MED SURG 2 HESI TEST EXAM (55 QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD
Examiner/Administrator: Health Education Systems Incorporated (HESI)
Candidate Name: ________________________________
Candidate ID: ________________________________
Date: ________________________________
Examination Centre: ________________________________
Time Allocation: 90 Minutes
Total Questions: Approximately 55 Questions
Instructions: Answer all questions. Select the best answer for each scenario. No external
materials permitted.
,⚠️ Disclaimer: This is a professionally developed, original simulation exam designed to
reflect the structure and rigor of a typical Med-Surg HESI assessment. It is intended solely
for educational preparation.
_______________________
This examination evaluates advanced clinical reasoning, prioritization, and application
of medical-surgical nursing concepts. Candidates are expected to integrate knowledge of
pathophysiology, pharmacology, and patient-centered care to make safe and effective
clinical decisions.
Core competency areas include cardiovascular disorders, respiratory management, renal
and endocrine conditions, neurological care, perioperative nursing, infection control, and
fluid-electrolyte balance.
QUESTIONS
,Q1. A client with acute decompensated heart failure presents with dyspnea, crackles, and
oxygen saturation of 86%. Which nursing action should be implemented FIRST?
A. Administer IV furosemide
B. Place the client in high Fowler’s position
C. Initiate fluid restriction
D. Monitor intake and output
Correct Answer: 🔴 B. Place the client in high Fowler’s position
Explanation: Positioning improves ventilation immediately by reducing preload and lung
congestion, making it the priority. A is important but requires provider order/time. C and D
are supportive but not immediate life-saving actions.
Q2. A postoperative client develops sudden shortness of breath and chest pain. Which
complication should the nurse suspect?
A. Atelectasis
B. Pulmonary embolism
C. Pneumonia
D. Pleural effusion
Correct Answer: 🔴 B. Pulmonary embolism
, Explanation: Sudden dyspnea and chest pain post-op strongly suggest PE. Atelectasis (A) is
gradual, pneumonia (C) presents with fever, and pleural effusion (D) develops more slowly.
Q3. A client with chronic kidney disease has potassium level of 6.2 mEq/L. What is the
priority intervention?
A. Administer potassium supplement
B. Monitor urine output
C. Initiate cardiac monitoring
D. Restrict sodium intake
Correct Answer: 🔴 C. Initiate cardiac monitoring
Explanation: Hyperkalemia can cause fatal arrhythmias; continuous cardiac monitoring is
essential. A is contraindicated. B and D are secondary concerns.
Q4. A nurse is caring for a client with diabetic ketoacidosis (DKA). Which finding indicates
improvement?
A. Blood glucose 250 mg/dL
B. pH 7.35
QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD
Examiner/Administrator: Health Education Systems Incorporated (HESI)
Candidate Name: ________________________________
Candidate ID: ________________________________
Date: ________________________________
Examination Centre: ________________________________
Time Allocation: 90 Minutes
Total Questions: Approximately 55 Questions
Instructions: Answer all questions. Select the best answer for each scenario. No external
materials permitted.
,⚠️ Disclaimer: This is a professionally developed, original simulation exam designed to
reflect the structure and rigor of a typical Med-Surg HESI assessment. It is intended solely
for educational preparation.
_______________________
This examination evaluates advanced clinical reasoning, prioritization, and application
of medical-surgical nursing concepts. Candidates are expected to integrate knowledge of
pathophysiology, pharmacology, and patient-centered care to make safe and effective
clinical decisions.
Core competency areas include cardiovascular disorders, respiratory management, renal
and endocrine conditions, neurological care, perioperative nursing, infection control, and
fluid-electrolyte balance.
QUESTIONS
,Q1. A client with acute decompensated heart failure presents with dyspnea, crackles, and
oxygen saturation of 86%. Which nursing action should be implemented FIRST?
A. Administer IV furosemide
B. Place the client in high Fowler’s position
C. Initiate fluid restriction
D. Monitor intake and output
Correct Answer: 🔴 B. Place the client in high Fowler’s position
Explanation: Positioning improves ventilation immediately by reducing preload and lung
congestion, making it the priority. A is important but requires provider order/time. C and D
are supportive but not immediate life-saving actions.
Q2. A postoperative client develops sudden shortness of breath and chest pain. Which
complication should the nurse suspect?
A. Atelectasis
B. Pulmonary embolism
C. Pneumonia
D. Pleural effusion
Correct Answer: 🔴 B. Pulmonary embolism
, Explanation: Sudden dyspnea and chest pain post-op strongly suggest PE. Atelectasis (A) is
gradual, pneumonia (C) presents with fever, and pleural effusion (D) develops more slowly.
Q3. A client with chronic kidney disease has potassium level of 6.2 mEq/L. What is the
priority intervention?
A. Administer potassium supplement
B. Monitor urine output
C. Initiate cardiac monitoring
D. Restrict sodium intake
Correct Answer: 🔴 C. Initiate cardiac monitoring
Explanation: Hyperkalemia can cause fatal arrhythmias; continuous cardiac monitoring is
essential. A is contraindicated. B and D are secondary concerns.
Q4. A nurse is caring for a client with diabetic ketoacidosis (DKA). Which finding indicates
improvement?
A. Blood glucose 250 mg/dL
B. pH 7.35
