MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND
CORRECT NEW UPDATE
OBJECTIVE ASSESSMENT - EXAM
MED SURG HESI EXAM
QUESTIONS WITH ALL
ANSWERS VERIFIED AND
CORRECT NEW UPDATE
Medical-Surgical Nursing Exam | 2026/2027
100 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Management of Care Basic Care and Comfort
Safety and Infection Control Reduction of Risk Potential
Pharmacological and Parenteral Physiological Adaptation
Therapies
COVER PAGE - 1
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 1 of 102
, SECTION 1 | Safe and Effective Care Environment | Q1-Q18 | MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT
NEW UPDATE 2026/2027
Q1 Question 1 of 100
Q1. A 72-year-old client with heart failure has new crackles, oxygen saturation of 88%, and
increasing dyspnea after receiving IV fluids overnight. The nurse is caring for four clients and must
decide who needs immediate assessment.
A. Assess the client with heart failure and worsening oxygenation first.
B. Review discharge instructions with a stable client after cataract surgery.
C. Change the dressing for a client with a small clean abdominal incision.
D. Administer scheduled stool softener to a client with mild constipation.
Correct Answer: A
Rationale:
Airway and breathing problems take priority when a client has worsening oxygenation. The stable discharge teaching
task is important but does not address an immediate physiologic threat.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 2 of 102
, Q2 Question 2 of 100
Q2. A 66-year-old client is one day after total hip arthroplasty and needs morning care. The
registered nurse is assigning tasks to an experienced unlicensed assistive personnel on a busy
orthopedic unit.
A. Teach the client how to recognize manifestations of deep vein thrombosis.
B. Assist the client with bathing while maintaining hip precautions already taught by the nurse.
C. Evaluate the surgical dressing and decide whether drainage is expected.
D. Adjust the prescribed anticoagulant dose after reviewing the morning INR.
Correct Answer: B
Rationale:
Hygiene assistance for a stable client can be delegated when precautions are clear. Teaching, assessment, and
medication dose decisions require licensed nursing judgment.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 3 of 102
, Q3 Question 3 of 100
Q3. A 59-year-old client admitted with profuse watery diarrhea has a stool test positive for
Clostridioides difficile. The nurse notices a family member preparing to enter the room with only
clean gloves.
A. Use a surgical mask only because spores spread primarily by respiratory droplets.
B. Allow alcohol foam alone after care because it reliably destroys all spores.
C. Place the client on contact precautions and require gown and gloves with soap-and-water
hand hygiene after care.
D. Move the client to protective isolation because the client is immunosuppressed.
Correct Answer: C
Rationale:
C. difficile requires contact precautions and soap-and-water hand hygiene because spores are not reliably killed by
alcohol rub. Droplet precautions alone would not address the main transmission route.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 4 of 102
CORRECT NEW UPDATE
OBJECTIVE ASSESSMENT - EXAM
MED SURG HESI EXAM
QUESTIONS WITH ALL
ANSWERS VERIFIED AND
CORRECT NEW UPDATE
Medical-Surgical Nursing Exam | 2026/2027
100 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Management of Care Basic Care and Comfort
Safety and Infection Control Reduction of Risk Potential
Pharmacological and Parenteral Physiological Adaptation
Therapies
COVER PAGE - 1
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 1 of 102
, SECTION 1 | Safe and Effective Care Environment | Q1-Q18 | MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT
NEW UPDATE 2026/2027
Q1 Question 1 of 100
Q1. A 72-year-old client with heart failure has new crackles, oxygen saturation of 88%, and
increasing dyspnea after receiving IV fluids overnight. The nurse is caring for four clients and must
decide who needs immediate assessment.
A. Assess the client with heart failure and worsening oxygenation first.
B. Review discharge instructions with a stable client after cataract surgery.
C. Change the dressing for a client with a small clean abdominal incision.
D. Administer scheduled stool softener to a client with mild constipation.
Correct Answer: A
Rationale:
Airway and breathing problems take priority when a client has worsening oxygenation. The stable discharge teaching
task is important but does not address an immediate physiologic threat.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 2 of 102
, Q2 Question 2 of 100
Q2. A 66-year-old client is one day after total hip arthroplasty and needs morning care. The
registered nurse is assigning tasks to an experienced unlicensed assistive personnel on a busy
orthopedic unit.
A. Teach the client how to recognize manifestations of deep vein thrombosis.
B. Assist the client with bathing while maintaining hip precautions already taught by the nurse.
C. Evaluate the surgical dressing and decide whether drainage is expected.
D. Adjust the prescribed anticoagulant dose after reviewing the morning INR.
Correct Answer: B
Rationale:
Hygiene assistance for a stable client can be delegated when precautions are clear. Teaching, assessment, and
medication dose decisions require licensed nursing judgment.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 3 of 102
, Q3 Question 3 of 100
Q3. A 59-year-old client admitted with profuse watery diarrhea has a stool test positive for
Clostridioides difficile. The nurse notices a family member preparing to enter the room with only
clean gloves.
A. Use a surgical mask only because spores spread primarily by respiratory droplets.
B. Allow alcohol foam alone after care because it reliably destroys all spores.
C. Place the client on contact precautions and require gown and gloves with soap-and-water
hand hygiene after care.
D. Move the client to protective isolation because the client is immunosuppressed.
Correct Answer: C
Rationale:
C. difficile requires contact precautions and soap-and-water hand hygiene because spores are not reliably killed by
alcohol rub. Droplet precautions alone would not address the main transmission route.
MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE - 2026/2027 | Passing Score: 80% | Page 4 of 102
