HESI MED-SURG NEXT GEN QUESTIONS LATEST 2026
PRACTICE QUESTIONS AND ANSWERS WITH FULL
RATIONALES | INSTANT DOWNLOAD PDF
Patient Scenario: A 68-year-old patient presents to the hospital with abdominal pain and
distension. The patient has a history of chronic alcohol abuse. Which condition should the nurse
suspect? - correct answer -The nurse should suspect liver cirrhosis as the patient has a history
of chronic alcohol abuse and presents with abdominal pain and distension.
Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose level of 360
mg/dL. The patient is experiencing symptoms of dehydration. What should the nurse suspect? -
correct answer -The nurse should suspect hyperglycemia as the patient's blood glucose level is
significantly high, and symptoms of dehydration are present.
Patient Scenario: A 72-year-old patient presents to the emergency department with chest pain
and shortness of breath. The patient has a history of hypertension and smoking. Which
condition should the nurse suspect? - correct answer -: The nurse should suspect a myocardial
infarction (heart attack) as the patient presents with chest pain and shortness of breath, and
has a history of hypertension and smoking
Patient Scenario: A 55-year-old patient is admitted to the hospital with a suspected
gastrointestinal bleed. The patient is experiencing abdominal pain, weakness, and dizziness.
What should the nurse suspect? - correct answer -The nurse should suspect anemia as the
patient is experiencing symptoms of abdominal pain, weakness, and dizziness, which are
common in patients with a gastrointestinal bleed.
Patient Scenario: A 65-year-old patient presents to the emergency department with acute onset
of confusion and lethargy. The patient has a history of hypertension and diabetes. Which
condition should the nurse suspect? - correct answer -The nurse should suspect hyperglycemia
or hypoglycemia as the patient has a history of hypertension and diabetes and is experiencing
acute onset of confusion and lethargy.
, Patient Scenario: A 50-year-old patient with a history of asthma presents to the clinic with
shortness of breath and wheezing. What is the appropriate nursing intervention? - correct
answer -The appropriate nursing intervention is to administer a bronchodilator medication and
assess the patient's oxygen saturation levels.
Patient Scenario: A 60-year-old patient with a history of heart failure presents to the clinic with
edema in the legs and difficulty breathing. What is the appropriate nursing intervention? -
correct answer -The appropriate nursing intervention is to administer diuretic medication and
monitor the patient's fluid intake and output.
Patient Scenario: A 45-year-old patient with a history of rheumatoid arthritis presents to the
clinic with joint pain and stiffness. What is the appropriate nursing intervention? - correct
answer -The appropriate nursing intervention is to administer non-steroidal anti-inflammatory
drugs (NSAIDs) and assess the patient's range of motion and mobility
Patient Scenario: A 70-year-old patient with a history of chronic obstructive pulmonary disease
(COPD) presents to the clinic with increased difficulty breathing and coughing up blood. What is
the appropriate nursing intervention? - correct answer -The appropriate nursing intervention is
to administer bronchodilator medication and oxygen therapy, monitor the patient's respiratory
status, and assess for signs of respiratory distress.
Patient Scenario: A 55-year-old patient with a history of chronic kidney disease presents to the
clinic with decreased urine output and swelling in the legs. What is the appropriate nursing
intervention? - correct answer -The appropriate nursing intervention is to monitor the patient's
fluid intake and output, administer diuretic medication, and assess the patient's electrolyte
levels.
A patient with a history of heart failure presents with shortness of breath, fatigue, and edema.
Which of the following medications would you anticipate being prescribed? - correct answer -A
diuretic such as furosemide (Lasix)
PRACTICE QUESTIONS AND ANSWERS WITH FULL
RATIONALES | INSTANT DOWNLOAD PDF
Patient Scenario: A 68-year-old patient presents to the hospital with abdominal pain and
distension. The patient has a history of chronic alcohol abuse. Which condition should the nurse
suspect? - correct answer -The nurse should suspect liver cirrhosis as the patient has a history
of chronic alcohol abuse and presents with abdominal pain and distension.
Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose level of 360
mg/dL. The patient is experiencing symptoms of dehydration. What should the nurse suspect? -
correct answer -The nurse should suspect hyperglycemia as the patient's blood glucose level is
significantly high, and symptoms of dehydration are present.
Patient Scenario: A 72-year-old patient presents to the emergency department with chest pain
and shortness of breath. The patient has a history of hypertension and smoking. Which
condition should the nurse suspect? - correct answer -: The nurse should suspect a myocardial
infarction (heart attack) as the patient presents with chest pain and shortness of breath, and
has a history of hypertension and smoking
Patient Scenario: A 55-year-old patient is admitted to the hospital with a suspected
gastrointestinal bleed. The patient is experiencing abdominal pain, weakness, and dizziness.
What should the nurse suspect? - correct answer -The nurse should suspect anemia as the
patient is experiencing symptoms of abdominal pain, weakness, and dizziness, which are
common in patients with a gastrointestinal bleed.
Patient Scenario: A 65-year-old patient presents to the emergency department with acute onset
of confusion and lethargy. The patient has a history of hypertension and diabetes. Which
condition should the nurse suspect? - correct answer -The nurse should suspect hyperglycemia
or hypoglycemia as the patient has a history of hypertension and diabetes and is experiencing
acute onset of confusion and lethargy.
, Patient Scenario: A 50-year-old patient with a history of asthma presents to the clinic with
shortness of breath and wheezing. What is the appropriate nursing intervention? - correct
answer -The appropriate nursing intervention is to administer a bronchodilator medication and
assess the patient's oxygen saturation levels.
Patient Scenario: A 60-year-old patient with a history of heart failure presents to the clinic with
edema in the legs and difficulty breathing. What is the appropriate nursing intervention? -
correct answer -The appropriate nursing intervention is to administer diuretic medication and
monitor the patient's fluid intake and output.
Patient Scenario: A 45-year-old patient with a history of rheumatoid arthritis presents to the
clinic with joint pain and stiffness. What is the appropriate nursing intervention? - correct
answer -The appropriate nursing intervention is to administer non-steroidal anti-inflammatory
drugs (NSAIDs) and assess the patient's range of motion and mobility
Patient Scenario: A 70-year-old patient with a history of chronic obstructive pulmonary disease
(COPD) presents to the clinic with increased difficulty breathing and coughing up blood. What is
the appropriate nursing intervention? - correct answer -The appropriate nursing intervention is
to administer bronchodilator medication and oxygen therapy, monitor the patient's respiratory
status, and assess for signs of respiratory distress.
Patient Scenario: A 55-year-old patient with a history of chronic kidney disease presents to the
clinic with decreased urine output and swelling in the legs. What is the appropriate nursing
intervention? - correct answer -The appropriate nursing intervention is to monitor the patient's
fluid intake and output, administer diuretic medication, and assess the patient's electrolyte
levels.
A patient with a history of heart failure presents with shortness of breath, fatigue, and edema.
Which of the following medications would you anticipate being prescribed? - correct answer -A
diuretic such as furosemide (Lasix)
