BSN HESI 266
BSN HESI 266 Med Surg
Exam (Latest Questions &
Correct Answers With
Rationales, 100%
Guaranteed Pass ||
Complete A+ Guide -
Nightingale
1. Postoperative Complication
A client 2 days post–abdominal surgery reports “something popped” at the incision
site. The nurse observes bowel protrusion.
What is the priority action?
A. Call the provider
B. Apply dry sterile dressing
C. Cover with sterile saline-moistened dressing
D. Place in high Fowler’s position
✅ Answer: C
,Rationale:
This is evisceration, a surgical emergency. The nurse should cover with sterile saline-
moistened dressing immediately to prevent tissue drying and infection, then notify
provider.
2. Heart Failure Assessment
Which finding indicates worsening heart failure?
A. Weight loss
B. Crackles in lungs
C. Dry cough
D. Bradycardia
✅ Answer: B
Rationale:
Crackles indicate pulmonary edema, a hallmark of worsening HF due to fluid
overload.
3. Priority Assessment (ABC)
A patient with pneumonia becomes restless and anxious. What should the nurse do
first?
A. Check oxygen saturation
B. Administer antibiotics
C. Call provider
D. Reassure patient
✅ Answer: A
,Rationale:
Restlessness = early hypoxia. Always assess airway/breathing first before
interventions.
4. Autonomic Dysreflexia
A client with spinal cord injury reports headache and sweating.
What is the cause?
A. Hypotension
B. Bladder distention
C. Infection
D. Hypoglycemia
✅ Answer: B
Rationale:
Most common trigger = full bladder causing sympathetic response → severe
hypertension.
5. Burn Infection Monitoring
A burn patient has purulent drainage.
Which lab is most important?
A. Platelets
B. Albumin
C. Neutrophils
D. pH
, ✅ Answer: C
Rationale:
Neutrophils indicate infection response, critical in burn patients.
6. Electrolyte Imbalance
Which lab indicates tumor lysis syndrome?
A. Low potassium
B. Low calcium
C. High sodium
D. High hemoglobin
✅ Answer: B
Rationale:
TLS causes hypocalcemia, hyperkalemia, hyperuricemia.
7. Diabetes Teaching
Which statement shows correct understanding?
A. “I will soak my feet daily.”
B. “I will inspect my feet daily.”
C. “I will walk barefoot at home.”
D. “I will cut calluses myself.”
✅ Answer: B
Rationale:
BSN HESI 266 Med Surg
Exam (Latest Questions &
Correct Answers With
Rationales, 100%
Guaranteed Pass ||
Complete A+ Guide -
Nightingale
1. Postoperative Complication
A client 2 days post–abdominal surgery reports “something popped” at the incision
site. The nurse observes bowel protrusion.
What is the priority action?
A. Call the provider
B. Apply dry sterile dressing
C. Cover with sterile saline-moistened dressing
D. Place in high Fowler’s position
✅ Answer: C
,Rationale:
This is evisceration, a surgical emergency. The nurse should cover with sterile saline-
moistened dressing immediately to prevent tissue drying and infection, then notify
provider.
2. Heart Failure Assessment
Which finding indicates worsening heart failure?
A. Weight loss
B. Crackles in lungs
C. Dry cough
D. Bradycardia
✅ Answer: B
Rationale:
Crackles indicate pulmonary edema, a hallmark of worsening HF due to fluid
overload.
3. Priority Assessment (ABC)
A patient with pneumonia becomes restless and anxious. What should the nurse do
first?
A. Check oxygen saturation
B. Administer antibiotics
C. Call provider
D. Reassure patient
✅ Answer: A
,Rationale:
Restlessness = early hypoxia. Always assess airway/breathing first before
interventions.
4. Autonomic Dysreflexia
A client with spinal cord injury reports headache and sweating.
What is the cause?
A. Hypotension
B. Bladder distention
C. Infection
D. Hypoglycemia
✅ Answer: B
Rationale:
Most common trigger = full bladder causing sympathetic response → severe
hypertension.
5. Burn Infection Monitoring
A burn patient has purulent drainage.
Which lab is most important?
A. Platelets
B. Albumin
C. Neutrophils
D. pH
, ✅ Answer: C
Rationale:
Neutrophils indicate infection response, critical in burn patients.
6. Electrolyte Imbalance
Which lab indicates tumor lysis syndrome?
A. Low potassium
B. Low calcium
C. High sodium
D. High hemoglobin
✅ Answer: B
Rationale:
TLS causes hypocalcemia, hyperkalemia, hyperuricemia.
7. Diabetes Teaching
Which statement shows correct understanding?
A. “I will soak my feet daily.”
B. “I will inspect my feet daily.”
C. “I will walk barefoot at home.”
D. “I will cut calluses myself.”
✅ Answer: B
Rationale:
