BSN 266 HESI Med Surg Practice V1 & V2 (New
2025\2026 Update) Questions and Verified
Answers with Rationales|100% Correct| Grade A+
Nightingale (LATEST UPDATE 2026)
The nurse is working with C. Initiate a weight-reduction diet to achieve a
a 71-year-old obese client healthy body weight. Rationale
with bilateral Achieving a healthy weight is critical to protect the
osteoarthritis (OA) of the joints of clients with OA. Weight loss for obese clients
hips. What will take off the excess pressure that weight bearing
recommendation should joints such as the hips and knees are exposed to and
the nurse make that is reduce the wear and tear of the joints.
most
beneficial in protecting the
client's joints?
A. Increase the amount of
calcium intake in the diet.
B. Apply alternating
heat and cold
therapies.
C. Initiate a weight-
reduction diet to
achieve a healthy
body weight.
D. Use a walker for
ambulation to lessen
weight-bearing on the
hips.
,An elderly male client comes C. Pain in the calf upon exertion which is relieved by rest
to the and elevating the extremity. Rationale
geriatric screening clinic
Thrombophlebitis pain is relieved by rest and elevation
complaining of pain in his
of the extremity. It typically occurs with exercise at
left calf. The nurse notices
the site of the thrombus, and is aggravated by placing
a
the extremity in a dependent position, such as
reddened area on the calf
standing in one place.
of his right leg which is
warm to the touch and
suspects it might be
thrombophlebitis. Which
type of pain would further
confirm this suspicion?
A. Pain in the calf
awakening him from a
sound sleep.
B. Calf pain on exertion
which stops when standing
in one place.
C. Pain in the calf upon
exertion which is
relieved by rest and elevating
the extremity.
D. Pain upon arising in the
morning which is relieved
after some stretching and
exercise.
In preparing to administer A, D, E
intravenous and F
albumin to a client following Rationale
surgery, what is the priority Albumin should be infused within four hours because it does not
contain any
nursing intervention?
preservatives. Any fluid remaining after four hours
(Select all that apply.)
should be discarded. Albumin administration does not
Select all that apply
require blood typing. Vital signs should be monitored
A. Set the infusion pump periodically to assess for fluid volume overload. A
to infuse the albumin large gauge catheter allows for fast infusion rate,
within four hours. which may be necessary. Hemodilution may decrease
B. Compare the client's blood hemoglobin (HgB) and hematocrit (HCT) levels, so the
type with the label on the HgB and HCT levels should be monitored.
,albumin. While monitoring for bleeding because of the
C. Assign a UAP to monitor increased blood volume and blood pressure.
blood pressure q15
minutes.
D. Administer through a
large gauge catheter.
E. Monitor hemoglobin and
hematocrit levels.
F. Assess for increased
bleeding after
administration.
A male client receives a B. Evaluate his blood pressure, pulse,
local anesthetic during and respiratory status. Rationale
surgery. During the post- Slurred speech in the post-operative client who received
operative assessment, the a local anesthetic is an atypical finding and may
nurse notices the client is indicate neurological deficits that require further
slurring his speech. Which assessment, so obtaining the client's vital signs will
action should the nurse provide information about possible cardiovascular
take? complications, such as stroke.
A. Determine the client is
anxious and allow him to
sleep.
B. Evaluate his blood
pressure, pulse, and
respiratory status.
C. Review the client's pre-
operative history for
alcohol abuse.
D. Continue to monitor
the client for reactivity
to anesthesia.
, 11/14/25, 2:06 AM BSN 266 Practice HESI
Which symptoms should the B. Headache, diaphoresis, and
nurse expect a client to palpitations. Rationale
exhibit who is diagnosed Pheochromocytoma is a catecholamine secreting non-cancerous
tumor of the
with a adrenal medulla, and a headache, profuse sweating and
pheochromocytoma?
palpitations is the typical triad of symptoms depending
A. Numbness, tingling, and
upon the relative proportions of epinephrine and
cramps in the extremities. norepinephrine secretion. Surgical removal of the tumor is the
B. Headache, diaphoresis, and only treatment.
palpitations.
C. Cyanosis, fever, and
classic signs of shock.
D. Nausea, vomiting,
and muscular
weakness.
D. Adequate cellular
A client with diabetes mellitus
is nourishment. Rationale
experiencing polyphagia. Diabetes mellitus Type 1 is characterized by
Which outcome statement hyperglycemia that precipitates glucosuria and polyuria
is the priority for this (frequent urination), polydipsia (excessive thirst), and
client? polyphagia (excessive hunger). Polyphagia is a
A. Fluid and electrolyte
balance. consequence of cellular
B. Prevention of water toxicity. malnourishment when insulin deficiency prevents
C. Reduced glucose in the utilization of glucose into the cell for energy, so the
urine. outcome statement should include stabilization of
D. Adequate cellular
adequate
nourishment. cellular nutrition which is done by providing the insulin
supplement the client needs.
A. Two weeks before
The nurse is teaching a
menstruation.
female client about the best
Rationale
time to plan sexual
Ovulation typically occurs 14 days before menstruation
intercourse in order to
begins during a typical 28 day cycle. Sexual
conceive. Which
intercourse should occur within 24 hours of
information
should the nurse provide? ovulation for an
A. Two weeks before increase chance of conception to occur. High estrogen
menstruation. levels occur during ovulation and increase the vaginal
B. Vaginal mucous discharge is
mucous membrane characteristics to become more
thick.
"slippery" and stretchy, along with a rise in basal
C. Low basal temperature.
D. First thing in the morning.
temperature. The timing during the day is not as
/ 4/70
2025\2026 Update) Questions and Verified
Answers with Rationales|100% Correct| Grade A+
Nightingale (LATEST UPDATE 2026)
The nurse is working with C. Initiate a weight-reduction diet to achieve a
a 71-year-old obese client healthy body weight. Rationale
with bilateral Achieving a healthy weight is critical to protect the
osteoarthritis (OA) of the joints of clients with OA. Weight loss for obese clients
hips. What will take off the excess pressure that weight bearing
recommendation should joints such as the hips and knees are exposed to and
the nurse make that is reduce the wear and tear of the joints.
most
beneficial in protecting the
client's joints?
A. Increase the amount of
calcium intake in the diet.
B. Apply alternating
heat and cold
therapies.
C. Initiate a weight-
reduction diet to
achieve a healthy
body weight.
D. Use a walker for
ambulation to lessen
weight-bearing on the
hips.
,An elderly male client comes C. Pain in the calf upon exertion which is relieved by rest
to the and elevating the extremity. Rationale
geriatric screening clinic
Thrombophlebitis pain is relieved by rest and elevation
complaining of pain in his
of the extremity. It typically occurs with exercise at
left calf. The nurse notices
the site of the thrombus, and is aggravated by placing
a
the extremity in a dependent position, such as
reddened area on the calf
standing in one place.
of his right leg which is
warm to the touch and
suspects it might be
thrombophlebitis. Which
type of pain would further
confirm this suspicion?
A. Pain in the calf
awakening him from a
sound sleep.
B. Calf pain on exertion
which stops when standing
in one place.
C. Pain in the calf upon
exertion which is
relieved by rest and elevating
the extremity.
D. Pain upon arising in the
morning which is relieved
after some stretching and
exercise.
In preparing to administer A, D, E
intravenous and F
albumin to a client following Rationale
surgery, what is the priority Albumin should be infused within four hours because it does not
contain any
nursing intervention?
preservatives. Any fluid remaining after four hours
(Select all that apply.)
should be discarded. Albumin administration does not
Select all that apply
require blood typing. Vital signs should be monitored
A. Set the infusion pump periodically to assess for fluid volume overload. A
to infuse the albumin large gauge catheter allows for fast infusion rate,
within four hours. which may be necessary. Hemodilution may decrease
B. Compare the client's blood hemoglobin (HgB) and hematocrit (HCT) levels, so the
type with the label on the HgB and HCT levels should be monitored.
,albumin. While monitoring for bleeding because of the
C. Assign a UAP to monitor increased blood volume and blood pressure.
blood pressure q15
minutes.
D. Administer through a
large gauge catheter.
E. Monitor hemoglobin and
hematocrit levels.
F. Assess for increased
bleeding after
administration.
A male client receives a B. Evaluate his blood pressure, pulse,
local anesthetic during and respiratory status. Rationale
surgery. During the post- Slurred speech in the post-operative client who received
operative assessment, the a local anesthetic is an atypical finding and may
nurse notices the client is indicate neurological deficits that require further
slurring his speech. Which assessment, so obtaining the client's vital signs will
action should the nurse provide information about possible cardiovascular
take? complications, such as stroke.
A. Determine the client is
anxious and allow him to
sleep.
B. Evaluate his blood
pressure, pulse, and
respiratory status.
C. Review the client's pre-
operative history for
alcohol abuse.
D. Continue to monitor
the client for reactivity
to anesthesia.
, 11/14/25, 2:06 AM BSN 266 Practice HESI
Which symptoms should the B. Headache, diaphoresis, and
nurse expect a client to palpitations. Rationale
exhibit who is diagnosed Pheochromocytoma is a catecholamine secreting non-cancerous
tumor of the
with a adrenal medulla, and a headache, profuse sweating and
pheochromocytoma?
palpitations is the typical triad of symptoms depending
A. Numbness, tingling, and
upon the relative proportions of epinephrine and
cramps in the extremities. norepinephrine secretion. Surgical removal of the tumor is the
B. Headache, diaphoresis, and only treatment.
palpitations.
C. Cyanosis, fever, and
classic signs of shock.
D. Nausea, vomiting,
and muscular
weakness.
D. Adequate cellular
A client with diabetes mellitus
is nourishment. Rationale
experiencing polyphagia. Diabetes mellitus Type 1 is characterized by
Which outcome statement hyperglycemia that precipitates glucosuria and polyuria
is the priority for this (frequent urination), polydipsia (excessive thirst), and
client? polyphagia (excessive hunger). Polyphagia is a
A. Fluid and electrolyte
balance. consequence of cellular
B. Prevention of water toxicity. malnourishment when insulin deficiency prevents
C. Reduced glucose in the utilization of glucose into the cell for energy, so the
urine. outcome statement should include stabilization of
D. Adequate cellular
adequate
nourishment. cellular nutrition which is done by providing the insulin
supplement the client needs.
A. Two weeks before
The nurse is teaching a
menstruation.
female client about the best
Rationale
time to plan sexual
Ovulation typically occurs 14 days before menstruation
intercourse in order to
begins during a typical 28 day cycle. Sexual
conceive. Which
intercourse should occur within 24 hours of
information
should the nurse provide? ovulation for an
A. Two weeks before increase chance of conception to occur. High estrogen
menstruation. levels occur during ovulation and increase the vaginal
B. Vaginal mucous discharge is
mucous membrane characteristics to become more
thick.
"slippery" and stretchy, along with a rise in basal
C. Low basal temperature.
D. First thing in the morning.
temperature. The timing during the day is not as
/ 4/70
