NGN Nursing Med-Surg HESI Exit Exam |
Latest Test Bank with Rationales |
Updated 2025/2026 | Rated A
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
(ANS- Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a
simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which
symptoms indicate to the nurse that the prescribed dosage is too high for this
client? The client experiences
Bradycardia and constipation
Lethargy and lack of appetite
Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
(ANS- Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
(ANS- Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
(ANS- 75
,Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
,mcg x 250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanisms that are responsible for ascites related to liver
failure? (Select all that apply)
(ANS- Fluid shifts from intravascular to interstitial area due to decreased serum
protein
Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
Increased circulating aldosterone levels that increase sodium and water retention
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
(ANS- Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with the
blood turbulence created by the heart or valvular defect.
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM
for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent
to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required,
round to the nearest tenth)
(ANS- 0.4
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
Auscultate the client's bowel sounds
Observe for edema around the ankles
Measure the client's capillary glucose level
Count the apical and radial pulses simultaneously
(ANS- Auscultate the client's bowel sounds
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
, Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
frequently causes constipation, so it is most important to Auscultate the client's
bowel sounds
A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no
heroic measures" taken if she stops breathing, and she asks the nurse to document
this in her medical record. What action should the nurse implement?
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
A client is receiving a full strength continuous enteral tube feeding at 50
ml/hour and has developed diarrhea. The client has a new prescription to change
the feeding to half strength. What intervention should the nurse implement?
(ANS- Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
(ANS- Have you noticed any changes in your fingernails?
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
(ANS- Review with the client the need to avoid foods that are rich in milk and
cream
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been taking
the prescribed medication because the drugs make him "feel bad". In explaining
the need for hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
(ANS- Stroke secondary to hemorrhage
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
Latest Test Bank with Rationales |
Updated 2025/2026 | Rated A
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
(ANS- Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a
simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which
symptoms indicate to the nurse that the prescribed dosage is too high for this
client? The client experiences
Bradycardia and constipation
Lethargy and lack of appetite
Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
(ANS- Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
(ANS- Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
(ANS- 75
,Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
,mcg x 250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanisms that are responsible for ascites related to liver
failure? (Select all that apply)
(ANS- Fluid shifts from intravascular to interstitial area due to decreased serum
protein
Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
Increased circulating aldosterone levels that increase sodium and water retention
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
(ANS- Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with the
blood turbulence created by the heart or valvular defect.
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM
for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent
to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required,
round to the nearest tenth)
(ANS- 0.4
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
Auscultate the client's bowel sounds
Observe for edema around the ankles
Measure the client's capillary glucose level
Count the apical and radial pulses simultaneously
(ANS- Auscultate the client's bowel sounds
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
, Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
frequently causes constipation, so it is most important to Auscultate the client's
bowel sounds
A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no
heroic measures" taken if she stops breathing, and she asks the nurse to document
this in her medical record. What action should the nurse implement?
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
A client is receiving a full strength continuous enteral tube feeding at 50
ml/hour and has developed diarrhea. The client has a new prescription to change
the feeding to half strength. What intervention should the nurse implement?
(ANS- Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
(ANS- Have you noticed any changes in your fingernails?
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
(ANS- Review with the client the need to avoid foods that are rich in milk and
cream
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been taking
the prescribed medication because the drugs make him "feel bad". In explaining
the need for hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
(ANS- Stroke secondary to hemorrhage
NGN NURSIN Med sur HES exit exa lates uui test
bank
G with rationale
g Icomplete mRate tA+
s d
