2026 HESI RN
MED SURG V2
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 V2 EXAM SET 1 ................................. 2
HESI MEDSURG V2 EXAM SET 2 ............................... 35
HESI MEDSURG V2 EXAM SET 3 ............................... 58
HESI MEDSURG V2 EXAM SET 1
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C
b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients
with extensive intra-abdominal surgical history are not candidates for peritoneal
dialysis, as these clients may have decreased peritoneal membrane surface areas
and scar tissue formation, which would make it insufficient for adequate dialysis
exchange.
A client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium is prescribed. Which symptoms
,indicate to the nurse that the prescribed dosage is too high for this
client?
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Muscle cramping and dry, flushed skin
d. Lethargy and lack of appetite
a. Palpitations and shortness of breath
Rationales: Palpitations and shortness of breath are symptoms of thyrotoxicosis,
indicating excessive thyroid hormone levels, which could result from an overdose
of Levothyroxine Sodium.
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet
and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Decreased portacaval pressure with greater collateral circulation.
b. Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
c. Decreased renin-angiotensin response related to an increase in renal
bloodflow.
d. Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
d. Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
Rationale: In Cirrhosis, liver damaged leads to decreased synthesis of albumin.
Albumin plays a crucial role in maintaining colloidal oncotic pressure, and when it
is decreased (hypoalbuminemia), fluid is more likely to leak out of blood vessels,
resulting in anemia. The same mechanism contributes to the development of
ascities in the abdominal cavity.
A client with a fracture of the right femur has had skeletal traction
applied. Which intervention should the nurse include in the client's
, nursing care plan?
a. assess the pin sites for signs of infection.
b. administer pain medication at designated intervals around the clock.
c. assess the pulse proximal to the fracture site.
d. Remove traction every provide skin care.
a. assess the pin sites for signs of infection.
Rationale: Assessing the pin sites for sign of infection is in essential for clients with
skeletal traction to detect any early signs of infection such as redness, warmth,
swelling, or purulent drainage. Prompt identification and management of pin site
infections can prevent complications.
A client with a renal calculus reports severe right flank pain,
nausea, and vomiting. Which nursing problem has the highest
priority?
a. Acute pain related to renal calculus.
b. Nutritional deficit related to nausea.
c. Impaired renal function related to pain.
d. Risk for aspiration related to vomiting.
d. Risk for aspiration related to vomiting.
Rationale: Risk for aspiration related to vomiting is the highest priority because it
addresses the immediate potential for airway compromise, which can be life-
threatening if the client apriates vomitus. Ensuring the airway is protected and
that aspiration does not occur is critical.
An adult client who recently diagnosed with glaucoma tells
the nurse, "it feels like I am driving through a tunnel." The client
expresses great concern about going blind. Which nursing instruction
is most important for the nurse to provide this client?
MED SURG V2
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 V2 EXAM SET 1 ................................. 2
HESI MEDSURG V2 EXAM SET 2 ............................... 35
HESI MEDSURG V2 EXAM SET 3 ............................... 58
HESI MEDSURG V2 EXAM SET 1
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history
b. Crohn's disease with colectomy
c. Diabetes Mellitus
d. Latent Hepatitis C
b. Crohn's disease with colectomy
Rationale: Crohn's disease with colectomy. The nurse should recognize that clients
with extensive intra-abdominal surgical history are not candidates for peritoneal
dialysis, as these clients may have decreased peritoneal membrane surface areas
and scar tissue formation, which would make it insufficient for adequate dialysis
exchange.
A client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium is prescribed. Which symptoms
,indicate to the nurse that the prescribed dosage is too high for this
client?
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Muscle cramping and dry, flushed skin
d. Lethargy and lack of appetite
a. Palpitations and shortness of breath
Rationales: Palpitations and shortness of breath are symptoms of thyrotoxicosis,
indicating excessive thyroid hormone levels, which could result from an overdose
of Levothyroxine Sodium.
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet
and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Decreased portacaval pressure with greater collateral circulation.
b. Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
c. Decreased renin-angiotensin response related to an increase in renal
bloodflow.
d. Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
d. Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
Rationale: In Cirrhosis, liver damaged leads to decreased synthesis of albumin.
Albumin plays a crucial role in maintaining colloidal oncotic pressure, and when it
is decreased (hypoalbuminemia), fluid is more likely to leak out of blood vessels,
resulting in anemia. The same mechanism contributes to the development of
ascities in the abdominal cavity.
A client with a fracture of the right femur has had skeletal traction
applied. Which intervention should the nurse include in the client's
, nursing care plan?
a. assess the pin sites for signs of infection.
b. administer pain medication at designated intervals around the clock.
c. assess the pulse proximal to the fracture site.
d. Remove traction every provide skin care.
a. assess the pin sites for signs of infection.
Rationale: Assessing the pin sites for sign of infection is in essential for clients with
skeletal traction to detect any early signs of infection such as redness, warmth,
swelling, or purulent drainage. Prompt identification and management of pin site
infections can prevent complications.
A client with a renal calculus reports severe right flank pain,
nausea, and vomiting. Which nursing problem has the highest
priority?
a. Acute pain related to renal calculus.
b. Nutritional deficit related to nausea.
c. Impaired renal function related to pain.
d. Risk for aspiration related to vomiting.
d. Risk for aspiration related to vomiting.
Rationale: Risk for aspiration related to vomiting is the highest priority because it
addresses the immediate potential for airway compromise, which can be life-
threatening if the client apriates vomitus. Ensuring the airway is protected and
that aspiration does not occur is critical.
An adult client who recently diagnosed with glaucoma tells
the nurse, "it feels like I am driving through a tunnel." The client
expresses great concern about going blind. Which nursing instruction
is most important for the nurse to provide this client?
