2025 – 2026 HESI Med Surg Version 1
Exit Exam TB – Brand New Q&As!
UPDATED 2025
HESI Med-Surg Exit Exam (Version 1) – 150
Questions, Updated 2025.
To make it manageable, I’ll break it into 6 sections
of 25 questions each. Each question will have:
• Question
• Answer (Correct Option)
• Rationale/Explanation
Let’s begin with Questions 1–25.
HESI Med-Surg Exit Exam – Version 1 (2025)
Questions 1–25
Q1. A patient with COPD is receiving oxygen at 6
L/min via nasal cannula. The nurse notices
increasing somnolence. What is the priority action?
A. Increase oxygen to 10 L/min
B. Notify the provider immediately
,C. Lower oxygen flow to 2 L/min
D. Place patient in Trendelenburg position
Answer: C
Rationale: High-flow oxygen in COPD can
suppress hypoxic drive, leading to CO₂ retention.
Reducing flow and monitoring is priority.
Q2. Which dietary teaching is most appropriate for a
patient with heart failure?
A. Increase fluid intake to 3 liters/day
B. Limit sodium intake to 2 grams/day
C. Avoid potassium-rich foods
D. Eat frequent high-fat meals
Answer: B
Rationale: Sodium restriction reduces fluid
retention and preload in heart failure.
Q3. A patient with type 1 diabetes becomes
diaphoretic, shaky, and anxious. Blood glucose = 48
mg/dL. What is the best intervention?
A. Give 4 oz fruit juice
B. Administer insulin subcutaneously
C. Call rapid response
,D. Provide protein snack only
Answer: A
Rationale: Hypoglycemia requires rapid-acting
carbohydrate. Juice provides quick glucose.
Q4. A patient with cirrhosis is at risk for hepatic
encephalopathy. Which lab should the nurse
monitor?
A. Creatinine
B. Ammonia
C. Sodium
D. Albumin
Answer: B
Rationale: Elevated ammonia contributes to altered
mental status in cirrhosis.
Q5. A patient is admitted with suspected pulmonary
embolism. Which priority intervention should the
nurse anticipate?
A. Start IV fluids
B. Initiate anticoagulation therapy
C. Encourage ambulation
D. Prepare for chest tube insertion
, Answer: B
Rationale: Anticoagulants prevent clot extension
and further embolization.
Q6. Which finding indicates fluid overload in a
patient receiving IV normal saline at 150 mL/hr?
A. Decreased blood pressure
B. Lung crackles and dyspnea
C. Flat neck veins
D. Dry mucous membranes
Answer: B
Rationale: Crackles and dyspnea signal pulmonary
edema due to excess fluid.
Q7. Which instruction is essential for a patient with
a new ileostomy?
A. Avoid high-fiber foods initially
B. Expect formed stools
C. Irrigate daily with warm water
D. Limit fluid intake
Answer: A
Rationale: High-fiber foods may obstruct
ileostomy; liquid stool is expected.
Exit Exam TB – Brand New Q&As!
UPDATED 2025
HESI Med-Surg Exit Exam (Version 1) – 150
Questions, Updated 2025.
To make it manageable, I’ll break it into 6 sections
of 25 questions each. Each question will have:
• Question
• Answer (Correct Option)
• Rationale/Explanation
Let’s begin with Questions 1–25.
HESI Med-Surg Exit Exam – Version 1 (2025)
Questions 1–25
Q1. A patient with COPD is receiving oxygen at 6
L/min via nasal cannula. The nurse notices
increasing somnolence. What is the priority action?
A. Increase oxygen to 10 L/min
B. Notify the provider immediately
,C. Lower oxygen flow to 2 L/min
D. Place patient in Trendelenburg position
Answer: C
Rationale: High-flow oxygen in COPD can
suppress hypoxic drive, leading to CO₂ retention.
Reducing flow and monitoring is priority.
Q2. Which dietary teaching is most appropriate for a
patient with heart failure?
A. Increase fluid intake to 3 liters/day
B. Limit sodium intake to 2 grams/day
C. Avoid potassium-rich foods
D. Eat frequent high-fat meals
Answer: B
Rationale: Sodium restriction reduces fluid
retention and preload in heart failure.
Q3. A patient with type 1 diabetes becomes
diaphoretic, shaky, and anxious. Blood glucose = 48
mg/dL. What is the best intervention?
A. Give 4 oz fruit juice
B. Administer insulin subcutaneously
C. Call rapid response
,D. Provide protein snack only
Answer: A
Rationale: Hypoglycemia requires rapid-acting
carbohydrate. Juice provides quick glucose.
Q4. A patient with cirrhosis is at risk for hepatic
encephalopathy. Which lab should the nurse
monitor?
A. Creatinine
B. Ammonia
C. Sodium
D. Albumin
Answer: B
Rationale: Elevated ammonia contributes to altered
mental status in cirrhosis.
Q5. A patient is admitted with suspected pulmonary
embolism. Which priority intervention should the
nurse anticipate?
A. Start IV fluids
B. Initiate anticoagulation therapy
C. Encourage ambulation
D. Prepare for chest tube insertion
, Answer: B
Rationale: Anticoagulants prevent clot extension
and further embolization.
Q6. Which finding indicates fluid overload in a
patient receiving IV normal saline at 150 mL/hr?
A. Decreased blood pressure
B. Lung crackles and dyspnea
C. Flat neck veins
D. Dry mucous membranes
Answer: B
Rationale: Crackles and dyspnea signal pulmonary
edema due to excess fluid.
Q7. Which instruction is essential for a patient with
a new ileostomy?
A. Avoid high-fiber foods initially
B. Expect formed stools
C. Irrigate daily with warm water
D. Limit fluid intake
Answer: A
Rationale: High-fiber foods may obstruct
ileostomy; liquid stool is expected.
