N108 Medical-Surgical Nursing — Test 2
Comprehensive Review
Eastwick College | 2026/2027 Updated | 72 Original Practice Questions with Correct Answers,
Clinical Rationales & Nursing Priorities
Coverage: Neurological Disorders • Stroke • Seizures • Increased Intracranial Pressure • Spinal
Cord Injuries • Multiple Sclerosis • Cardiovascular Disorders • ECG Interpretation • Peripheral
Vascular Disease • Eye Disorders • Dementia • Delirium
Eastwick College |
48
Blueprint topics covered
72
Original practice questions
2026
Clinical guidance reviewed
Structure: Questions 1–48 follow the exact numerical topic sequence of your blueprint.
Questions 49–72 provide additional scenario-based clinical judgment and application questions.
Important clinical updates from the deeper research
The uploaded notes contain several points requiring updating rather than reproducing them
unchanged:
The 2026 AHA/ASA ischemic stroke guideline includes current thrombolysis and blood-
pressure management recommendations.
The revised McDonald multiple sclerosis criteria, published in 2025, introduce new
diagnostic evidence and include the optic nerve as a fifth anatomical location.
High-sensitivity cardiac troponin is now preferred over older markers such as CK-MB
and myoglobin for detecting myocardial injury.
, JACC
+1
Benzodiazepines such as alprazolam are not routinely recommended for treating delirium
and can worsen confusion.
Merck Manual Professional Edition
All questions below are independently written practice questions aligned to the uploaded topics,
not recovered or authenticated Eastwick Test 2 examination questions.
Section I — Headaches, Seizures and Cerebrovascular
Disorders
Blueprint topics 1–9 | Questions 1–9
Question 1 — Prodromal Phase of Migraine
A 34-year-old patient with a history of migraines reports unusual food cravings, excessive
yawning, fatigue and irritability. The patient has not yet developed headache pain.
Which phase of migraine is the patient most likely experiencing?
A. Aura phase
B. Prodromal phase
C. Headache phase
D. Postdromal phase
Correct Answer: B. Prodromal phase
Rationale: The prodromal phase may begin hours to days before migraine headache pain. Early
manifestations include yawning, fatigue, mood changes, food cravings, neck stiffness and
alterations in thirst or urination.
,The aura phase, when present, commonly includes temporary visual, sensory or language
symptoms. The headache phase involves pain and associated symptoms, while the postdromal
phase occurs after the headache.
Nursing priority: Help the patient recognize their personal early warning signs and follow their
individualized migraine management plan.
American Migraine Foundation
Question 2 — Patient Education for Chronic Headaches
A patient experiencing recurring tension-type headaches asks the nurse how to reduce headache
frequency and identify contributing factors.
Which recommendation is most appropriate?
A. Avoid all physical activity.
B. Stop prescribed medications as soon as the headache resolves.
C. Maintain a headache diary documenting symptoms, patterns, possible triggers and treatment
responses.
D. Ignore any changes in headache characteristics.
Correct Answer: C. Maintain a headache diary documenting symptoms, patterns, possible
triggers and treatment responses.
Rationale: A headache diary helps identify recurring patterns, headache frequency, severity,
associated symptoms and treatment effectiveness. This information can assist clinicians in
selecting appropriate interventions.
Routine self-management may include regular sleep, adequate hydration, balanced meals and
stress-management practices. A sudden severe headache or new neurological deficit warrants
urgent medical evaluation rather than routine headache management.
Nursing priority: Provide understandable, individualized education and reinforce when
emergency assessment is necessary.
Question 3 — Etiology of Seizures
A patient develops a seizure after experiencing a significant electrolyte disturbance.
Which classification best explains the suspected seizure etiology?
, A. Structural
B. Genetic
C. Metabolic
D. Unknown
Correct Answer: C. Metabolic
Rationale: Metabolic disturbances, including abnormal blood glucose or electrolyte
concentrations, can disrupt normal neuronal electrical activity and provoke seizures.
Structural etiologies include stroke, traumatic injury or brain tumors. Genetic etiologies involve
inherited or newly occurring genetic abnormalities. Infectious and immune-mediated conditions
can also cause seizures.
Nursing priority: Assess patient safety, identify reversible contributing factors and promptly
report new seizure activity.
Question 4 — Myoclonic Seizures
A nurse observes a patient experiencing sudden, brief, shock-like jerking movements of both
arms. The patient remains responsive between episodes.
Which type of seizure is most consistent with these findings?
A. Absence seizure
B. Myoclonic seizure
C. Focal impaired-awareness seizure
D. Atonic seizure
Correct Answer: B. Myoclonic seizure
Rationale: Myoclonic seizures produce sudden, brief involuntary muscle jerks. These movements
may involve one muscle group or multiple muscle groups and may occur repeatedly.
Awareness is often preserved during brief myoclonic seizures. Absence seizures typically
involve brief interruptions of awareness, while atonic seizures cause sudden reductions in muscle
tone.
Comprehensive Review
Eastwick College | 2026/2027 Updated | 72 Original Practice Questions with Correct Answers,
Clinical Rationales & Nursing Priorities
Coverage: Neurological Disorders • Stroke • Seizures • Increased Intracranial Pressure • Spinal
Cord Injuries • Multiple Sclerosis • Cardiovascular Disorders • ECG Interpretation • Peripheral
Vascular Disease • Eye Disorders • Dementia • Delirium
Eastwick College |
48
Blueprint topics covered
72
Original practice questions
2026
Clinical guidance reviewed
Structure: Questions 1–48 follow the exact numerical topic sequence of your blueprint.
Questions 49–72 provide additional scenario-based clinical judgment and application questions.
Important clinical updates from the deeper research
The uploaded notes contain several points requiring updating rather than reproducing them
unchanged:
The 2026 AHA/ASA ischemic stroke guideline includes current thrombolysis and blood-
pressure management recommendations.
The revised McDonald multiple sclerosis criteria, published in 2025, introduce new
diagnostic evidence and include the optic nerve as a fifth anatomical location.
High-sensitivity cardiac troponin is now preferred over older markers such as CK-MB
and myoglobin for detecting myocardial injury.
, JACC
+1
Benzodiazepines such as alprazolam are not routinely recommended for treating delirium
and can worsen confusion.
Merck Manual Professional Edition
All questions below are independently written practice questions aligned to the uploaded topics,
not recovered or authenticated Eastwick Test 2 examination questions.
Section I — Headaches, Seizures and Cerebrovascular
Disorders
Blueprint topics 1–9 | Questions 1–9
Question 1 — Prodromal Phase of Migraine
A 34-year-old patient with a history of migraines reports unusual food cravings, excessive
yawning, fatigue and irritability. The patient has not yet developed headache pain.
Which phase of migraine is the patient most likely experiencing?
A. Aura phase
B. Prodromal phase
C. Headache phase
D. Postdromal phase
Correct Answer: B. Prodromal phase
Rationale: The prodromal phase may begin hours to days before migraine headache pain. Early
manifestations include yawning, fatigue, mood changes, food cravings, neck stiffness and
alterations in thirst or urination.
,The aura phase, when present, commonly includes temporary visual, sensory or language
symptoms. The headache phase involves pain and associated symptoms, while the postdromal
phase occurs after the headache.
Nursing priority: Help the patient recognize their personal early warning signs and follow their
individualized migraine management plan.
American Migraine Foundation
Question 2 — Patient Education for Chronic Headaches
A patient experiencing recurring tension-type headaches asks the nurse how to reduce headache
frequency and identify contributing factors.
Which recommendation is most appropriate?
A. Avoid all physical activity.
B. Stop prescribed medications as soon as the headache resolves.
C. Maintain a headache diary documenting symptoms, patterns, possible triggers and treatment
responses.
D. Ignore any changes in headache characteristics.
Correct Answer: C. Maintain a headache diary documenting symptoms, patterns, possible
triggers and treatment responses.
Rationale: A headache diary helps identify recurring patterns, headache frequency, severity,
associated symptoms and treatment effectiveness. This information can assist clinicians in
selecting appropriate interventions.
Routine self-management may include regular sleep, adequate hydration, balanced meals and
stress-management practices. A sudden severe headache or new neurological deficit warrants
urgent medical evaluation rather than routine headache management.
Nursing priority: Provide understandable, individualized education and reinforce when
emergency assessment is necessary.
Question 3 — Etiology of Seizures
A patient develops a seizure after experiencing a significant electrolyte disturbance.
Which classification best explains the suspected seizure etiology?
, A. Structural
B. Genetic
C. Metabolic
D. Unknown
Correct Answer: C. Metabolic
Rationale: Metabolic disturbances, including abnormal blood glucose or electrolyte
concentrations, can disrupt normal neuronal electrical activity and provoke seizures.
Structural etiologies include stroke, traumatic injury or brain tumors. Genetic etiologies involve
inherited or newly occurring genetic abnormalities. Infectious and immune-mediated conditions
can also cause seizures.
Nursing priority: Assess patient safety, identify reversible contributing factors and promptly
report new seizure activity.
Question 4 — Myoclonic Seizures
A nurse observes a patient experiencing sudden, brief, shock-like jerking movements of both
arms. The patient remains responsive between episodes.
Which type of seizure is most consistent with these findings?
A. Absence seizure
B. Myoclonic seizure
C. Focal impaired-awareness seizure
D. Atonic seizure
Correct Answer: B. Myoclonic seizure
Rationale: Myoclonic seizures produce sudden, brief involuntary muscle jerks. These movements
may involve one muscle group or multiple muscle groups and may occur repeatedly.
Awareness is often preserved during brief myoclonic seizures. Absence seizures typically
involve brief interruptions of awareness, while atonic seizures cause sudden reductions in muscle
tone.
