BSN 266 - MEDSURG HESI 2026-2027
EXAM QUESTIONS & UPDATED
CORRECT ANSWERS RATED 100%
COMPLETE
A client who underwent cardiac stent placement four days ago arrives to the emergency
department reporting a sudden onset of chest pressure and shortness of breath. Which
action should the nurse take next? - Correct Answer ✔✔ Obtain a 12-lead
electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the nurse
assesses bilateral weakness in the clients hand grips. The client reports joint pain and
trouble twisting a door knob due to weaknesses. Which action should the nurses take in
response to these figures? - Correct Answer ✔✔ Gather additional assessment data
about the pain and weakness
When assessing a male client's respiratory status, which technique should the nurse
use to assess his anterior-posteriour chest diameter? - Correct Answer ✔✔ Tenderness
upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg. Which intervention is most important
for the nurse to include in the client's plan of care? - Correct Answer ✔✔ .Strict IV fluid
replacement
A client who was recently diagnosed with Raynaud's disease is concerned about pain
management. Which nursing instructions should the nurse provide? - Correct Answer
✔✔ Wearing gloves when handling cold items guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions.
How should the nurse respond? - Correct Answer ✔✔ Describe the use of an
elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi.? -
Correct Answer ✔✔ Eats a vegetarian diet with cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to get up
several times at night to go to the bathroom, that he has trouble starting his urinary
, system, and that he does not feel like his bladder is ever completely empty. Which
intervention should the nurse implement - Correct Answer ✔✔ Palpate the bladder
above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which
condition entered on the client's medical record should the nurse recognize as a
contraindication for peritoneal dialysis? - Correct Answer ✔✔ Crohn's disease with
colectomy.
When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential? - Correct Answer ✔✔ Ensure oral suction is available.
A client presents to the emergency department reporting chest pain that is radiation to
the left arm, shortness of breath, and diaphoresis. Which medication should the nurse
anticipate being prescribed by the healthcare provider? - Correct Answer ✔✔ Morphine
An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I am
driving through a tunnel." The client expresses great concern about going blind. Which
nursing instruction is most important for the nurses to provide this client? - Correct
Answer ✔✔ Maintain prescribed eye drop regimen
Which information should the nurse include on the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)? - Correct Answer ✔✔ Minimize
symptoms by wearing loose, comfortable clothin
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? - Correct Answer ✔✔
Move into airborne isolation
A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6
hours. How many mL/hr should the nurse program the infusion pump to deliver? -
Correct Answer ✔✔ 167 mL
1000mL/6(hours) =166.6=167mL
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage the pain, which assessment data is most
important for the nurse to obtain? - Correct Answer ✔✔ Eating patterns of dietary intake
An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. The
client is anxious and is complaining of a dry mouth. Which intervention should the nurse
implement? - Correct Answer ✔✔ Assist client to an upright position
EXAM QUESTIONS & UPDATED
CORRECT ANSWERS RATED 100%
COMPLETE
A client who underwent cardiac stent placement four days ago arrives to the emergency
department reporting a sudden onset of chest pressure and shortness of breath. Which
action should the nurse take next? - Correct Answer ✔✔ Obtain a 12-lead
electrocardiogram and begin continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches, the nurse
assesses bilateral weakness in the clients hand grips. The client reports joint pain and
trouble twisting a door knob due to weaknesses. Which action should the nurses take in
response to these figures? - Correct Answer ✔✔ Gather additional assessment data
about the pain and weakness
When assessing a male client's respiratory status, which technique should the nurse
use to assess his anterior-posteriour chest diameter? - Correct Answer ✔✔ Tenderness
upon palpation and generalized erythema
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg. Which intervention is most important
for the nurse to include in the client's plan of care? - Correct Answer ✔✔ .Strict IV fluid
replacement
A client who was recently diagnosed with Raynaud's disease is concerned about pain
management. Which nursing instructions should the nurse provide? - Correct Answer
✔✔ Wearing gloves when handling cold items guards against painful spasms
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions.
How should the nurse respond? - Correct Answer ✔✔ Describe the use of an
elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi.? -
Correct Answer ✔✔ Eats a vegetarian diet with cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to get up
several times at night to go to the bathroom, that he has trouble starting his urinary
, system, and that he does not feel like his bladder is ever completely empty. Which
intervention should the nurse implement - Correct Answer ✔✔ Palpate the bladder
above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which
condition entered on the client's medical record should the nurse recognize as a
contraindication for peritoneal dialysis? - Correct Answer ✔✔ Crohn's disease with
colectomy.
When providing care for an unconscious client who has seizures. Which nursing
intervention is most essential? - Correct Answer ✔✔ Ensure oral suction is available.
A client presents to the emergency department reporting chest pain that is radiation to
the left arm, shortness of breath, and diaphoresis. Which medication should the nurse
anticipate being prescribed by the healthcare provider? - Correct Answer ✔✔ Morphine
An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I am
driving through a tunnel." The client expresses great concern about going blind. Which
nursing instruction is most important for the nurses to provide this client? - Correct
Answer ✔✔ Maintain prescribed eye drop regimen
Which information should the nurse include on the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)? - Correct Answer ✔✔ Minimize
symptoms by wearing loose, comfortable clothin
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? - Correct Answer ✔✔
Move into airborne isolation
A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6
hours. How many mL/hr should the nurse program the infusion pump to deliver? -
Correct Answer ✔✔ 167 mL
1000mL/6(hours) =166.6=167mL
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage the pain, which assessment data is most
important for the nurse to obtain? - Correct Answer ✔✔ Eating patterns of dietary intake
An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. The
client is anxious and is complaining of a dry mouth. Which intervention should the nurse
implement? - Correct Answer ✔✔ Assist client to an upright position
