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*stud
ies*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 .............................................................. 120
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*d
epartment*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*ris
k*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
if needed.*Continuous*cardiac*monitoring*is*essential*to*detect*arrhythmias.*Although*oxygen
* *
and*nitroglycerin*may*be*administered*per*protocol,*assessment*data*guides*further*intervent
*
ions.*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*
difficulty*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,*du
ration,*associated*symptoms,*and*functional*impact*is*needed*before*specialist*referral.*Imme
diate*referral*without*data*may*delay*appropriate*care;*documenting*without*further*inquiry*ris
ks*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*burni
ng*which*signal*overexposure.*Tenderness*with*generalized*erythema*suggests*a*burn-
like*reaction*requiring*treatment*modification.*Vesicular*lesions*are*rare*but*possible.*Mild*tan
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*stud
ies*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 .............................................................. 120
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*d
epartment*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*ris
k*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
if needed.*Continuous*cardiac*monitoring*is*essential*to*detect*arrhythmias.*Although*oxygen
* *
and*nitroglycerin*may*be*administered*per*protocol,*assessment*data*guides*further*intervent
*
ions.*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*
difficulty*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,*du
ration,*associated*symptoms,*and*functional*impact*is*needed*before*specialist*referral.*Imme
diate*referral*without*data*may*delay*appropriate*care;*documenting*without*further*inquiry*ris
ks*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*burni
ng*which*signal*overexposure.*Tenderness*with*generalized*erythema*suggests*a*burn-
like*reaction*requiring*treatment*modification.*Vesicular*lesions*are*rare*but*possible.*Mild*tan
