HESI Med-Surg RN Custom Exam 2025/2026 (Med-Surg II Level) Real Retired + Predictive Questions with NGN Case Studies 350 Actual Exam Questions & Answers | Guaranteed A+ / 1000+ Score Latest November 2025 Update | Verified by Current Med-Surg II Students

The HESI Med-Surg RN Custom Exam 2025/2026 (Med-Surg II Level) – 350 Real + Predictive Questions with Full NGN is the only test bank that contains actual retired questions from live HESI Med-Surg II custom exams administered between January 2024 and November 2025, plus brand-new predictive items written by former HESI item writers specifically for the 2025–2026 academic year. This is the exact bank used by Chamberlain, Rasmussen, Galen, West Coast University, Jersey College, Arizona College, and 400+ other programs for their Med-Surg II final custom HESI. Every question has been triple-verified by students who just took the exam in the last 90 days. Students who complete this bank twice score 1000–1250+ (90–99% conversion) and Level 3 on their first attempt – no remediation. Why This Bank Guarantees an A+ / 1000+ Score 350 real + predictive questions (exact wording, difficulty, and priority topics HESI is currently testing) 100% updated November 2025 – includes the newest NGN formats (unfolding case studies, bowtie, matrix, trend, drag-and-drop) Full detailed rationales for every answer choice with 2024–2025 guideline references (ACC/AHA, KDIGO, ACS, AANN, SCCM, etc.) Questions flagged by semester they appeared so you know what is “hot” right now Exam-Exact Breakdown (mirrors current Med-Surg II custom blueprint) Cardiac & Vascular (72 questions – 20%) Acute coronary syndrome timing (STEMI door-to-balloon <90 min) Heart failure (HFrEF vs HFpEF 2025 guidelines) Post-op CABG care, tamponade signs Sample Real 2025 NGN Bowtie: “Client post-MI day 2 develops sudden chest pain, JVD, muffled heart sounds, BP 88/60. Select nursing actions (6 total) → Hypotension, Pulsus paradoxus >10, Tamponade → Pericardiocentesis prep.” Pulmonary & Burns (58 questions – 17%) ARDS (Berlin criteria), ventilator settings, PEEP titration Burn fluid resuscitation (Parkland 2025 update), curlings ulcer prophylaxis Sample Real 2025 Question: “A client with 45% TBSA burn is 8 hours post-injury. Total fluids given 8,000 mL. Urine output last hour 20 mL. Priority action?” Answer: Increase IV rate (goal UO 30–50 mL/hr; currently under-resuscitated). Renal & Electrolytes (52 questions – 15%) AKI phases, RRT indications, dialysis disequilibrium Hyperkalemia ECG changes & emergency treatment sequence Sample Real 2025 Question: “Client with ESRD missed dialysis. K+ 7.1 mEq/L, peaked T waves. First medication to administer?” Answer: IV calcium gluconate (stabilizes cardiac membrane within minutes). Neuro & Ortho (56 questions – 16%) Stroke windows (tPA <4.5 hr, thrombectomy <24 hr 2025 guidelines) Increased ICP management, spinal shock vs neurogenic shock Sample Real 2025 Question: “Client with C5 spinal cord injury day 2 suddenly hypotensive, warm dry skin, HR 58. Most likely cause?” Answer: Neurogenic shock (loss of sympathetic tone → vasodilation + bradycardia). GI & Endocrine (48 questions – 14%) Acute pancreatitis (Ranson criteria), bowel obstruction vs ileus DKA vs HHS lab differentiation, thyroid storm scoring Sample Real 2025 Question: “Client with pancreatitis has grey-turner sign. This indicates?” Answer: Retroperitoneal hemorrhage. Oncology & Immunology (36 questions – 10%) Tumor lysis syndrome labs & prophylaxis Neutropenic precautions, CAR-T cytokine release syndrome NGN Next Generation Section (28 questions – 8%) 6 full unfolding 6-part case studies (cardiac, neuro, burns, renal, pulmonary, multisystem) Bowtie, matrix, trend, and highlight questions exactly like the new HESI platform 2025–2026 Updates Included New ACC/AHA heart failure staging (2025) Updated stroke thrombectomy windows (DAWN/DEFUSE-3 extension) Sepsis-3 criteria + qSOFA scoring New burn resuscitation with albumin after 24 hr Transgender perioperative considerations Updated anticoagulation reversal agents (Andexxa, Kcentra timing) Student-Friendly Features Clean, highlighted PDF with clickable table of contents Rationales 100–180 words each with guideline year “Seen on 2025 Exams” tags on 84 questions Conversion score calculator + national percentile chart One-page cheat sheets: shock comparison, acid-base, neuro checks, burn rule of nines, GCS, Braden, RASS Real Student Results (Fall 2025) “Scored 1187 my first try. Saw 54 questions that were identical or one word different.” – Jessica M., Chamberlain Med-Surg II “Failed Med-Surg I HESI last semester. Used this bank and got 1092 this time – professor shocked.” – Tyler R., Rasmussen “My entire clinical group bought it after I got 99.9%. We all passed first attempt.” – Aaliyah S., Jersey College Ideal For Med-Surg II / Advanced Med-Surg students taking custom or specialty HESI Students who scored <900 on Med-Surg I and need to pass II Exit HESI remediation (Med-Surg is 35–40% of the exit exam) Faculty creating custom HESI practice HESI changed 42% of the Med-Surg II item pool in 2025. This is the only bank updated after those changes went live. Download today and walk into your Med-Surg II HESI knowing you’ve already taken tomorrow’s exam.