______________________________________
BSN 266 HESI
Med Surg (3 Set Exams)
(NCLEX (NGN)-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 266
COURSE NAME: Medical-Surgical Nursing (Med-Surg Nursing)
EXAM NAME: HESI Med-Surg Exam – Set 1, Set 2, Set 3
BSN 266 HESI MED SURG
,Table of Contents
BSN 266 Hesi Med surg Exam #1 .................................................. 2
BSN 266 Hesi Med surg Exam #2 ................................................ 61
BSN 266 Hesi Med surg Exam #3 .............................................. 126
BSN 266 HESI MED SURG EXAM #1
### 1.
Priority Nursing Action for Client With Chest Pain After Cardiac Stent
Placement
A client who underwent cardiac stent placement 4 days ago arrives in
the emergency department reporting sudden onset chest pressure and
shortness of breath. The nurse understands that these symptoms may
indicate a potentially serious complication, such as acute coronary
syndrome, recurrent myocardial ischemia, or stent-related
complications. The nurse must prioritize interventions that rapidly
assess the client’s cardiac status and identify life-threatening changes.
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:
The nurse’s priority action is to obtain a 12-lead ECG and initiate continuous
cardiac monitoring because the client is experiencing symptoms that may
indicate acute myocardial ischemia or a cardiac complication following stent
placement. An ECG provides immediate information about electrical changes
in the heart, including ST-segment changes that may suggest myocardial
infarction or ischemia. Continuous monitoring allows the nurse to detect
dangerous dysrhythmias that can occur with acute coronary events. Rapid
assessment helps guide further treatment decisions, including medications,
interventions, or possible cardiac catheterization. In emergency situations,
the nurse should first obtain objective cardiac data before initiating
additional treatments unless the client is unstable.
, b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
The nurse’s priority action is to obtain a 12-lead ECG and initiate continuous
cardiac monitoring because the client is experiencing symptoms that may
indicate acute myocardial ischemia or a cardiac complication following stent
placement. An ECG provides immediate information about electrical changes
in the heart, including ST-segment changes that may suggest myocardial
infarction or ischemia. Continuous monitoring allows the nurse to detect
dangerous dysrhythmias that can occur with acute coronary events. Rapid
assessment helps guide further treatment decisions, including medications,
interventions, or possible cardiac catheterization. In emergency situations,
the nurse should first obtain objective cardiac data before initiating
additional treatments unless the client is unstable.
---
### 2.
Assessing Bilateral Hand Weakness During a Migraine Assessment
A nurse is completing a health assessment for a client who has a history of
migraine headaches. During the neurological portion of the assessment, the
nurse identifies bilateral weakness in the client’s hand grips. The client
reports experiencing joint pain and states that the weakness makes daily
activities difficult, such as twisting a door knob. The nurse recognizes that the
findings may not be related solely to the client’s migraine history and must
determine the most appropriate next step. Which action should the nurse take
next?
BSN 266 HESI
Med Surg (3 Set Exams)
(NCLEX (NGN)-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 266
COURSE NAME: Medical-Surgical Nursing (Med-Surg Nursing)
EXAM NAME: HESI Med-Surg Exam – Set 1, Set 2, Set 3
BSN 266 HESI MED SURG
,Table of Contents
BSN 266 Hesi Med surg Exam #1 .................................................. 2
BSN 266 Hesi Med surg Exam #2 ................................................ 61
BSN 266 Hesi Med surg Exam #3 .............................................. 126
BSN 266 HESI MED SURG EXAM #1
### 1.
Priority Nursing Action for Client With Chest Pain After Cardiac Stent
Placement
A client who underwent cardiac stent placement 4 days ago arrives in
the emergency department reporting sudden onset chest pressure and
shortness of breath. The nurse understands that these symptoms may
indicate a potentially serious complication, such as acute coronary
syndrome, recurrent myocardial ischemia, or stent-related
complications. The nurse must prioritize interventions that rapidly
assess the client’s cardiac status and identify life-threatening changes.
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:
The nurse’s priority action is to obtain a 12-lead ECG and initiate continuous
cardiac monitoring because the client is experiencing symptoms that may
indicate acute myocardial ischemia or a cardiac complication following stent
placement. An ECG provides immediate information about electrical changes
in the heart, including ST-segment changes that may suggest myocardial
infarction or ischemia. Continuous monitoring allows the nurse to detect
dangerous dysrhythmias that can occur with acute coronary events. Rapid
assessment helps guide further treatment decisions, including medications,
interventions, or possible cardiac catheterization. In emergency situations,
the nurse should first obtain objective cardiac data before initiating
additional treatments unless the client is unstable.
, b. Obtain a 12-lead electrocardiogram (ECG) and begin continuous cardiac
monitoring.
Expert Rationale:
The nurse’s priority action is to obtain a 12-lead ECG and initiate continuous
cardiac monitoring because the client is experiencing symptoms that may
indicate acute myocardial ischemia or a cardiac complication following stent
placement. An ECG provides immediate information about electrical changes
in the heart, including ST-segment changes that may suggest myocardial
infarction or ischemia. Continuous monitoring allows the nurse to detect
dangerous dysrhythmias that can occur with acute coronary events. Rapid
assessment helps guide further treatment decisions, including medications,
interventions, or possible cardiac catheterization. In emergency situations,
the nurse should first obtain objective cardiac data before initiating
additional treatments unless the client is unstable.
---
### 2.
Assessing Bilateral Hand Weakness During a Migraine Assessment
A nurse is completing a health assessment for a client who has a history of
migraine headaches. During the neurological portion of the assessment, the
nurse identifies bilateral weakness in the client’s hand grips. The client
reports experiencing joint pain and states that the weakness makes daily
activities difficult, such as twisting a door knob. The nurse recognizes that the
findings may not be related solely to the client’s migraine history and must
determine the most appropriate next step. Which action should the nurse take
next?
