The BSN 266 HESI Med Surg Practice Exam is a critical assessment for nursing students, evaluating their ability to apply medical-surgical nursing concepts in real-world patient care scenarios. Success on this exam requires a strong understanding of disease processes, patient assessments, interventions, and critical thinking skills.
If you’re preparing for the HESI Med Surg Practice Exam, Ulosca.com is the best prep test platform for exact questions and answers, ensuring you study with materials structured exactly like the real exam.
In this guide, we provide five exam-style questions with comprehensive answers to strengthen your understanding and boost your confidence on test day.
Overview of BSN 266 HESI Med Surg Practice Exam
The BSN 266 HESI Medical-Surgical Practice Exam assesses nursing students’ ability to manage complex patient cases across various medical conditions. This exam ensures proficiency in assessment techniques, pathophysiology, nursing interventions, and medication administration.
Key areas include:
- Infectious Diseases & Immune Disorders
- Emergency & Critical Care Nursing
By focusing on real-world applications, this exam strengthens your critical thinking and decision-making skills, preparing you for clinical practice and the NCLEX-RN exam.
Exam Format & Key Topics
The HESI Med Surg Practice Exam follows a structured format, typically including:
- Multiple-choice questions (single answer or select-all-that-apply)
- Case-based clinical scenarios requiring critical analysis
- Medication calculations and nursing interventions
- Priority nursing actions based on patient assessments
To ace the exam, understanding key nursing concepts and disease management strategies is essential. Below, we provide five sample questions with structured answers, designed to match the actual exam format.
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Top Study Strategies for Success
- Use Ulosca’s Practice Tests – Get exact questions and answers that reflect real HESI exams.
- Focus on Critical Thinking – Understand why certain nursing interventions are prioritized.
- Master Select-All-That-Apply (SATA) Questions – Know how to differentiate correct vs. incorrect responses in complex scenarios.
- Learn Common Drug Interactions – Review high-risk medications for various patient conditions.
- Practice Clinical Case Scenarios – Strengthen your assessment and intervention skills with realistic patient cases.
Nursing Test Banks
- Test Bank #1: RN Health Assessment (BSN 246/ASN 241)
- Test Bank #2: RN Medical (BSN 266/ASN 261)
- Test Bank #3: Pharmacology (BSN 315/ASN 311)
- Test Bank #4: Exit Exam (BSN 366)
- Test Bank #5: RN Pediatric Nursing (ATI)
- Test Bank #6: Patient Centered Care: Adult/Elderly I (NUR 335)
- Test Bank #7: RN Fundamentals Exam
- Test Bank #8: Contemporary Nursing Practice II (NUR 255)
- Test Bank #9: Foundations of Nursing (PNR 106)
- Test Bank #10: HESI Fundamentals
- Test Bank #11: HESI Health Assessment (D331)
- Test Bank #12: HESI Mental Health
- Test Bank #13: RN Medical/Surgical HESI
- Test Bank #14: Pediatric (N158) Exam
- Test Bank #15: Hesi Patho Pharmacology
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Why Preparation Matters
Success on the HESI Med Surg exam is directly correlated with thorough preparation. Students who use quality practice tests consistently score higher than those who rely solely on textbook review. This is because practice tests:
- Familiarize you with the exam format and question styles
- Identify your knowledge gaps before the actual exam
- Improve your time management skills
- Reduce test anxiety through repeated exposure
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Why Ulosca Is the Best Choice for BSN 266 HESI Med Surg Preparation
When it comes to preparing for this challenging exam, Ulosca.com stands out as the premier resource for nursing students. Here’s why thousands of successful nursing students choose Ulosca:
Exact Question Match
Ulosca’s practice tests contain questions that mirror the actual BSN 266 HESI Med Surg exam in both content and format. Our team of nursing education experts continually updates our question bank to reflect the most current exam patterns.
Comprehensive Explanations
Each practice question comes with detailed explanations that not only provide the correct answer but also explain the rationale behind it. This helps you understand the underlying concepts rather than simply memorizing answers.
Adaptive Learning Technology
Ulosca’s platform identifies your specific areas of weakness and customizes additional practice to strengthen those areas, maximizing your study efficiency.
Real Exam Simulation
Our timed practice tests replicate the pressure of the actual exam environment, helping you build endurance and improve time management.
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Sample BSN 266 HESI Med Surg Practice Questions and Answers
Below are five sample questions from our extensive question bank, structured exactly as you’ll see them on the actual exam:
Question 1: Respiratory Management
A nurse is caring for a patient with COPD who is receiving oxygen therapy at 2 L/min via nasal cannula. The patient’s oxygen saturation is 88%, respiratory rate is 28/min, and the patient reports feeling short of breath. What should be the nurse’s priority action?
A) Increase the oxygen flow rate to 4 L/min
B) Administer prescribed PRN bronchodilator medication
C) Position the patient in high Fowler’s position
D) Notify the healthcare provider immediately
Correct Answer: B) Administer prescribed PRN bronchodilator medication
Explanation: For a COPD patient experiencing shortness of breath with tachypnea and decreased oxygen saturation, the priority is to improve bronchodilation. Administering a prescribed bronchodilator will help relieve bronchospasm, decrease work of breathing, and improve oxygen exchange.
While positioning (option C) may help, it’s not the priority intervention. Increasing oxygen flow (option A) could be dangerous in COPD patients due to the risk of suppressing respiratory drive. Notifying the provider (option D) may be necessary if other interventions fail but is not the initial priority action.
Question 2: Cardiovascular Assessment
A nurse is assessing a patient with heart failure. Which clinical finding would indicate right-sided heart failure?
A) Pulmonary crackles
B) Peripheral edema
C) Paroxysmal nocturnal dyspnea
D) S3 heart sound
Correct Answer: B) Peripheral edema
Explanation: Right-sided heart failure results in blood backing up in the systemic circulation, leading to peripheral edema, jugular venous distention, and hepatomegaly.
Pulmonary crackles (option A), paroxysmal nocturnal dyspnea (option C), and S3 heart sound (option D) are all clinical manifestations of left-sided heart failure, which results in blood backing up into the pulmonary circulation.
Question 3: Neurological Care
A nurse is caring for a patient who experienced a stroke 24 hours ago. The patient has left-sided hemiparesis and homonymous hemianopia. When assisting with meals, which nursing intervention is most appropriate?
A) Place the food tray directly in front of the patient
B) Position the food tray on the patient’s right side
C) Feed the patient all meals
D) Encourage family members to feed the patient
Correct Answer: B) Position the food tray on the patient’s right side
Explanation: Homonymous hemianopia causes loss of vision in the same half of the visual field in both eyes. With left-sided deficits, the patient would have left visual field cuts. Positioning the food tray on the patient’s right side (option B) ensures food is within the patient’s intact visual field.
Placing the tray directly in front (option A) would mean the patient misses food on their left side. While the patient has hemiparesis, encouraging independence with assistive devices is preferred over completely feeding the patient (options C and D), which would not promote rehabilitation and independence.
Question 4: Pharmacological Management
A nurse is administering furosemide (Lasix) 40 mg IV to a patient with heart failure. The patient is also receiving digoxin 0.125 mg daily. Which electrolyte should the nurse monitor most closely?
A) Calcium
B) Sodium
C) Potassium
D) Magnesium
Correct Answer: C) Potassium
Explanation: Furosemide is a loop diuretic that causes increased excretion of potassium, which can lead to hypokalemia. Hypokalemia increases the risk of digoxin toxicity. While furosemide also affects sodium (option B) and magnesium (option D) levels, potassium imbalances pose the most significant risk when combined with digoxin therapy.
Calcium (option A) is less directly affected by furosemide therapy. Therefore, potassium levels require the closest monitoring in this scenario.
Question 5: Endocrine Management
A nurse is caring for a patient admitted with diabetic ketoacidosis (DKA). The patient is receiving an insulin drip, IV fluids, and hourly blood glucose monitoring. Which laboratory finding would indicate improvement in the patient’s condition?
A) Blood glucose 180 mg/dL
B) Serum potassium 3.0 mEq/L
C) Arterial pH 7.30
D) Serum bicarbonate 12 mEq/L
Correct Answer: C) Arterial pH 7.30
Explanation: In DKA, patients typically present with metabolic acidosis (pH < 7.30), elevated blood glucose, and decreased bicarbonate levels. An arterial pH of 7.30, while still slightly acidotic, represents significant improvement from the severe acidosis typically seen in DKA.
A blood glucose of 180 mg/dL (option A) is improved but not conclusive for DKA resolution. A potassium level of 3.0 mEq/L (option B) indicates hypokalemia, which is concerning, not improved. A bicarbonate level of 12 mEq/L (option D) is still low (normal: 22-26 mEq/L) and indicates ongoing acidosis.
BSN 266 HESI Med Surg Exam FAQs
What Is the Passing Score for the BSN 266 HESI Med Surg Exam?
Most nursing programs consider a score of 850 or above to be passing for the HESI Med Surg exam. However, this benchmark may vary by institution. Some schools require scores as high as 900, while others may accept scores of 800 or above.
Ulosca’s practice tests are designed to prepare you to exceed even the most stringent passing requirements.
How Many Questions Are on the BSN 266 HESI Med Surg Exam?
The typical HESI Med Surg exam contains approximately 55-60 scored questions, with an additional 5-10 pilot questions that don’t count toward your score but are being tested for future exams.
The time limit is typically 3 hours, giving you an average of 3 minutes per question. Ulosca’s practice tests mirror this exact format to provide authentic exam preparation.
What Content Areas Are Covered on the BSN 266 HESI Med Surg Exam?
The exam covers all major body systems, including cardiovascular, respiratory, neurological, gastrointestinal, renal/urinary, endocrine, hematological, integumentary, musculoskeletal, and immune systems.
Additionally, it tests knowledge of pain management, fluid and electrolyte balance, acid-base balance, perioperative care, and oncology nursing. Ulosca’s comprehensive question bank includes questions from all these critical areas.
How Should I Prepare for the BSN 266 HESI Med Surg Exam?
Effective preparation includes:
1) Reviewing course materials and textbooks for content knowledge
2) Taking multiple practice tests to familiarize yourself with question styles and identify knowledge gaps
3) Focusing study time on weak areas identified through practice tests
4) Practicing time management strategies
5) Utilizing resources like Ulosca that provide questions structured exactly like those on the actual exam.
Can I Retake the BSN 266 HESI Med Surg Exam if I Don’t Pass?
Most nursing programs allow students to retake the HESI Med Surg exam if they don’t achieve the required score on their first attempt. However, policies regarding the number of allowed attempts and waiting periods between attempts vary by institution.
Students who prepare with Ulosca’s practice tests report significantly higher pass rates on their first attempts, potentially saving both time and the additional fees associated with retakes.
Preparing for Success with Ulosca
The path to excelling on your BSN 266 HESI Med Surg exam begins with proper preparation. Ulosca.com provides the most accurate and comprehensive practice materials available, designed specifically to help nursing students achieve their best possible scores.
Our practice tests don’t just prepare you for the exam format—they prepare you for real clinical scenarios you’ll encounter in your nursing career. The detailed explanations accompanying each question help build your critical thinking skills and clinical judgment.
Proven Results
Nursing students who use Ulosca’s BSN 266 HESI Med Surg practice tests report significantly higher confidence and proven success on their exams. Our practice tests have helped thousands of nursing students nationwide achieve exceptional scores on their HESI exams.
Start Your Preparation Today
Don’t leave your HESI Med Surg success to chance. Visit Ulosca.com today to access our comprehensive BSN 266 HESI Med Surg practice tests and join the ranks of successful nursing students who have achieved their educational goals with our help.
With Ulosca’s practice tests, you’ll walk into your BSN 266 HESI Med Surg exam with the confidence that comes from knowing you’ve prepared with the best resources available. Your nursing career begins with passing this crucial exam—let Ulosca.com help you make it happen.