BSN 266 HESI Med Surg Practice Questions (New 2025\2026
Update) Questions and Verified Answers with
Rationales|100% Correct| Grade A+ Nightingale (LATEST
UPDATE 2026) FOR BOTH MIDTERM & FINAL EXAM
A male client with Type 1 Move the PM intermediate- acting dose to bedtime.
diabetes mellitus takes a
combination of short acting
and
intermediate acting insulin.
The client
complains of headaches when
awakening and his blood
glucose average for the past
week has been 210. The nurse
recognizes the client is
experiencing a daily Somogyi,
or rebound effect. Which
dosing method is likely to
relieve these symptoms?
When completing a mental have the client describe what should be done if a child
health was observed alone in a locked car on a hot day
assessment, the nurse
wishes to obtain information
about a client’s insight and
judgment. Which interview
technique is most useful in
assessing these mental
abilities
An adult Muslim client with assign a care provider of the same gender
ulcerative colitis was
admitted to the post-
surgical unit earlier today
following a bowel
resection with temporary
colostomy.
Which intervention is most
important for the nurse to
implement?
,The parents of a 6-year-old encourage the parents to allow the child to continue
recently diagnosed with attending swimming lessons with supervision
Duchene muscular
dystrophy tell the nurse that
their child wants to continue
attending swimming
classes. How should the
nurse respond?
The nurse initiates a one-to- ensure that scheduled appointments begin according to the
one schedule
relationship with a 35-year-
old depressed female client
who was recently admitted
to the psychiatric facility.
Which nursing action is
most effective in
promoting the
development of a
therapeutic
relationship?
An 18-year-old female respiratory acidosis, uncompensated
client is admitted to the
unit after ingesting an
overdose of Phenobarbital
(Luminal). She is
unresponsive and ABG
results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26
mEq/L.
Which interpretation of
the client’s ABG results
by the nurse is
accurate?
A male client with multiple avoid intramuscular injections
myeloma is admitted with
pneumonia and
pancytopenia. The nurse
reviews the complete blood
cell count findings and
,identifies a platelet count
of 20,000
cells/mm3. Which
intervention should the nurse
include in the client’s plan of
care?
The nurse is planning care tardive dyskinesia
for a 48-year- old client,
diagnosed with
schizophrenia at age 25,
who has been taking
antipsychotic drugs since
diagnosis.
Long-term use of
these drugs is
associated with which
side effect?
What instruction is most avoid sources of potential infection
important for the nurse to
provide a client with
neutropenia?
A client with acute laryngitis assess the client for stridor and increased respiratory effort
reports feeling “short of
breath”. The nurse
assesses that the client’s
respiratory rate has increased
from 16/minute to
28/minute. What intervention
should the nurse implement?
, When caring for a client who urine output for 8 hours is 2000 ml with a specific gravity of
had a 1.001
craniotomy yesterday for
removal of a
pituitary tumor, which
finding indicates to the
nurse that further
information is
needed?
The nurse is working with an recommend changing the language that stereotypes one ethnic
interdisciplinary group to group
write
procedures for assessment
of clients from a multiracial
inner city population. The
guidelines include a statement
that reads, “Remember that
all Hispanic clients may not
wish to give personal
medical
information to a stranger.”
Which action should the
nurse take?
A 6-month-old client is an enema
diagnosed with
intussusception. For which
medical intervention will the
nurse prepare this client?
The nurse is reviewing the antipsycotics
medication history of a
client who is
demonstrating tardive
dyskinesia. Which medication
classification will the nurse
focus on during this
review?
Update) Questions and Verified Answers with
Rationales|100% Correct| Grade A+ Nightingale (LATEST
UPDATE 2026) FOR BOTH MIDTERM & FINAL EXAM
A male client with Type 1 Move the PM intermediate- acting dose to bedtime.
diabetes mellitus takes a
combination of short acting
and
intermediate acting insulin.
The client
complains of headaches when
awakening and his blood
glucose average for the past
week has been 210. The nurse
recognizes the client is
experiencing a daily Somogyi,
or rebound effect. Which
dosing method is likely to
relieve these symptoms?
When completing a mental have the client describe what should be done if a child
health was observed alone in a locked car on a hot day
assessment, the nurse
wishes to obtain information
about a client’s insight and
judgment. Which interview
technique is most useful in
assessing these mental
abilities
An adult Muslim client with assign a care provider of the same gender
ulcerative colitis was
admitted to the post-
surgical unit earlier today
following a bowel
resection with temporary
colostomy.
Which intervention is most
important for the nurse to
implement?
,The parents of a 6-year-old encourage the parents to allow the child to continue
recently diagnosed with attending swimming lessons with supervision
Duchene muscular
dystrophy tell the nurse that
their child wants to continue
attending swimming
classes. How should the
nurse respond?
The nurse initiates a one-to- ensure that scheduled appointments begin according to the
one schedule
relationship with a 35-year-
old depressed female client
who was recently admitted
to the psychiatric facility.
Which nursing action is
most effective in
promoting the
development of a
therapeutic
relationship?
An 18-year-old female respiratory acidosis, uncompensated
client is admitted to the
unit after ingesting an
overdose of Phenobarbital
(Luminal). She is
unresponsive and ABG
results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26
mEq/L.
Which interpretation of
the client’s ABG results
by the nurse is
accurate?
A male client with multiple avoid intramuscular injections
myeloma is admitted with
pneumonia and
pancytopenia. The nurse
reviews the complete blood
cell count findings and
,identifies a platelet count
of 20,000
cells/mm3. Which
intervention should the nurse
include in the client’s plan of
care?
The nurse is planning care tardive dyskinesia
for a 48-year- old client,
diagnosed with
schizophrenia at age 25,
who has been taking
antipsychotic drugs since
diagnosis.
Long-term use of
these drugs is
associated with which
side effect?
What instruction is most avoid sources of potential infection
important for the nurse to
provide a client with
neutropenia?
A client with acute laryngitis assess the client for stridor and increased respiratory effort
reports feeling “short of
breath”. The nurse
assesses that the client’s
respiratory rate has increased
from 16/minute to
28/minute. What intervention
should the nurse implement?
, When caring for a client who urine output for 8 hours is 2000 ml with a specific gravity of
had a 1.001
craniotomy yesterday for
removal of a
pituitary tumor, which
finding indicates to the
nurse that further
information is
needed?
The nurse is working with an recommend changing the language that stereotypes one ethnic
interdisciplinary group to group
write
procedures for assessment
of clients from a multiracial
inner city population. The
guidelines include a statement
that reads, “Remember that
all Hispanic clients may not
wish to give personal
medical
information to a stranger.”
Which action should the
nurse take?
A 6-month-old client is an enema
diagnosed with
intussusception. For which
medical intervention will the
nurse prepare this client?
The nurse is reviewing the antipsycotics
medication history of a
client who is
demonstrating tardive
dyskinesia. Which medication
classification will the nurse
focus on during this
review?
