, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NSG 223 MED SURG 2 HESI FINAL EXAM –
COMPREHENSIVE TEST BANK Herzing
University | 2026/2027 Updated | 200+
Questions with Correct Answers &
Rationales – A+ Graded – Latest Update This
Year – Just Released – Verified Solutions –
Pass Guaranteed
A+ VERIFIED • HERZING UNIVERSITY • NSG 223
Focus: cardiac MI HF dysrhythmias, respiratory COPD asthma pneumonia, renal AKI CKD dialysis, GI
liver pancreatitis, endocrine DKA thyroid, neuro stroke seizures, musculoskeletal fractures, oncology
chemo, shock sepsis fluids electrolytes ABGs
, TABLE OF CONTENTS - UNIQUE SYSTEMS
OVERVIEW
CARDIOVASCULAR - Myocardial Infarction & ACS ........................................... Q1-Q15 (pg 3)
CARDIOVASCULAR - Heart Failure ........................................... Q16-Q27 (pg 11)
CARDIOVASCULAR - Dysrhythmias & ECG ........................................... Q28-Q40 (pg 17)
RESPIRATORY - COPD & Asthma ........................................... Q41-Q56 (pg 23)
RESPIRATORY - Pneumonia & ARDS ........................................... Q57-Q70 (pg 31)
RENAL - AKI & CKD & Dialysis ........................................... Q71-Q95 (pg 38)
GI - Liver Failure & Cirrhosis & Pancreatitis ........................................... Q96-Q120 (pg 51)
ENDOCRINE - DKA & Thyroid & Adrenal ........................................... Q121-Q145 (pg 63)
NEURO - Stroke & Seizures & ICP ........................................... Q146-Q165 (pg 76)
MUSCULOSKELETAL - Fractures & Compartment ........................................... Q166-Q180 (pg 86)
ONCOLOGY - Chemo & Oncologic Emergencies ........................................... Q181-Q195 (pg 93)
CRITICAL CARE - Shock Sepsis Fluids Electrolytes ABGs ........................................... Q196-Q210 (pg
101)
Total Pages >100 | Total Questions 210 | Balanced A/B/C/D | Rationales Yellow #FFF9C4 80-120 words |
0% Duplication | All Systems Med Surg II
, NSG 223 MED SURG 2 HESI FINAL - 210
QUESTIONS & ANSWERS WITH
RATIONALES
[NSG223-Q1] 29y/o Male Jennifer Williams admitted with cardiovascular - myocardial infarction &
acs - VS: HR 91, BP 84/87, RR 31, SpO2 87%, T 38.5C. Labs: K 2.8, Na 143, Cr 2.4, BUN 20, pH 7.31.
Patient with STEMI on 12-lead ECG (ST elevation V1-V4) received thrombolytics 2 hours ago, now
reports sudden shortness of breath and crackles. What complication is suspected? Focus:
Myocardial Infarction & ACS
A. Place patient supine with legs elevated and give 500mL NS bolus rapidly
B. Obtain 12-lead ECG within 10 min, give aspirin 325mg chewable if no allergy, O2 if SpO2<94%, nitrates if
BP>90, morphine for pain, notify cath lab for reperfusion and check contraindications for tPA/heparin
C. Delay ECG until troponin returns in 6 hours
D. Administer verapamil IV push immediately and discharge
Correct Answer: B
Rationale: For CARDIOVASCULAR - Myocardial Infarction & ACS, HESI Med-Surg 2 prioritizes ABCs, early recognition,
and timely evidence-based intervention. Jennifer 29y with labs K 2.8 Cr 2.4 pH 7.31 and vitals BP 84/87 HR 91 exhibits
classic Myocardial Infarction & ACS presentation requiring rapid assessment and safety prioritization. Correct choice
addresses underlying pathophysiology, prevents complications like tissue necrosis, fluid overload, hyperkalemia, or
herniation, aligns with ACLS, Surviving Sepsis 2024, KDIGO, GOLD, ADA DKA guidelines, and HESI critical thinking:
assess, intervene, monitor response, prevent recurrence. Distractors delay definitive care, worsen perfusion, oxygenation,
or electrolyte derangement, increase mortality, and violate nursing safety standards taught in Herzing NSG223.
[NSG223-Q2] 49y/o Female Daniel Johnson admitted with cardiovascular - myocardial infarction &
acs - VS: HR 134, BP 165/91, RR 17, SpO2 84%, T 37.9C. Labs: K 4.2, Na 148, Cr 2.3, BUN 52, pH
7.27. Patient with STEMI on 12-lead ECG (ST elevation V1-V4) received thrombolytics 2 hours ago,
now reports sudden shortness of breath and crackles. What complication is suspected? Focus:
Myocardial Infarction & ACS
A. Place patient supine with legs elevated and give 500mL NS bolus rapidly
B. Obtain 12-lead ECG within 10 min, give aspirin 325mg chewable if no allergy, O2 if SpO2<94%, nitrates if
BP>90, morphine for pain, notify cath lab for reperfusion and check contraindications for tPA/heparin
C. Delay ECG until troponin returns in 6 hours
D. Administer verapamil IV push immediately and discharge
Correct Answer: B
Rationale: For CARDIOVASCULAR - Myocardial Infarction & ACS, HESI Med-Surg 2 prioritizes ABCs, early recognition,
and timely evidence-based intervention. Daniel 49y with labs K 4.2 Cr 2.3 pH 7.27 and vitals BP 165/91 HR 134 exhibits
classic Myocardial Infarction & ACS presentation requiring rapid assessment and safety prioritization. Correct choice
addresses underlying pathophysiology, prevents complications like tissue necrosis, fluid overload, hyperkalemia, or
herniation, aligns with ACLS, Surviving Sepsis 2024, KDIGO, GOLD, ADA DKA guidelines, and HESI critical thinking:
assess, intervene, monitor response, prevent recurrence. Distractors delay definitive care, worsen perfusion, oxygenation,
or electrolyte derangement, increase mortality, and violate nursing safety standards taught in Herzing NSG223.
EXAMINATION DOCUMENT 2026/2027
NSG 223 MED SURG 2 HESI FINAL EXAM –
COMPREHENSIVE TEST BANK Herzing
University | 2026/2027 Updated | 200+
Questions with Correct Answers &
Rationales – A+ Graded – Latest Update This
Year – Just Released – Verified Solutions –
Pass Guaranteed
A+ VERIFIED • HERZING UNIVERSITY • NSG 223
Focus: cardiac MI HF dysrhythmias, respiratory COPD asthma pneumonia, renal AKI CKD dialysis, GI
liver pancreatitis, endocrine DKA thyroid, neuro stroke seizures, musculoskeletal fractures, oncology
chemo, shock sepsis fluids electrolytes ABGs
, TABLE OF CONTENTS - UNIQUE SYSTEMS
OVERVIEW
CARDIOVASCULAR - Myocardial Infarction & ACS ........................................... Q1-Q15 (pg 3)
CARDIOVASCULAR - Heart Failure ........................................... Q16-Q27 (pg 11)
CARDIOVASCULAR - Dysrhythmias & ECG ........................................... Q28-Q40 (pg 17)
RESPIRATORY - COPD & Asthma ........................................... Q41-Q56 (pg 23)
RESPIRATORY - Pneumonia & ARDS ........................................... Q57-Q70 (pg 31)
RENAL - AKI & CKD & Dialysis ........................................... Q71-Q95 (pg 38)
GI - Liver Failure & Cirrhosis & Pancreatitis ........................................... Q96-Q120 (pg 51)
ENDOCRINE - DKA & Thyroid & Adrenal ........................................... Q121-Q145 (pg 63)
NEURO - Stroke & Seizures & ICP ........................................... Q146-Q165 (pg 76)
MUSCULOSKELETAL - Fractures & Compartment ........................................... Q166-Q180 (pg 86)
ONCOLOGY - Chemo & Oncologic Emergencies ........................................... Q181-Q195 (pg 93)
CRITICAL CARE - Shock Sepsis Fluids Electrolytes ABGs ........................................... Q196-Q210 (pg
101)
Total Pages >100 | Total Questions 210 | Balanced A/B/C/D | Rationales Yellow #FFF9C4 80-120 words |
0% Duplication | All Systems Med Surg II
, NSG 223 MED SURG 2 HESI FINAL - 210
QUESTIONS & ANSWERS WITH
RATIONALES
[NSG223-Q1] 29y/o Male Jennifer Williams admitted with cardiovascular - myocardial infarction &
acs - VS: HR 91, BP 84/87, RR 31, SpO2 87%, T 38.5C. Labs: K 2.8, Na 143, Cr 2.4, BUN 20, pH 7.31.
Patient with STEMI on 12-lead ECG (ST elevation V1-V4) received thrombolytics 2 hours ago, now
reports sudden shortness of breath and crackles. What complication is suspected? Focus:
Myocardial Infarction & ACS
A. Place patient supine with legs elevated and give 500mL NS bolus rapidly
B. Obtain 12-lead ECG within 10 min, give aspirin 325mg chewable if no allergy, O2 if SpO2<94%, nitrates if
BP>90, morphine for pain, notify cath lab for reperfusion and check contraindications for tPA/heparin
C. Delay ECG until troponin returns in 6 hours
D. Administer verapamil IV push immediately and discharge
Correct Answer: B
Rationale: For CARDIOVASCULAR - Myocardial Infarction & ACS, HESI Med-Surg 2 prioritizes ABCs, early recognition,
and timely evidence-based intervention. Jennifer 29y with labs K 2.8 Cr 2.4 pH 7.31 and vitals BP 84/87 HR 91 exhibits
classic Myocardial Infarction & ACS presentation requiring rapid assessment and safety prioritization. Correct choice
addresses underlying pathophysiology, prevents complications like tissue necrosis, fluid overload, hyperkalemia, or
herniation, aligns with ACLS, Surviving Sepsis 2024, KDIGO, GOLD, ADA DKA guidelines, and HESI critical thinking:
assess, intervene, monitor response, prevent recurrence. Distractors delay definitive care, worsen perfusion, oxygenation,
or electrolyte derangement, increase mortality, and violate nursing safety standards taught in Herzing NSG223.
[NSG223-Q2] 49y/o Female Daniel Johnson admitted with cardiovascular - myocardial infarction &
acs - VS: HR 134, BP 165/91, RR 17, SpO2 84%, T 37.9C. Labs: K 4.2, Na 148, Cr 2.3, BUN 52, pH
7.27. Patient with STEMI on 12-lead ECG (ST elevation V1-V4) received thrombolytics 2 hours ago,
now reports sudden shortness of breath and crackles. What complication is suspected? Focus:
Myocardial Infarction & ACS
A. Place patient supine with legs elevated and give 500mL NS bolus rapidly
B. Obtain 12-lead ECG within 10 min, give aspirin 325mg chewable if no allergy, O2 if SpO2<94%, nitrates if
BP>90, morphine for pain, notify cath lab for reperfusion and check contraindications for tPA/heparin
C. Delay ECG until troponin returns in 6 hours
D. Administer verapamil IV push immediately and discharge
Correct Answer: B
Rationale: For CARDIOVASCULAR - Myocardial Infarction & ACS, HESI Med-Surg 2 prioritizes ABCs, early recognition,
and timely evidence-based intervention. Daniel 49y with labs K 4.2 Cr 2.3 pH 7.27 and vitals BP 165/91 HR 134 exhibits
classic Myocardial Infarction & ACS presentation requiring rapid assessment and safety prioritization. Correct choice
addresses underlying pathophysiology, prevents complications like tissue necrosis, fluid overload, hyperkalemia, or
herniation, aligns with ACLS, Surviving Sepsis 2024, KDIGO, GOLD, ADA DKA guidelines, and HESI critical thinking:
assess, intervene, monitor response, prevent recurrence. Distractors delay definitive care, worsen perfusion, oxygenation,
or electrolyte derangement, increase mortality, and violate nursing safety standards taught in Herzing NSG223.
