(2026/2027 Edition)
Elsevier HESI Specialty Exit Exam – 150 Practice Questions
with Answers and Rationales
EXAM OVERVIEW
This HESI Medical-Surgical Nursing V2 Exam Review contains 150 practice
questions aligned with the Elsevier HESI Specialty Exit Exam format for 2026/2027.
Questions cover high-yield medical-surgical topics including cardiovascular,
respiratory, endocrine, gastrointestinal, renal, neurological, musculoskeletal, and
prioritization/delegation strategies .
1. The nurse is assessing a 48-year-old client with a history of smoking who
reports calf pain during exercise that disappears at rest. Which finding requires
further evaluation?
A. Heart rate 57 bpm
B. SpO2 of 94% on room air
C. Blood pressure 134/82
D. Ankle-brachial index of 0.65
Answer: D