HESI RN: Med Surg EXIT EXAM 1 / MED
SURG HESI PN LATEST EXAM 2026-2027
ACTUAL EXAM TEST BANK 1 QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse on a medical-surgical unit has asked to represent the unit on the
hospitals quality committee. When describing quality improvement programs to
nursing colleagues and members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Correct
AnswerAns: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A
commonality among them is a
focus on the processes that are used to provide care. Consequences, a focus on
incidents, and
justification for health care costs are not universal characteristics of quality
improvement efforts.
Page 1 of 207
,8. Nurses in acute care settings must work with other health care team members
to maintain quality care
while facing pressures to care for patients who are hospitalized for shorter periods
of time than in the
past. To ensure positive health outcomes when patients return to their homes,
what action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - Correct AnswerAns: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in
the community care for
patients who need high-technology acute care services as well as long-term care
in the home. This is
dependent on effective discharge planning to a greater degree than continuing
education, communication
with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been
transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
Page 2 of 207
,D) Allowing the family to be with the patient - Correct AnswerAns: A
Feedback: Among the nurses important functions in health care delivery,
identifying the patients immediate needs and working in concert with the patient
to address them is most important. The other nursing functions are important, but
they are not the most important functions.
10. A nurse on a postsurgical unit is providing care based on a clinical pathway.
When performing
assessments and interventions with the aid of a pathway, the nurse should
prioritize what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team - Correct AnswerAns: A
Feedback:
Pathways are an EBP tool that is used primarily to move patients toward
predetermined outcomes. Documentation, accountability, and balancing risks and
benefits are appropriate, but helping the patient
achieve outcomes is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required lower
and fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed
an advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of
hospitalized
patients. How does this demonstrate a role of the APRN?
Page 3 of 207
, A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs - Correct AnswerAns: B
Feedback:
Research is within the purview of the APRN. The activity described does not
exemplify explaining studies to RNs, critiquing care, or involving patients in their
care.
12. Nurses now have the option to practice in a variety of settings and one of the
fastest growing venues of
practice for the nurse in todays health care environment is home health care.
What is the main basis for the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night shifts
D) Discharge of patients who are more critically ill - Correct AnswerAns: D
Feedback:
With shorter hospital stays and increased use of outpatient health care services,
more nursing care is
provided in the home and community setting. The other answers are incorrect
because they are not the
basis for the growth in nursing care delivered in the home setting.
13. Nurses have different educational backgrounds and function under many titles
in their practice setting. If
Page 4 of 207
SURG HESI PN LATEST EXAM 2026-2027
ACTUAL EXAM TEST BANK 1 QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse on a medical-surgical unit has asked to represent the unit on the
hospitals quality committee. When describing quality improvement programs to
nursing colleagues and members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Correct
AnswerAns: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A
commonality among them is a
focus on the processes that are used to provide care. Consequences, a focus on
incidents, and
justification for health care costs are not universal characteristics of quality
improvement efforts.
Page 1 of 207
,8. Nurses in acute care settings must work with other health care team members
to maintain quality care
while facing pressures to care for patients who are hospitalized for shorter periods
of time than in the
past. To ensure positive health outcomes when patients return to their homes,
what action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - Correct AnswerAns: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in
the community care for
patients who need high-technology acute care services as well as long-term care
in the home. This is
dependent on effective discharge planning to a greater degree than continuing
education, communication
with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been
transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
Page 2 of 207
,D) Allowing the family to be with the patient - Correct AnswerAns: A
Feedback: Among the nurses important functions in health care delivery,
identifying the patients immediate needs and working in concert with the patient
to address them is most important. The other nursing functions are important, but
they are not the most important functions.
10. A nurse on a postsurgical unit is providing care based on a clinical pathway.
When performing
assessments and interventions with the aid of a pathway, the nurse should
prioritize what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team - Correct AnswerAns: A
Feedback:
Pathways are an EBP tool that is used primarily to move patients toward
predetermined outcomes. Documentation, accountability, and balancing risks and
benefits are appropriate, but helping the patient
achieve outcomes is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required lower
and fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed
an advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of
hospitalized
patients. How does this demonstrate a role of the APRN?
Page 3 of 207
, A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs - Correct AnswerAns: B
Feedback:
Research is within the purview of the APRN. The activity described does not
exemplify explaining studies to RNs, critiquing care, or involving patients in their
care.
12. Nurses now have the option to practice in a variety of settings and one of the
fastest growing venues of
practice for the nurse in todays health care environment is home health care.
What is the main basis for the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night shifts
D) Discharge of patients who are more critically ill - Correct AnswerAns: D
Feedback:
With shorter hospital stays and increased use of outpatient health care services,
more nursing care is
provided in the home and community setting. The other answers are incorrect
because they are not the
basis for the growth in nursing care delivered in the home setting.
13. Nurses have different educational backgrounds and function under many titles
in their practice setting. If
Page 4 of 207
