Approved RN Medical-Surgical Exam 2023 Retake | Updated 2026 Version with
NGN | 100 Verified Questions & Answers | Pass Level 3
,
,SECTION 1: CARDIOVASCULAR (Questions 1–15)
Question 1 of 100
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of
the following findings should the nurse monitor as an adverse effect?
• A. Hyperkalemia
• B. Hypokalemia
• C. Hypernatremia
• D. Hypoglycemia
Correct Answer: B – Hypokalemia
Rationale: Furosemide is a loop diuretic that causes potassium wasting, leading to
hypokalemia. Monitor potassium levels and assess for muscle weakness and cardiac
arrhythmias.
Question 2 of 100
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding of
the teaching?
• A. "I will eat more leafy green vegetables."
• B. "I will use a soft-bristled toothbrush."
• C. "I will take ibuprofen for headaches."
• D. "I will stop the medication if I see bruising."
, Correct Answer: B – "I will use a soft-bristled toothbrush."
Rationale: A soft-bristled toothbrush prevents bleeding gums. Avoid green vegetables
(vitamin K). Avoid NSAIDs (ibuprofen). Do not stop warfarin without a provider order.
Question 3 of 100
A nurse is caring for a client who is 6 hours post-cardiac catheterization via the right
femoral artery. Which of the following findings should the nurse report to the provider
immediately?
• A. Heart rate 88 bpm
• B. Blood pressure 118/72 mm Hg
• C. Right foot cool to touch with diminished pulse
• D. Small amount of serous drainage at the insertion site
Correct Answer: C – Right foot cool to touch with diminished pulse
Rationale: Cool extremity with diminished pulse indicates arterial occlusion or thrombus
formation, a medical emergency. Serous drainage is expected.
Question 4 of 100
A nurse is monitoring a client who is receiving a blood transfusion. The client reports
chills and low back pain. Which of the following actions should the nurse take first?
• A. Stop the transfusion
• B. Notify the provider
• C. Administer acetaminophen
• D. Slow the infusion rate
NGN | 100 Verified Questions & Answers | Pass Level 3
,
,SECTION 1: CARDIOVASCULAR (Questions 1–15)
Question 1 of 100
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of
the following findings should the nurse monitor as an adverse effect?
• A. Hyperkalemia
• B. Hypokalemia
• C. Hypernatremia
• D. Hypoglycemia
Correct Answer: B – Hypokalemia
Rationale: Furosemide is a loop diuretic that causes potassium wasting, leading to
hypokalemia. Monitor potassium levels and assess for muscle weakness and cardiac
arrhythmias.
Question 2 of 100
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding of
the teaching?
• A. "I will eat more leafy green vegetables."
• B. "I will use a soft-bristled toothbrush."
• C. "I will take ibuprofen for headaches."
• D. "I will stop the medication if I see bruising."
, Correct Answer: B – "I will use a soft-bristled toothbrush."
Rationale: A soft-bristled toothbrush prevents bleeding gums. Avoid green vegetables
(vitamin K). Avoid NSAIDs (ibuprofen). Do not stop warfarin without a provider order.
Question 3 of 100
A nurse is caring for a client who is 6 hours post-cardiac catheterization via the right
femoral artery. Which of the following findings should the nurse report to the provider
immediately?
• A. Heart rate 88 bpm
• B. Blood pressure 118/72 mm Hg
• C. Right foot cool to touch with diminished pulse
• D. Small amount of serous drainage at the insertion site
Correct Answer: C – Right foot cool to touch with diminished pulse
Rationale: Cool extremity with diminished pulse indicates arterial occlusion or thrombus
formation, a medical emergency. Serous drainage is expected.
Question 4 of 100
A nurse is monitoring a client who is receiving a blood transfusion. The client reports
chills and low back pain. Which of the following actions should the nurse take first?
• A. Stop the transfusion
• B. Notify the provider
• C. Administer acetaminophen
• D. Slow the infusion rate
