2026 HESI RN
MED SURG V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score With Confidence
This Document contains:
➢ Achieving a 900+ on the HESI MEDSURG Exam
➢ Passing Score Guarantee
➢ Multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
,Table of Contents
HESI MEDSURG V1 EXAM SET 1 ................................. 2
HESI MEDSURG V1 EXAM SET 2 ............................... 29
HESI MEDSURG V1 EXAM SET 3 ............................... 53
HESI MEDSURG V1 EXAM SET 1
When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN) which instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates
B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of
the kidneys. This can manifest as nephritic syndrome, where there is significant
hematuria, and/or nephrotic syndrome, where edema is pronounced. In this
disease the nurse should include restriction of sodium intake as part of dietary
adjustments because the kidneys are not able to filter blood well if inflamed. Thus
buildup of sodium may occur if intake is not lowered.
An older client with long term type 2 diabetes mellitus (DM) is seen in the clinic
for a routine health assessment. Which assessment would the nurse complete to
determine if a patient with type 2 DM is experiencing long term complications?
SATA
,A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN)
A: Helps identify complications like diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emergency
medical services (EMS) with reports of chest pain. The client was mowing his
lawn and noticed chest pain presenting as tightness and pressure. The pain
continued to increase over about 30 minutes when the client decided to rest.
The clients wife called EMS when the pain was unrelieved after 20 minutes of
rest. The client reports no other incidents of experiencing this pain, The clients
medical history includes hypertension, obesity, and a 20 year history of smoking,
having quite about 5 years ago. Medications: Metoprolol 25 mg PO once daily.
Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that is
unrelieved with rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary
refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout
bilateral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
, Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest, started
approximately 2 hours ago and got progressively worse, unrelieved by rest.
*Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular
rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin
Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement
by selecting from the list of options provided. The nurse determines that the
client has ________ as evidenced by ST depression on electrocardiogram and
normal__________
New onset angina
Troponin
MED SURG V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score With Confidence
This Document contains:
➢ Achieving a 900+ on the HESI MEDSURG Exam
➢ Passing Score Guarantee
➢ Multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
,Table of Contents
HESI MEDSURG V1 EXAM SET 1 ................................. 2
HESI MEDSURG V1 EXAM SET 2 ............................... 29
HESI MEDSURG V1 EXAM SET 3 ............................... 53
HESI MEDSURG V1 EXAM SET 1
When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN) which instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates
B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of
the kidneys. This can manifest as nephritic syndrome, where there is significant
hematuria, and/or nephrotic syndrome, where edema is pronounced. In this
disease the nurse should include restriction of sodium intake as part of dietary
adjustments because the kidneys are not able to filter blood well if inflamed. Thus
buildup of sodium may occur if intake is not lowered.
An older client with long term type 2 diabetes mellitus (DM) is seen in the clinic
for a routine health assessment. Which assessment would the nurse complete to
determine if a patient with type 2 DM is experiencing long term complications?
SATA
,A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN)
A: Helps identify complications like diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emergency
medical services (EMS) with reports of chest pain. The client was mowing his
lawn and noticed chest pain presenting as tightness and pressure. The pain
continued to increase over about 30 minutes when the client decided to rest.
The clients wife called EMS when the pain was unrelieved after 20 minutes of
rest. The client reports no other incidents of experiencing this pain, The clients
medical history includes hypertension, obesity, and a 20 year history of smoking,
having quite about 5 years ago. Medications: Metoprolol 25 mg PO once daily.
Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that is
unrelieved with rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary
refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout
bilateral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
, Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest, started
approximately 2 hours ago and got progressively worse, unrelieved by rest.
*Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular
rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin
Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement
by selecting from the list of options provided. The nurse determines that the
client has ________ as evidenced by ST depression on electrocardiogram and
normal__________
New onset angina
Troponin
