Hesi Rn Advanced Medical-Surgical Exam | Updated Scenario-Based Questions | Verified Answers | 2025/2026 Edition

HESI RN Advanced Medical-Surgical Exam | Updated Scenario-Based Questions | 2025/2026 Edition Section 1: Introduction Tailored for advanced learners, this guide includes complex, case-based questions that simulate critical decision-making in high-acuity environments. Covers multi-system failure, emergency interventions, sepsis, shock, critical care protocols, and post-op complications. Updated for 2025/2026 and professor-verified, this A+ graded exam prep is designed for advanced med-surg readiness. Section 2: Exam Questions and Answers Format: Numbered scenario-based multiple-choice questions Each item includes four answer options Correct answer highlighted in luminous green Rationales provided to explain advanced medical-surgical concepts and critical thinking 1. A 55-year-old patient post-coronary artery bypass graft (CABG) develops chest pain and shortness of breath. Vital signs: BP 90/60 mmHg, HR 110 bpm, RR 28/min, SpO2 88%. What is the nurses priority action? A) Administer morphine for pain B) Apply oxygen and notify the surgeon C) Increase IV fluids D) Prepare for discharge Correct Answer: B) Apply oxygen and notify the surgeon Rationale: Low SpO2 and vital signs suggest a cardiac or pulmonary complication (e.g., graft failure), requiring immediate oxygen and surgical evaluation. 2. A patient with sepsis has a temperature of 39.5C, HR 120 bpm, and BP 88/50 mmHg. Which intervention is most urgent?