HESI PN MED SURG EXIT EXAM / MED SURG HESI PN
LATEST EXAM 2025-2026 ACTUAL EXAM TEST BANK
140 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Overview
This comprehensive HESI PN Medical–Surgical study resource is designed to help practical
nursing students strengthen clinical judgment and prepare confidently for Med-Surg–focused
HESI exit assessments. Featuring 140 high-quality, exam-style practice questions with
correct, detailed explanations, this guide mirrors the structure, reasoning, and difficulty level of
HESI PN Med-Surg Exit Exams for the 2025–2026 cycle. All content has been expert-reviewed
and graded A+ for accuracy, clarity, and reliability.
Key Features
✅ 140 Exam-Style Practice Questions — Each with correct, detailed rationales
✅ Updated for 2025–2026 Med-Surg & HESI-Aligned Concepts
✅ Covers All Major Medical–Surgical Areas:
Cardiovascular Disorders
Respiratory Disorders
Neurologic Disorders
Gastrointestinal Disorders
Endocrine & Metabolic Disorders
Renal & Urinary Disorders
Musculoskeletal Disorders
Hematologic & Immune Disorders
Integumentary Disorders
Fluid, Electrolyte & Acid–Base Balance
Pain, Infection Control & Perioperative Care
Clinical Judgment, Prioritization & Delegation
Pharmacology in the Med-Surg Setting
✅ A+ Graded, Expert-Verified Answers
Purpose
,• Provide a complete and structured review for HESI PN Medical–Surgical Exit Exam
preparation
• Strengthen clinical reasoning, prioritization, and safe practice skills
• Support PN students aiming for high performance on HESI-style exit assessments
Recommended For
• Practical nursing students preparing for the HESI PN Med-Surg Exit Exam
• Learners who want detailed, rationale-supported practice questions
• Tutors, instructors, and academic programs building high-quality Med-Surg review materials
Your Complete HESI PN Med-Surg Study Resource
With 140 exam-style questions and A+ graded rationales, this guide is one of the most
reliable, accurate, and effective tools for mastering Medical–Surgical nursing concepts and
preparing confidently for HESI exit assessments in the 2025–2026 cycle.
The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client. What organ
lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant. Which sign
is she most likely to report? A. Decreased sexual libido
,B. Amenorrhea
C. Quickening
D. Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide good care
for her mother. What response should the nurse make? A. Ask for a description of what happened
during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine". According
to Erikson's theory of psychosocial development, this child's behavior is a demonstration of which
developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a client following an electroencephalogram
(EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at the
coccyx. Which intervention will be most helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
, A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The LPN/LVN is taking blood pressure of a client admitted with a possible myocardial infarction. When
taking the client's BP at the brachial artery, the nurse should place the client's arm in which position? A.
Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply) A.
Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which assessment is
most important for the LPN/LVN to include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
LATEST EXAM 2025-2026 ACTUAL EXAM TEST BANK
140 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Overview
This comprehensive HESI PN Medical–Surgical study resource is designed to help practical
nursing students strengthen clinical judgment and prepare confidently for Med-Surg–focused
HESI exit assessments. Featuring 140 high-quality, exam-style practice questions with
correct, detailed explanations, this guide mirrors the structure, reasoning, and difficulty level of
HESI PN Med-Surg Exit Exams for the 2025–2026 cycle. All content has been expert-reviewed
and graded A+ for accuracy, clarity, and reliability.
Key Features
✅ 140 Exam-Style Practice Questions — Each with correct, detailed rationales
✅ Updated for 2025–2026 Med-Surg & HESI-Aligned Concepts
✅ Covers All Major Medical–Surgical Areas:
Cardiovascular Disorders
Respiratory Disorders
Neurologic Disorders
Gastrointestinal Disorders
Endocrine & Metabolic Disorders
Renal & Urinary Disorders
Musculoskeletal Disorders
Hematologic & Immune Disorders
Integumentary Disorders
Fluid, Electrolyte & Acid–Base Balance
Pain, Infection Control & Perioperative Care
Clinical Judgment, Prioritization & Delegation
Pharmacology in the Med-Surg Setting
✅ A+ Graded, Expert-Verified Answers
Purpose
,• Provide a complete and structured review for HESI PN Medical–Surgical Exit Exam
preparation
• Strengthen clinical reasoning, prioritization, and safe practice skills
• Support PN students aiming for high performance on HESI-style exit assessments
Recommended For
• Practical nursing students preparing for the HESI PN Med-Surg Exit Exam
• Learners who want detailed, rationale-supported practice questions
• Tutors, instructors, and academic programs building high-quality Med-Surg review materials
Your Complete HESI PN Med-Surg Study Resource
With 140 exam-style questions and A+ graded rationales, this guide is one of the most
reliable, accurate, and effective tools for mastering Medical–Surgical nursing concepts and
preparing confidently for HESI exit assessments in the 2025–2026 cycle.
The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client. What organ
lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant. Which sign
is she most likely to report? A. Decreased sexual libido
,B. Amenorrhea
C. Quickening
D. Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide good care
for her mother. What response should the nurse make? A. Ask for a description of what happened
during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine". According
to Erikson's theory of psychosocial development, this child's behavior is a demonstration of which
developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a client following an electroencephalogram
(EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at the
coccyx. Which intervention will be most helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
, A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The LPN/LVN is taking blood pressure of a client admitted with a possible myocardial infarction. When
taking the client's BP at the brachial artery, the nurse should place the client's arm in which position? A.
Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply) A.
Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which assessment is
most important for the LPN/LVN to include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
