1|Page
MED SURG HESI BSN 266 FINAL EXAM QUESTIONS BANK LATEST
2026-2027 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
While caring for a client with a full thickness burn covering 40% of
the body, the nurse observes purulent drainage at the wound
Before reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values? - ANSWER-
a. White blood cell (WBC) count
The nurse assesses a client with petechiae, and ecchymosis
scattered across the arms and legs. Which laboratory result
should the nurse review? - ANSWER-b. Platelet count.
A client arrives to the medical-surgical unit 4 hours after a
transurethral resection of the prostate. A triple-lumen catheter for
the continuous bladder irrigation with normal saline is infused and
the nurse observes dark-pink tinged outflow with blood clots in the
tubing collection bag. Which action should the nurse take? -
ANSWER-a. Monitoring catheter drainage
,2|Page
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? - ANSWER-a. Notify the healthcare
provider of the client's medication history.
An obese client with emphysema who smokes at l east a pack of
cigarettes daily is admitted after experiencing a sudden increase
in dyspnea and activity intolerance. Oxygen therapy is initiated
and its determined that the client will be discharged with oxygen.
Which information is most important for the nurse to emphasize in
the discharge teaching plan? - ANSWER-b. Guidelines for oxygen
use.
The healthcare provider prescribes penicillin 200,000 units
intramuscularly for a client with pneumonia. The available vial is
labeled, "Penicillin 500,000 units/mL". How many mL should the
nurse administer to this client? (Enter numerical value only. If
rounding is required, round the nearest tenth.) - ANSWER-0.4
,3|Page
The nurse is caring for a client in the post anesthesia care unit
(PACU) who underwent a thoracotomy two hours ago. The nurse
observes the following vital signs; heart rate 140 beats/minute,
respirations 26 breaths/minute, and blood pressure 140/90
mmHg. Which intervention is most important for the nurse to
implement? - ANSWER-b. Medicate for pain and monitor vital
signs according to protocol
While assessing a client with degenerative joint disease, the
nurse observes Heberden's nodes, large prominences on the
client's fingers that are reddened. The client reports that the
nodes are painful. Which action should the nurse take? -
ANSWER-b. Discuss approaches to chronic pain control with the
client.
A client with draining skin lesions of the lover extremity is admitted
with possible Methicillin-Resistant Staphylococcus Aureus
(MRSA). Which nursing interventions should the nurse i include in
the plan of care? (Select all that apply.) - ANSWER-b. Monitor the
client's white blood cell count. c. Send wound drainage for culture
and sensitivity
, 4|Page
e. Institute contact precautions for staff and visitors
The nurse is preparing to obtain a rapid coronavirus (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 most important for the nurse to take? - ANSWER-b.
Move the client to a private room, keep the door closed, and
initiate droplet precautions.
A client with multiple sclerosis has urinary retention related to
sensorimotor details. Which action should the nurse include in the
client's plan of care? - ANSWER-d. Teach the client techniques for
performing intermittent catheterization.
A client who has a history of hypothyroidism was initially with
lethargy and confusion. Which additional finding warrants the
most immediate action by the nurse? - ANSWER-b. Further
decline in level consciousness.
The nurse is caring for a client with human immunodeficiency
virus (HIV) who has developed oral thrush and is experiencing
MED SURG HESI BSN 266 FINAL EXAM QUESTIONS BANK LATEST
2026-2027 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
While caring for a client with a full thickness burn covering 40% of
the body, the nurse observes purulent drainage at the wound
Before reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values? - ANSWER-
a. White blood cell (WBC) count
The nurse assesses a client with petechiae, and ecchymosis
scattered across the arms and legs. Which laboratory result
should the nurse review? - ANSWER-b. Platelet count.
A client arrives to the medical-surgical unit 4 hours after a
transurethral resection of the prostate. A triple-lumen catheter for
the continuous bladder irrigation with normal saline is infused and
the nurse observes dark-pink tinged outflow with blood clots in the
tubing collection bag. Which action should the nurse take? -
ANSWER-a. Monitoring catheter drainage
,2|Page
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? - ANSWER-a. Notify the healthcare
provider of the client's medication history.
An obese client with emphysema who smokes at l east a pack of
cigarettes daily is admitted after experiencing a sudden increase
in dyspnea and activity intolerance. Oxygen therapy is initiated
and its determined that the client will be discharged with oxygen.
Which information is most important for the nurse to emphasize in
the discharge teaching plan? - ANSWER-b. Guidelines for oxygen
use.
The healthcare provider prescribes penicillin 200,000 units
intramuscularly for a client with pneumonia. The available vial is
labeled, "Penicillin 500,000 units/mL". How many mL should the
nurse administer to this client? (Enter numerical value only. If
rounding is required, round the nearest tenth.) - ANSWER-0.4
,3|Page
The nurse is caring for a client in the post anesthesia care unit
(PACU) who underwent a thoracotomy two hours ago. The nurse
observes the following vital signs; heart rate 140 beats/minute,
respirations 26 breaths/minute, and blood pressure 140/90
mmHg. Which intervention is most important for the nurse to
implement? - ANSWER-b. Medicate for pain and monitor vital
signs according to protocol
While assessing a client with degenerative joint disease, the
nurse observes Heberden's nodes, large prominences on the
client's fingers that are reddened. The client reports that the
nodes are painful. Which action should the nurse take? -
ANSWER-b. Discuss approaches to chronic pain control with the
client.
A client with draining skin lesions of the lover extremity is admitted
with possible Methicillin-Resistant Staphylococcus Aureus
(MRSA). Which nursing interventions should the nurse i include in
the plan of care? (Select all that apply.) - ANSWER-b. Monitor the
client's white blood cell count. c. Send wound drainage for culture
and sensitivity
, 4|Page
e. Institute contact precautions for staff and visitors
The nurse is preparing to obtain a rapid coronavirus (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 most important for the nurse to take? - ANSWER-b.
Move the client to a private room, keep the door closed, and
initiate droplet precautions.
A client with multiple sclerosis has urinary retention related to
sensorimotor details. Which action should the nurse include in the
client's plan of care? - ANSWER-d. Teach the client techniques for
performing intermittent catheterization.
A client who has a history of hypothyroidism was initially with
lethargy and confusion. Which additional finding warrants the
most immediate action by the nurse? - ANSWER-b. Further
decline in level consciousness.
The nurse is caring for a client with human immunodeficiency
virus (HIV) who has developed oral thrush and is experiencing
