HERZING UNIVERSITY
NSG 223 Medical- 75
Surgical T O TA L Q U E S T I O N S
Nursing II - Exam 2 8
C O N T EN T S EC T IO N S
Comprehensive 75-question practice examination covering
endocrine, neurological, musculoskeletal, hematologic,
oncology, dermatologic, burn, and shock disorders. Aligned
with 2026-2027 Herzing University curriculum standards and
70%
S C EN AR IO -B AS ED
QSEN competencies.
01 Endocrine Disorders
02 Neurological Disorders
03 Musculoskeletal Disorders
04 Hematologic & Immunologic
05 Oncology Nursing
06 Dermatologic & Burns
07 Shock & MODS
LEV EL
08 Integrated Clinical Scenarios
BSN - Baccalaureate Nursing
IN C LU D ES
Verified Answers & Rationales
E D UC ATIONA L PRA C TIC E E XA MINATION / 2 02 6- 2 02 7 C URRIC UL UM
, TABLE OF CONTENTS
SECTION 1: ENDOCRINE DISORDERS ...... Questions 1-15
SECTION 2: NEUROLOGICAL DISORDERS ...... Questions 16-28
SECTION 3: MUSCULOSKELETAL DISORDERS ...... Questions 29-38
SECTION 4: HEMATOLOGIC AND IMMUNOLOGIC DISORDERS ...... Questions 39-48
SECTION 5: ONCOLOGY NURSING ...... Questions 49-56
SECTION 6: DERMATOLOGIC AND BURNS ...... Questions 57-62
SECTION 7: SHOCK AND MULTISYSTEM ORGAN DYSFUNCTION ...... Questions 63-70
SECTION 8: INTEGRATED CLINICAL SCENARIOS ...... Questions 71-75
, SECTION 1: ENDOCRINE DISORDERS
Questions 1-15
1. A nurse is reviewing diagnostic criteria for diabetes mellitus with a nursing student. Which of the
following laboratory values confirms a diagnosis of diabetes mellitus?
A. Fasting plasma glucose (FPG) of 100 mg/dL
B. Fasting plasma glucose (FPG) of 126 mg/dL [CORRECT]
C. Hemoglobin A1C of 5.7%
D. Random plasma glucose of 160 mg/dL with symptoms
Correct Answer: B
Rationale: Diagnosis of DM is confirmed by FPG >= 126 mg/dL on two separate occasions, A1C >= 6.5%, random plasma
glucose >= 200 mg/dL with classic symptoms, or 2-hour OGTT >= 200 mg/dL. An FPG of 100-125 mg/dL indicates
prediabetes. An A1C of 5.7-6.4% also indicates prediabetes. Random glucose >= 200 requires classic symptoms (polyuria,
polydipsia, polyphagia) for diagnosis.
2. A nurse is teaching a client newly diagnosed with Type 1 diabetes mellitus about the disease
process. Which statement by the client indicates understanding of the pathophysiology?
A. My body produces insulin but my cells resist it.
B. My pancreas has destroyed its own beta cells and cannot produce insulin. [CORRECT]
C. My liver produces too much glucose, causing high blood sugar.
D. My kidneys cannot filter glucose properly, leading to hyperglycemia.
Correct Answer: B
Rationale: Type 1 DM is an autoimmune condition in which the body destroys pancreatic beta cells, leading to absolute
insulin deficiency. Type 2 DM involves insulin resistance where cells do not respond properly to insulin. Type 1 always
requires exogenous insulin therapy. It typically presents in childhood or adolescence but can occur at any age.
3. A nurse is preparing to administer insulin lispro (Humalog) to a client with Type 1 diabetes. When
should the nurse administer this medication in relation to the meal?
A. 30 minutes before the meal
B. 10-15 minutes before the meal [CORRECT]
C. Immediately after the meal
D. 1 hour after the meal
Correct Answer: B
Rationale: Insulin lispro is a rapid-acting insulin with an onset of 15-30 minutes and a peak of 1-2 hours. It should be
administered 10-15 minutes before eating. Regular insulin has a 30-minute to 1-hour onset and is given 30 minutes before
meals. NPH is intermediate-acting and is given to provide basal coverage, not tied to individual meals. Insulin glargine is
long-acting and provides 24-hour basal coverage with no peak.
4. A nurse is providing discharge teaching to a client who is starting metformin (Glucophage) for
Type 2 diabetes. Which instruction should the nurse include?
A. Take this medication on an empty stomach for best absorption.
B. Avoid consuming alcohol while taking this medication. [CORRECT]
C. Expect to gain weight as a side effect of this medication.
2
NSG 223 Medical- 75
Surgical T O TA L Q U E S T I O N S
Nursing II - Exam 2 8
C O N T EN T S EC T IO N S
Comprehensive 75-question practice examination covering
endocrine, neurological, musculoskeletal, hematologic,
oncology, dermatologic, burn, and shock disorders. Aligned
with 2026-2027 Herzing University curriculum standards and
70%
S C EN AR IO -B AS ED
QSEN competencies.
01 Endocrine Disorders
02 Neurological Disorders
03 Musculoskeletal Disorders
04 Hematologic & Immunologic
05 Oncology Nursing
06 Dermatologic & Burns
07 Shock & MODS
LEV EL
08 Integrated Clinical Scenarios
BSN - Baccalaureate Nursing
IN C LU D ES
Verified Answers & Rationales
E D UC ATIONA L PRA C TIC E E XA MINATION / 2 02 6- 2 02 7 C URRIC UL UM
, TABLE OF CONTENTS
SECTION 1: ENDOCRINE DISORDERS ...... Questions 1-15
SECTION 2: NEUROLOGICAL DISORDERS ...... Questions 16-28
SECTION 3: MUSCULOSKELETAL DISORDERS ...... Questions 29-38
SECTION 4: HEMATOLOGIC AND IMMUNOLOGIC DISORDERS ...... Questions 39-48
SECTION 5: ONCOLOGY NURSING ...... Questions 49-56
SECTION 6: DERMATOLOGIC AND BURNS ...... Questions 57-62
SECTION 7: SHOCK AND MULTISYSTEM ORGAN DYSFUNCTION ...... Questions 63-70
SECTION 8: INTEGRATED CLINICAL SCENARIOS ...... Questions 71-75
, SECTION 1: ENDOCRINE DISORDERS
Questions 1-15
1. A nurse is reviewing diagnostic criteria for diabetes mellitus with a nursing student. Which of the
following laboratory values confirms a diagnosis of diabetes mellitus?
A. Fasting plasma glucose (FPG) of 100 mg/dL
B. Fasting plasma glucose (FPG) of 126 mg/dL [CORRECT]
C. Hemoglobin A1C of 5.7%
D. Random plasma glucose of 160 mg/dL with symptoms
Correct Answer: B
Rationale: Diagnosis of DM is confirmed by FPG >= 126 mg/dL on two separate occasions, A1C >= 6.5%, random plasma
glucose >= 200 mg/dL with classic symptoms, or 2-hour OGTT >= 200 mg/dL. An FPG of 100-125 mg/dL indicates
prediabetes. An A1C of 5.7-6.4% also indicates prediabetes. Random glucose >= 200 requires classic symptoms (polyuria,
polydipsia, polyphagia) for diagnosis.
2. A nurse is teaching a client newly diagnosed with Type 1 diabetes mellitus about the disease
process. Which statement by the client indicates understanding of the pathophysiology?
A. My body produces insulin but my cells resist it.
B. My pancreas has destroyed its own beta cells and cannot produce insulin. [CORRECT]
C. My liver produces too much glucose, causing high blood sugar.
D. My kidneys cannot filter glucose properly, leading to hyperglycemia.
Correct Answer: B
Rationale: Type 1 DM is an autoimmune condition in which the body destroys pancreatic beta cells, leading to absolute
insulin deficiency. Type 2 DM involves insulin resistance where cells do not respond properly to insulin. Type 1 always
requires exogenous insulin therapy. It typically presents in childhood or adolescence but can occur at any age.
3. A nurse is preparing to administer insulin lispro (Humalog) to a client with Type 1 diabetes. When
should the nurse administer this medication in relation to the meal?
A. 30 minutes before the meal
B. 10-15 minutes before the meal [CORRECT]
C. Immediately after the meal
D. 1 hour after the meal
Correct Answer: B
Rationale: Insulin lispro is a rapid-acting insulin with an onset of 15-30 minutes and a peak of 1-2 hours. It should be
administered 10-15 minutes before eating. Regular insulin has a 30-minute to 1-hour onset and is given 30 minutes before
meals. NPH is intermediate-acting and is given to provide basal coverage, not tied to individual meals. Insulin glargine is
long-acting and provides 24-hour basal coverage with no peak.
4. A nurse is providing discharge teaching to a client who is starting metformin (Glucophage) for
Type 2 diabetes. Which instruction should the nurse include?
A. Take this medication on an empty stomach for best absorption.
B. Avoid consuming alcohol while taking this medication. [CORRECT]
C. Expect to gain weight as a side effect of this medication.
2
