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HESI Med-Surg Practice Exam (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
HESI Med-Surg Practice Exam – Multiple-
Choice Version
Cardiovascular System
1. A 68-year-old male patient is admitted with severe chest pain radiating to his left arm and jaw.
He is diaphoretic and anxious. Blood pressure 160/98 mmHg, heart rate 110 bpm, ECG shows
ST-segment elevation. History: hypertension and hyperlipidemia. What is the priority nursing
action?
A. Administer aspirin only and monitor vital signs
B. Place the patient in Trendelenburg position
C. Administer prescribed nitroglycerin and prepare for emergency interventions
D. Schedule an ECG for later today
Answer: C
2. A 72-year-old female with chronic heart failure presents with increasing shortness of breath,
3+ bilateral ankle edema, and crackles in the lungs. BNP is elevated. Which nursing intervention
should be prioritized?
A. Encourage bed rest and limit fluid intake
B. Administer prescribed diuretics and monitor fluid status
C. Provide high-sodium diet to maintain BP
D. Teach deep breathing exercises only
Answer: B
2026 2027 GRADED A+
,2|Page
3. A patient with newly diagnosed atrial fibrillation reports palpitations and dizziness.
Anticoagulation therapy is ordered. Which complication is most likely if not treated?
A. Pulmonary embolism
B. Stroke due to thrombus formation
C. Myocardial infarction
D. Heart failure
Answer: B
4. A 55-year-old male patient with hypertension asks which lifestyle modifications reduce blood
pressure. Which is most appropriate?
A. Avoid caffeine only
B. Reduce dietary sodium, increase exercise, avoid alcohol and tobacco
C. Limit fluid intake
D. Take beta-blockers without monitoring
Answer: B
5. A patient is scheduled for an echocardiogram. How should the nurse explain the procedure?
A. It uses X-rays to evaluate heart function
B. It uses ultrasound to create images of heart structure and function
C. It measures blood pressure continuously
D. It involves inserting a catheter into the heart
Answer: B
Respiratory System
6. A 65-year-old patient with COPD presents with confusion, lethargy, and oxygen saturation of
88%. Which is the most likely cause and immediate action?
A. Hypoxia; administer oxygen carefully and monitor
B. Asthma; start inhaler therapy only
C. Pneumonia; schedule chest X-ray next week
D. Anxiety; provide reassurance
Answer: A
2026 2027 GRADED A+
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7. A patient with COPD reports difficulty breathing when lying flat. Which position maximizes
lung expansion?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
8. A patient presents with persistent cough, night sweats, weight loss. TB skin test is positive.
What does this indicate?
A. Active tuberculosis
B. Exposure to Mycobacterium tuberculosis, further evaluation needed
C. Pneumonia
D. Lung cancer
Answer: B
9. A patient with pneumonia has dullness to percussion and decreased breath sounds. What is the
appropriate nursing action?
A. Administer oxygen only
B. Monitor vital signs, oxygen saturation, auscultate lungs, and administer antibiotics as
prescribed
C. Prepare for surgery
D. Discharge the patient home
Answer: B
10. A patient’s peak expiratory flow rate has dropped 30% from baseline. What should the
patient do?
A. Continue normal activities
B. Follow asthma action plan and use rescue inhaler if indicated
C. Call the police
D. Avoid drinking water
2026 2027 GRADED A+
, 4|Page
Answer: B
Endocrine System
11. A 24-year-old patient with type 1 diabetes presents with tremors, diaphoresis, and confusion.
Blood glucose is 48 mg/dL. What is the immediate nursing intervention?
A. Administer long-acting insulin
B. Provide fast-acting glucose orally or IV if unconscious, monitor glucose
C. Wait 30 minutes and recheck glucose
D. Give high-fat meal
Answer: B
12. Long-acting insulin (glargine) has no peak. How should the nurse explain?
A. It works only during meals
B. It provides steady basal glucose control over 24 hours
C. It causes immediate hypoglycemia
D. It is short-acting and works for 2–3 hours
Answer: B
13. A patient with hyperthyroidism complains of palpitations, heat intolerance, and weight loss.
Which nursing assessment is prioritized?
A. Heart rate, rhythm, and signs of thyroid storm
B. Diet history only
C. Skin assessment only
D. Lung auscultation only
Answer: A
14. A patient with Cushing’s syndrome reports weight gain and purple striae. Which lab findings
support the diagnosis?
A. Hypoglycemia and low cortisol
B. Hyperglycemia and elevated cortisol
2026 2027 GRADED A+
HESI Med-Surg Practice Exam (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
HESI Med-Surg Practice Exam – Multiple-
Choice Version
Cardiovascular System
1. A 68-year-old male patient is admitted with severe chest pain radiating to his left arm and jaw.
He is diaphoretic and anxious. Blood pressure 160/98 mmHg, heart rate 110 bpm, ECG shows
ST-segment elevation. History: hypertension and hyperlipidemia. What is the priority nursing
action?
A. Administer aspirin only and monitor vital signs
B. Place the patient in Trendelenburg position
C. Administer prescribed nitroglycerin and prepare for emergency interventions
D. Schedule an ECG for later today
Answer: C
2. A 72-year-old female with chronic heart failure presents with increasing shortness of breath,
3+ bilateral ankle edema, and crackles in the lungs. BNP is elevated. Which nursing intervention
should be prioritized?
A. Encourage bed rest and limit fluid intake
B. Administer prescribed diuretics and monitor fluid status
C. Provide high-sodium diet to maintain BP
D. Teach deep breathing exercises only
Answer: B
2026 2027 GRADED A+
,2|Page
3. A patient with newly diagnosed atrial fibrillation reports palpitations and dizziness.
Anticoagulation therapy is ordered. Which complication is most likely if not treated?
A. Pulmonary embolism
B. Stroke due to thrombus formation
C. Myocardial infarction
D. Heart failure
Answer: B
4. A 55-year-old male patient with hypertension asks which lifestyle modifications reduce blood
pressure. Which is most appropriate?
A. Avoid caffeine only
B. Reduce dietary sodium, increase exercise, avoid alcohol and tobacco
C. Limit fluid intake
D. Take beta-blockers without monitoring
Answer: B
5. A patient is scheduled for an echocardiogram. How should the nurse explain the procedure?
A. It uses X-rays to evaluate heart function
B. It uses ultrasound to create images of heart structure and function
C. It measures blood pressure continuously
D. It involves inserting a catheter into the heart
Answer: B
Respiratory System
6. A 65-year-old patient with COPD presents with confusion, lethargy, and oxygen saturation of
88%. Which is the most likely cause and immediate action?
A. Hypoxia; administer oxygen carefully and monitor
B. Asthma; start inhaler therapy only
C. Pneumonia; schedule chest X-ray next week
D. Anxiety; provide reassurance
Answer: A
2026 2027 GRADED A+
,3|Page
7. A patient with COPD reports difficulty breathing when lying flat. Which position maximizes
lung expansion?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
8. A patient presents with persistent cough, night sweats, weight loss. TB skin test is positive.
What does this indicate?
A. Active tuberculosis
B. Exposure to Mycobacterium tuberculosis, further evaluation needed
C. Pneumonia
D. Lung cancer
Answer: B
9. A patient with pneumonia has dullness to percussion and decreased breath sounds. What is the
appropriate nursing action?
A. Administer oxygen only
B. Monitor vital signs, oxygen saturation, auscultate lungs, and administer antibiotics as
prescribed
C. Prepare for surgery
D. Discharge the patient home
Answer: B
10. A patient’s peak expiratory flow rate has dropped 30% from baseline. What should the
patient do?
A. Continue normal activities
B. Follow asthma action plan and use rescue inhaler if indicated
C. Call the police
D. Avoid drinking water
2026 2027 GRADED A+
, 4|Page
Answer: B
Endocrine System
11. A 24-year-old patient with type 1 diabetes presents with tremors, diaphoresis, and confusion.
Blood glucose is 48 mg/dL. What is the immediate nursing intervention?
A. Administer long-acting insulin
B. Provide fast-acting glucose orally or IV if unconscious, monitor glucose
C. Wait 30 minutes and recheck glucose
D. Give high-fat meal
Answer: B
12. Long-acting insulin (glargine) has no peak. How should the nurse explain?
A. It works only during meals
B. It provides steady basal glucose control over 24 hours
C. It causes immediate hypoglycemia
D. It is short-acting and works for 2–3 hours
Answer: B
13. A patient with hyperthyroidism complains of palpitations, heat intolerance, and weight loss.
Which nursing assessment is prioritized?
A. Heart rate, rhythm, and signs of thyroid storm
B. Diet history only
C. Skin assessment only
D. Lung auscultation only
Answer: A
14. A patient with Cushing’s syndrome reports weight gain and purple striae. Which lab findings
support the diagnosis?
A. Hypoglycemia and low cortisol
B. Hyperglycemia and elevated cortisol
2026 2027 GRADED A+
