Nursing exam prep

HESI Medical Surgical Practice Test 2026-2027 and Free Sample Questions

2026-2027 exam practice page

HESI Medical Surgical Practice Test practice test students taking an online exam with rationales and sample questions
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100 questions / 120 min
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HESI Medical Surgical Practice Test

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Question 1 Provide care for a patient with chronic obstructive pulmonary disease

Question 1: Provide care for a patient with chronic obstructive pulmonary disease

A nurse is caring for a patient with chronic obstructive pulmonary disease. Which positioning helps this patient breathe most effectively during an episode of dyspnea?

Question 2 Recognize complications of diabetes mellitus

Question 2: Recognize complications of diabetes mellitus

A nurse is caring for a patient with type 2 diabetes who reports numbness, tingling, and burning pain in both feet. Which complication of diabetes does this finding most likely represent?

Question 3 Provide care for a patient after a stroke

Question 3: Provide care for a patient after a stroke

A nurse is caring for a patient who had a stroke and now has difficulty swallowing. Which nursing intervention best reduces this patient's risk of aspiration during meals?

Question 4 Apply knowledge of cardiac disorders

Question 4: Apply knowledge of cardiac disorders

A nurse is caring for a patient admitted with acute myocardial infarction who is prescribed nitroglycerin for chest pain. Which finding should the nurse monitor for as a common side effect of nitroglycerin?

Question 5 Provide care for a patient with renal failure

Question 5: Provide care for a patient with renal failure

A nurse is caring for a patient with chronic kidney disease who has a serum potassium level of 6.4 mEq per L. Which dietary instruction should the nurse reinforce?

Question 6 Recognize signs of fluid volume overload

Question 6: Recognize signs of fluid volume overload

A nurse is assessing a patient with heart failure. Which group of findings indicates fluid volume overload?

Question 7 Provide care for a patient with a peptic ulcer

Question 7: Provide care for a patient with a peptic ulcer

A nurse is teaching a patient with a peptic ulcer about lifestyle changes. Which instruction should the nurse include to help reduce gastric irritation?

Question 8 Apply knowledge of musculoskeletal care

Question 8: Apply knowledge of musculoskeletal care

A nurse is caring for a patient with a newly applied plaster cast on the leg. Which assessment finding should the nurse report immediately?

Question 9 Provide care for a patient with hypothyroidism

Question 9: Provide care for a patient with hypothyroidism

A nurse is assessing a patient with newly diagnosed hypothyroidism. Which group of findings is most consistent with this condition?

Question 10 Apply knowledge of pain management

Question 10: Apply knowledge of pain management

A nurse is caring for a postoperative patient receiving opioid analgesics. Which assessment finding is the priority for the nurse to monitor for as a serious adverse effect of opioids?

Question 11 Provide care for a patient with a colostomy

Question 11: Provide care for a patient with a colostomy

A nurse is teaching a patient with a new colostomy about stoma care. Which finding should the nurse teach the patient indicates a healthy stoma?

Question 12 Recognize signs of a deep vein thrombosis

Question 12: Recognize signs of a deep vein thrombosis

A nurse is caring for a patient on prolonged bed rest. Which finding in the patient's lower leg should prompt the nurse to suspect a deep vein thrombosis?

Question 13 Provide care for a patient with pneumonia

Question 13: Provide care for a patient with pneumonia

A nurse is caring for a patient hospitalized with pneumonia. Which intervention helps mobilize and clear secretions from the airways?

Question 14 Apply knowledge of hepatic disorders

Question 14: Apply knowledge of hepatic disorders

A nurse is caring for a patient with cirrhosis who has developed hepatic encephalopathy. Which dietary or medication intervention does the nurse expect to help reduce ammonia levels?

Question 15 Provide care for a patient with a seizure disorder

Question 15: Provide care for a patient with a seizure disorder

A nurse is caring for a patient with a known seizure disorder. Which item should the nurse keep readily available at the bedside for seizure safety?

Question 16 Recognize signs of increased intracranial pressure

Question 16: Recognize signs of increased intracranial pressure

A nurse is caring for a patient with a head injury. Which group of findings indicates increasing intracranial pressure?

Question 17 Provide care for a patient with a urinary tract infection

Question 17: Provide care for a patient with a urinary tract infection

A nurse is teaching an older adult patient about preventing recurrent urinary tract infections. Which instruction should the nurse include?

Question 18 Apply knowledge of preoperative care

Question 18: Apply knowledge of preoperative care

A nurse is preparing a patient for surgery scheduled in the morning. The patient asks why nothing can be eaten or drunk after midnight. Which response by the nurse is most accurate?

Question 19 Provide care for a patient with anemia

Question 19: Provide care for a patient with anemia

A nurse is teaching a patient with iron deficiency anemia about taking an oral iron supplement. Which instruction should the nurse include to enhance iron absorption?

Question 20 Recognize signs of a cardiac dysrhythmia

Question 20: Recognize signs of a cardiac dysrhythmia

A nurse is caring for a patient who suddenly develops a rapid irregular pulse and reports palpitations and lightheadedness. The cardiac monitor shows atrial fibrillation. Which complication is this patient at increased risk for?

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About this practice test

What this 2026-2027 HESI Medical Surgical Practice Test covers

This page currently provides a free diagnostic sample. The paid bank is not available during editorial and source review.

100 of 300 paid questions are currently stored. Reopening requires 300 unique questions plus reviewed answers, rationales, analogies, sources, and study links.

Work through up to 100 Elsevier-style questions built around assessment, prioritization, delegation, medication safety, fluid and electrolyte balance, and clinical judgment.
Use answer-by-answer rationales to understand why the best option wins and why close distractors fail.
Start with the free sample before paying, then unlock the full timed bank only if the practice style fits.
Review missed questions with memory-friendly explanations so the tested pattern is easier to recognize later.

Use this HESI Medical Surgical Practice Test to practice realistic Elsevier questions with 20 free sample questions, timed full-bank review, answer explanations, and focused rationales for assessment, prioritization, delegation, medication safety, fluid and electrolyte balance, and clinical judgment.

Built for nursing students and candidates searching for HESI Medical Surgical Practice Test, HESI Medical Surgical practice questions, or a clear HESI Medical Surgical study guide before an upcoming exam date.

Focus areas include assessment, prioritization, delegation, medication safety, fluid and electrolyte balance, and clinical judgment, along with realistic timing, careful review of why distractors are wrong, and practical explanations that help the tested pattern stick.

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What you will practice on this page

  • Work through up to 100 Elsevier-style questions built around assessment, prioritization, delegation, medication safety, fluid and electrolyte balance, and clinical judgment.
  • Use answer-by-answer rationales to understand why the best option wins and why close distractors fail.
  • Start with the free sample before paying, then unlock the full timed bank only if the practice style fits.
  • Review missed questions with memory-friendly explanations so the tested pattern is easier to recognize later.

How to use this exam to study smarter

  1. Start with the free HESI Medical Surgical sample as a diagnostic so you know whether content, timing, or question wording is the real problem.
  2. Review every missed question before moving on, especially the distractors that felt tempting under time pressure.
  3. Retake the full HESI Medical Surgical practice test in timed mode and use the score report to choose the next weak area.

Frequently asked questions

Is paid access currently available for this exam?

No. Paid checkout is paused while the bank contains 100 of the required 300 questions and completes editorial, rationale, source, and duplication review.

Can I still use the free sample?

Yes. The free sample remains available so you can practice and evaluate the current question style without purchasing an incomplete bank.

When will paid access reopen?

Paid access will reopen only after the bank contains 300 unique questions and receives explicit quality approval for its answers, rationales, analogies, sources, and study links.

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No practice resource can guarantee a passing score. Use practice results to identify weak topics and confirm important facts against the current official exam outline and authoritative sources.

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