Actual and Retake RN Adult Medical-
Surgical 2026 | Proctored Exam, NGN
Questions and Updated Answer
2026/2027 NEWEST EVALUATED EXAM
PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
Cardiovascular Disorders
1.
A client with acute heart failure has dyspnea, crackles, and an oxygen
saturation of 86%. Which action should the nurse take first?
A. Obtain the client's weight
B. Administer prescribed IV furosemide
C. Place the client in high-Fowler's position
D. Restrict oral fluids
Answer: C. Place the client in high-Fowler's position
Rationale: High-Fowler's positioning decreases venous return and
improves lung expansion, making it an immediate intervention for
severe dyspnea.
,2.
A client taking digoxin has an apical pulse of 52/min. What should
the nurse do?
A. Administer the medication
B. Give the medication with food
C. Hold the dose and notify the provider
D. Give an additional dose later
Answer: C. Hold the dose and notify the provider
Rationale: Digoxin can cause bradycardia. The medication is
generally withheld when the adult apical pulse is below 60/min.
3.
Which finding in a client receiving IV heparin requires immediate
intervention?
A. aPTT mildly above therapeutic range
B. Platelet count of 90,000/mm³
C. Hemoglobin of 13 g/dL
D. Heart rate of 82/min
Answer: B. Platelet count of 90,000/mm³
Rationale: A significant platelet decrease can indicate heparin-
induced thrombocytopenia, which requires prompt evaluation.
4.
A client with myocardial infarction reports sudden severe chest pain
despite prescribed nitroglycerin. Which action is priority?
A. Encourage ambulation
B. Obtain a 12-lead ECG
,C. Offer oral fluids
D. Place the client flat
Answer: B. Obtain a 12-lead ECG
Rationale: Persistent or recurrent chest pain after treatment requires
rapid assessment for ongoing ischemia or reinfarction.
5.
Which assessment finding is most concerning in a client with atrial
fibrillation?
A. Irregular pulse
B. Heart rate of 88/min
C. Sudden unilateral weakness
D. Mild fatigue
Answer: C. Sudden unilateral weakness
Rationale: Atrial fibrillation increases the risk of thromboembolic
stroke. Sudden neurologic deficits require immediate intervention.
6.
A client prescribed warfarin asks which food should be eaten
consistently rather than avoided completely.
A. Spinach
B. Grapefruit
C. White rice
D. Apples
Answer: A. Spinach
, Rationale: Vitamin K intake affects warfarin therapy. Clients should
maintain a consistent intake of vitamin-K-containing foods rather
than abruptly changing consumption.
7.
A client with peripheral arterial disease reports leg pain when
walking that improves with rest. The nurse identifies this as:
A. Venous stasis
B. Intermittent claudication
C. Neuropathic pain
D. Deep vein thrombosis
Answer: B. Intermittent claudication
Rationale: Intermittent claudication is ischemic muscle pain caused
by inadequate arterial blood flow during activity.
8.
Which finding is most consistent with deep vein thrombosis?
A. Bilateral cool feet
B. Unilateral calf swelling
C. Bounding pedal pulses
D. Pale fingers
Answer: B. Unilateral calf swelling
Rationale: DVT commonly presents with unilateral swelling, warmth,
tenderness, and sometimes erythema.
9.
Surgical 2026 | Proctored Exam, NGN
Questions and Updated Answer
2026/2027 NEWEST EVALUATED EXAM
PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
Cardiovascular Disorders
1.
A client with acute heart failure has dyspnea, crackles, and an oxygen
saturation of 86%. Which action should the nurse take first?
A. Obtain the client's weight
B. Administer prescribed IV furosemide
C. Place the client in high-Fowler's position
D. Restrict oral fluids
Answer: C. Place the client in high-Fowler's position
Rationale: High-Fowler's positioning decreases venous return and
improves lung expansion, making it an immediate intervention for
severe dyspnea.
,2.
A client taking digoxin has an apical pulse of 52/min. What should
the nurse do?
A. Administer the medication
B. Give the medication with food
C. Hold the dose and notify the provider
D. Give an additional dose later
Answer: C. Hold the dose and notify the provider
Rationale: Digoxin can cause bradycardia. The medication is
generally withheld when the adult apical pulse is below 60/min.
3.
Which finding in a client receiving IV heparin requires immediate
intervention?
A. aPTT mildly above therapeutic range
B. Platelet count of 90,000/mm³
C. Hemoglobin of 13 g/dL
D. Heart rate of 82/min
Answer: B. Platelet count of 90,000/mm³
Rationale: A significant platelet decrease can indicate heparin-
induced thrombocytopenia, which requires prompt evaluation.
4.
A client with myocardial infarction reports sudden severe chest pain
despite prescribed nitroglycerin. Which action is priority?
A. Encourage ambulation
B. Obtain a 12-lead ECG
,C. Offer oral fluids
D. Place the client flat
Answer: B. Obtain a 12-lead ECG
Rationale: Persistent or recurrent chest pain after treatment requires
rapid assessment for ongoing ischemia or reinfarction.
5.
Which assessment finding is most concerning in a client with atrial
fibrillation?
A. Irregular pulse
B. Heart rate of 88/min
C. Sudden unilateral weakness
D. Mild fatigue
Answer: C. Sudden unilateral weakness
Rationale: Atrial fibrillation increases the risk of thromboembolic
stroke. Sudden neurologic deficits require immediate intervention.
6.
A client prescribed warfarin asks which food should be eaten
consistently rather than avoided completely.
A. Spinach
B. Grapefruit
C. White rice
D. Apples
Answer: A. Spinach
, Rationale: Vitamin K intake affects warfarin therapy. Clients should
maintain a consistent intake of vitamin-K-containing foods rather
than abruptly changing consumption.
7.
A client with peripheral arterial disease reports leg pain when
walking that improves with rest. The nurse identifies this as:
A. Venous stasis
B. Intermittent claudication
C. Neuropathic pain
D. Deep vein thrombosis
Answer: B. Intermittent claudication
Rationale: Intermittent claudication is ischemic muscle pain caused
by inadequate arterial blood flow during activity.
8.
Which finding is most consistent with deep vein thrombosis?
A. Bilateral cool feet
B. Unilateral calf swelling
C. Bounding pedal pulses
D. Pale fingers
Answer: B. Unilateral calf swelling
Rationale: DVT commonly presents with unilateral swelling, warmth,
tenderness, and sometimes erythema.
9.
