, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Neuro, Musculoskeletal & Oncology –
Stroke, Seizures, Fractures, Chemo
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 4
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 4: Neuro,
Musculoskeletal & Oncology – Stroke,
Seizures, Fractures, Chemo
Section 1: Ischemic vs hemorrhagic stroke (Q1-42)
Section 2: Seizures and status epilepticus (Q27-68)
Section 3: Increased intracranial pressure (Q53-94)
Section 4: Spinal cord injury (Q79-120)
Section 5: Fractures compartment syndrome (Q105-146)
Section 6: Amputation care (Q131-172)
Section 7: Leukemia lymphoma (Q157-198)
Section 8: Chemotherapy extravasation and neutropenia (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E4-Q1] Ms. Patel, 72yo admitted with Ischemic vs hemorrhagic stroke.
Assessment: BP 92/58, HR 118, RR 24, O2 88%, Hgb 2 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
C. Place patient supine and give fluids rapidly – contraindicated in this condition.
D. Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
Rationale: Correct D. In NSG 223 Med Surg 2, Ischemic vs hemorrhagic stroke is high-yield HESI final content.
For Ms. Patel, 72yo with BP 92/58, HR 118, RR 24, O2 88%, priority is ABCs, early recognition of deterioration.
Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Ischemic vs hemorrhagic stroke
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-E4-Q2] Mr. Davis, 58yo admitted with Ischemic vs hemorrhagic stroke.
Assessment: Temp 101.8F, WBC 14.2, HR 110, Hgb 4 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Delegate assessment to UAP – assessment is RN responsibility per HESI.
C. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
D. Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
Rationale: Correct D. In NSG 223 Med Surg 2, Ischemic vs hemorrhagic stroke is high-yield HESI final content.
For Mr. Davis, 58yo with Temp 101.8F, WBC 14.2, HR 110, priority is ABCs, early recognition of deterioration.
Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Ischemic vs hemorrhagic stroke
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-E4-Q3] Mr. Davis, 58yo admitted with Increased intracranial pressure.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 12 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Priority for Increased intracranial pressure: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
B. Place patient supine and give fluids rapidly – contraindicated in this condition.
C. Give potassium supplement without checking labs – unsafe.
D. Discharge patient home with education – unsafe with current vitals.
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Neuro, Musculoskeletal & Oncology –
Stroke, Seizures, Fractures, Chemo
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 4
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 4: Neuro,
Musculoskeletal & Oncology – Stroke,
Seizures, Fractures, Chemo
Section 1: Ischemic vs hemorrhagic stroke (Q1-42)
Section 2: Seizures and status epilepticus (Q27-68)
Section 3: Increased intracranial pressure (Q53-94)
Section 4: Spinal cord injury (Q79-120)
Section 5: Fractures compartment syndrome (Q105-146)
Section 6: Amputation care (Q131-172)
Section 7: Leukemia lymphoma (Q157-198)
Section 8: Chemotherapy extravasation and neutropenia (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E4-Q1] Ms. Patel, 72yo admitted with Ischemic vs hemorrhagic stroke.
Assessment: BP 92/58, HR 118, RR 24, O2 88%, Hgb 2 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
C. Place patient supine and give fluids rapidly – contraindicated in this condition.
D. Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
Rationale: Correct D. In NSG 223 Med Surg 2, Ischemic vs hemorrhagic stroke is high-yield HESI final content.
For Ms. Patel, 72yo with BP 92/58, HR 118, RR 24, O2 88%, priority is ABCs, early recognition of deterioration.
Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Ischemic vs hemorrhagic stroke
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-E4-Q2] Mr. Davis, 58yo admitted with Ischemic vs hemorrhagic stroke.
Assessment: Temp 101.8F, WBC 14.2, HR 110, Hgb 4 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Give potassium supplement without checking labs – unsafe.
B. Delegate assessment to UAP – assessment is RN responsibility per HESI.
C. Administer PRN pain med and recheck in 1 hour – delays priority ABCs.
D. Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI
– e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
Rationale: Correct D. In NSG 223 Med Surg 2, Ischemic vs hemorrhagic stroke is high-yield HESI final content.
For Mr. Davis, 58yo with Temp 101.8F, WBC 14.2, HR 110, priority is ABCs, early recognition of deterioration.
Priority for Ischemic vs hemorrhagic stroke: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Ischemic vs hemorrhagic stroke
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-E4-Q3] Mr. Davis, 58yo admitted with Increased intracranial pressure.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 12 g/dL, admitted 2026. The nurse notes
new changes. Which is the priority action?
A. Priority for Increased intracranial pressure: implement ABCs, notify provider, specific intervention per HESI –
e.g., for HF give O2, high Fowler, monitor, hold meds as indicated.
B. Place patient supine and give fluids rapidly – contraindicated in this condition.
C. Give potassium supplement without checking labs – unsafe.
D. Discharge patient home with education – unsafe with current vitals.
