, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Critical Care, Shock, Burns, Immunology –
HESI Comprehensive Final
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 5
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 5: Critical
Care, Shock, Burns, Immunology – HESI
Comprehensive Final
Section 1: Hypovolemic septic cardiogenic shock (Q1-42)
Section 2: Sepsis and SIRS criteria (Q27-68)
Section 3: Burns Parkland fluid (Q53-94)
Section 4: MODS and DIC (Q79-120)
Section 5: HIV AIDS opportunistic infections (Q105-146)
Section 6: Anaphylaxis (Q131-172)
Section 7: HESI prioritization delegation (Q157-198)
Section 8: End-of-life and ethics (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E5-Q1] Ms. Patel, 72yo admitted with Sepsis and SIRS criteria. Assessment: BP
168/102, HR 92, RR 20, K+ 5.8, Hgb 10 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
B. Delegate assessment to UAP – assessment is RN responsibility per HESI.
C. Priority for Sepsis and SIRS criteria: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
Rationale: Correct C. In NSG 223 Med Surg 2, Sepsis and SIRS criteria is high-yield HESI final content. For
Ms. Patel, 72yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of deterioration.
Priority for Sepsis and SIRS criteria: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Sepsis and SIRS criteria requires specific
protocol – e.g., MI needs MONA adapted, HF needs O2/diuretics/monitor I&O;, COPD needs pursed-lip, chest
tube needs occlusive dressing if dislodged. Why others wrong: they delay care, delegate RN assessment, give
contraindicated fluids or unsafe discharge. This is Expert Verified A+ rationale for 2026/2027 HESI final. 80-120
words focus.
2. [NSG223-E5-Q2] Mrs. Kim, 61yo admitted with HIV AIDS opportunistic infections.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 13 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Priority for HIV AIDS opportunistic infections: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
Rationale: Correct B. In NSG 223 Med Surg 2, HIV AIDS opportunistic infections is high-yield HESI final
content. For Mrs. Kim, 61yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of
deterioration. Priority for HIV AIDS opportunistic infections: implement ABCs, notify provider, specific
intervention per HESI – e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: HIV AIDS
opportunistic infections requires specific protocol – e.g., MI needs MONA adapted, HF needs
O2/diuretics/monitor I&O;, COPD needs pursed-lip, chest tube needs occlusive dressing if dislodged. Why
others wrong: they delay care, delegate RN assessment, give contraindicated fluids or unsafe discharge. This is
Expert Verified A+ rationale for 2026/2027 HESI final. 80-120 words focus.
3. [NSG223-E5-Q3] Mr. Thompson, 45yo admitted with End-of-life and ethics. Assessment:
Temp 101.8F, WBC 14.2, HR 110, Hgb 15 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Delegate assessment to UAP – assessment is RN responsibility per HESI.
B. Give potassium supplement without checking labs – unsafe.
C. Priority for End-of-life and ethics: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Critical Care, Shock, Burns, Immunology –
HESI Comprehensive Final
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 5
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 5: Critical
Care, Shock, Burns, Immunology – HESI
Comprehensive Final
Section 1: Hypovolemic septic cardiogenic shock (Q1-42)
Section 2: Sepsis and SIRS criteria (Q27-68)
Section 3: Burns Parkland fluid (Q53-94)
Section 4: MODS and DIC (Q79-120)
Section 5: HIV AIDS opportunistic infections (Q105-146)
Section 6: Anaphylaxis (Q131-172)
Section 7: HESI prioritization delegation (Q157-198)
Section 8: End-of-life and ethics (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E5-Q1] Ms. Patel, 72yo admitted with Sepsis and SIRS criteria. Assessment: BP
168/102, HR 92, RR 20, K+ 5.8, Hgb 10 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
B. Delegate assessment to UAP – assessment is RN responsibility per HESI.
C. Priority for Sepsis and SIRS criteria: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
Rationale: Correct C. In NSG 223 Med Surg 2, Sepsis and SIRS criteria is high-yield HESI final content. For
Ms. Patel, 72yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of deterioration.
Priority for Sepsis and SIRS criteria: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Sepsis and SIRS criteria requires specific
protocol – e.g., MI needs MONA adapted, HF needs O2/diuretics/monitor I&O;, COPD needs pursed-lip, chest
tube needs occlusive dressing if dislodged. Why others wrong: they delay care, delegate RN assessment, give
contraindicated fluids or unsafe discharge. This is Expert Verified A+ rationale for 2026/2027 HESI final. 80-120
words focus.
2. [NSG223-E5-Q2] Mrs. Kim, 61yo admitted with HIV AIDS opportunistic infections.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 13 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Priority for HIV AIDS opportunistic infections: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
Rationale: Correct B. In NSG 223 Med Surg 2, HIV AIDS opportunistic infections is high-yield HESI final
content. For Mrs. Kim, 61yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of
deterioration. Priority for HIV AIDS opportunistic infections: implement ABCs, notify provider, specific
intervention per HESI – e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: HIV AIDS
opportunistic infections requires specific protocol – e.g., MI needs MONA adapted, HF needs
O2/diuretics/monitor I&O;, COPD needs pursed-lip, chest tube needs occlusive dressing if dislodged. Why
others wrong: they delay care, delegate RN assessment, give contraindicated fluids or unsafe discharge. This is
Expert Verified A+ rationale for 2026/2027 HESI final. 80-120 words focus.
3. [NSG223-E5-Q3] Mr. Thompson, 45yo admitted with End-of-life and ethics. Assessment:
Temp 101.8F, WBC 14.2, HR 110, Hgb 15 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Delegate assessment to UAP – assessment is RN responsibility per HESI.
B. Give potassium supplement without checking labs – unsafe.
C. Priority for End-of-life and ethics: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated.
D. Place patient supine and give fluids rapidly – contraindicated in this condition.
