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HESI Medical Surgical Nursing 2026 – 300 Exam Questions on Fluid Balance, Pain, Stroke & Pharmacology

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This document contains approximately 300 comprehensive exam-style questions with correct answers for HESI Medical Surgical Nursing 2026 preparation. The material extensively covers core adult health nursing topics including fluid and electrolyte imbalances (hyponatremia, hypokalemia, hyperkalemia, dehydration, overhydration), acid-base considerations, IV therapy management, enteral feeding safety, wound care staging, pressure ulcer prevention, and laboratory interpretation such as prealbumin and electrolyte monitoring. Critical prioritization scenarios are integrated throughout, including respiratory depression from opioids, hypothermia and hyperthermia management, shock assessment, aspiration risk, catheter-associated infection prevention, and Rapid Response Team activation criteria. The document also provides in-depth review of cardiovascular, endocrine, neurologic, and renal nursing care, including hypertension management, heart failure interventions, digoxin toxicity, insulin pharmacokinetics, stroke assessment (right vs left hemisphere deficits), cranial nerve impairments, multiple sclerosis, diabetes complications, and combination drug therapy post–myocardial infarction. Pain management principles are thoroughly addressed, including acute vs chronic pain characteristics, nociceptive vs neuropathic pain, opioid safety, naloxone administration, and geriatric medication precautions. Additional content includes cultural competence, SBAR communication, delegation principles, infection control, neutropenia precautions, chemotherapy complications, and evidence-based nursing interventions aligned with safety and quality standards. The structured Q&A format mirrors HESI examination style and emphasizes clinical judgment, prioritization (ABCs), delegation, patient safety, and evidence-based best practice. It is particularly relevant for: HESI Medical-Surgical exam candidates ADN and BSN nursing students RN pre-licensure programs NCLEX-style medical-surgical review Adult Health Nursing courses Students preparing for exit HESI examinations Keywords: HESI medical surgical nursing 2026, med surg exam questions, fluid and electrolyte imbalance nursing, hypokalemia hyperkalemia management, hyponatremia risk factors, dehydration assessment nursing, overhydration complications, digoxin toxicity signs, heart failure nursing care, insulin peak and duration NPH, stroke right hemisphere deficits, cranial nerve IX aspiration risk, pressure ulcer staging stage IV, Braden scale interpretation, enteral feeding safety, opioid overdose naloxone, SBAR communication nursing, delegation five rights, cultural competence nursing, neutropenia precautions, chemotherapy extravasation, rapid response team criteria, pain assessment fifth vital sign, hypertension management nursing, evidence based practice HESI

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HESI Medical Surgical Nursing
2026 Exam Questions and
Correct Answers | New Update



When describing patient education approaches, the nurse educator would

explain that informal teaching is an approach that




a. follows formalized plans

b. has standardized content

c. often occurs one-to-one

,d. addresses group needs - 🧠 ANSWER ✔✔C. Informal teaching is

individualized one on one teaching which represents the majority of patient

education done by nurses that occurs when an intervention is explained or

a question is answered. Group needs are often the focus of formal patient

education courses or classes. Informal teaching does not necessarily follow

a specific formalized plan. It may be planned with specific content, but it is

individualized responses to patient needs. Formal teaching involves the

use of a curriculum/course plan with standardized content.

A patient expresses a strong interest in returning to their work, family, and

hobbies after having a stroke. Which theory type would the nurse use to

develop a plan of care for the best results of this patient's motivation style?




a. field

b. biological

c. cognitive


d. sociologic - 🧠 ANSWER ✔✔C. Cognitive theorists believe that attention,

relevance, confidence, and satisfaction (ARCS) are the conditions that,

when integrated, motivate someone to learn. Field theorists place

,significance on how achievement, power, the need for affiliation, and

avoidance motives influence individual behavior. Sociologic theories are

not involved in motivation.

The nurse is assessing a group of clients. Which clients are at greater risk

for hypothermia or frostbite? (select all that apply)




a. an older woman with hypertension

b. a young man with a body mass index of 42

c. a young many who has just consumed six martinis

d. an older man who smokes a pack of cigarettes a day

e. a young woman who is anorexic


f. a young woman who is diabetic - 🧠 ANSWER ✔✔C, D, E, F




clients with poor nutrition, fatigue, and multiple chronic illnesses are at

greater risk for hypothermia. Clients who smoke, consume alcohol, or have

impaired peripheral circulation have a higher incidence of frostbite.




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, Which statement made by a nurse represents the need for further

education regarding pain management in older adult clients?




a. older adults tend to report pain less often than younger adults

b. older clients usually have more experience with pain than younger

clients

c. older adults are at greatest risk for under treated pain

d. older clients have a different pain mechanism and do not feel it as much

- 🧠 ANSWER ✔✔D




There is no evidence to support the idea that older adult clients perceive

pain any differently than younger clients. The other statements are

accurate regarding older clients and pain.

The nurse is working at a first aid booth for a spring training game on a hot

day. A spectator comes in, reporting that he is not feeling well. Vital signs

are temp 104.1 F, pulse 132 BPM, respirs 26 breaths/min, and blood

pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to a

cot. What is the priory action of the nurse?

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