2026 HESI RN Med-Surg
QUESTIONS BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This Hesi test contains:
➢ 400+ Qs & Ans
➢ Format Set of Multiple-choice
➢ Questions with incorporating Next Generation
NCLEX (NGN) and Case Scenarios
➢ Expert-Verified Explanations & Solutions
,1. The nurse assesses a patient with shortness of breath for evidence of
long-standing hypoxemia by inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
Answer: D. The fingernail and its base
Expert Explanation: Clubbing of the fingernail and its base occurs due to
long-standing hypoxemia. It is characterized by an increased angle
between the nail base and the finger (more than 180 degrees), sponginess,
and thickening of the distal finger. These changes reflect chronic oxygen
deficiency.
---
2. A nurse is preparing to perform arterial blood gas (ABG) sampling on a
patient with COPD and pneumonia. After obtaining the sample, the nurse
should hold pressure over the puncture site for:
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
Answer: B. 5 minutes
,Expert Explanation: Pressure should be applied for 5 minutes to prevent
bleeding or hematoma formation, as arteries are under higher pressure
compared to veins. If the patient is on anticoagulants, a longer duration
may be needed.
---
### Case Study with Multiple Response (NGN-Style)
3. A patient with facial trauma and a nasal fracture reports clear nasal
drainage. The nurse notices the drainage on inspection. Based on the
NGN-format, select the appropriate actions the nurse should take (Select
All That Apply):
A. Test the clear drainage for glucose.
B. Notify the provider immediately.
C. Apply suction to maintain airway clearance.
D. Reassure the patient that this is normal.
E. Position the patient in semi-Fowler’s position.
Answers: A, B, E
Expert Explanation: Clear nasal drainage may indicate cerebrospinal fluid
(CSF) leakage in cases of skull fractures. Testing for glucose confirms CSF
presence since mucus lacks significant glucose. Notify the provider
immediately as CSF leakage is a serious complication. Positioning in semi-
Fowler’s prevents aspiration, but suctioning is contraindicated as it could
exacerbate the leakage.
, ---
4. A nurse is caring for a patient who is 3 hours postoperative
laryngectomy. Which is the priority in the assessment?:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
Answer: A. Airway patency
Expert Explanation: Airway patency is the primary priority after
laryngectomy due to compromised breathing through the upper respiratory
tract. This follows the ABC principle (Airway-Breathing-Circulation).
---
### Clinical Judgment Case (NGN-Style)
5. A nurse is teaching a patient with radical neck dissection about the
supraglottic swallow technique. Which food should be introduced first to
reduce aspiration risk? (Select one)
A. Cola
B. Applesauce
C. French fries
D. Thin white grape juice
Answer: A. Cola
QUESTIONS BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This Hesi test contains:
➢ 400+ Qs & Ans
➢ Format Set of Multiple-choice
➢ Questions with incorporating Next Generation
NCLEX (NGN) and Case Scenarios
➢ Expert-Verified Explanations & Solutions
,1. The nurse assesses a patient with shortness of breath for evidence of
long-standing hypoxemia by inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
Answer: D. The fingernail and its base
Expert Explanation: Clubbing of the fingernail and its base occurs due to
long-standing hypoxemia. It is characterized by an increased angle
between the nail base and the finger (more than 180 degrees), sponginess,
and thickening of the distal finger. These changes reflect chronic oxygen
deficiency.
---
2. A nurse is preparing to perform arterial blood gas (ABG) sampling on a
patient with COPD and pneumonia. After obtaining the sample, the nurse
should hold pressure over the puncture site for:
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
Answer: B. 5 minutes
,Expert Explanation: Pressure should be applied for 5 minutes to prevent
bleeding or hematoma formation, as arteries are under higher pressure
compared to veins. If the patient is on anticoagulants, a longer duration
may be needed.
---
### Case Study with Multiple Response (NGN-Style)
3. A patient with facial trauma and a nasal fracture reports clear nasal
drainage. The nurse notices the drainage on inspection. Based on the
NGN-format, select the appropriate actions the nurse should take (Select
All That Apply):
A. Test the clear drainage for glucose.
B. Notify the provider immediately.
C. Apply suction to maintain airway clearance.
D. Reassure the patient that this is normal.
E. Position the patient in semi-Fowler’s position.
Answers: A, B, E
Expert Explanation: Clear nasal drainage may indicate cerebrospinal fluid
(CSF) leakage in cases of skull fractures. Testing for glucose confirms CSF
presence since mucus lacks significant glucose. Notify the provider
immediately as CSF leakage is a serious complication. Positioning in semi-
Fowler’s prevents aspiration, but suctioning is contraindicated as it could
exacerbate the leakage.
, ---
4. A nurse is caring for a patient who is 3 hours postoperative
laryngectomy. Which is the priority in the assessment?:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
Answer: A. Airway patency
Expert Explanation: Airway patency is the primary priority after
laryngectomy due to compromised breathing through the upper respiratory
tract. This follows the ABC principle (Airway-Breathing-Circulation).
---
### Clinical Judgment Case (NGN-Style)
5. A nurse is teaching a patient with radical neck dissection about the
supraglottic swallow technique. Which food should be introduced first to
reduce aspiration risk? (Select one)
A. Cola
B. Applesauce
C. French fries
D. Thin white grape juice
Answer: A. Cola
