HESI Medical-Surgical Nursing V2 Exam Review
(Version 2)
Elsevier HESI Specialty Exit Exam – 150 New Practice
Questions with Answers and Rationales
2026/2027 Edition
v.m.u.g.o.6.6.1.1.@.g.m.a.i.l.c.o.m
EXAM OVERVIEW
Version 2 150 additional
practice questions
clinical judgment, prioritization, delegation, and pharmacology
1. A 72-year-old client with heart failure is prescribed lisinopril. Which assessment
finding requires immediate intervention?
A. Blood pressure 102/68 mm Hg
B. Serum potassium 5.2 mEq/L
,C. Dry, nonproductive cough
D. Heart rate 68 bpm
Answer: B
Rationale:
2. A client with peripheral arterial disease (PAD) has absent dorsalis pedis pulses
bilaterally. Which additional assessment finding is most consistent with PAD?
A. Bilateral ankle edema
B. Warm, pink extremities
C. Pallor on elevation and dependent rubor
D. Superficial, weeping ulcers
Answer: C
Rationale:
3. A client with heart failure is receiving IV furosemide. The nurse notes a urine
output of 200 mL in 1 hour. Which action should the nurse take?
,A. Increase the IV rate
B. Document the finding as expected
C. Notify the provider immediately
D. Administer potassium supplement
Answer: B
Rationale:
4. A client with atrial fibrillation is prescribed apixaban. Which teaching is most
important?
A. "You will need monthly INR checks."
B. "Take this medication with a full glass of water."
C. "Report any unusual bleeding or bruising."
D. "This medication dissolves blood clots."
Answer: C
Rationale:
5. A client had a cardiac catheterization via the femoral artery 2 hours ago. Which
finding requires immediate action?
, A. Bruising at the insertion site
B. Blood pressure 118/72 mm Hg
C. Pedal pulses 2+ bilaterally
D. Complaints of back pain
Answer: D
Rationale:
6. A client with stable angina is prescribed sublingual nitroglycerin. Which
statement indicates correct use?
A. "I will take one tablet every hour until the pain stops."
B. "I will place the tablet under my tongue and let it dissolve."
C. "I will swallow the tablet with a glass of water."
D. "I will take this medication daily to prevent chest pain."
Answer: B
Rationale:
7. A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. Which
instruction is most important?
(Version 2)
Elsevier HESI Specialty Exit Exam – 150 New Practice
Questions with Answers and Rationales
2026/2027 Edition
v.m.u.g.o.6.6.1.1.@.g.m.a.i.l.c.o.m
EXAM OVERVIEW
Version 2 150 additional
practice questions
clinical judgment, prioritization, delegation, and pharmacology
1. A 72-year-old client with heart failure is prescribed lisinopril. Which assessment
finding requires immediate intervention?
A. Blood pressure 102/68 mm Hg
B. Serum potassium 5.2 mEq/L
,C. Dry, nonproductive cough
D. Heart rate 68 bpm
Answer: B
Rationale:
2. A client with peripheral arterial disease (PAD) has absent dorsalis pedis pulses
bilaterally. Which additional assessment finding is most consistent with PAD?
A. Bilateral ankle edema
B. Warm, pink extremities
C. Pallor on elevation and dependent rubor
D. Superficial, weeping ulcers
Answer: C
Rationale:
3. A client with heart failure is receiving IV furosemide. The nurse notes a urine
output of 200 mL in 1 hour. Which action should the nurse take?
,A. Increase the IV rate
B. Document the finding as expected
C. Notify the provider immediately
D. Administer potassium supplement
Answer: B
Rationale:
4. A client with atrial fibrillation is prescribed apixaban. Which teaching is most
important?
A. "You will need monthly INR checks."
B. "Take this medication with a full glass of water."
C. "Report any unusual bleeding or bruising."
D. "This medication dissolves blood clots."
Answer: C
Rationale:
5. A client had a cardiac catheterization via the femoral artery 2 hours ago. Which
finding requires immediate action?
, A. Bruising at the insertion site
B. Blood pressure 118/72 mm Hg
C. Pedal pulses 2+ bilaterally
D. Complaints of back pain
Answer: D
Rationale:
6. A client with stable angina is prescribed sublingual nitroglycerin. Which
statement indicates correct use?
A. "I will take one tablet every hour until the pain stops."
B. "I will place the tablet under my tongue and let it dissolve."
C. "I will swallow the tablet with a glass of water."
D. "I will take this medication daily to prevent chest pain."
Answer: B
Rationale:
7. A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. Which
instruction is most important?
