BSN 266 HESI
Med Surg Exam (NGN-Style Presentation & Case Scenarios) Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ Next Gen-style presentation of the questions with expert rationales for a BSN-level Med-Surg exam.
❖ Each question includes Answer Choices, the Correct Answer, and a detailed Expert Rationale explaining the reasoning process, suitable for the 2025 HESI Med-Surg exam standard.
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### Question 1 Three weeks post-MI, a client reports his wife moved to a separate bedroom and states, “I guess we will never have sex again.” What is the nurse’s best response?
Answer Choices:
- “Sexual activity has similar cardiac workload as climbing two flights of
- “You should avoid sexual activity for at least six months.”
- “This is a common fear; I will notify the physician.”
- “Your wife should attend cardiac rehab for education.”
stairs and can be resumed like other activities.”
Correct Answer: A. “Sexual activity has similar cardiac workload as
climbing two flights of stairs and can be resumed like other activities.”
Expert Rationale:
Sexual activity, in stable patients post-MI, generally exerts a moderate cardiac workload comparable to mild exercise and can be safely resumed after risk stratification and recovery.
### Question 2 A client asks how a Percutaneous Endoscopic Gastrostomy (PEG) tube differs from a standard Gastrostomy Tube (GT). The nurse’s best
explanation is:
Answer Choices: 2 / 4
- “The main difference is the method of insertion.”
- “PEG tubes are used only for long-term feeding.”
- “GT tubes can be placed at the bedside whereas PEG requires surgery.”
- “PEG tubes deliver only liquid nutrition.”
Correct Answer: A. “The main difference is the method of insertion.”
Expert Rationale:
A PEG tube is placed endoscopically through the abdominal wall (minimally invasive), whereas a standard gastrostomy tube may require surgical placement.
### Question 3 The nurse explains to a client with lung cancer that pleurodesis is performed to achieve which expected outcome?
Answer Choices:
- Prevent the formation of pleural effusion fluid
- Improve lung expansion after surgery
- Facilitate tumor shrinkage in pleural space
- Promote healing of lung tissue
Correct Answer: A. Prevent the formation of pleural effusion fluid
Expert Rationale: 3 / 4
Pleurodesis involves instilling an irritant into the pleural space to cause inflammation and fibrosis, obliterating the space and preventing reaccumulation of pleural effusion, which commonly occurs in lung cancer patients.
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### Question 4 The nurse obtains a client's history of right mastectomy and radiation for breast cancer 10 years ago. Which current health problem should the nurse consider as a consequence of radiation therapy?
Answer Choices:
- Pathologic fracture of two ribs on the right chest
- Lymphedema of the right arm
- Chronic cough and shortness of breath
- Recurrence of breast cancer
Correct Answer: A. Pathologic fracture of two ribs on the right chest
Expert Rationale:
Radiation therapy can weaken bone structure, leading to pathological fractures years post-treatment, especially in ribs overlying the radiation field.
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