BSN HESI 266 MED SURG ACTUAL TEST
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A+
●● A client with stage IV bone cancer is admitted to the hospital for a 1-
10 scale. Which intervention should the nurse implement?
Answer: Administer opioid and non-opioid medications simultaneously
●● A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report immediately
to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
Answer: a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,●● When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
Answer: c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
●● The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation following a
transurethral resection of the prostate (TURP). What is the best initial
nursing action?
a. Provide additional oral fluid intake
,b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
Answer: c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
●● A client wit lung cancer who wears a subcutaneous morphine sulfate
patch for pain is short of breath and difficult to arouse. When performing
a head
-to-toe assessment, the nurse discovers four analgesic patches on
Answer: Remove all morphine patches
●● Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse?
, Answer: Right foot pale with sluggish capillary refill
●● An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
Answer: a. Check finger stick
glucose
b. Assess skin temperature
and moisture
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A+
●● A client with stage IV bone cancer is admitted to the hospital for a 1-
10 scale. Which intervention should the nurse implement?
Answer: Administer opioid and non-opioid medications simultaneously
●● A client experiences an AOB incompatibility reaction after multiple
blood transfusions. Which finding should the nurse report immediately
to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
Answer: a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
,●● When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
Answer: c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
●● The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation following a
transurethral resection of the prostate (TURP). What is the best initial
nursing action?
a. Provide additional oral fluid intake
,b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
Answer: c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
●● A client wit lung cancer who wears a subcutaneous morphine sulfate
patch for pain is short of breath and difficult to arouse. When performing
a head
-to-toe assessment, the nurse discovers four analgesic patches on
Answer: Remove all morphine patches
●● Coming down the basement steps, a client is brought to the
emergency room X-ray ... cast, which assessment finding warrants
immediate
Intervention by the nurse?
, Answer: Right foot pale with sluggish capillary refill
●● An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
Answer: a. Check finger stick
glucose
b. Assess skin temperature
and moisture
