HESI PN MED-SURG / PN HESI MEDICAL-SURGICAL EXAM LATEST 2025/2026 |
ACTUAL EXAM WITH COMPLETE REAL QUESTIONS AND WELL-ELABORATED
ANSWERS (CORRECT VERIFIED SOLUTIONS) | NEW UPDATED VERSION |
ALREADY GRADED A+
HESI PN Medical-Surgical Nursing Exam | Verified Q&A Resource: Includes Adult Health,
Surgical Nursing, Fluid & Electrolyte Balance, Respiratory, Cardiovascular, Neurology, GI,
Endocrine, Renal, and Musculoskeletal Systems | 100% Correct, Well-Explained Answers |
Graded A+ | NCLEX-PN & Clinical Prep Ready
Introduction
This updated 2025/2026 HESI PN Med-Surg Exam provides a complete collection of real,
verified questions and well-elaborated answers. Covers high-yield nursing priorities,
patient-centered interventions, pharmacologic therapies, and case-based scenarios designed to
strengthen clinical reasoning. All solutions are expert-verified, A+ graded, and aligned with the
latest HESI PN standards for exam and clinical success.
Answer Format
All correct answers are presented in bold and green, with detailed rationales that explain safe
nursing practices, reinforce evidence-based interventions, and build strong exam-level critical
thinking skills.
HESI PN Med-Surg Exam 2025/2026
Question 1: A patient with pneumonia has a respiratory rate of 28 breaths/min.
What is the priority nursing action?
A) Administer oxygen
B) Encourage fluids
C) Take vital signs
D) Administer antibiotics
A) Administer oxygen
Rationale: Oxygen addresses hypoxia, the immediate concern with increased respiratory rate.
Question 2: A patient post-appendectomy has abdominal pain. What should the
nurse do first?
A) Assess the incision site
B) Administer pain medication
C) Encourage ambulation
D) Increase fluid intake
A) Assess the incision site
Rationale: Assessment identifies complications like infection or dehiscence.
,Question 3: A patient with diabetes mellitus has a blood glucose of 60 mg/dL. What
is the priority intervention?
A) Administer insulin
B) Provide a glucose source
C) Recheck in 1 hour
D) Notify the provider
B) Provide a glucose source
Rationale: A quick glucose source (e.g., juice) treats hypoglycemia immediately.
Question 4: A patient with a fractured femur has swelling. What is the priority
action?
A) Elevate the leg
B) Apply a cold pack
C) Administer analgesics
D) Encourage ambulation
A) Elevate the leg
Rationale: Elevation reduces swelling and improves circulation.
Question 5: A patient with heart failure has dyspnea. What is the best position?
A) Supine
B) High Fowler’s
C) Prone
D) Trendelenburg
B) High Fowler’s
Rationale: Elevating the head eases breathing by reducing pressure on the diaphragm.
Question 6: A patient with a urinary tract infection (UTI) has a fever of 101°F
(38.3°C). What is the priority?
A) Administer antibiotics
B) Encourage fluids
C) Apply a cool cloth
D) Administer antipyretics
A) Administer antibiotics
Rationale: Antibiotics treat the underlying infection causing fever.
Question 7: A patient with a stroke has left-sided weakness. What is the priority
assessment?
A) Swallowing ability
B) Blood pressure
C) Urine output
D) Temperature
A) Swallowing ability
Rationale: Assessing swallowing prevents aspiration risk.
Question 8: A patient with cirrhosis has ascites. What is the priority intervention?
A) Measure abdominal girth
B) Administer diuretics
, C) Encourage ambulation
D) Increase sodium intake
A) Measure abdominal girth
Rationale: Monitoring girth assesses fluid accumulation.
Question 9: A patient with a chest tube has continuous bubbling in the water seal.
What does this indicate?
A) Normal function
B) Air leak
C) Clogged tube
D) Infection
B) Air leak
Rationale: Continuous bubbling suggests an air leak requiring intervention.
Question 10: A patient with hyperthyroidism has weight loss. What medication
should the nurse anticipate?
A) Methimazole
B) Levothyroxine
C) Insulin
D) Prednisone
A) Methimazole
Rationale: Methimazole reduces thyroid hormone production.
Question 11: A patient with a myocardial infarction has chest pain. What is the
priority medication?
A) Nitroglycerin
B) Acetaminophen
C) Ibuprofen
D) Aspirin
A) Nitroglycerin
Rationale: Nitroglycerin relieves chest pain by dilating coronary arteries.
Question 12: A patient with a hip replacement has hip dislocation. What is the
priority?
A) Immobilize the hip
B) Administer analgesics
C) Encourage ambulation
D) Apply heat
A) Immobilize the hip
Rationale: Immobilization prevents further damage.
Question 13: A patient with a seizure has a tonic-clonic episode. What is the
priority action?
A) Protect from injury
B) Administer oxygen
C) Check vital signs
D) Give medication
ACTUAL EXAM WITH COMPLETE REAL QUESTIONS AND WELL-ELABORATED
ANSWERS (CORRECT VERIFIED SOLUTIONS) | NEW UPDATED VERSION |
ALREADY GRADED A+
HESI PN Medical-Surgical Nursing Exam | Verified Q&A Resource: Includes Adult Health,
Surgical Nursing, Fluid & Electrolyte Balance, Respiratory, Cardiovascular, Neurology, GI,
Endocrine, Renal, and Musculoskeletal Systems | 100% Correct, Well-Explained Answers |
Graded A+ | NCLEX-PN & Clinical Prep Ready
Introduction
This updated 2025/2026 HESI PN Med-Surg Exam provides a complete collection of real,
verified questions and well-elaborated answers. Covers high-yield nursing priorities,
patient-centered interventions, pharmacologic therapies, and case-based scenarios designed to
strengthen clinical reasoning. All solutions are expert-verified, A+ graded, and aligned with the
latest HESI PN standards for exam and clinical success.
Answer Format
All correct answers are presented in bold and green, with detailed rationales that explain safe
nursing practices, reinforce evidence-based interventions, and build strong exam-level critical
thinking skills.
HESI PN Med-Surg Exam 2025/2026
Question 1: A patient with pneumonia has a respiratory rate of 28 breaths/min.
What is the priority nursing action?
A) Administer oxygen
B) Encourage fluids
C) Take vital signs
D) Administer antibiotics
A) Administer oxygen
Rationale: Oxygen addresses hypoxia, the immediate concern with increased respiratory rate.
Question 2: A patient post-appendectomy has abdominal pain. What should the
nurse do first?
A) Assess the incision site
B) Administer pain medication
C) Encourage ambulation
D) Increase fluid intake
A) Assess the incision site
Rationale: Assessment identifies complications like infection or dehiscence.
,Question 3: A patient with diabetes mellitus has a blood glucose of 60 mg/dL. What
is the priority intervention?
A) Administer insulin
B) Provide a glucose source
C) Recheck in 1 hour
D) Notify the provider
B) Provide a glucose source
Rationale: A quick glucose source (e.g., juice) treats hypoglycemia immediately.
Question 4: A patient with a fractured femur has swelling. What is the priority
action?
A) Elevate the leg
B) Apply a cold pack
C) Administer analgesics
D) Encourage ambulation
A) Elevate the leg
Rationale: Elevation reduces swelling and improves circulation.
Question 5: A patient with heart failure has dyspnea. What is the best position?
A) Supine
B) High Fowler’s
C) Prone
D) Trendelenburg
B) High Fowler’s
Rationale: Elevating the head eases breathing by reducing pressure on the diaphragm.
Question 6: A patient with a urinary tract infection (UTI) has a fever of 101°F
(38.3°C). What is the priority?
A) Administer antibiotics
B) Encourage fluids
C) Apply a cool cloth
D) Administer antipyretics
A) Administer antibiotics
Rationale: Antibiotics treat the underlying infection causing fever.
Question 7: A patient with a stroke has left-sided weakness. What is the priority
assessment?
A) Swallowing ability
B) Blood pressure
C) Urine output
D) Temperature
A) Swallowing ability
Rationale: Assessing swallowing prevents aspiration risk.
Question 8: A patient with cirrhosis has ascites. What is the priority intervention?
A) Measure abdominal girth
B) Administer diuretics
, C) Encourage ambulation
D) Increase sodium intake
A) Measure abdominal girth
Rationale: Monitoring girth assesses fluid accumulation.
Question 9: A patient with a chest tube has continuous bubbling in the water seal.
What does this indicate?
A) Normal function
B) Air leak
C) Clogged tube
D) Infection
B) Air leak
Rationale: Continuous bubbling suggests an air leak requiring intervention.
Question 10: A patient with hyperthyroidism has weight loss. What medication
should the nurse anticipate?
A) Methimazole
B) Levothyroxine
C) Insulin
D) Prednisone
A) Methimazole
Rationale: Methimazole reduces thyroid hormone production.
Question 11: A patient with a myocardial infarction has chest pain. What is the
priority medication?
A) Nitroglycerin
B) Acetaminophen
C) Ibuprofen
D) Aspirin
A) Nitroglycerin
Rationale: Nitroglycerin relieves chest pain by dilating coronary arteries.
Question 12: A patient with a hip replacement has hip dislocation. What is the
priority?
A) Immobilize the hip
B) Administer analgesics
C) Encourage ambulation
D) Apply heat
A) Immobilize the hip
Rationale: Immobilization prevents further damage.
Question 13: A patient with a seizure has a tonic-clonic episode. What is the
priority action?
A) Protect from injury
B) Administer oxygen
C) Check vital signs
D) Give medication
