, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Respiratory & ENT – COPD, Asthma,
Pneumonia, ARDS, Chest Tubes
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 2
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 2:
Respiratory & ENT – COPD, Asthma,
Pneumonia, ARDS, Chest Tubes
Section 1: COPD exacerbation (Q1-42)
Section 2: Asthma status asthmaticus (Q27-68)
Section 3: Pneumonia CAP HAP (Q53-94)
Section 4: ARDS and mechanical ventilation (Q79-120)
Section 5: Pneumothorax chest tube (Q105-146)
Section 6: Epistaxis and laryngeal cancer (Q131-172)
Section 7: Pulmonary embolism (Q157-198)
Section 8: Tuberculosis precautions (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E2-Q1] Ms. Patel, 72yo admitted with Pneumonia CAP HAP. Assessment: BP
168/102, HR 92, RR 20, K+ 5.8, Hgb 2 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Priority for Pneumonia CAP HAP: 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. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Give potassium supplement without checking labs – unsafe.
Rationale: Correct A. In NSG 223 Med Surg 2, Pneumonia CAP HAP 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 Pneumonia CAP HAP: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF give
O2, high Fowler, monitor, hold meds as indicated. Rational: Pneumonia CAP HAP 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-E2-Q2] Ms. Johnson, 39yo admitted with Pneumothorax chest tube. Assessment:
Temp 101.8F, WBC 14.2, HR 110, 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. Document and continue monitoring without action – fails to rescue.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Priority for Pneumothorax chest tube: 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, Pneumothorax chest tube is high-yield HESI final content. For
Ms. Johnson, 39yo with Temp 101.8F, WBC 14.2, HR 110, priority is ABCs, early recognition of deterioration.
Priority for Pneumothorax chest tube: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Pneumothorax chest tube 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-E2-Q3] Mr. Davis, 58yo admitted with Pneumonia CAP HAP. Assessment: Temp
101.8F, WBC 14.2, HR 110, Hgb 9 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 Pneumonia CAP HAP: 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. Discharge patient home with education – unsafe with current vitals.
EXAMINATION DOCUMENT 2026/2027
NSG 223 Med Surg 2 HESI Final Exam -
Respiratory & ENT – COPD, Asthma,
Pneumonia, ARDS, Chest Tubes
Herzing University NSG 223 – Med Surg 2 – HESI Final – Exam 2
A+ VERIFIED | Expert Verified | Latest Update 2026/2027 | Just Released
, TABLE OF CONTENTS - Exam 2:
Respiratory & ENT – COPD, Asthma,
Pneumonia, ARDS, Chest Tubes
Section 1: COPD exacerbation (Q1-42)
Section 2: Asthma status asthmaticus (Q27-68)
Section 3: Pneumonia CAP HAP (Q53-94)
Section 4: ARDS and mechanical ventilation (Q79-120)
Section 5: Pneumothorax chest tube (Q105-146)
Section 6: Epistaxis and laryngeal cancer (Q131-172)
Section 7: Pulmonary embolism (Q157-198)
Section 8: Tuberculosis precautions (Q183-210)
Answer Key Summary – Last Page
, 1. [NSG223-E2-Q1] Ms. Patel, 72yo admitted with Pneumonia CAP HAP. Assessment: BP
168/102, HR 92, RR 20, K+ 5.8, Hgb 2 g/dL, admitted 2026. The nurse notes new changes.
Which is the priority action?
A. Priority for Pneumonia CAP HAP: 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. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Give potassium supplement without checking labs – unsafe.
Rationale: Correct A. In NSG 223 Med Surg 2, Pneumonia CAP HAP 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 Pneumonia CAP HAP: implement ABCs, notify provider, specific intervention per HESI – e.g., for HF give
O2, high Fowler, monitor, hold meds as indicated. Rational: Pneumonia CAP HAP 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-E2-Q2] Ms. Johnson, 39yo admitted with Pneumothorax chest tube. Assessment:
Temp 101.8F, WBC 14.2, HR 110, 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. Document and continue monitoring without action – fails to rescue.
C. Delegate assessment to UAP – assessment is RN responsibility per HESI.
D. Priority for Pneumothorax chest tube: 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, Pneumothorax chest tube is high-yield HESI final content. For
Ms. Johnson, 39yo with Temp 101.8F, WBC 14.2, HR 110, priority is ABCs, early recognition of deterioration.
Priority for Pneumothorax chest tube: implement ABCs, notify provider, specific intervention per HESI – e.g., for
HF give O2, high Fowler, monitor, hold meds as indicated. Rational: Pneumothorax chest tube 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-E2-Q3] Mr. Davis, 58yo admitted with Pneumonia CAP HAP. Assessment: Temp
101.8F, WBC 14.2, HR 110, Hgb 9 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 Pneumonia CAP HAP: 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. Discharge patient home with education – unsafe with current vitals.
