7/7/25, 6:17 PM Med-Surg Hesi PN
MED –SURG HESI PN PRACTICE EXAM 2025 -2026 NEWEST
VERSION WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \ACTUAL PRACTICE EXAM 2025 \ASSURED
PASS ALREADY GRADED A+
During a clinic visit, a client c. Schedule an appointment with the health care provider for
reports to the practical nurse evaluation. Rationale:
(PN) that they felt a solid A painless breast mass is an abnormal finding, and the PN should
mass in their breast during instruct the client to obtain prompt medical evaluation.
self-
examination, but it was not
painful. What instruction
should the PN reinforce with
the client?
a. Continue to monitor the
mass until the next
scheduled annual medical
examination.
b. Notify the health care
provider if the mass
becomes soft or painful or
starts to drain.
c. Schedule an appointment
with the health care provider
for evaluation.
d. Breast masses are usually
insignificant if they feel soft
or are easily movable.
/ 1/52
,7/7/25, 6:17 PM Med-Surg Hesi PN
The nurse has reinforced a. Fruitybreath odor
instructions to a b. Rapid, weak pulse
client with diabetes mellitus d. Extreme thirst
on how to self- monitor for e. Urinary frequency
symptoms of diabetic
ketoacidosis (DKA). The Diabetic ketoacidosis is caused by a profound deficiency
nurse realizes the of insulin. Some common characteristics include a sweet,
instructions have been fruity breath odor, a rapid weak pulse, extreme thirst,
effective if the client can list urinary frequency, and sunken-appearing eyeballs.
which symptoms? (Select
all that
apply.)
a. Fruitybreath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
A client mentions using a. Monitor the client for signs of bleeding.
garlic daily as an herb to
lower cholesterol and Garlic inhibits platelet aggregation in the same way that
triglyceride levels. Which aspirin works, and the client should be monitored for
nursing action is a priority? bleeding. Garlic can lower the blood pressure, not raise
it. It does not relieve fever. While the client will likely
a. Monitor the client for signs want to avoid garlic odor, it is not a priority.
of bleeding.
b. Instruct the client that
garlic tends to cause
hypertension.
c. This may relieve fever in
the same way that
acetaminophen does.
d. Remind the patient to use
tooth brushing and
mouthwash to prevent
garlic odor.
/ 2/52
,7/7/25, 6:17 PM Med-Surg Hesi PN
The practical nurse (PN) is a. Tobacco use
reviewing the health b. Excessive intake of alcohol
histories of assigned d. Human
clients. Which papillomavirus (HPV)
factors have a potential for Rationale:
development of throat The most common risk factors for throat cancer are
cancer? (Select all that tobacco use, alcohol abuse, human papillomavirus
apply.) (HPV), a diet lacking in fruits and vegetable, and
a. Tobacco use gastroesophageal reflux disease (GERD). Foods
b. Excessive intake of alcohol seasoned with herbs and spices have shown to have
c. Intake of hot and spicy foods
some health benefits in decreasing the risk of
d. Human papillomavirus (HPV)
developing
e. Lack of exercise cancer.
f. Lack of dietary fiber
A client has undergone b. The client became more confused than he was upon
craniotomy to remove a transfer to the post-surgical unit.
brain tumor. The client Rationale:
A change in the level of consciousness is most likely the earliest
spent several days in the
symptom of
intensive care unit, and is
increased ICP. Vital sign changes can also occur, with a
now on the post-surgical
widening pulse pressure and bradycardia. Neither of
unit. The nurse has urgently
these are indicated by data in the options. Sanguineous
contact the surgeon to drainage does not indicate increased ICP.
report signs of increasing
intracranial pressure
(ICP). Which was the most
likely EARLY sign that the
client was experiencing
increased ICP?
a. The client's blood
pressure dropped from
128/70 to 124/68,
preoperative BP 122/72
b. The client became more
confused than he was upon
transfer to the post-
surgical unit.
c. The client had a large
amount of sanguineous
/ 3/52
, 7/7/25, 6:17 PM Med-Surg Hesi PN
drainage noted on the
gauze dressings.
d. The client's pulse rate
had increased from 70
to 82 beats/min.
The home health practical d. Feelings of
nurse is visiting with a dizziness Rationale:
client who has a history of Feelings of dizziness may occur as the result of a
second- degree heart decreased heart rate, leading to decreased cardiac
block and pacemaker output as a result of pacemaker failure.
placement 6 months ago.
Which symptom compliant
by the client would be
indicative of pacemaker
failure?
a. Facial flushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness
/ 4/52
MED –SURG HESI PN PRACTICE EXAM 2025 -2026 NEWEST
VERSION WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \ACTUAL PRACTICE EXAM 2025 \ASSURED
PASS ALREADY GRADED A+
During a clinic visit, a client c. Schedule an appointment with the health care provider for
reports to the practical nurse evaluation. Rationale:
(PN) that they felt a solid A painless breast mass is an abnormal finding, and the PN should
mass in their breast during instruct the client to obtain prompt medical evaluation.
self-
examination, but it was not
painful. What instruction
should the PN reinforce with
the client?
a. Continue to monitor the
mass until the next
scheduled annual medical
examination.
b. Notify the health care
provider if the mass
becomes soft or painful or
starts to drain.
c. Schedule an appointment
with the health care provider
for evaluation.
d. Breast masses are usually
insignificant if they feel soft
or are easily movable.
/ 1/52
,7/7/25, 6:17 PM Med-Surg Hesi PN
The nurse has reinforced a. Fruitybreath odor
instructions to a b. Rapid, weak pulse
client with diabetes mellitus d. Extreme thirst
on how to self- monitor for e. Urinary frequency
symptoms of diabetic
ketoacidosis (DKA). The Diabetic ketoacidosis is caused by a profound deficiency
nurse realizes the of insulin. Some common characteristics include a sweet,
instructions have been fruity breath odor, a rapid weak pulse, extreme thirst,
effective if the client can list urinary frequency, and sunken-appearing eyeballs.
which symptoms? (Select
all that
apply.)
a. Fruitybreath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
A client mentions using a. Monitor the client for signs of bleeding.
garlic daily as an herb to
lower cholesterol and Garlic inhibits platelet aggregation in the same way that
triglyceride levels. Which aspirin works, and the client should be monitored for
nursing action is a priority? bleeding. Garlic can lower the blood pressure, not raise
it. It does not relieve fever. While the client will likely
a. Monitor the client for signs want to avoid garlic odor, it is not a priority.
of bleeding.
b. Instruct the client that
garlic tends to cause
hypertension.
c. This may relieve fever in
the same way that
acetaminophen does.
d. Remind the patient to use
tooth brushing and
mouthwash to prevent
garlic odor.
/ 2/52
,7/7/25, 6:17 PM Med-Surg Hesi PN
The practical nurse (PN) is a. Tobacco use
reviewing the health b. Excessive intake of alcohol
histories of assigned d. Human
clients. Which papillomavirus (HPV)
factors have a potential for Rationale:
development of throat The most common risk factors for throat cancer are
cancer? (Select all that tobacco use, alcohol abuse, human papillomavirus
apply.) (HPV), a diet lacking in fruits and vegetable, and
a. Tobacco use gastroesophageal reflux disease (GERD). Foods
b. Excessive intake of alcohol seasoned with herbs and spices have shown to have
c. Intake of hot and spicy foods
some health benefits in decreasing the risk of
d. Human papillomavirus (HPV)
developing
e. Lack of exercise cancer.
f. Lack of dietary fiber
A client has undergone b. The client became more confused than he was upon
craniotomy to remove a transfer to the post-surgical unit.
brain tumor. The client Rationale:
A change in the level of consciousness is most likely the earliest
spent several days in the
symptom of
intensive care unit, and is
increased ICP. Vital sign changes can also occur, with a
now on the post-surgical
widening pulse pressure and bradycardia. Neither of
unit. The nurse has urgently
these are indicated by data in the options. Sanguineous
contact the surgeon to drainage does not indicate increased ICP.
report signs of increasing
intracranial pressure
(ICP). Which was the most
likely EARLY sign that the
client was experiencing
increased ICP?
a. The client's blood
pressure dropped from
128/70 to 124/68,
preoperative BP 122/72
b. The client became more
confused than he was upon
transfer to the post-
surgical unit.
c. The client had a large
amount of sanguineous
/ 3/52
, 7/7/25, 6:17 PM Med-Surg Hesi PN
drainage noted on the
gauze dressings.
d. The client's pulse rate
had increased from 70
to 82 beats/min.
The home health practical d. Feelings of
nurse is visiting with a dizziness Rationale:
client who has a history of Feelings of dizziness may occur as the result of a
second- degree heart decreased heart rate, leading to decreased cardiac
block and pacemaker output as a result of pacemaker failure.
placement 6 months ago.
Which symptom compliant
by the client would be
indicative of pacemaker
failure?
a. Facial flushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness
/ 4/52
