BSN 246 HESI-RN Med-Surg Nightingale NEWEST
PRACTICE EXAM 2026 LATEST VERSION WITH REAL
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|| VERIFIED 100% ACTUAL
FINAL EXAM WITH VERIFIED ANSWERS & QUESTIONS ||
LATEST UPDATE 2026-2027
Based on an analysis of the client's rhythm, a-fib, the nurse should
prepare the client for which treatment protocol?
A - Diuretic therapy
B - Pacemaker implantation
C - Anticoagulation therapy
D - Cardiac catheterization
ANSWERS: C
The nurse is preparing a client for orthopedic surgery on the left leg
and completing a safety checklist before transport to the operating
room. Which items should the nurse remove from the client? (SATA)
A - Nail polish
B - Hearing aid
C - Wedding band
D - Left leg brace
E - Contact lenses
F - Partial dentures
ANSWERS: A, B, E, F
,A client who is receiving the 6th unit of PRBC transfusion is
demonstrating signs and symptoms of a febrile, nonhemolytic reaction.
Which assessment finding is most important for the nurse to identify?
A - Increased anxiety since the transfusion began
B - Drowsiness after receiving diphenhydramine (Benadryl)
C - Reports of feeling cold
D - Flushed skin and headache
ANSWERS: D
A female client with hyperesthesia on the oncology unit is using a TENS
unit for chronic pain. Which nursing activity should the nurse implement
instead of delegating to a PN?
A - Determine the client's level of discomfort using a pain rating scale
B - Ask the client about her past experience with chronic pain
C - Observe the client's facial expressions for pain and discomfort
D - Evaluate the client's ability to adjust the voltage to control pain
ANSWERS: D
,Which client should the nurse assess first?
A - A 27-year-old complaining of severe back pain
B - A 63-year-old complaining of foot and ankle pain
C - A 49-year-old with pancreatitis complaining of unrelenting
abdominal pain
D - A 55-year-old newly admitted client complaining of jaw pain and
indigestion
ANSWERS: D
A Korean-American client, who speaks very little English, is being
discharged following surgery. Which nurse should the nurse manager
assign to provide the discharge instructions for the client?
A - A graduate RN with 3 weeks of experience
B - The RN case-manager for the unit with 1 year's experience
C - A "floating" RN with 5 years of nursing experience
D - An Korean-American PN with 6 years of nursing experience
ANSWERS: B
A client with a history of hypertension, MI, and HF is admitted to the
surgical ICU after coronary artery bypass surgery graft (CABG). The
nurse determines the client's serum potassium level is 4.5 mEq/L. What
action should the nurse implement?
A - Notify the healthcare provider
B - Decrease the IV solution flow rate
C - Document the finding as the only action
D - Administer potassium replacement as prescribed
ANSWERS: C
, A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective
treatment
B - Calcium loss from bones can be slowed by increasing calcium
intake and exercise
C - Estrogen replacement therapy should be started to prevent the
progression osteoporosis
D - Low-dose corticosteroid treatment effectively halts the course of
osteoporosis
ANSWERS: B
The nurse is taking a history of a newly diagnosed Type 2 diabetic who
is beginning treatment. Which subjective information is most important
for the nurse to note?
A - A history of obesity
B - An allergy to sulfa drugs
C - Cessation of smoking three years ago
D - Numbness in the soles of the feet
ANSWERS: B
A client taking a thiazide diuretic for the past six months has a serum
potassium level of 3. The nurse anticipates which change in prescription
for the client?
A - The dosage of the diuretic will be decreased
B - The diuretic will be discontinued
C - A potassium supplement will be prescribed
D - The dosage of the diuretic will be increased
ANSWERS: C
PRACTICE EXAM 2026 LATEST VERSION WITH REAL
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|| VERIFIED 100% ACTUAL
FINAL EXAM WITH VERIFIED ANSWERS & QUESTIONS ||
LATEST UPDATE 2026-2027
Based on an analysis of the client's rhythm, a-fib, the nurse should
prepare the client for which treatment protocol?
A - Diuretic therapy
B - Pacemaker implantation
C - Anticoagulation therapy
D - Cardiac catheterization
ANSWERS: C
The nurse is preparing a client for orthopedic surgery on the left leg
and completing a safety checklist before transport to the operating
room. Which items should the nurse remove from the client? (SATA)
A - Nail polish
B - Hearing aid
C - Wedding band
D - Left leg brace
E - Contact lenses
F - Partial dentures
ANSWERS: A, B, E, F
,A client who is receiving the 6th unit of PRBC transfusion is
demonstrating signs and symptoms of a febrile, nonhemolytic reaction.
Which assessment finding is most important for the nurse to identify?
A - Increased anxiety since the transfusion began
B - Drowsiness after receiving diphenhydramine (Benadryl)
C - Reports of feeling cold
D - Flushed skin and headache
ANSWERS: D
A female client with hyperesthesia on the oncology unit is using a TENS
unit for chronic pain. Which nursing activity should the nurse implement
instead of delegating to a PN?
A - Determine the client's level of discomfort using a pain rating scale
B - Ask the client about her past experience with chronic pain
C - Observe the client's facial expressions for pain and discomfort
D - Evaluate the client's ability to adjust the voltage to control pain
ANSWERS: D
,Which client should the nurse assess first?
A - A 27-year-old complaining of severe back pain
B - A 63-year-old complaining of foot and ankle pain
C - A 49-year-old with pancreatitis complaining of unrelenting
abdominal pain
D - A 55-year-old newly admitted client complaining of jaw pain and
indigestion
ANSWERS: D
A Korean-American client, who speaks very little English, is being
discharged following surgery. Which nurse should the nurse manager
assign to provide the discharge instructions for the client?
A - A graduate RN with 3 weeks of experience
B - The RN case-manager for the unit with 1 year's experience
C - A "floating" RN with 5 years of nursing experience
D - An Korean-American PN with 6 years of nursing experience
ANSWERS: B
A client with a history of hypertension, MI, and HF is admitted to the
surgical ICU after coronary artery bypass surgery graft (CABG). The
nurse determines the client's serum potassium level is 4.5 mEq/L. What
action should the nurse implement?
A - Notify the healthcare provider
B - Decrease the IV solution flow rate
C - Document the finding as the only action
D - Administer potassium replacement as prescribed
ANSWERS: C
, A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective
treatment
B - Calcium loss from bones can be slowed by increasing calcium
intake and exercise
C - Estrogen replacement therapy should be started to prevent the
progression osteoporosis
D - Low-dose corticosteroid treatment effectively halts the course of
osteoporosis
ANSWERS: B
The nurse is taking a history of a newly diagnosed Type 2 diabetic who
is beginning treatment. Which subjective information is most important
for the nurse to note?
A - A history of obesity
B - An allergy to sulfa drugs
C - Cessation of smoking three years ago
D - Numbness in the soles of the feet
ANSWERS: B
A client taking a thiazide diuretic for the past six months has a serum
potassium level of 3. The nurse anticipates which change in prescription
for the client?
A - The dosage of the diuretic will be decreased
B - The diuretic will be discontinued
C - A potassium supplement will be prescribed
D - The dosage of the diuretic will be increased
ANSWERS: C
