RN HESI MED-SURG ACTUAL EXAM PAPER
2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ COPD Teachings and Interventions
Answer: Sit upright and bend forward to breathe
Diaphragmatic breathing and purse lip breathing
Adequate food and liquid intake
Fluids in-between meals
◉ Emphysema
Answer: Hyperinflation of air sacs with destruction of alveolar walls
Pink Puffers
◉ Bronchitis
Answer: Blue bloaterscharacterized by a productive cough with
grayish white sputum esp. in morning
,Blue bloaters
◉ Pneumonia signs and symptoms
Answer: Tachypnea, Abrupt fever, Productive cough, Pleuritic pain
Older Adults: confusion, lethargy, anorexia, tachypnea and
tachycardia
May cause "E" to sound like "A" when listening via stethoscope
Tactile fremitus: 99 can be felt and heard clearer because of solid
tissue conduction
◉ After exposure to TB, when is the best time to get the TB skin test
Answer: 4-6 weeks
◉ Tuberculosis Symptoms
Answer: Fever w/ night sweats
Anorexia
Malaise
Positive sputum culture
, Repeated URIs
◉ Important patient teaching for a patient with TB?
Answer: Make sure they stay on their treatment regimen for the full
9-12 months
◉ Acute Kidney Injury
Answer: Potentially reversible
Rapid loss of kidney funtion
3 types: pre, intra and postrenal
3 phases: Oliguric, Diuretic, Recovery
◉ AKI Assessment
Answer: Hx of nephrotoxic drugs
-salicylates, antibiotics, NSAIDs, ACE inhibitors, ARBs
Change in urine output
Edema
2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ COPD Teachings and Interventions
Answer: Sit upright and bend forward to breathe
Diaphragmatic breathing and purse lip breathing
Adequate food and liquid intake
Fluids in-between meals
◉ Emphysema
Answer: Hyperinflation of air sacs with destruction of alveolar walls
Pink Puffers
◉ Bronchitis
Answer: Blue bloaterscharacterized by a productive cough with
grayish white sputum esp. in morning
,Blue bloaters
◉ Pneumonia signs and symptoms
Answer: Tachypnea, Abrupt fever, Productive cough, Pleuritic pain
Older Adults: confusion, lethargy, anorexia, tachypnea and
tachycardia
May cause "E" to sound like "A" when listening via stethoscope
Tactile fremitus: 99 can be felt and heard clearer because of solid
tissue conduction
◉ After exposure to TB, when is the best time to get the TB skin test
Answer: 4-6 weeks
◉ Tuberculosis Symptoms
Answer: Fever w/ night sweats
Anorexia
Malaise
Positive sputum culture
, Repeated URIs
◉ Important patient teaching for a patient with TB?
Answer: Make sure they stay on their treatment regimen for the full
9-12 months
◉ Acute Kidney Injury
Answer: Potentially reversible
Rapid loss of kidney funtion
3 types: pre, intra and postrenal
3 phases: Oliguric, Diuretic, Recovery
◉ AKI Assessment
Answer: Hx of nephrotoxic drugs
-salicylates, antibiotics, NSAIDs, ACE inhibitors, ARBs
Change in urine output
Edema
