NSG 3800 Medical Surgical II Exam 2 Review of 280 Latest
real exam questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 2 Prep 2026-2027
(NSG 3800 Exam 2 med surge 2)
39. An older adult patient has symptoms of osteoporosis and is being assessed
during her annual physical examination. The assessment shows that the patient will
require further testing related to a possible exacerbation of her osteoporosis. The
nurse should anticipate what diagnostic test?
A) Bone densitometry
B) Hip bone radiography
C) Computed tomography (CT)
D) Magnetic resonance imaging (MRI)
a
39. A patient injured in a motor vehicle accident has sustained a fracture to the
diaphysis of the right femur. Of what is the diaphysis of the femur mainly
constructed?
A) Epiphyses
B) Cartilage
C) Cortical bone
D) Cancellous bone
c
39. An older adult patient has come to the clinic for a regular check-up. The nurses
initial inspection reveals an increased thoracic curvature of the patients spine. The
nurse should document the presence of which of the following?
A) Scoliosis
B) Epiphyses
C) Lordosis
D) Kyphosis
d
1
,67. The nurse is preparing health education for a patient who is being discharged
after hospitalization for a hemorrhagic stroke. What content should the nurse
include in this education?
A) Mild, intermittent seizures can be expected.
B) Take ibuprofen for complaints of a serious headache.
C) Take antihypertensive medication as ordered.
D) Drowsiness is normal for the first week after discharge
c
67. A patient diagnosed with a cerebral aneurysm reports a severe headache to the
nurse. What action is a priority for the nurse?
A) Sit with the patient for a few minutes.
B) Administer an analgesic.
C) Inform the nurse-manager.
D) Call the physician immediately
d
67. A patient is brought by ambulance to the ED after suffering what the family
thinks is a stroke. The nurse caring for this patient is aware that an absolute
contraindication for thrombolytic therapy is what?
A) Evidence of hemorrhagic stroke
B) Blood pressure of 180/110 mm Hg
C) Evidence of stroke evolution
D) Previous thrombolytic therapy within the past 12 months
a
67. When caring for a patient who has had a stroke, a priority is reduction of ICP.
What patient position is most consistent with this goal?
A) Head turned slightly to the right side
B) Elevation of the head of the bed
C) Position changes every 15 minutes while awake
D) Extension of the neck
b
67. A patient who suffered an ischemic stroke now has disturbed sensory
perception. What principle should guide the nurses care of this patient?
A) The patient should be approached on the side where visual perception is intact.
2
,B) Attention to the affected side should be minimized in order to decrease anxiety.
C) The patient should avoid turning in the direction of the defective visual field to
minimize shoulder
subluxation.
D) The patient should be approached on the opposite side of where the visual
perception is intact to
promote recovery
a
67. What should be included in the patients care plan when establishing an exercise
program for a patient affected by a stroke?
A) Schedule passive range of motion every other day.
B) Keep activity limited, as the patient may be over stimulated.
C) Have the patient perform active range-of-motion (ROM) exercises once a day.
D) Exercise the affected extremities passively four or five times a day
d
67. The public health nurse is planning a health promotion campaign that reflects
current epidemiologic
trends. The nurse should know that hemorrhagic stroke currently accounts for what
percentage of total
strokes in the United States?
A) 43%
B) 33%
C) 23%
D) 13%
d
67. A patient who has experienced an ischemic stroke has been admitted to the
medical unit. The patients family is adamant that she remain on bed rest to hasten
her recovery and to conserve energy. What principle of care should inform the
nurses response to the family?
A) The patient should mobilize as soon as she is physically able.
B) To prevent contractures and muscle atrophy, bed rest should not exceed 4
weeks.
C) The patient should remain on bed rest until she expresses a desire to mobilize.
D) Lack of mobility will greatly increase the patients risk of stroke recurrence
3
, a
67. A patient diagnosed with a hemorrhagic stroke has been admitted to the
neurologic ICU. The nurse
knows that teaching for the patient and family needs to begin as soon as the patient
is settled on the unit and will continue until the patient is discharged. What will
family education need to include?
A) How to differentiate between hemorrhagic and ischemic stroke
B) Risk factors for ischemic stroke
C) How to correctly modify the home environment
D) Techniques for adjusting the patients medication dosages at home
c
67. After a subarachnoid hemorrhage, the patients laboratory results indicate a
serum sodium level of less than 126 mEq/L. What is the nurses most appropriate
action?
A) Administer a bolus of normal saline as ordered.
B) Prepare the patient for thrombolytic therapy as ordered.
C) Facilitate testing for hypothalamic dysfunction.
D) Prepare to administer 3% NaCl by IV as ordered.
d
67. A community health nurse is giving an educational presentation about stroke
and heart disease at the local senior citizens center. What nonmodifiable risk factor
for stroke should the nurse cite?
A) Female gender
B) Asian American race
C) Advanced age
D) Smoking
c
67. A family member brings the patient to the clinic for a follow-up visit after a
stroke. The family member asks the nurse what he can do to decrease his chance of
having another stroke. What would be the nurses best answer?
A) Have your heart checked regularly.
B) Stop smoking as soon as possible.
C) Get medication to bring down your sodium levels.
D) Eat a nutritious diet.
4
real exam questions and correct answers / Galen NSG 3800
Nursing Practice Adult Health 2 Exam 2 Prep 2026-2027
(NSG 3800 Exam 2 med surge 2)
39. An older adult patient has symptoms of osteoporosis and is being assessed
during her annual physical examination. The assessment shows that the patient will
require further testing related to a possible exacerbation of her osteoporosis. The
nurse should anticipate what diagnostic test?
A) Bone densitometry
B) Hip bone radiography
C) Computed tomography (CT)
D) Magnetic resonance imaging (MRI)
a
39. A patient injured in a motor vehicle accident has sustained a fracture to the
diaphysis of the right femur. Of what is the diaphysis of the femur mainly
constructed?
A) Epiphyses
B) Cartilage
C) Cortical bone
D) Cancellous bone
c
39. An older adult patient has come to the clinic for a regular check-up. The nurses
initial inspection reveals an increased thoracic curvature of the patients spine. The
nurse should document the presence of which of the following?
A) Scoliosis
B) Epiphyses
C) Lordosis
D) Kyphosis
d
1
,67. The nurse is preparing health education for a patient who is being discharged
after hospitalization for a hemorrhagic stroke. What content should the nurse
include in this education?
A) Mild, intermittent seizures can be expected.
B) Take ibuprofen for complaints of a serious headache.
C) Take antihypertensive medication as ordered.
D) Drowsiness is normal for the first week after discharge
c
67. A patient diagnosed with a cerebral aneurysm reports a severe headache to the
nurse. What action is a priority for the nurse?
A) Sit with the patient for a few minutes.
B) Administer an analgesic.
C) Inform the nurse-manager.
D) Call the physician immediately
d
67. A patient is brought by ambulance to the ED after suffering what the family
thinks is a stroke. The nurse caring for this patient is aware that an absolute
contraindication for thrombolytic therapy is what?
A) Evidence of hemorrhagic stroke
B) Blood pressure of 180/110 mm Hg
C) Evidence of stroke evolution
D) Previous thrombolytic therapy within the past 12 months
a
67. When caring for a patient who has had a stroke, a priority is reduction of ICP.
What patient position is most consistent with this goal?
A) Head turned slightly to the right side
B) Elevation of the head of the bed
C) Position changes every 15 minutes while awake
D) Extension of the neck
b
67. A patient who suffered an ischemic stroke now has disturbed sensory
perception. What principle should guide the nurses care of this patient?
A) The patient should be approached on the side where visual perception is intact.
2
,B) Attention to the affected side should be minimized in order to decrease anxiety.
C) The patient should avoid turning in the direction of the defective visual field to
minimize shoulder
subluxation.
D) The patient should be approached on the opposite side of where the visual
perception is intact to
promote recovery
a
67. What should be included in the patients care plan when establishing an exercise
program for a patient affected by a stroke?
A) Schedule passive range of motion every other day.
B) Keep activity limited, as the patient may be over stimulated.
C) Have the patient perform active range-of-motion (ROM) exercises once a day.
D) Exercise the affected extremities passively four or five times a day
d
67. The public health nurse is planning a health promotion campaign that reflects
current epidemiologic
trends. The nurse should know that hemorrhagic stroke currently accounts for what
percentage of total
strokes in the United States?
A) 43%
B) 33%
C) 23%
D) 13%
d
67. A patient who has experienced an ischemic stroke has been admitted to the
medical unit. The patients family is adamant that she remain on bed rest to hasten
her recovery and to conserve energy. What principle of care should inform the
nurses response to the family?
A) The patient should mobilize as soon as she is physically able.
B) To prevent contractures and muscle atrophy, bed rest should not exceed 4
weeks.
C) The patient should remain on bed rest until she expresses a desire to mobilize.
D) Lack of mobility will greatly increase the patients risk of stroke recurrence
3
, a
67. A patient diagnosed with a hemorrhagic stroke has been admitted to the
neurologic ICU. The nurse
knows that teaching for the patient and family needs to begin as soon as the patient
is settled on the unit and will continue until the patient is discharged. What will
family education need to include?
A) How to differentiate between hemorrhagic and ischemic stroke
B) Risk factors for ischemic stroke
C) How to correctly modify the home environment
D) Techniques for adjusting the patients medication dosages at home
c
67. After a subarachnoid hemorrhage, the patients laboratory results indicate a
serum sodium level of less than 126 mEq/L. What is the nurses most appropriate
action?
A) Administer a bolus of normal saline as ordered.
B) Prepare the patient for thrombolytic therapy as ordered.
C) Facilitate testing for hypothalamic dysfunction.
D) Prepare to administer 3% NaCl by IV as ordered.
d
67. A community health nurse is giving an educational presentation about stroke
and heart disease at the local senior citizens center. What nonmodifiable risk factor
for stroke should the nurse cite?
A) Female gender
B) Asian American race
C) Advanced age
D) Smoking
c
67. A family member brings the patient to the clinic for a follow-up visit after a
stroke. The family member asks the nurse what he can do to decrease his chance of
having another stroke. What would be the nurses best answer?
A) Have your heart checked regularly.
B) Stop smoking as soon as possible.
C) Get medication to bring down your sodium levels.
D) Eat a nutritious diet.
4
