BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which
items should the nurse remove from the client? (Select all that apply.)
Select all that apply
A. Nail polish.
B. Hearing aid.
C. Wedding band.
D. Left leg brace.
E. Contact lenses.
F. Partial dentures.
AB,E,F
Rationale
The removal of nail polish provides a more accurate pulse oximetry readings and
evaluation of capillary refill. Hearing aids, contact lenses, and partial dentures
are removed to prevent damage, loss or misplacement, or injury during surgery.
Ideally, give the client's significant other the contact lenses if they are not the
disposable ones, hearing aids and partial dentures once placed in an appropriate
labeled container to hold for safe keeping. If no significant other is not able to
hold onto the items, then secured them in an appropriate and safe place
1|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home?
A. Catheterize every 3 to 4 hours.
B. Maintain sterile technique.
C. Use the Cred maneuver before catheterization.
D. Drink 500 ml of fluid within 2 hours of catheterization.
A
Rationale
The average interval between catheterizations for adults is every 3 to 4 hours.
Although sterile technique is indicated in healthcare facilities, clean technique is
often followed by the client when performing self-catheterization at home
The nurse assesses a long-term resident of a nursing home and finds the client
has a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff?
A. Follow contact isolation procedures.
B. Wash hands after caring for the client.
C. Wear gloves when providing personal care.
D. Restrict pregnant staff or visitors into the room.
B
Rationale
The organism Candida albicans, which causes this infection, is part of the normal
flora on the skin of most adults. Good handwashing is all that is needed to
prevent nosocomial spread.
2|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
What assessment finding should the nurse identify that indicates a client with
an acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
sounds and wheezing is diminished. If the client is successfully responding to
bronchodilators and respiratory treatments, wheezing should become louder as
the air flow increases in the airways. As the airways open and mucous is
mobilized in response to treatment, the cough should become more productive
When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feedings?
(Select all that apply.)
Select all that apply
A. Assessing residual amounts once a day.
B. Keeping the head of the bed elevated 30 degrees.
C. Changing the enteral-feeding bag every 24 hours.
D. Checking the placement of the tube by means of gastric aspiration.
E. Flushing the tube with 50 ml of normal saline solution after each feeding.
B, C, D, E
Rationale
3|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding
bag every 24 hours, checking the placement of the tube by means of gastric
aspiration, and flushing the tube with 50 ml of normal saline solution after each
feeding are interventions used to provide care of the client with a PEG tube.
Residual amounts should be assessed each time, prior to each feeding
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice
practical nurse (PN)?
A. Administer medications for pain relief, shortness of breath, and nausea.
B. Clarify family members' feelings about the meaning of client behaviors and
symptoms.
C. Develop a plan of care after assessing the needs of the client and family.
Teach the family to recognize restlessness and grimacing as signs of client
discomfort.
A
Rationale
Hospice care provides symptom management and pain control during the dying
process and enhances the quality of life for a client who is terminally ill.
Administering medication and monitoring for therapeutic and adverse effects is
within the scope of practice for the PN.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? (Select all that apply.)
Select all that apply
A. Only marijuana cigarettes affect sperm count.
4|Page
BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
The nurse is preparing a client for orthopedic surgery on the left leg and
completing a safety checklist before transport to the operating room. Which
items should the nurse remove from the client? (Select all that apply.)
Select all that apply
A. Nail polish.
B. Hearing aid.
C. Wedding band.
D. Left leg brace.
E. Contact lenses.
F. Partial dentures.
AB,E,F
Rationale
The removal of nail polish provides a more accurate pulse oximetry readings and
evaluation of capillary refill. Hearing aids, contact lenses, and partial dentures
are removed to prevent damage, loss or misplacement, or injury during surgery.
Ideally, give the client's significant other the contact lenses if they are not the
disposable ones, hearing aids and partial dentures once placed in an appropriate
labeled container to hold for safe keeping. If no significant other is not able to
hold onto the items, then secured them in an appropriate and safe place
1|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
What instruction should the nurse include in the discharge teaching for a client
who needs to perform self-catheterization technique at home?
A. Catheterize every 3 to 4 hours.
B. Maintain sterile technique.
C. Use the Cred maneuver before catheterization.
D. Drink 500 ml of fluid within 2 hours of catheterization.
A
Rationale
The average interval between catheterizations for adults is every 3 to 4 hours.
Although sterile technique is indicated in healthcare facilities, clean technique is
often followed by the client when performing self-catheterization at home
The nurse assesses a long-term resident of a nursing home and finds the client
has a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff?
A. Follow contact isolation procedures.
B. Wash hands after caring for the client.
C. Wear gloves when providing personal care.
D. Restrict pregnant staff or visitors into the room.
B
Rationale
The organism Candida albicans, which causes this infection, is part of the normal
flora on the skin of most adults. Good handwashing is all that is needed to
prevent nosocomial spread.
2|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
What assessment finding should the nurse identify that indicates a client with
an acute asthma exacerbation is beginning to improve after treatment?
A. Wheezing becomes louder.
B. Cough remains unproductive.
C. Vesicular breath sounds decrease.
D. Bronchodilators stimulate coughing.
A
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
sounds and wheezing is diminished. If the client is successfully responding to
bronchodilators and respiratory treatments, wheezing should become louder as
the air flow increases in the airways. As the airways open and mucous is
mobilized in response to treatment, the cough should become more productive
When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feedings?
(Select all that apply.)
Select all that apply
A. Assessing residual amounts once a day.
B. Keeping the head of the bed elevated 30 degrees.
C. Changing the enteral-feeding bag every 24 hours.
D. Checking the placement of the tube by means of gastric aspiration.
E. Flushing the tube with 50 ml of normal saline solution after each feeding.
B, C, D, E
Rationale
3|Page
, BSN 266 HESI MEDICAL-SURGICAL EXAM NEWEST ACTUAL EXAM
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding
bag every 24 hours, checking the placement of the tube by means of gastric
aspiration, and flushing the tube with 50 ml of normal saline solution after each
feeding are interventions used to provide care of the client with a PEG tube.
Residual amounts should be assessed each time, prior to each feeding
The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the hospice
practical nurse (PN)?
A. Administer medications for pain relief, shortness of breath, and nausea.
B. Clarify family members' feelings about the meaning of client behaviors and
symptoms.
C. Develop a plan of care after assessing the needs of the client and family.
Teach the family to recognize restlessness and grimacing as signs of client
discomfort.
A
Rationale
Hospice care provides symptom management and pain control during the dying
process and enhances the quality of life for a client who is terminally ill.
Administering medication and monitoring for therapeutic and adverse effects is
within the scope of practice for the PN.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? (Select all that apply.)
Select all that apply
A. Only marijuana cigarettes affect sperm count.
4|Page
