BSN 266 HESI MED SURG EXAM 100 QUESTIONS AND
WELL ELABORATED ANSWERS| ALREADY GRADED
A+ WITH EXPERT FEEDBACK | NEW 2025-2026.
1. Client is recovering from a transurethral prostatecto- Drink 3L
my. Which activity should be limited until after the first
postoperative visit with the healthcare provider?
2. A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should the non-opioid medications
nurse implement? simultaneously
3. A client experiences an AOB incompatibility reac- a. low back pain and hy-
tion after multiple blood transfusions. Which finding potension
should the nurse report immediately to the health care
ANSWER: (A) LOW BACK
provider?
PAIN AND HYPOTENSTION
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
4. When conducting discharge teaching for a client c. Eat a high fiber diet and
diagnosed with diverticulosis, which diet instruction increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least two HIGH-FIBER DIET AND IN-
hours after meals. CREASE FLUID INTAKE
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
5. The nurse observes an increased number of blood c. Increase the flow of th
clots in the drainage tubing of a client with continuous bladder
bladder irrigation following a transurethral resection irrigation
of the prostate (TURP). What is the best initial nursing
action?
ANSWER (C) Increase t
a. Provide additional oral fluid intake flow of the bladder irriga
tion
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
6. A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
7. Coming down the basement steps, a client is brought Right foot pale with slug
to the emergency room X-ray ... cast, which assess- gish capillary refill
ment finding warrants immediate
Intervention by the nurse?
8. An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
, type 2 diabetes mellitus is admitted for a hernia repair. b. Assess skin tempera-
He tells the nurse that he is feeling very weak and ture
jittery. and moisture
Which actions should the nurse implement? c. Measure pulse and
(Select all that apply.) blood
pressure
a. Check finger stick
glucose ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
9. A client who underwent cardiac stent placement four d. Obtain a 12-lead elec
days ago arrives to the trocardiogram and begin
emergency department reporting a sudden onset of continuous cardiac mon
chest pressure and toring
shortness of breath. Which action should the nurse
take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion,
pulse volume,
and pitting edema.
, c. Verify troponin level assessments are scheduled
every 3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin con-
tinuous cardiac monitoring
.
10. While completing a health assessment for a client c. Gather additional as-
with migraine headaches, the nurse assesses bilateral sessment data about the
weakness in the clients hand grips. The client reports pain and weakness.
joint pain and trouble twisting a door knob due to
weaknesses. Which action should the nurses take in
response to these figures?
a. Implement fall precautions to reduce the clients risk
of injury.
b. Explain that relief of the migraine pain will reduce
related symptoms.
c. Gather additional assessment data about the pain
and weakness.
d. Consult with the occupational therapist for a func-
tional assessment
11. The nurse is caring for a client diagnosed with psoria- b. Tenderness upon pal-
sis vulgaris who is receiving psoralen and ultraviolet A pation and generalized
light (PUVA) treatment. erythema
Which assessment finding indicates that the client has
been overexposed to the treatment?
WELL ELABORATED ANSWERS| ALREADY GRADED
A+ WITH EXPERT FEEDBACK | NEW 2025-2026.
1. Client is recovering from a transurethral prostatecto- Drink 3L
my. Which activity should be limited until after the first
postoperative visit with the healthcare provider?
2. A client with stage IV bone cancer is admitted to the Administer opioid and
hospital for a 1-10 scale. Which intervention should the non-opioid medications
nurse implement? simultaneously
3. A client experiences an AOB incompatibility reac- a. low back pain and hy-
tion after multiple blood transfusions. Which finding potension
should the nurse report immediately to the health care
ANSWER: (A) LOW BACK
provider?
PAIN AND HYPOTENSTION
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
4. When conducting discharge teaching for a client c. Eat a high fiber diet and
diagnosed with diverticulosis, which diet instruction increase fluid intake.
should the nurse include?
ANSWER (C) EAT A
a. Have small frequent meals and sit up for at least two HIGH-FIBER DIET AND IN-
hours after meals. CREASE FLUID INTAKE
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
5. The nurse observes an increased number of blood c. Increase the flow of th
clots in the drainage tubing of a client with continuous bladder
bladder irrigation following a transurethral resection irrigation
of the prostate (TURP). What is the best initial nursing
action?
ANSWER (C) Increase t
a. Provide additional oral fluid intake flow of the bladder irriga
tion
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
6. A client wit lung cancer who wears a subcutaneous Remove all morphine
morphine sulfate patch for pain is short of breath and patches
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on
7. Coming down the basement steps, a client is brought Right foot pale with slug
to the emergency room X-ray ... cast, which assess- gish capillary refill
ment finding warrants immediate
Intervention by the nurse?
8. An overweight, young adult who was a. Check finger stick
recently Check finger stick glucose diagnosed with glucose
, type 2 diabetes mellitus is admitted for a hernia repair. b. Assess skin tempera-
He tells the nurse that he is feeling very weak and ture
jittery. and moisture
Which actions should the nurse implement? c. Measure pulse and
(Select all that apply.) blood
pressure
a. Check finger stick
glucose ANSWER: (CAM)
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
9. A client who underwent cardiac stent placement four d. Obtain a 12-lead elec
days ago arrives to the trocardiogram and begin
emergency department reporting a sudden onset of continuous cardiac mon
chest pressure and toring
shortness of breath. Which action should the nurse
take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion,
pulse volume,
and pitting edema.
, c. Verify troponin level assessments are scheduled
every 3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin con-
tinuous cardiac monitoring
.
10. While completing a health assessment for a client c. Gather additional as-
with migraine headaches, the nurse assesses bilateral sessment data about the
weakness in the clients hand grips. The client reports pain and weakness.
joint pain and trouble twisting a door knob due to
weaknesses. Which action should the nurses take in
response to these figures?
a. Implement fall precautions to reduce the clients risk
of injury.
b. Explain that relief of the migraine pain will reduce
related symptoms.
c. Gather additional assessment data about the pain
and weakness.
d. Consult with the occupational therapist for a func-
tional assessment
11. The nurse is caring for a client diagnosed with psoria- b. Tenderness upon pal-
sis vulgaris who is receiving psoralen and ultraviolet A pation and generalized
light (PUVA) treatment. erythema
Which assessment finding indicates that the client has
been overexposed to the treatment?
