NSG 3800 Exam 4 med surge 2 practice exam
questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 4 Prep 2026-
2027 (NSG 3800 Medical Surgical II Exam 4 Prep)
A patient with HIV has white plaques in the mouth that bleed when scraped. What
is this?
A. Oral candidiasis (thrush)
B. Herpes simplex virus
C. Kaposi sarcoma
D. Oral hairy leukoplakia
-ANSWER- A
What is the primary transmission route of Hepatitis A?
A. Blood and sexual contact
B. Fecal-oral route
C. Airborne droplets
D. Needlestick injury
-ANSWER- B
Which hepatitis types have vaccines available?
A. Hepatitis A and B
B. Hepatitis B and C
C. Hepatitis A and C
D. Hepatitis C and E
-ANSWER- A
What lab finding is associated with cirrhosis and ascites?
A. Elevated serum albumin
B. Low serum albumin
C. Elevated serum calcium
D. Low serum potassium
-ANSWER- B
1
,Which electrolyte imbalance is common in Addison's disease?
A. Hypernatremia and hypokalemia
B. Hyponatremia and hyperkalemia
C. Hypernatremia and hyperkalemia
D. Hyponatremia and hypokalemia
-ANSWER- B
What hormone is deficient in hypothyroidism?
A. Cortisol
B. Aldosterone
C. Thyroid hormones T3 and T4
D. Parathyroid hormone
-ANSWER- C
Which antibody is associated with lupus (SLE)?
A. Positive ANA
B. Positive anti-CCP
C. Positive RF
D. Positive anti-GBM
-ANSWER- A
What is the hallmark sign of Hodgkin lymphoma?
A. Bence-Jones protein
B. Reed-Sternberg cells
C. Auer rods
D. Heinz bodies
-ANSWER- B
Which protein is found in urine in multiple myeloma?
A. Albumin
B. Bence-Jones protein
C. Myoglobin
D. Hemoglobin
-ANSWER- B
What CD4 count defines progression from HIV to AIDS?
A. CD4 count less than 500 cells
B. CD4 count less than 350 cells
C. CD4 count less than 200 cells
2
,D. CD4 count less than 100 cells
-ANSWER- C
Which dietary change is needed for hyperparathyroidism?
A. Increase high-calcium foods
B. Avoid high-calcium foods
C. Increase high-phosphorus foods
D. Decrease fluid intake
-ANSWER- B
A client with acute cholecystitis reports RUQ pain radiating to the shoulder after
eating. What is the likely cause?
A. Gastric ulcer perforation
B. Gallbladder inflammation triggered by fatty food intake
C. Pancreatic enzyme deficiency
D. Liver cirrhosis decompensation
-ANSWER- B
A nurse notes tremors, weight loss, and exophthalmos in a patient. Which disorder
is suspected?
A. Hypothyroidism
B. Hyperthyroidism (Graves' disease)
C. Cushing's syndrome
D. Addison's disease
-ANSWER- B
A client with Addison's disease is admitted with severe hypotension. What is the
priority action?
A. Administer IV corticosteroids and fluids
B. Administer oral potassium binders
C. Restrict fluid intake
D. Administer antihypertensive medications
-ANSWER- A
A client develops tetany after thyroidectomy. What is the cause?
A. Hyperkalemia from adrenal insufficiency
B. Hypernatremia from fluid retention
C. Hypocalcemia from possible parathyroid removal
D. Hypercalcemia from bone demineralization
-ANSWER- C
3
, A client with cirrhosis develops confusion and asterixis. What lab finding explains
this?
A. Elevated serum ammonia levels
B. Low serum sodium levels
C. Elevated serum glucose levels
D. Low serum potassium levels
-ANSWER- A
A client with SLE presents with pericarditis and proteinuria. What does this
indicate?
A. Localized skin involvement only
B. Systemic involvement of lupus affecting heart and kidneys
C. Medication side effects from hydroxychloroquine
D. Secondary infection from immunosuppression
-ANSWER- B
A client receiving chemotherapy is neutropenic. Which precaution is most
important?
A. Strict bed rest at all times
B. Protective isolation with no fresh fruit, flowers, or sick visitors
C. Fluid restriction to prevent overload
D. Frequent ambulation in crowded areas
-ANSWER- B
A client with non-Hodgkin lymphoma is at risk for tumor lysis syndrome. Which
lab is expected?
A. Hypokalemia, hypophosphatemia, hypouricemia
B. Hyperkalemia, hyperphosphatemia, hyperuricemia
C. Hypernatremia, hypocalcemia, hypomagnesemia
D. Hyponatremia, hypercalcemia, hyperglycemia
-ANSWER- B
A client with Cushing's syndrome reports easy bruising and purple striae. What is
the cause?
A. Excess cortisol leading to protein breakdown and skin fragility
B. Deficient cortisol leading to poor wound healing
C. Excess aldosterone leading to fluid retention
D. Deficient aldosterone leading to electrolyte imbalance
-ANSWER- A
4
questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 4 Prep 2026-
2027 (NSG 3800 Medical Surgical II Exam 4 Prep)
A patient with HIV has white plaques in the mouth that bleed when scraped. What
is this?
A. Oral candidiasis (thrush)
B. Herpes simplex virus
C. Kaposi sarcoma
D. Oral hairy leukoplakia
-ANSWER- A
What is the primary transmission route of Hepatitis A?
A. Blood and sexual contact
B. Fecal-oral route
C. Airborne droplets
D. Needlestick injury
-ANSWER- B
Which hepatitis types have vaccines available?
A. Hepatitis A and B
B. Hepatitis B and C
C. Hepatitis A and C
D. Hepatitis C and E
-ANSWER- A
What lab finding is associated with cirrhosis and ascites?
A. Elevated serum albumin
B. Low serum albumin
C. Elevated serum calcium
D. Low serum potassium
-ANSWER- B
1
,Which electrolyte imbalance is common in Addison's disease?
A. Hypernatremia and hypokalemia
B. Hyponatremia and hyperkalemia
C. Hypernatremia and hyperkalemia
D. Hyponatremia and hypokalemia
-ANSWER- B
What hormone is deficient in hypothyroidism?
A. Cortisol
B. Aldosterone
C. Thyroid hormones T3 and T4
D. Parathyroid hormone
-ANSWER- C
Which antibody is associated with lupus (SLE)?
A. Positive ANA
B. Positive anti-CCP
C. Positive RF
D. Positive anti-GBM
-ANSWER- A
What is the hallmark sign of Hodgkin lymphoma?
A. Bence-Jones protein
B. Reed-Sternberg cells
C. Auer rods
D. Heinz bodies
-ANSWER- B
Which protein is found in urine in multiple myeloma?
A. Albumin
B. Bence-Jones protein
C. Myoglobin
D. Hemoglobin
-ANSWER- B
What CD4 count defines progression from HIV to AIDS?
A. CD4 count less than 500 cells
B. CD4 count less than 350 cells
C. CD4 count less than 200 cells
2
,D. CD4 count less than 100 cells
-ANSWER- C
Which dietary change is needed for hyperparathyroidism?
A. Increase high-calcium foods
B. Avoid high-calcium foods
C. Increase high-phosphorus foods
D. Decrease fluid intake
-ANSWER- B
A client with acute cholecystitis reports RUQ pain radiating to the shoulder after
eating. What is the likely cause?
A. Gastric ulcer perforation
B. Gallbladder inflammation triggered by fatty food intake
C. Pancreatic enzyme deficiency
D. Liver cirrhosis decompensation
-ANSWER- B
A nurse notes tremors, weight loss, and exophthalmos in a patient. Which disorder
is suspected?
A. Hypothyroidism
B. Hyperthyroidism (Graves' disease)
C. Cushing's syndrome
D. Addison's disease
-ANSWER- B
A client with Addison's disease is admitted with severe hypotension. What is the
priority action?
A. Administer IV corticosteroids and fluids
B. Administer oral potassium binders
C. Restrict fluid intake
D. Administer antihypertensive medications
-ANSWER- A
A client develops tetany after thyroidectomy. What is the cause?
A. Hyperkalemia from adrenal insufficiency
B. Hypernatremia from fluid retention
C. Hypocalcemia from possible parathyroid removal
D. Hypercalcemia from bone demineralization
-ANSWER- C
3
, A client with cirrhosis develops confusion and asterixis. What lab finding explains
this?
A. Elevated serum ammonia levels
B. Low serum sodium levels
C. Elevated serum glucose levels
D. Low serum potassium levels
-ANSWER- A
A client with SLE presents with pericarditis and proteinuria. What does this
indicate?
A. Localized skin involvement only
B. Systemic involvement of lupus affecting heart and kidneys
C. Medication side effects from hydroxychloroquine
D. Secondary infection from immunosuppression
-ANSWER- B
A client receiving chemotherapy is neutropenic. Which precaution is most
important?
A. Strict bed rest at all times
B. Protective isolation with no fresh fruit, flowers, or sick visitors
C. Fluid restriction to prevent overload
D. Frequent ambulation in crowded areas
-ANSWER- B
A client with non-Hodgkin lymphoma is at risk for tumor lysis syndrome. Which
lab is expected?
A. Hypokalemia, hypophosphatemia, hypouricemia
B. Hyperkalemia, hyperphosphatemia, hyperuricemia
C. Hypernatremia, hypocalcemia, hypomagnesemia
D. Hyponatremia, hypercalcemia, hyperglycemia
-ANSWER- B
A client with Cushing's syndrome reports easy bruising and purple striae. What is
the cause?
A. Excess cortisol leading to protein breakdown and skin fragility
B. Deficient cortisol leading to poor wound healing
C. Excess aldosterone leading to fluid retention
D. Deficient aldosterone leading to electrolyte imbalance
-ANSWER- A
4
