• Spring Semester 2026 | HESI Medical-Surgical
Exam – Complete NCLEX-Style Nursing Review,
Medical-Surgical Disorders, Pharmacology,
Clinical Judgment, Prioritization, Delegation,
Patient Safety, NCLEX-Style Practice Questions &
High-Yield Predictor Preparation
Question 1:
A 5-year-old child is being treated for asthma. Which of the following statements by the
parent indicates a correct understanding of the treatment plan?
• A) "I should use the inhaler only when my child is having an asthma attack."
• B) "It’s important to administer the medication regularly, even when my child
feels fine."
• C) "I will stop the medication once my child shows improvement."
• D) "I can skip the medication if the weather is nice."
Correct Option: B
Rationale: Administering asthma medication regularly, even when the child feels well,
helps maintain control of the disease and prevents future exacerbations. Option A
indicates poor understanding, as the inhaler may be a preventive measure. Options C
and D demonstrate a lack of understanding of chronic disease management.
Question 2:
When assessing a 2-year-old for developmental milestones, which of the following
behaviors would the nurse expect to see?
• A) Child can kick a ball forward.
• B) Child can stack three to four blocks.
• C) Child can say "mama" and "dada" only.
• D) Child can walk backward.
Correct Option: B
Rationale: By age 2, children typically can stack three to four blocks, demonstrating
fine motor skills and cognitive development. Option A is expected by age 2 but may not
occur consistently. Option C is limited for this age, as children usually have a
vocabulary of several words. Option D is generally expected by age 3.
Question 3:
A nurse is teaching a group of parents about prevention of lead poisoning in children.
Which statement by a parent indicates a need for further teaching?
• A) "I should have my child tested for lead levels at 1 and 2 years of age."
, • B) "We should avoid old toys and jewelry that might contain lead."
• C) "Using hot tap water to prepare a child's formula is safe."
• D) "It's important to keep the home environment clean to reduce lead dust."
Correct Option: C
Rationale: Hot tap water can leach lead from pipes, hence it’s unsafe for preparing a
child's formula. Lead testing at 1 and 2 years is recommended (A), avoiding old toys is
prudent (B), and maintaining a clean home reduces exposure to lead dust (D).
Question 4:
In caring for a child diagnosed with type 1 diabetes, which of the following is most
important for the nurse to monitor?
• A) Growth patterns
• B) Blood glucose levels
• C) Family dietary habits
• D) Frequency of physical activity
Correct Option: B
Rationale: Monitoring blood glucose levels is crucial in managing type 1 diabetes, as
these levels directly impact the child’s immediate health and well-being. While growth
patterns (A) and physical activity (D) are important, they are secondary to the direct
management of blood glucose.
Question 1:
A 5-year-old child is being treated for asthma. Which of the following statements by the
parent indicates a correct understanding of the treatment plan?
• A) "I should use the inhaler only when my child is having an asthma attack."
• B) "It’s important to administer the medication regularly, even when my child
feels fine."
• C) "I will stop the medication once my child shows improvement."
• D) "I can skip the medication if the weather is nice."
Correct Option: B
Rationale: Administering asthma medication regularly helps maintain control of the
disease and prevents future exacerbations.
Question 2:
,When assessing a 2-year-old for developmental milestones, which behavior would the
nurse expect to see?
• A) Child can kick a ball forward.
• B) Child can stack three to four blocks.
• C) Child can say "mama" and "dada" only.
• D) Child can walk backward.
Correct Option: B
Rationale: By age 2, children typically can stack three to four blocks, demonstrating
fine motor skills.
Question 3:
A nurse teaches parents about lead poisoning prevention. Which statement indicates a
need for further teaching?
• A) "I should have my child tested for lead levels at 1 and 2 years of age."
• B) "We should avoid old toys and jewelry that might contain lead."
• C) "Using hot tap water to prepare a child's formula is safe."
• D) "It's important to keep the home environment clean to reduce lead dust."
Correct Option: C
Rationale: Hot tap water can leach lead from pipes; thus, it’s unsafe for preparing
formula.
Question 4:
In caring for a child diagnosed with type 1 diabetes, which is most important for the
nurse to monitor?
• A) Growth patterns
• B) Blood glucose levels
• C) Family dietary habits
• D) Frequency of physical activity
Correct Option: B
Rationale: Monitoring blood glucose levels is critical in managing type 1 diabetes.
Question 5:
, Which immunization should the nurse ensure is administered at 12 months of age?
• A) DTaP
• B) MMR
• C) Varicella
• D) IPV
Correct Option: C
Rationale: The varicella vaccine is typically administered at 12 months of age.
Question 6:
A child with cystic fibrosis is being taught about dietary needs. Which statement by the
parent indicates a proper understanding?
• A) "I should restrict my child's salt intake."
• B) "My child may need a higher-calorie diet."
• C) "We should avoid fatty foods."
• D) "Pancreatic enzymes are not necessary."
Correct Option: B
Rationale: Children with cystic fibrosis often require higher-calorie diets to meet energy
needs due to malabsorption.
Question 7:
During a well-child visit, the nurse assesses a 10-year-old's growth. Which finding would
be concerning?
• A) Weight substantially below the 5th percentile
• B) Height above the 95th percentile
• C) Head circumference at the 50th percentile
• D) BMI in the overweight range
Correct Option: A
Rationale: Weight below the 5th percentile can indicate potential malnutrition or
underlying health issues.
Question 8:
Exam – Complete NCLEX-Style Nursing Review,
Medical-Surgical Disorders, Pharmacology,
Clinical Judgment, Prioritization, Delegation,
Patient Safety, NCLEX-Style Practice Questions &
High-Yield Predictor Preparation
Question 1:
A 5-year-old child is being treated for asthma. Which of the following statements by the
parent indicates a correct understanding of the treatment plan?
• A) "I should use the inhaler only when my child is having an asthma attack."
• B) "It’s important to administer the medication regularly, even when my child
feels fine."
• C) "I will stop the medication once my child shows improvement."
• D) "I can skip the medication if the weather is nice."
Correct Option: B
Rationale: Administering asthma medication regularly, even when the child feels well,
helps maintain control of the disease and prevents future exacerbations. Option A
indicates poor understanding, as the inhaler may be a preventive measure. Options C
and D demonstrate a lack of understanding of chronic disease management.
Question 2:
When assessing a 2-year-old for developmental milestones, which of the following
behaviors would the nurse expect to see?
• A) Child can kick a ball forward.
• B) Child can stack three to four blocks.
• C) Child can say "mama" and "dada" only.
• D) Child can walk backward.
Correct Option: B
Rationale: By age 2, children typically can stack three to four blocks, demonstrating
fine motor skills and cognitive development. Option A is expected by age 2 but may not
occur consistently. Option C is limited for this age, as children usually have a
vocabulary of several words. Option D is generally expected by age 3.
Question 3:
A nurse is teaching a group of parents about prevention of lead poisoning in children.
Which statement by a parent indicates a need for further teaching?
• A) "I should have my child tested for lead levels at 1 and 2 years of age."
, • B) "We should avoid old toys and jewelry that might contain lead."
• C) "Using hot tap water to prepare a child's formula is safe."
• D) "It's important to keep the home environment clean to reduce lead dust."
Correct Option: C
Rationale: Hot tap water can leach lead from pipes, hence it’s unsafe for preparing a
child's formula. Lead testing at 1 and 2 years is recommended (A), avoiding old toys is
prudent (B), and maintaining a clean home reduces exposure to lead dust (D).
Question 4:
In caring for a child diagnosed with type 1 diabetes, which of the following is most
important for the nurse to monitor?
• A) Growth patterns
• B) Blood glucose levels
• C) Family dietary habits
• D) Frequency of physical activity
Correct Option: B
Rationale: Monitoring blood glucose levels is crucial in managing type 1 diabetes, as
these levels directly impact the child’s immediate health and well-being. While growth
patterns (A) and physical activity (D) are important, they are secondary to the direct
management of blood glucose.
Question 1:
A 5-year-old child is being treated for asthma. Which of the following statements by the
parent indicates a correct understanding of the treatment plan?
• A) "I should use the inhaler only when my child is having an asthma attack."
• B) "It’s important to administer the medication regularly, even when my child
feels fine."
• C) "I will stop the medication once my child shows improvement."
• D) "I can skip the medication if the weather is nice."
Correct Option: B
Rationale: Administering asthma medication regularly helps maintain control of the
disease and prevents future exacerbations.
Question 2:
,When assessing a 2-year-old for developmental milestones, which behavior would the
nurse expect to see?
• A) Child can kick a ball forward.
• B) Child can stack three to four blocks.
• C) Child can say "mama" and "dada" only.
• D) Child can walk backward.
Correct Option: B
Rationale: By age 2, children typically can stack three to four blocks, demonstrating
fine motor skills.
Question 3:
A nurse teaches parents about lead poisoning prevention. Which statement indicates a
need for further teaching?
• A) "I should have my child tested for lead levels at 1 and 2 years of age."
• B) "We should avoid old toys and jewelry that might contain lead."
• C) "Using hot tap water to prepare a child's formula is safe."
• D) "It's important to keep the home environment clean to reduce lead dust."
Correct Option: C
Rationale: Hot tap water can leach lead from pipes; thus, it’s unsafe for preparing
formula.
Question 4:
In caring for a child diagnosed with type 1 diabetes, which is most important for the
nurse to monitor?
• A) Growth patterns
• B) Blood glucose levels
• C) Family dietary habits
• D) Frequency of physical activity
Correct Option: B
Rationale: Monitoring blood glucose levels is critical in managing type 1 diabetes.
Question 5:
, Which immunization should the nurse ensure is administered at 12 months of age?
• A) DTaP
• B) MMR
• C) Varicella
• D) IPV
Correct Option: C
Rationale: The varicella vaccine is typically administered at 12 months of age.
Question 6:
A child with cystic fibrosis is being taught about dietary needs. Which statement by the
parent indicates a proper understanding?
• A) "I should restrict my child's salt intake."
• B) "My child may need a higher-calorie diet."
• C) "We should avoid fatty foods."
• D) "Pancreatic enzymes are not necessary."
Correct Option: B
Rationale: Children with cystic fibrosis often require higher-calorie diets to meet energy
needs due to malabsorption.
Question 7:
During a well-child visit, the nurse assesses a 10-year-old's growth. Which finding would
be concerning?
• A) Weight substantially below the 5th percentile
• B) Height above the 95th percentile
• C) Head circumference at the 50th percentile
• D) BMI in the overweight range
Correct Option: A
Rationale: Weight below the 5th percentile can indicate potential malnutrition or
underlying health issues.
Question 8:
