2026 UPDATED HESI PN MEDICAL SURGICAL NGN
2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following
medications should the nurse instruct the client to avoid taking within 24 hrs of
using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - Correct Answer-C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the blood
vessels in the lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat anginal chest
pain and thereby it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for patients with
in 24hrs of nitroglycerin administration.
1|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
A nurse is caring for a client who has a new prescription for nitroglycerin. The
nurse should monitor for which of the following adverse effects of the
medication?
Nocturia
Increased saliva production
Flushing
Fever - Correct Answer-Flushing
Rationale:
nitroglycerin is a vaso-dilator. When vaso-dilators too well, fluid start sipping out
and causing flushing
A nurse is preparing to obtain a postprandial blood glucose level from a client who
has diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent position. - Correct Answer-D. Hold the
client's finger in a dependent
position.
2|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
Rationale:
The nurse should clean the client's finger with an alcohol swab and prick the side
of the finger, not the central tip, to obtain a postprandial blood glucose level.
The nurse should not apply the first drop of blood to the test strip since the
alcohol could cause false reading.
Hexachlorophene is not recommended for cleaning the client's finger as it can
cause tissue damage.
TEST
A nurse is reinforcing teaching with a client about breast self-examinations. Which
of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than the other."
b) "It is common for the skin on my breasts to dimple."
c) "I will perform breast exams the day my period begins."
d) "I will perform breast exams every other month." - Correct Answer-A. "It is
common for one breast to be larger than
the other."
Rationale:
3|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
It is normal to have asymmetrical breasts, usually, the left breast is bigger than the
right.
This is because of the difference in the percentage of breast tissues and fatty
tissues, that's why they react differently to hormonal changes.
"Dimpling on the skin on breasts is NOT common" Physician consultation should be
taken regarding this as it can be a sign of breast cancer.
"Self-breast exams are recommended to be performed after a week when the
period starts." The rest of the month breasts reamain tender due to hormone
fluctuation.
"Self-Breast exams should be performed every month." For women in reproductive
age usually after a week when the period starts and at the same day of every
month for women who have attained menopause.
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6 hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma." - Correct Answer-C. "I will use a skin sealant before I
apply the
bag."
4|Page
2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following
medications should the nurse instruct the client to avoid taking within 24 hrs of
using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - Correct Answer-C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the blood
vessels in the lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat anginal chest
pain and thereby it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for patients with
in 24hrs of nitroglycerin administration.
1|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
A nurse is caring for a client who has a new prescription for nitroglycerin. The
nurse should monitor for which of the following adverse effects of the
medication?
Nocturia
Increased saliva production
Flushing
Fever - Correct Answer-Flushing
Rationale:
nitroglycerin is a vaso-dilator. When vaso-dilators too well, fluid start sipping out
and causing flushing
A nurse is preparing to obtain a postprandial blood glucose level from a client who
has diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent position. - Correct Answer-D. Hold the
client's finger in a dependent
position.
2|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
Rationale:
The nurse should clean the client's finger with an alcohol swab and prick the side
of the finger, not the central tip, to obtain a postprandial blood glucose level.
The nurse should not apply the first drop of blood to the test strip since the
alcohol could cause false reading.
Hexachlorophene is not recommended for cleaning the client's finger as it can
cause tissue damage.
TEST
A nurse is reinforcing teaching with a client about breast self-examinations. Which
of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than the other."
b) "It is common for the skin on my breasts to dimple."
c) "I will perform breast exams the day my period begins."
d) "I will perform breast exams every other month." - Correct Answer-A. "It is
common for one breast to be larger than
the other."
Rationale:
3|Page
, 2026 UPDATED HESI PN MEDICAL SURGICAL NGN
It is normal to have asymmetrical breasts, usually, the left breast is bigger than the
right.
This is because of the difference in the percentage of breast tissues and fatty
tissues, that's why they react differently to hormonal changes.
"Dimpling on the skin on breasts is NOT common" Physician consultation should be
taken regarding this as it can be a sign of breast cancer.
"Self-breast exams are recommended to be performed after a week when the
period starts." The rest of the month breasts reamain tender due to hormone
fluctuation.
"Self-Breast exams should be performed every month." For women in reproductive
age usually after a week when the period starts and at the same day of every
month for women who have attained menopause.
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6 hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma." - Correct Answer-C. "I will use a skin sealant before I
apply the
bag."
4|Page
