secretion in bursts (surges), which triggers vasomotor
nighttime. What is the instability, night sweats, and hot flashes, so discussions
nurse's best response? about the perimenopausal body's changes, comfort
A. Explain the effect of measures, and treatment options should be
the follicle- stimulating provided.
and luteinizing
hormones.
B. Discuss perimenopause
and related comfort
measures.
C. Assess lung fields and
for a cough productive
of blood-tinged
mucous.
D. Ask if a fever above 101 F
(38.3 C) has
occurred in the last 24 hours.
/ 1/71
,11/2/25, 11:38 PM BSN 266 Practice HESI
The nurse is assisting a D. Allow the client to sit with the bed in a high
client out of bed for the first Fowler's position. Rationale
time after surgery. What The first step is to raise the head of the bed to a high
action Fowler's position, which allow venous return to
should the nurse do first? compensate from lying flat and the vasodilation
A. Place a chair at a right
effects of
angle to the bedside.
perioperative drugs. This helps prevent the client from
B. Encourage deep
becoming light-headed and decreases the chance of a
breathing prior to
client fall.
standing.
C. Help the client to sit and
dangle legs on the side of
the bed.
D. Allow the client to sit with
the bed in a
high Fowler's position.
/ 2/71
, 11/2/25, 11:38 PM BSN 266 Practice HESI
After checking the urinary A. Report the findings to the
drainage system for kinks in surgeon. Rationale
the tubing, the nurse An adult who weighs 132 pounds (60 kg) should
determines that a client who produce about 60 ml of urine hourly (1 ml/kg/hour).
has returned from the Dark, concentrated, and low volume of urine output
post-anesthesia care has a should be
dark, reported to the surgeon.
concentrated urinary output
of 54 ml for the last 2
hours. What priority
nursing action should be
implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling
urinary catheter.
C. Apply manual pressure to
the bladder.
D. Increase the IV flow rate for
15 minutes.
A client with D. Raising the head of the bed
gastroesophageal reflux on blocks. Rationale
disease (GERD) has been Raising the head of the bed on blocks (reverse
experiencing severe reflux Trendelenburg position) to reduce reflux and
during sleep. Which subsequent aspiration is the most non-
recommendation by the pharmacological effective
nurse is most effective to recommendation for a client experiencing severe
assist the client? gastroesophageal reflux during sleep.
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed
on blocks.
/ 3/71
