BSN HESI 266 Med Surg Exam (Latest 2025/
2026) Questions and Verified Answers|100%
Correct| Grade A- Nightingale
The nurse is caring for a client diagnosed with psoriasis Vulgaris who is receiving
psoralen and ultraviolet light. Which finding indicates that the client has been
overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes - ANSWER B.
Tenderness upon palpation and generalized erythema
The nurse is preparing a client for surgery who was admitted to the emergency
center following a motor vehicle collision. The client has an open fracture of the
femur and is bleeding moderately from the bone protrusion site. During the
preoperative assessment, the nurse determines that the client currently receives
heparin sodium 5,000 units subcutaneously daily. What is the priority nursing
action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits - ANSWER C.
Notify the healthcare provider of the client's medication history
The nurse is preparing to obtain a rapid COVID-19 test for a client who was
exposed to the virus eight days ago. The client is experiencing fever, cough, and
shortness of breath. Which action is the most important for the nurse to take?
, A. Counsel family members to monitor for illness symptoms for 2 weeks after last
contact with patient
B. Assist the client to recall everyone possibly exposed since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be administered for positive
COVID-19 test results.
D. Move the client to a private room, keep the door closed, and initiate droplet
precautions. - ANSWER D. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough containing
small amounts of blood. Which intervention should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
D. Obtain a sputum sample - ANSWER A. Move into airborne isolation
The nurse is caring for a client with human immunodeficiency virus (HIV) who
has developed oral thrush and is experiencing burning and soreness in the mouth.
Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
D. Administer a topical analgesic - ANSWER D. Adminiter a topical
analgesic
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Weakened cough effort
2026) Questions and Verified Answers|100%
Correct| Grade A- Nightingale
The nurse is caring for a client diagnosed with psoriasis Vulgaris who is receiving
psoralen and ultraviolet light. Which finding indicates that the client has been
overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes - ANSWER B.
Tenderness upon palpation and generalized erythema
The nurse is preparing a client for surgery who was admitted to the emergency
center following a motor vehicle collision. The client has an open fracture of the
femur and is bleeding moderately from the bone protrusion site. During the
preoperative assessment, the nurse determines that the client currently receives
heparin sodium 5,000 units subcutaneously daily. What is the priority nursing
action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits - ANSWER C.
Notify the healthcare provider of the client's medication history
The nurse is preparing to obtain a rapid COVID-19 test for a client who was
exposed to the virus eight days ago. The client is experiencing fever, cough, and
shortness of breath. Which action is the most important for the nurse to take?
, A. Counsel family members to monitor for illness symptoms for 2 weeks after last
contact with patient
B. Assist the client to recall everyone possibly exposed since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be administered for positive
COVID-19 test results.
D. Move the client to a private room, keep the door closed, and initiate droplet
precautions. - ANSWER D. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
A client arrives to the emergency department reporting an intermittent fever and
night sweats for the past 3 weeks and has developed a productive cough containing
small amounts of blood. Which intervention should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
D. Obtain a sputum sample - ANSWER A. Move into airborne isolation
The nurse is caring for a client with human immunodeficiency virus (HIV) who
has developed oral thrush and is experiencing burning and soreness in the mouth.
Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
D. Administer a topical analgesic - ANSWER D. Adminiter a topical
analgesic
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Weakened cough effort
