NGN HESI MED SURG EXAM 2026 ACTUAL
QUESTIONS AND ANSWERS WITH
RATIONALES GRADED A+
⩥ A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is complaining
of a headache. Her pulse rate is 43 beats per minute. It is most important
for the nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis. Answer: D. Takes digitalis.
Although it is important to obtain a complete medication history, the
symptoms described are classic for digitalis toxicity, and assessment of
this problem should be made promptly. Elderly persons are particularly
susceptible to digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea, headache, and
fatigue.
⩥ A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
, A. Osteoporosis is a progressive genetic disease with no effective
treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake
and exercise.
C. Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis. Answer: B. Calcium loss from bones can be slowed by
increasing calcium intake and exercise.
Post-menopausal females are at risk for osteoporosis due to the cessation
of estrogen secretion, but a regimen including calcium, vitamin D, and
weight-bearing exercise can help prevent further bone loss.
⩥ A client with heart disease is on a continuous telemetry monitor and
has developed sinus bradycardia. In determining the possible cause of
the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine. Answer: A. Propanolol.
QUESTIONS AND ANSWERS WITH
RATIONALES GRADED A+
⩥ A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is complaining
of a headache. Her pulse rate is 43 beats per minute. It is most important
for the nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis. Answer: D. Takes digitalis.
Although it is important to obtain a complete medication history, the
symptoms described are classic for digitalis toxicity, and assessment of
this problem should be made promptly. Elderly persons are particularly
susceptible to digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea, headache, and
fatigue.
⩥ A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
, A. Osteoporosis is a progressive genetic disease with no effective
treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake
and exercise.
C. Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis. Answer: B. Calcium loss from bones can be slowed by
increasing calcium intake and exercise.
Post-menopausal females are at risk for osteoporosis due to the cessation
of estrogen secretion, but a regimen including calcium, vitamin D, and
weight-bearing exercise can help prevent further bone loss.
⩥ A client with heart disease is on a continuous telemetry monitor and
has developed sinus bradycardia. In determining the possible cause of
the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine. Answer: A. Propanolol.
