University of Nursing Sciences
Academic Review Paper
A Comprehensive Review of Medical-Surgical Nursing Concepts for the
HESI PN Final Examination (2026-2027)
Comprehensive Review of Med-Surg Nursing for the HESI PN Final Exam
College: College of Nursing
Major: Practical Nursing
Author: Nursing Student
Student ID: XXXXXXXX
Advisor: Faculty Advisor
, Med-Surg HESI PN Final Examination Review
Abstract
The Health Education Systems, Inc. (HESI) Practical Nursing (PN) Final Examination
is a comprehensive standardized assessment that evaluates the clinical competency of
practical nursing students across a broad spectrum of medical-surgical concepts. This review
paper systematically examines the core content domains tested on the 2026–2027 HESI PN
Final Examination, including cardiovascular disorders, respiratory conditions, endocrine
pathologies, neurological diseases, and gastrointestinal system management. By
synthesizing current evidence-based nursing guidelines, standardized test blueprints, and
clinical best practices, this paper aims to provide a structured academic framework that
supports student preparation for the examination. The review identifies priority nursing
interventions, patient safety considerations, and pharmacological management strategies that
are consistently emphasized in the examination framework. Findings suggest that a systems-
based approach to content review, combined with active recall and clinical reasoning
exercises, significantly enhances examination readiness and long-term knowledge retention
among practical nursing students.
Keywords: HESI PN, medical-surgical nursing, cardiovascular disorders, respiratory
conditions, endocrine management, NCLEX preparation
Table of Contents
Abstract ................................................................................................................................. I
Table of Contents .................................................................................................................. I
Chapter 1: Introduction ...................................................................................................... 1
Chapter 2: Cardiovascular and Respiratory Disorders ................................................... 1
2.1 Cardiovascular System Disorders .............................................................................. 1
2.2 Respiratory System Conditions ................................................................................. 2
Chapter 3: Endocrine and Neurological Conditions ........................................................ 3
-I-
Academic Review Paper
A Comprehensive Review of Medical-Surgical Nursing Concepts for the
HESI PN Final Examination (2026-2027)
Comprehensive Review of Med-Surg Nursing for the HESI PN Final Exam
College: College of Nursing
Major: Practical Nursing
Author: Nursing Student
Student ID: XXXXXXXX
Advisor: Faculty Advisor
, Med-Surg HESI PN Final Examination Review
Abstract
The Health Education Systems, Inc. (HESI) Practical Nursing (PN) Final Examination
is a comprehensive standardized assessment that evaluates the clinical competency of
practical nursing students across a broad spectrum of medical-surgical concepts. This review
paper systematically examines the core content domains tested on the 2026–2027 HESI PN
Final Examination, including cardiovascular disorders, respiratory conditions, endocrine
pathologies, neurological diseases, and gastrointestinal system management. By
synthesizing current evidence-based nursing guidelines, standardized test blueprints, and
clinical best practices, this paper aims to provide a structured academic framework that
supports student preparation for the examination. The review identifies priority nursing
interventions, patient safety considerations, and pharmacological management strategies that
are consistently emphasized in the examination framework. Findings suggest that a systems-
based approach to content review, combined with active recall and clinical reasoning
exercises, significantly enhances examination readiness and long-term knowledge retention
among practical nursing students.
Keywords: HESI PN, medical-surgical nursing, cardiovascular disorders, respiratory
conditions, endocrine management, NCLEX preparation
Table of Contents
Abstract ................................................................................................................................. I
Table of Contents .................................................................................................................. I
Chapter 1: Introduction ...................................................................................................... 1
Chapter 2: Cardiovascular and Respiratory Disorders ................................................... 1
2.1 Cardiovascular System Disorders .............................................................................. 1
2.2 Respiratory System Conditions ................................................................................. 2
Chapter 3: Endocrine and Neurological Conditions ........................................................ 3
-I-
