,BSN HESI Medical-Surgical Updated Actual Exam Questions
and Correct Answers | 400+ NGN-Style Practice Questions
with Detailed Rationales | Nightingale College 2026/2027
Edition | 100% Pass Guarantee
Content Area Approximate %
Cardiovascular Disorders 18%
Respiratory Disorders 15%
Gastrointestinal Disorders 12%
Endocrine Disorders 12%
Neurological Disorders 10%
Renal/Genitourinary Disorders 10%
Musculoskeletal Disorders 8%
Oncology/Hematology 8%
Infectious Diseases 7%
✅ FULL 200-QUESTION PRACTICE EXAM
,SECTION I: CARDIOVASCULAR DISORDERS (Questions 1–35)
Question 1
A nurse is assessing a client with heart failure. Which finding
indicates worsening fluid overload?
A. Weight gain of 3 pounds in 24 hours
B. Heart rate of 88 bpm
C. Blood pressure of 120/80 mmHg
D. Respiratory rate of 18 breaths/min
Correct Answer: A
Rationale: Weight gain of 2-3 pounds in 24 hours indicates fluid
retention and worsening heart failure. Normal vital signs (B, C,
D) do not indicate fluid overload.
Question 2
A client with heart failure is prescribed furosemide. Which
electrolyte imbalance should the nurse monitor most closely?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium
, wasting, leading to hypokalemia, which increases the risk of
K K K K K K K K
digoxin toxicity and cardiac arrhythmias.
K K K K K
Question 3 K
A client with hypertension is prescribed lisinopril. Which adverse
K K K K K K K K
effect should the nurse monitor for?
K K K K K K
A. Hyperkalemia
K
B. Hypokalemia
K
C. Hypernatremia
K
D. Hypocalcemia
K
Correct Answer: A K K
Rationale: Lisinopril is an ACE inhibitor that can cause
K K K K K K K K
hyperkalemia by reducing aldosterone. Hypokalemia is
K K K K K K
associated with diuretics.
K K K
Question 4 K
A client is prescribed amlodipine. Which adverse effect should the
K K K K K K K K K
nurse monitor for?
K K K
A. Peripheral edema
K K
B. Hyperkalemia
K
C. Bradycardia
K
D. Hypoglycemia
K
and Correct Answers | 400+ NGN-Style Practice Questions
with Detailed Rationales | Nightingale College 2026/2027
Edition | 100% Pass Guarantee
Content Area Approximate %
Cardiovascular Disorders 18%
Respiratory Disorders 15%
Gastrointestinal Disorders 12%
Endocrine Disorders 12%
Neurological Disorders 10%
Renal/Genitourinary Disorders 10%
Musculoskeletal Disorders 8%
Oncology/Hematology 8%
Infectious Diseases 7%
✅ FULL 200-QUESTION PRACTICE EXAM
,SECTION I: CARDIOVASCULAR DISORDERS (Questions 1–35)
Question 1
A nurse is assessing a client with heart failure. Which finding
indicates worsening fluid overload?
A. Weight gain of 3 pounds in 24 hours
B. Heart rate of 88 bpm
C. Blood pressure of 120/80 mmHg
D. Respiratory rate of 18 breaths/min
Correct Answer: A
Rationale: Weight gain of 2-3 pounds in 24 hours indicates fluid
retention and worsening heart failure. Normal vital signs (B, C,
D) do not indicate fluid overload.
Question 2
A client with heart failure is prescribed furosemide. Which
electrolyte imbalance should the nurse monitor most closely?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium
, wasting, leading to hypokalemia, which increases the risk of
K K K K K K K K
digoxin toxicity and cardiac arrhythmias.
K K K K K
Question 3 K
A client with hypertension is prescribed lisinopril. Which adverse
K K K K K K K K
effect should the nurse monitor for?
K K K K K K
A. Hyperkalemia
K
B. Hypokalemia
K
C. Hypernatremia
K
D. Hypocalcemia
K
Correct Answer: A K K
Rationale: Lisinopril is an ACE inhibitor that can cause
K K K K K K K K
hyperkalemia by reducing aldosterone. Hypokalemia is
K K K K K K
associated with diuretics.
K K K
Question 4 K
A client is prescribed amlodipine. Which adverse effect should the
K K K K K K K K K
nurse monitor for?
K K K
A. Peripheral edema
K K
B. Hyperkalemia
K
C. Bradycardia
K
D. Hypoglycemia
K
