HESI Med-Surg Practice Exam Questions
and Answers (2026) | Newest Practice
Questions | 100% Correct Answers | A+
• Emphysema -✓✓Hyperinflation of air sacs with destruction of alveolar walls
Pink Puffers
• Bronchitis -✓✓Blue bloaterscharacterized by a productive cough with grayish
white sputum esp. in morning
Blue bloaters
• Pneumonia signs and symptoms -✓✓Tachypnea, Abrupt fever, Productive
cough, Pleuritic pain
Older Adults: confusion, lethargy, anorexia, tachypnea and tachycardia
May cause "E" to sound like "A" when listening via stethoscope
Tactile fremitus: 99 can be felt and heard clearer because of solid tissue conduction
• After exposure to TB, when is the best time to get the TB skin test -✓✓4-6
weeks
• Tuberculosis Symptoms -✓✓Fever w/ night sweats
,Anorexia
Malaise
Positive sputum culture
Repeated URIs
• Important patient teaching for a patient with TB? -✓✓Make sure they stay on
their treatment regimen for the full 9-12 months
• Acute Kidney Injury -✓✓Potentially reversible
Rapid loss of kidney funtion
3 types: pre, intra and postrenal
3 phases: Oliguric, Diuretic, Recovery
• AKI Assessment -✓✓Hx of nephrotoxic drugs
-salicylates, antibiotics, NSAIDs, ACE inhibitors, ARBs
Change in urine output
Edema
• AKI
, Oliguric Phase -✓✓Increased BUN and Creatinine
Increased K
Decrease Sodium
Acidosis
Hypervolemic
High specific gravity
• AKI Diuretic Phase -✓✓Hypovolemia
Decreased K
Further decrease in Na
Low specific gravity
• Urine Specific Gravity -✓✓1.010 - 1.030
Compares density of urine to to density of water
More solutes in urine = higher density
and Answers (2026) | Newest Practice
Questions | 100% Correct Answers | A+
• Emphysema -✓✓Hyperinflation of air sacs with destruction of alveolar walls
Pink Puffers
• Bronchitis -✓✓Blue bloaterscharacterized by a productive cough with grayish
white sputum esp. in morning
Blue bloaters
• Pneumonia signs and symptoms -✓✓Tachypnea, Abrupt fever, Productive
cough, Pleuritic pain
Older Adults: confusion, lethargy, anorexia, tachypnea and tachycardia
May cause "E" to sound like "A" when listening via stethoscope
Tactile fremitus: 99 can be felt and heard clearer because of solid tissue conduction
• After exposure to TB, when is the best time to get the TB skin test -✓✓4-6
weeks
• Tuberculosis Symptoms -✓✓Fever w/ night sweats
,Anorexia
Malaise
Positive sputum culture
Repeated URIs
• Important patient teaching for a patient with TB? -✓✓Make sure they stay on
their treatment regimen for the full 9-12 months
• Acute Kidney Injury -✓✓Potentially reversible
Rapid loss of kidney funtion
3 types: pre, intra and postrenal
3 phases: Oliguric, Diuretic, Recovery
• AKI Assessment -✓✓Hx of nephrotoxic drugs
-salicylates, antibiotics, NSAIDs, ACE inhibitors, ARBs
Change in urine output
Edema
• AKI
, Oliguric Phase -✓✓Increased BUN and Creatinine
Increased K
Decrease Sodium
Acidosis
Hypervolemic
High specific gravity
• AKI Diuretic Phase -✓✓Hypovolemia
Decreased K
Further decrease in Na
Low specific gravity
• Urine Specific Gravity -✓✓1.010 - 1.030
Compares density of urine to to density of water
More solutes in urine = higher density
