HESI MEDICAL SURGICAL NURSING NEW EXAM
2026 NEWEST UPDATED FINAL EXAM WITH
COMPLETE 100 QUESTIONS & CORRECT VERIFIED
ANSWERS PLUS RATIONALES NEW BRAND!
GUARANTEED A+
1. A patient with heart failure has crackles and
dyspnea. Which intervention is priority?
A. Encourage oral fluids
B. Administer oxygen
C. Place in supine position
D. Monitor intake
Correct Answer: B
Rationale: Oxygen improves gas exchange and relieves
hypoxia.
2. Which finding indicates worsening left-sided heart
failure?
,A. Peripheral edema
B. Crackles in lungs
C. Weight gain
D. Ascites
Correct Answer: B
Rationale: Left-sided failure causes pulmonary
congestion.
3. Which lab value is most important to monitor in
renal failure?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
Correct Answer: B
Rationale: Hyperkalemia can cause life-threatening
arrhythmias.
4. Which assessment finding suggests hypoxia?
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Polyuria
,Correct Answer: B
Rationale: Cyanosis indicates inadequate oxygenation.
5. Which intervention prevents pressure injuries?
A. Massage bony prominences
B. Reposition every 2 hours
C. Limit protein intake
D. Keep linens tight
Correct Answer: B
Rationale: Frequent repositioning reduces pressure
and ischemia.
6. A patient with diabetes reports shakiness and
diaphoresis. What is the priority action?
A. Administer insulin
B. Check blood glucose
C. Encourage exercise
D. Document symptoms
Correct Answer: B
Rationale: Symptoms suggest hypoglycemia requiring
confirmation.
, 7. Which finding is expected with chronic obstructive
pulmonary disease (COPD)?
A. Hyperventilation
B. Barrel chest
C. Bradycardia
D. Crackles only
Correct Answer: B
Rationale: Air trapping causes increased chest
diameter.
8. Which intervention is appropriate for a patient with
dysphagia?
A. Thin liquids
B. Supine position
C. Thickened liquids
D. Rapid feeding
Correct Answer: C
Rationale: Thickened liquids reduce aspiration risk.
9. Which sign indicates infection?
A. Hypothermia
B. Leukocytosis
C. Bradycardia
2026 NEWEST UPDATED FINAL EXAM WITH
COMPLETE 100 QUESTIONS & CORRECT VERIFIED
ANSWERS PLUS RATIONALES NEW BRAND!
GUARANTEED A+
1. A patient with heart failure has crackles and
dyspnea. Which intervention is priority?
A. Encourage oral fluids
B. Administer oxygen
C. Place in supine position
D. Monitor intake
Correct Answer: B
Rationale: Oxygen improves gas exchange and relieves
hypoxia.
2. Which finding indicates worsening left-sided heart
failure?
,A. Peripheral edema
B. Crackles in lungs
C. Weight gain
D. Ascites
Correct Answer: B
Rationale: Left-sided failure causes pulmonary
congestion.
3. Which lab value is most important to monitor in
renal failure?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
Correct Answer: B
Rationale: Hyperkalemia can cause life-threatening
arrhythmias.
4. Which assessment finding suggests hypoxia?
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Polyuria
,Correct Answer: B
Rationale: Cyanosis indicates inadequate oxygenation.
5. Which intervention prevents pressure injuries?
A. Massage bony prominences
B. Reposition every 2 hours
C. Limit protein intake
D. Keep linens tight
Correct Answer: B
Rationale: Frequent repositioning reduces pressure
and ischemia.
6. A patient with diabetes reports shakiness and
diaphoresis. What is the priority action?
A. Administer insulin
B. Check blood glucose
C. Encourage exercise
D. Document symptoms
Correct Answer: B
Rationale: Symptoms suggest hypoglycemia requiring
confirmation.
, 7. Which finding is expected with chronic obstructive
pulmonary disease (COPD)?
A. Hyperventilation
B. Barrel chest
C. Bradycardia
D. Crackles only
Correct Answer: B
Rationale: Air trapping causes increased chest
diameter.
8. Which intervention is appropriate for a patient with
dysphagia?
A. Thin liquids
B. Supine position
C. Thickened liquids
D. Rapid feeding
Correct Answer: C
Rationale: Thickened liquids reduce aspiration risk.
9. Which sign indicates infection?
A. Hypothermia
B. Leukocytosis
C. Bradycardia
