Med/Surg HESI BSN266 EXAM QUESTIONS & ANSWERS
LATEST UPDATE 2025/2026 VERIFIED BEST FOR
DISTINCTION
1. A client is admitted with acute congestive heart failure a. Rales and crackles in
(CHF). which exam finding will the nurse most likely bilateral lower lobes upo
assess in this client? auscultation.
a. Rales and crackles in the bilateral lower lobes upon
auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitaliza-
tion.
d. Blood pressure 160/100 mm Hg
2. A client is admitted with multiple injuries following a c. Absent breath sounds
motor vehicle collision. Which injury should the nurse over the left lung, disten
address first? ed neck veins, RR 27/m
a. Active bleeding from lower leg wound and BP 100/60 and pulse 120bpm.
mmHg.
b. Scalp lacerations and Glasgow Coma Scale of 10.
c. Absent breath sounds over the left lung, distended
neck veins, RR 27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the
lower arm and hand.
3. A client diagnosed with acute respiratory distress b. Impaired gas exchang
syndrome (ARDS) is demonstrating atelectasis. Which
nursing diagnoses should the nurse list as the priority
for this client?
a. Ineffective airway clearance
b. Impaired gas exchange
c. Alteration in comfort.
d. Fluid volume overload.
4.
, The nurse raises the head of the bed and encourages a c. Reduce the retention
client recovering from abdominal surgery to take deep carbon dioxide
breaths. What should the nurse identify as the primary
goal of these interventions?
a. Increased blood flow to the lower extremities
b. Reduce post operative bleeding
c. Reduce the retention of carbon dioxide
d. Decrease intracranial pressure
5. A client diagnosed with gastric cancer asks the nurse c. Eats pickled veggies a
how he developed the disease. Which assessment find- salted fish several times
ing will provide the most information regarding the week
development of gastric cancer in this client?
a. Ingest 1 alcoholic beverage each day
b. Takes cimetidine (Tagamet) for chronic urticaria
every day for years in a row
c. Eats pickled veggies and salted fish several times a
week
d. Family history of colon cancer
6. A client is prescribed to receive 1000ml of dextrose 5% 25 drops per minute
and 0.45% normal saline to infuse over 8 hours. The
administration set deliver 12 drops per ml. Calculate
the rate in which the nurse should regulate the drops
per minute for this infusion.
7. A client being prepared for surgery tells the nurse he d. "There are processes
is anxious because her will "not be awake to see what place to minimize the ris
everyone is doing." What should the nurse respond? of mistakes and to creat
a. "Don't worry we all know what we need to do" safe environment"
b. "The surgeon will make sure everything goes well"
, c. "Would you like to have a type of anesthesia that
allows you to be awake for the procedure"
d. "There are processes in place to minimize the risk of
mistakes and to create a safe environment"
8. A client diagnosed with chronic renal failure is in the c. Monitor thiocyanate le
intensive care unit for treatment with nitroprusside el for prolonged adminis
sodium for blood pressure control. What should the tration
nurse include in this clients plan of care?
a. Expect the blood pressure to increase when infusion
is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administra-
tion
d. Provide the medication through intravenous push
9. A client in the emergency department with a suspected c. Troponin level
acute myocardial infarction is prescribed laboratory
tests to aid in the diagnosis. Which diagnostic test will
provide the most sensitive information regarding the
clients myocardial damage?
a. Serum potassium level
b. Red blood cell count
c. Troponin level
d. MB-CPK
10. A client receiving cardiopulmonary resuscitation and a. Ensure the client has
defibrillation has a heart rate of 50 beats per minute adequate airway and is r
and regular pulse. Which of the following should be ceiving ventilation
done to support the client at this time?
a. Ensure the client has an adequate airway and is
LATEST UPDATE 2025/2026 VERIFIED BEST FOR
DISTINCTION
1. A client is admitted with acute congestive heart failure a. Rales and crackles in
(CHF). which exam finding will the nurse most likely bilateral lower lobes upo
assess in this client? auscultation.
a. Rales and crackles in the bilateral lower lobes upon
auscultation.
b. 1+ edema of bilateral ankles
c. Weight loss of 2 pounds since previous hospitaliza-
tion.
d. Blood pressure 160/100 mm Hg
2. A client is admitted with multiple injuries following a c. Absent breath sounds
motor vehicle collision. Which injury should the nurse over the left lung, disten
address first? ed neck veins, RR 27/m
a. Active bleeding from lower leg wound and BP 100/60 and pulse 120bpm.
mmHg.
b. Scalp lacerations and Glasgow Coma Scale of 10.
c. Absent breath sounds over the left lung, distended
neck veins, RR 27/min, and pulse 120bpm.
d. Fractured humerus with lack of sensation in the
lower arm and hand.
3. A client diagnosed with acute respiratory distress b. Impaired gas exchang
syndrome (ARDS) is demonstrating atelectasis. Which
nursing diagnoses should the nurse list as the priority
for this client?
a. Ineffective airway clearance
b. Impaired gas exchange
c. Alteration in comfort.
d. Fluid volume overload.
4.
, The nurse raises the head of the bed and encourages a c. Reduce the retention
client recovering from abdominal surgery to take deep carbon dioxide
breaths. What should the nurse identify as the primary
goal of these interventions?
a. Increased blood flow to the lower extremities
b. Reduce post operative bleeding
c. Reduce the retention of carbon dioxide
d. Decrease intracranial pressure
5. A client diagnosed with gastric cancer asks the nurse c. Eats pickled veggies a
how he developed the disease. Which assessment find- salted fish several times
ing will provide the most information regarding the week
development of gastric cancer in this client?
a. Ingest 1 alcoholic beverage each day
b. Takes cimetidine (Tagamet) for chronic urticaria
every day for years in a row
c. Eats pickled veggies and salted fish several times a
week
d. Family history of colon cancer
6. A client is prescribed to receive 1000ml of dextrose 5% 25 drops per minute
and 0.45% normal saline to infuse over 8 hours. The
administration set deliver 12 drops per ml. Calculate
the rate in which the nurse should regulate the drops
per minute for this infusion.
7. A client being prepared for surgery tells the nurse he d. "There are processes
is anxious because her will "not be awake to see what place to minimize the ris
everyone is doing." What should the nurse respond? of mistakes and to creat
a. "Don't worry we all know what we need to do" safe environment"
b. "The surgeon will make sure everything goes well"
, c. "Would you like to have a type of anesthesia that
allows you to be awake for the procedure"
d. "There are processes in place to minimize the risk of
mistakes and to create a safe environment"
8. A client diagnosed with chronic renal failure is in the c. Monitor thiocyanate le
intensive care unit for treatment with nitroprusside el for prolonged adminis
sodium for blood pressure control. What should the tration
nurse include in this clients plan of care?
a. Expect the blood pressure to increase when infusion
is reduced.
b. Provide the medication in clear glass bottle
c. Monitor thiocyanate level for prolonged administra-
tion
d. Provide the medication through intravenous push
9. A client in the emergency department with a suspected c. Troponin level
acute myocardial infarction is prescribed laboratory
tests to aid in the diagnosis. Which diagnostic test will
provide the most sensitive information regarding the
clients myocardial damage?
a. Serum potassium level
b. Red blood cell count
c. Troponin level
d. MB-CPK
10. A client receiving cardiopulmonary resuscitation and a. Ensure the client has
defibrillation has a heart rate of 50 beats per minute adequate airway and is r
and regular pulse. Which of the following should be ceiving ventilation
done to support the client at this time?
a. Ensure the client has an adequate airway and is
