BSN 266 HESI
Med Surg (5 Set Exams)
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
` ` ` `
passing`score`Guarantee
5`Set`Exam
Format`Set`of`Multiple-choice
questions`with`incorporating`Next`Generation`NCLEX`(NGN)`and`Case`studi
es`questions
Expert-Verified`Explanations`&`Solutions
,Table of Contents
` `
BSN`266`Hesi`Med`surg`Exam`#1 .................................................................. 2
BSN`266`Hesi`Med`surg`Exam`#2 ................................................................ 58
BSN`266`Hesi`Med`surg`Exam`#3 .............................................................. 119
BSN`266`Hesi`Med`surg`Exam`#4 .............................................................. 188
BSN`266`Hesi`Med`surg`Exam`#5 .............................................................. 247
BSN 266 HESI MED SURG EXAM #1
` ` ` ` ` `
###`1.``
A`client`who`underwent`cardiac`stent`placement`4`days`ago`arrives`to`the`emergency`de
partment`reporting`sudden`onset`chest`pressure`and`shortness`of`breath.``
Which`action`should`the`nurse`take`next?
Answer`Choices:``
a.`Administer`prescribed`nitroglycerin`sublingually.``
b.`Obtain`a`12-lead`electrocardiogram`(ECG)`and`begin`continuous`cardiac`monitoring.``
c.`Give`oxygen`at`2`liters`per`minute`via`nasal`cannula.``
d.`Prepare`the`client`for`immediate`cardiac`catheterization.
Correct`Answer:``
b.`Obtain`a`12-lead`electrocardiogram`(ECG)`and`begin`continuous`cardiac`monitoring.
,Expert`Rationale:``
A`client`with`sudden`chest`pressure`and`shortness`of`breath`after`recent`stenting`is`at`high`risk`
for`acute`stent`thrombosis`or`myocardial`infarction`(MI).`Immediate`acquisition`of`a`12-
lead`ECG`is`critical`to`assess`for`ischemic`changes`and`to`prioritize`timely`reperfusion`therapy`i
f`needed.`Continuous`cardiac`monitoring`is`essential`to`detect`arrhythmias.`Although`oxygen`a
nd`nitroglycerin`may`be`administered`per`protocol,`assessment`data`guides`further`interventio
ns.`Immediate`preparation`for`catheterization`is`premature`before`diagnostic`confirmation.
---
###`2.``
While`completing`a`health`assessment`for`a`client`with`migraine`headaches,`the`nurse`i
dentifies`bilateral`weakness`in`the`client’s`hand`grips.`The`client`reports`joint`pain`and`d
ifficulty`twisting`a`door`knob`due`to`weakness.``
Which`action`should`the`nurse`take`next?
Answer`Choices:``
a.`Teach`the`client`relaxation`techniques`to`manage`migraine`pain.``
b.`Document`the`findings`and`continue`with`the`neurological`assessment.``
c.`Gather`additional`assessment`data`about`the`pain`and`weakness.``
d.`Refer`the`client`immediately`to`a`neurologist.
Correct`Answer:``
c.`Gather`additional`assessment`data`about`the`pain`and`weakness.
Expert`Rationale:``
, Bilateral`hand`weakness`and`joint`pain`suggest`possible`systemic`or`neurological`disease`bey
ond`migraines`(e.g.,`rheumatoid`arthritis,`neuropathy).`Further`assessment`to`clarify`onset,`dur
ation,`associated`symptoms,`and`functional`impact`is`needed`before`specialist`referral.`Immed
iate`referral`without`data`may`delay`appropriate`care;`documenting`without`further`inquiry`risks`
missing`early`diagnostic`clues.
---
###`3.``
The`nurse`is`caring`for`a`client`diagnosed`with`psoriasis`vulgaris`receiving`psoralen`an
d`ultraviolet`A`light`(PUVA)`treatment.``
Which`assessment`finding`indicates`overexposure`to`treatment?
Answer`Choices:``
a.`Increased`thickening`and`scaling`of`plaques.``
b.`Tenderness`upon`palpation`and`generalized`erythema.``
c.`Development`of`vesicular`lesions`on`treated`skin.``
d.`Mild`tanning`of`treated`areas.
Correct`Answer:``
b.`Tenderness`upon`palpation`and`generalized`erythema.
Expert`Rationale:``
PUVA`therapy`carries`a`risk`of`phototoxic`reactions`causing`erythema,`tenderness,`and`burnin
g`which`signal`overexposure.`Tenderness`with`generalized`erythema`suggests`a`burn-
like`reaction`requiring`treatment`modification.`Vesicular`lesions`are`rare`but`possible.`Mild`tann
Med Surg (5 Set Exams)
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
` ` ` `
passing`score`Guarantee
5`Set`Exam
Format`Set`of`Multiple-choice
questions`with`incorporating`Next`Generation`NCLEX`(NGN)`and`Case`studi
es`questions
Expert-Verified`Explanations`&`Solutions
,Table of Contents
` `
BSN`266`Hesi`Med`surg`Exam`#1 .................................................................. 2
BSN`266`Hesi`Med`surg`Exam`#2 ................................................................ 58
BSN`266`Hesi`Med`surg`Exam`#3 .............................................................. 119
BSN`266`Hesi`Med`surg`Exam`#4 .............................................................. 188
BSN`266`Hesi`Med`surg`Exam`#5 .............................................................. 247
BSN 266 HESI MED SURG EXAM #1
` ` ` ` ` `
###`1.``
A`client`who`underwent`cardiac`stent`placement`4`days`ago`arrives`to`the`emergency`de
partment`reporting`sudden`onset`chest`pressure`and`shortness`of`breath.``
Which`action`should`the`nurse`take`next?
Answer`Choices:``
a.`Administer`prescribed`nitroglycerin`sublingually.``
b.`Obtain`a`12-lead`electrocardiogram`(ECG)`and`begin`continuous`cardiac`monitoring.``
c.`Give`oxygen`at`2`liters`per`minute`via`nasal`cannula.``
d.`Prepare`the`client`for`immediate`cardiac`catheterization.
Correct`Answer:``
b.`Obtain`a`12-lead`electrocardiogram`(ECG)`and`begin`continuous`cardiac`monitoring.
,Expert`Rationale:``
A`client`with`sudden`chest`pressure`and`shortness`of`breath`after`recent`stenting`is`at`high`risk`
for`acute`stent`thrombosis`or`myocardial`infarction`(MI).`Immediate`acquisition`of`a`12-
lead`ECG`is`critical`to`assess`for`ischemic`changes`and`to`prioritize`timely`reperfusion`therapy`i
f`needed.`Continuous`cardiac`monitoring`is`essential`to`detect`arrhythmias.`Although`oxygen`a
nd`nitroglycerin`may`be`administered`per`protocol,`assessment`data`guides`further`interventio
ns.`Immediate`preparation`for`catheterization`is`premature`before`diagnostic`confirmation.
---
###`2.``
While`completing`a`health`assessment`for`a`client`with`migraine`headaches,`the`nurse`i
dentifies`bilateral`weakness`in`the`client’s`hand`grips.`The`client`reports`joint`pain`and`d
ifficulty`twisting`a`door`knob`due`to`weakness.``
Which`action`should`the`nurse`take`next?
Answer`Choices:``
a.`Teach`the`client`relaxation`techniques`to`manage`migraine`pain.``
b.`Document`the`findings`and`continue`with`the`neurological`assessment.``
c.`Gather`additional`assessment`data`about`the`pain`and`weakness.``
d.`Refer`the`client`immediately`to`a`neurologist.
Correct`Answer:``
c.`Gather`additional`assessment`data`about`the`pain`and`weakness.
Expert`Rationale:``
, Bilateral`hand`weakness`and`joint`pain`suggest`possible`systemic`or`neurological`disease`bey
ond`migraines`(e.g.,`rheumatoid`arthritis,`neuropathy).`Further`assessment`to`clarify`onset,`dur
ation,`associated`symptoms,`and`functional`impact`is`needed`before`specialist`referral.`Immed
iate`referral`without`data`may`delay`appropriate`care;`documenting`without`further`inquiry`risks`
missing`early`diagnostic`clues.
---
###`3.``
The`nurse`is`caring`for`a`client`diagnosed`with`psoriasis`vulgaris`receiving`psoralen`an
d`ultraviolet`A`light`(PUVA)`treatment.``
Which`assessment`finding`indicates`overexposure`to`treatment?
Answer`Choices:``
a.`Increased`thickening`and`scaling`of`plaques.``
b.`Tenderness`upon`palpation`and`generalized`erythema.``
c.`Development`of`vesicular`lesions`on`treated`skin.``
d.`Mild`tanning`of`treated`areas.
Correct`Answer:``
b.`Tenderness`upon`palpation`and`generalized`erythema.
Expert`Rationale:``
PUVA`therapy`carries`a`risk`of`phototoxic`reactions`causing`erythema,`tenderness,`and`burnin
g`which`signal`overexposure.`Tenderness`with`generalized`erythema`suggests`a`burn-
like`reaction`requiring`treatment`modification.`Vesicular`lesions`are`rare`but`possible.`Mild`tann
