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HESI Med-Surg: Hematology

49 Questions 🔒 Premium Content

The HESI Med-Surg: Hematology evaluates a nurse’s knowledge and application of concepts related to the hematologic and cardiovascular systems. It includes questions about pathophysiology, diagnostic interpretation, and nursing interventions for conditions like anemia, thrombocytopenia, hypertension, and clotting disorders. The exam integrates critical thinking to prioritize care, educate patients on chronic and acute disease management, and address emergencies like hypovolemic shock or coronary artery disease. Through clinical scenarios, it tests proficiency in understanding lab values, pharmacologic therapies, and patient education in culturally competent care. It emphasizes evidence-based practices for safe and effective patient outcomes.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A healthy 70-year-old patient has low hemoglobin levels and no signs of gastrointestinal bleeding. which item is an effect of aging that could be the reason for the low hemoglobin level?

A. Low level of hepcidin.
B. Increase in iron-binding capacity.
C. Decrease in intestinal absorption of iron.
D. Decrease in erythropoietin secretion from the kidneys.
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Q3: Which goal is a primary objective for a patient who has chronic heart failure (HF)?

A. Maximizing cardiac output.
B. Maintaining ideal body weight.
C. Performing daily aerobic exercises.
D. Maintaining a steady pulse oximetry reading.
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Q5: The nurse receives information about the assigned patients during shift report. RN Exams Which patient would the nurse assess first?

A. A patient who reports dizziness with a blood pressure (BP) of 150/92 mm Hg.
B. A patient who reports a severe headache and has begun vomiting.
C. A patient with a hip fracture who reports a pain level of 2 on a 1-to-10 scale.
D. A patient who received an angiotensin- converting enzyme (ACE) inhibitor 30 minutes previously and reports fatigue.
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Exam Details
Total Questions: 49 practice questions
Subcategory: HESI Specialty
Domain: Med-Surg HESI
Last Updated: Nov 29, 2025
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