, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam - GI,
Endocrine, Renal – Cirrhosis, Pancreatitis,
DKA, AKI, CKD
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 3
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 3: GI,
Endocrine, Renal – Cirrhosis, Pancreatitis,
DKA, AKI, CKD
Section 1: Liver cirrhosis esophageal varices (Q1-42)
Section 2: Pancreatitis acute chronic (Q27-68)
Section 3: Cholecystitis cholelithiasis (Q53-94)
Section 4: DKA vs HHS (Q79-120)
Section 5: Thyroid storm myxedema (Q105-146)
Section 6: Acute kidney injury (Q131-172)
Section 7: Chronic kidney disease dialysis (Q157-198)
Section 8: IBD Crohn's ulcerative colitis (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E3-Q1] Mr. Thompson, 45yo admitted with Cholecystitis cholelithiasis.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 9 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. Priority for Cholecystitis cholelithiasis: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Document and continue monitoring without action – fails to rescue.
Rationale: Correct B. In NSG 223 Med Surg 2, Cholecystitis cholelithiasis is high-yield HESI final content. For
Mr. Thompson, 45yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of deterioration.
Priority for Cholecystitis cholelithiasis: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Cholecystitis cholelithiasis 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-E3-Q2] Ms. Patel, 72yo admitted with Pancreatitis acute chronic. Assessment: BP
110/70, HR 48, RR 16, Hgb 7 g/dL, admitted 2026. The nurse notes new changes. Which is the
priority action?
A. Place patient supine and give fluids rapidly – contraindicated in this condition.
B. Priority for Pancreatitis acute chronic: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Document and continue monitoring without action – fails to rescue.
Rationale: Correct B. In NSG 223 Med Surg 2, Pancreatitis acute chronic is high-yield HESI final content. For
Ms. Patel, 72yo with BP 110/70, HR 48, RR 16, priority is ABCs, early recognition of deterioration. Priority for
Pancreatitis acute chronic: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF give
O2, high Fowler, monitor, hold meds as indicated. Rational: Pancreatitis acute chronic 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-E3-Q3] Ms. Patel, 72yo admitted with Acute kidney injury. Assessment: Temp
101.8F, WBC 14.2, HR 110, Hgb 8 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. Place patient supine and give fluids rapidly – contraindicated in this condition.
C. Priority for Acute kidney injury: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF
give O2, high Fowler, monitor, hold meds as indicated.
D. Give potassium supplement without checking labs – unsafe.
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam - GI,
Endocrine, Renal – Cirrhosis, Pancreatitis,
DKA, AKI, CKD
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 3
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 3: GI,
Endocrine, Renal – Cirrhosis, Pancreatitis,
DKA, AKI, CKD
Section 1: Liver cirrhosis esophageal varices (Q1-42)
Section 2: Pancreatitis acute chronic (Q27-68)
Section 3: Cholecystitis cholelithiasis (Q53-94)
Section 4: DKA vs HHS (Q79-120)
Section 5: Thyroid storm myxedema (Q105-146)
Section 6: Acute kidney injury (Q131-172)
Section 7: Chronic kidney disease dialysis (Q157-198)
Section 8: IBD Crohn's ulcerative colitis (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E3-Q1] Mr. Thompson, 45yo admitted with Cholecystitis cholelithiasis.
Assessment: BP 168/102, HR 92, RR 20, K+ 5.8, Hgb 9 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. Priority for Cholecystitis cholelithiasis: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Document and continue monitoring without action – fails to rescue.
Rationale: Correct B. In NSG 223 Med Surg 2, Cholecystitis cholelithiasis is high-yield HESI final content. For
Mr. Thompson, 45yo with BP 168/102, HR 92, RR 20, K+ 5.8, priority is ABCs, early recognition of deterioration.
Priority for Cholecystitis cholelithiasis: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Cholecystitis cholelithiasis 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-E3-Q2] Ms. Patel, 72yo admitted with Pancreatitis acute chronic. Assessment: BP
110/70, HR 48, RR 16, Hgb 7 g/dL, admitted 2026. The nurse notes new changes. Which is the
priority action?
A. Place patient supine and give fluids rapidly – contraindicated in this condition.
B. Priority for Pancreatitis acute chronic: implement ABCs, notify provider, specific intervention per HESI – e.g.,
for HF give O2, high Fowler, monitor, hold meds as indicated.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Document and continue monitoring without action – fails to rescue.
Rationale: Correct B. In NSG 223 Med Surg 2, Pancreatitis acute chronic is high-yield HESI final content. For
Ms. Patel, 72yo with BP 110/70, HR 48, RR 16, priority is ABCs, early recognition of deterioration. Priority for
Pancreatitis acute chronic: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF give
O2, high Fowler, monitor, hold meds as indicated. Rational: Pancreatitis acute chronic 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-E3-Q3] Ms. Patel, 72yo admitted with Acute kidney injury. Assessment: Temp
101.8F, WBC 14.2, HR 110, Hgb 8 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. Place patient supine and give fluids rapidly – contraindicated in this condition.
C. Priority for Acute kidney injury: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF
give O2, high Fowler, monitor, hold meds as indicated.
D. Give potassium supplement without checking labs – unsafe.
