HESI 266 MED SURG PRACTICE SOLUTION
2026 VIEW AHEAD TESTED SET
◉ Radiation therapy consequences. Answer: Chronic esophagitis
with gastroesophageal reflux is a potential consequence of radiation
therapy for breast cancer.
◉ Pathologic fracture. Answer: Fractures that occur without
evidence of trauma, often due to loss of bone density from radiation
damage.
◉ Sexual activity after myocardial infarction. Answer: Sexual
intercourse after an MI requires no more energy expenditure or
cardiac stress than walking briskly up two flights of stairs.
◉ Percutaneous endoscopic gastrostomy (PEG) tube. Answer: A type
of feeding tube that differs from a gastrostomy tube primarily in the
method of insertion.
◉ PEG tube. Answer: A tube inserted endoscopically through the
esophagus into the stomach, held in place by a bumper and a water-
filled balloon.
,◉ GT. Answer: A tube inserted through an incision in the abdomen
and sutured to the gastric wall.
◉ Proctosigmoidoscopy preparation. Answer: Includes obtaining
consent, a clear-liquid diet for 24 to 48 hours prior, administration
of an enema, and fasting on the morning of the procedure.
◉ Dysuria in diabetes. Answer: Elevated fingerstick glucose levels
(e.g., 300 mg/dl) need to be reported to adjust the care plan.
◉ Right renal calculi nursing diagnosis priority. Answer: Acute pain
related to movement of the stone.
◉ Chemotherapy initiation. Answer: Starting chemotherapy early
increases the chance of eradicating cancer cells, as 50% of tumor
cells are killed with each dose.
◉ Asterixis. Answer: A clinical sign of liver disease characterized by
a flapping tremor of the hands.
◉ Clear-liquid diet. Answer: A diet consisting of clear fluids, often
required 24 to 48 hours before certain medical procedures.
,◉ Enema. Answer: A procedure to introduce liquid into the rectum
to stimulate a bowel movement or cleanse the bowel before a
procedure.
◉ Fasting protocol. Answer: Refraining from all food and drink for a
specified period, often required before medical procedures.
◉ Suprapubic pain. Answer: Pain located in the lower abdomen,
often associated with urinary issues.
◉ Bounding pulse. Answer: A pulse that feels strong and full, often
measured at 100 beats/minute in this context.
◉ Small vesicular perineal lesions. Answer: Fluid-filled blisters in
the perineal area, which may indicate an infection or other medical
condition.
◉ Acute pain. Answer: Severe discomfort that arises suddenly, often
related to conditions like renal calculi.
◉ Impaired urinary elimination. Answer: Difficulty in passing urine,
often due to obstruction.
, ◉ Risk for infection. Answer: Increased likelihood of developing an
infection, often due to conditions like urinary stasis.
◉ Deficient knowledge. Answer: A lack of understanding or
information regarding a specific health condition or its management.
◉ Collateral circulation. Answer: Alternative pathways of blood flow
that develop as a response to blockage or narrowing of blood
vessels.
◉ Cell cycle rate. Answer: The speed at which a cell progresses
through the phases of growth and division, impacting its sensitivity
to chemotherapy.
◉ Tumor cell count reduction. Answer: The process by which
chemotherapy reduces the number of cancer cells, with each dose
killing approximately 50%.
◉ Asterixis. Answer: A hand-flapping tremor that is often seen
frequently in hepatic encephalopathy, induced by extending the arm
and dorsiflexing the wrist.
◉ Postoperative Observation. Answer: The observation of a pulse
change from 85 to 160 beats/minute lasting more than 10 minutes
should alert the nurse to call the Rapid Response Team (RRT).
2026 VIEW AHEAD TESTED SET
◉ Radiation therapy consequences. Answer: Chronic esophagitis
with gastroesophageal reflux is a potential consequence of radiation
therapy for breast cancer.
◉ Pathologic fracture. Answer: Fractures that occur without
evidence of trauma, often due to loss of bone density from radiation
damage.
◉ Sexual activity after myocardial infarction. Answer: Sexual
intercourse after an MI requires no more energy expenditure or
cardiac stress than walking briskly up two flights of stairs.
◉ Percutaneous endoscopic gastrostomy (PEG) tube. Answer: A type
of feeding tube that differs from a gastrostomy tube primarily in the
method of insertion.
◉ PEG tube. Answer: A tube inserted endoscopically through the
esophagus into the stomach, held in place by a bumper and a water-
filled balloon.
,◉ GT. Answer: A tube inserted through an incision in the abdomen
and sutured to the gastric wall.
◉ Proctosigmoidoscopy preparation. Answer: Includes obtaining
consent, a clear-liquid diet for 24 to 48 hours prior, administration
of an enema, and fasting on the morning of the procedure.
◉ Dysuria in diabetes. Answer: Elevated fingerstick glucose levels
(e.g., 300 mg/dl) need to be reported to adjust the care plan.
◉ Right renal calculi nursing diagnosis priority. Answer: Acute pain
related to movement of the stone.
◉ Chemotherapy initiation. Answer: Starting chemotherapy early
increases the chance of eradicating cancer cells, as 50% of tumor
cells are killed with each dose.
◉ Asterixis. Answer: A clinical sign of liver disease characterized by
a flapping tremor of the hands.
◉ Clear-liquid diet. Answer: A diet consisting of clear fluids, often
required 24 to 48 hours before certain medical procedures.
,◉ Enema. Answer: A procedure to introduce liquid into the rectum
to stimulate a bowel movement or cleanse the bowel before a
procedure.
◉ Fasting protocol. Answer: Refraining from all food and drink for a
specified period, often required before medical procedures.
◉ Suprapubic pain. Answer: Pain located in the lower abdomen,
often associated with urinary issues.
◉ Bounding pulse. Answer: A pulse that feels strong and full, often
measured at 100 beats/minute in this context.
◉ Small vesicular perineal lesions. Answer: Fluid-filled blisters in
the perineal area, which may indicate an infection or other medical
condition.
◉ Acute pain. Answer: Severe discomfort that arises suddenly, often
related to conditions like renal calculi.
◉ Impaired urinary elimination. Answer: Difficulty in passing urine,
often due to obstruction.
, ◉ Risk for infection. Answer: Increased likelihood of developing an
infection, often due to conditions like urinary stasis.
◉ Deficient knowledge. Answer: A lack of understanding or
information regarding a specific health condition or its management.
◉ Collateral circulation. Answer: Alternative pathways of blood flow
that develop as a response to blockage or narrowing of blood
vessels.
◉ Cell cycle rate. Answer: The speed at which a cell progresses
through the phases of growth and division, impacting its sensitivity
to chemotherapy.
◉ Tumor cell count reduction. Answer: The process by which
chemotherapy reduces the number of cancer cells, with each dose
killing approximately 50%.
◉ Asterixis. Answer: A hand-flapping tremor that is often seen
frequently in hepatic encephalopathy, induced by extending the arm
and dorsiflexing the wrist.
◉ Postoperative Observation. Answer: The observation of a pulse
change from 85 to 160 beats/minute lasting more than 10 minutes
should alert the nurse to call the Rapid Response Team (RRT).
