BSN 266 HESI
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ Next Gen-style presentation of the questions with
expert rationales for a BSN-level Med-Surg exam.
❖ Each question includes Answer Choices, the Correct Answer, and a
detailed Expert Rationale explaining the reasoning process, suitable
for the 2025 HESI Med-Surg exam standard.
,### 1.
What types of medications should the nurse expect to administer to a
client during an acute respiratory distress episode?
A) Antibiotics
B) Bronchodilators and steroids
C) Antihistamines
D) Expectorants
Correct Answer: B) Bronchodilators and steroids
Expert Rationale: Bronchodilators (e.g., beta-agonists) relax bronchial
smooth muscle, opening airways to improve ventilation. Steroids reduce
airway inflammation. These medication classes are critical in acute
respiratory distress to improve oxygenation and reduce airway obstruction.
Antibiotics are used if infection is confirmed but not routinely in acute
distress unless bacterial cause suspected.
---
### 2.
A female client is brought to the clinic by her daughter for a flu shot.
She has lost significant weight since the last visit, shows poor hygiene,
and wears inadequate clothing for cold weather. The client denies any
problems. What action should the nurse implement first?
A) Notify social services immediately of suspected elder abuse
,B) Discuss the need for mental health counseling with the daughter
C) Explain to the client that she needs to take better care of herself
D) Collect further data to determine whether self-neglect is occurring
Correct Answer: D) Collect further data to determine whether self-neglect
is occurring
Expert Rationale: Self-neglect is a form of elder abuse often identified by
weight loss, poor hygiene, and inappropriate clothing. Before intervening,
the nurse must conduct a thorough assessment including cognitive status,
ability to perform activities of daily living, and social supports. Immediate
reporting without assessment or confrontation may not address the
underlying cause.
---
### 3.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse take first?
A) Provide pain medication prior to movement
B) Assess vital signs for orthostatic hypotension risk
C) Allow the client to sit with the bed in High Fowler’s position
D) Check level of consciousness
Correct Answer: C) Allow the client to sit with the bed in High Fowler’s
position
, Expert Rationale: Gradually elevating the client to sitting reduces
orthostatic hypotension and dizziness risks. It allows the cardiovascular
system to adjust before full ambulation. This first position promotes safety
and patient comfort postoperatively, preventing syncope and falls.
---
### 4.
A 32-year-old female client complains of severe abdominal pain
before menstruation, painful intercourse, and painful defecation.
Which additional history is important to obtain?
A) History of pelvic inflammatory disease
B) Inability to get pregnant
C) Family history of endometriosis
D) Recent weight changes
Correct Answer: B) Inability to get pregnant
Expert Rationale: This clinical picture suggests endometriosis, which is
linked with infertility. Identifying subfertility issues helps guide diagnosis
and management. Other options are relevant but less specific compared to
infertility as a key associated symptom.
---
### 5.
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ Next Gen-style presentation of the questions with
expert rationales for a BSN-level Med-Surg exam.
❖ Each question includes Answer Choices, the Correct Answer, and a
detailed Expert Rationale explaining the reasoning process, suitable
for the 2025 HESI Med-Surg exam standard.
,### 1.
What types of medications should the nurse expect to administer to a
client during an acute respiratory distress episode?
A) Antibiotics
B) Bronchodilators and steroids
C) Antihistamines
D) Expectorants
Correct Answer: B) Bronchodilators and steroids
Expert Rationale: Bronchodilators (e.g., beta-agonists) relax bronchial
smooth muscle, opening airways to improve ventilation. Steroids reduce
airway inflammation. These medication classes are critical in acute
respiratory distress to improve oxygenation and reduce airway obstruction.
Antibiotics are used if infection is confirmed but not routinely in acute
distress unless bacterial cause suspected.
---
### 2.
A female client is brought to the clinic by her daughter for a flu shot.
She has lost significant weight since the last visit, shows poor hygiene,
and wears inadequate clothing for cold weather. The client denies any
problems. What action should the nurse implement first?
A) Notify social services immediately of suspected elder abuse
,B) Discuss the need for mental health counseling with the daughter
C) Explain to the client that she needs to take better care of herself
D) Collect further data to determine whether self-neglect is occurring
Correct Answer: D) Collect further data to determine whether self-neglect
is occurring
Expert Rationale: Self-neglect is a form of elder abuse often identified by
weight loss, poor hygiene, and inappropriate clothing. Before intervening,
the nurse must conduct a thorough assessment including cognitive status,
ability to perform activities of daily living, and social supports. Immediate
reporting without assessment or confrontation may not address the
underlying cause.
---
### 3.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse take first?
A) Provide pain medication prior to movement
B) Assess vital signs for orthostatic hypotension risk
C) Allow the client to sit with the bed in High Fowler’s position
D) Check level of consciousness
Correct Answer: C) Allow the client to sit with the bed in High Fowler’s
position
, Expert Rationale: Gradually elevating the client to sitting reduces
orthostatic hypotension and dizziness risks. It allows the cardiovascular
system to adjust before full ambulation. This first position promotes safety
and patient comfort postoperatively, preventing syncope and falls.
---
### 4.
A 32-year-old female client complains of severe abdominal pain
before menstruation, painful intercourse, and painful defecation.
Which additional history is important to obtain?
A) History of pelvic inflammatory disease
B) Inability to get pregnant
C) Family history of endometriosis
D) Recent weight changes
Correct Answer: B) Inability to get pregnant
Expert Rationale: This clinical picture suggests endometriosis, which is
linked with infertility. Identifying subfertility issues helps guide diagnosis
and management. Other options are relevant but less specific compared to
infertility as a key associated symptom.
---
### 5.
