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BSN HESI 266 Med Surg Exam | 2025/2026 Edition | Nightingale College | Real Exam Q&A Verified 100% Correct

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BSN HESI 266 Med Surg Exam | 2025/2026 Edition | Nightingale College | Real Exam Q&A Verified 100% Correct A client presents to the emergency department reporting chest pain that is radiation to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider? a. Fentanyl. b. Hydromorphone. c. Oxycodone. d. Morphine - ANSWER -d. Morphine An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurses to provide this client? a. Maintain prescribed eye drop regimen b. Eat a diet high in carotene. c. Wear prescription glasses. d. Avoid frequent eye pressure measurement. - ANSWER -a. Maintain prescribed eye drop regimen Which information should the nurse include on the teaching plan of a client diagnosed with gastroesophageal reflux disease (GERD)? a. Adjust food intake to three full meals per day and no snacks. b. Sleep without pillows at night to maintain neck alignment. c. Minimize symptoms by wearing loose, comfortable clothing. d. Avoid participation in any aerobic exercise programs - ANSWER -c. Minimize symptoms by wearing loose, comfortable clothing. A client arrives to the emergency department reporting an intermittent fever and night sweats for the past 3 weeks and has developed a productive cough containing small amounts of blood. Which intervention should the nurse prioritize? a. Move into airborne isolation b. Collect specimens for blood cultures. c. Arrange transport for radiographic imaging. d. Obtain a sputum sample - ANSWER -a. Move into airborne isolation A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only. If rounding is required, round to the nearest whole number.) - ANSWER -167 mL 1000mL/6(hours) =166.6=167mL The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? a. Activity level of bowel sounds. b. Eating patterns of dietary intake. c. Level and amount of physical activity d. Color and consistency of feces - ANSWER -b. Eating patterns of dietary intake. An older adult client with a long hist ory of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? a. Apply a tight flow venturi mask. b. Encourage client to drink water. c. Assist client to an upright position. d. Administer a prescribed sedative - ANSWER -c. Assist client to an upright position. Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy? a. Monitor the client's intravenous site hourly during the treatment

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BSN HESI 266 Med Surg Exam |
2025/2026 Edition | Nightingale College |
Real Exam Q&A Verified 100% Correct
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare
provider?

a. Fentanyl.

b. Hydromorphone.

c. Oxycodone.

d. Morphine - ANSWER -d. Morphine

An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind.
Which nursing instruction is most important for the nurses to provide
this client?

a. Maintain prescribed eye drop regimen

b. Eat a diet high in carotene.

c. Wear prescription glasses.

d. Avoid frequent eye pressure measurement. - ANSWER -a. Maintain prescribed
eye drop regimen

,Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?

a. Adjust food intake to three full meals per day and no snacks.

b. Sleep without pillows at night to maintain neck alignment.

c. Minimize symptoms by wearing loose, comfortable clothing.

d. Avoid participation in any aerobic exercise programs - ANSWER -c. Minimize
symptoms by wearing loose, comfortable clothing.

A client arrives to the emergency department
reporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood.
Which intervention should the nurse
prioritize?

a. Move into airborne isolation

b. Collect specimens for
blood cultures.

c. Arrange transport for radiographic imaging.

d. Obtain a sputum sample - ANSWER -a. Move into airborne isolation

A client receives a prescription for 1 liter of Ringer's intravenously to be infused
over 6 hours.

How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole
number.) - ANSWER -167 mL

, 1000mL/6(hours) =166.6=167mL

The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment
data is
most important for the nurse to obtain?

a. Activity level of bowel sounds.

b. Eating patterns of dietary intake.

c. Level and amount of physical activity

d. Color and consistency of feces - ANSWER -b. Eating patterns of dietary intake.

An older adult client with a long hist
ory of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a
persistent cough. The client is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement?

a. Apply a tight flow venturi mask.

b. Encourage client to drink water.

c. Assist client to an upright position.

d. Administer a prescribed sedative - ANSWER -c. Assist client to an upright
position.

Which action should the nurse implement to reduce the risk of vesicant
extravasation in the client who is receiving intravenous chemotherapy?

a. Monitor the client's intravenous site hourly during the treatment

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BSN HESI 266 Med Surg
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BSN HESI 266 Med Surg

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