HERZING UNIVERSITY NSG 223 MED
SURG II EXAM 1 NEWEST 2025 2026
COMPLETE QUESTIONS AND
CORRECT DETAILED CORRECT
ANSWERS FULLY VERIFIED ANSWERS
BRAND NEW VER SION HIGH YIELD
STUDY GUIDE ACTUAL UPDATED
PRACTICE QUESTIONS EXAM
PREPARATION GRADED A+
Question 1: A client with chronic alcoholism and late stage cirrhosis of the liver
has significant damage to Wernicke's area. What data obtained by the nurse is
indicative of this damage?
a. The client is unable to ambulate independently.
b. The client does not comprehend written and spoken language but speaks.
c. The client has speech impairment, but is able to comprehend language.
d. The client's left hand is experiencing paralysis.
Correct Answer: b
Rationale: Damage to Wernicke's area in the brain impairs the client's ability to
comprehend written and spoken language, but the client is still able to speak.
Wernicke's area is responsible for language comprehension .
,Question 2: A client who sustained head trauma in a motor vehicle crash is
determined to have an increase in intracranial pressure (ICP). What related
complications should the nurse be aware of? (Select all that apply)
a. Brain hypoxia
b. Herniation of the brain
c. Brain compression
d. Paralysis of the lower extremities
e. Urinary retention
Correct Answer: a, b, c
Rationale: The skull is a rigid container that contains brain tissue, CSF, and blood.
A large increase in any of these factors can increase ICP, causing brain hypoxia
(oxygen deprivation), herniation of the brain (brain contents pushed through an
opening), and brain compression (brain pushed against the rigid skull) .
Question 3: A client is having a colonoscopy and suddenly the client's heart rate
drops from 72 beats per minute (BPM) to 52 BPM. What cranial nerve does the
nurse determine has been stimulated?
a. Cranial Nerve I (Olfactory)
b. Cranial Nerve V (Trigeminal)
c. Cranial Nerve X (Vagus)
d. Cranial Nerve XI (Spinal Accessory)
Correct Answer: c
,Rationale: The vagus nerve (Cranial Nerve X) is the major parasympathetic nerve.
Stimulation of the vagus nerve causes a decrease in the heart rate. This can occur
during procedures such as a colonoscopy .
Question 4: What is the action of Atropine?
a. Blocks beta-1 receptors in the heart
b. Blocks the effects of acetylcholine at muscarinic cholinergic receptors
c. Inhibits calcium channels in cardiac muscle
d. Blocks potassium channels in the heart
Correct Answer: b
Rationale: Atropine blocks the effects of acetylcholine at muscarinic cholinergic
receptors. It is classified as an anticholinergic medication .
Question 5: What classification is Atropine?
a. Beta-blocker
b. Anticholinergic
c. Calcium channel blocker
d. Cardiac glycoside
Correct Answer: b
Rationale: Atropine is an anticholinergic medication that works by blocking
acetylcholine at muscarinic receptors .
, Question 6: What does atropine treat?
a. Hypertension
b. Tachycardia
c. Cardiovascular effects such as bradycardia and syncope
d. Heart failure
Correct Answer: c
Rationale: Atropine is used to treat cardiovascular effects such as bradycardia and
syncope by increasing heart rate .
Question 7: What are the side effects of an overdose of Atropine?
a. Increased secretions, decreased HR, increased GI tone
b. Decreased secretions, increased HR, decreased GI and Genitourinary tone
c. Hypotension, bradycardia, increased salivation
d. Seizures, hypoglycemia, respiratory depression
Correct Answer: b
Rationale: Atropine overdose causes decreased secretions (dry mouth), increased
heart rate (tachycardia), and decreased GI and genitourinary tone (constipation,
urinary retention) .
Question 8: What is the antidote for Atropine?
SURG II EXAM 1 NEWEST 2025 2026
COMPLETE QUESTIONS AND
CORRECT DETAILED CORRECT
ANSWERS FULLY VERIFIED ANSWERS
BRAND NEW VER SION HIGH YIELD
STUDY GUIDE ACTUAL UPDATED
PRACTICE QUESTIONS EXAM
PREPARATION GRADED A+
Question 1: A client with chronic alcoholism and late stage cirrhosis of the liver
has significant damage to Wernicke's area. What data obtained by the nurse is
indicative of this damage?
a. The client is unable to ambulate independently.
b. The client does not comprehend written and spoken language but speaks.
c. The client has speech impairment, but is able to comprehend language.
d. The client's left hand is experiencing paralysis.
Correct Answer: b
Rationale: Damage to Wernicke's area in the brain impairs the client's ability to
comprehend written and spoken language, but the client is still able to speak.
Wernicke's area is responsible for language comprehension .
,Question 2: A client who sustained head trauma in a motor vehicle crash is
determined to have an increase in intracranial pressure (ICP). What related
complications should the nurse be aware of? (Select all that apply)
a. Brain hypoxia
b. Herniation of the brain
c. Brain compression
d. Paralysis of the lower extremities
e. Urinary retention
Correct Answer: a, b, c
Rationale: The skull is a rigid container that contains brain tissue, CSF, and blood.
A large increase in any of these factors can increase ICP, causing brain hypoxia
(oxygen deprivation), herniation of the brain (brain contents pushed through an
opening), and brain compression (brain pushed against the rigid skull) .
Question 3: A client is having a colonoscopy and suddenly the client's heart rate
drops from 72 beats per minute (BPM) to 52 BPM. What cranial nerve does the
nurse determine has been stimulated?
a. Cranial Nerve I (Olfactory)
b. Cranial Nerve V (Trigeminal)
c. Cranial Nerve X (Vagus)
d. Cranial Nerve XI (Spinal Accessory)
Correct Answer: c
,Rationale: The vagus nerve (Cranial Nerve X) is the major parasympathetic nerve.
Stimulation of the vagus nerve causes a decrease in the heart rate. This can occur
during procedures such as a colonoscopy .
Question 4: What is the action of Atropine?
a. Blocks beta-1 receptors in the heart
b. Blocks the effects of acetylcholine at muscarinic cholinergic receptors
c. Inhibits calcium channels in cardiac muscle
d. Blocks potassium channels in the heart
Correct Answer: b
Rationale: Atropine blocks the effects of acetylcholine at muscarinic cholinergic
receptors. It is classified as an anticholinergic medication .
Question 5: What classification is Atropine?
a. Beta-blocker
b. Anticholinergic
c. Calcium channel blocker
d. Cardiac glycoside
Correct Answer: b
Rationale: Atropine is an anticholinergic medication that works by blocking
acetylcholine at muscarinic receptors .
, Question 6: What does atropine treat?
a. Hypertension
b. Tachycardia
c. Cardiovascular effects such as bradycardia and syncope
d. Heart failure
Correct Answer: c
Rationale: Atropine is used to treat cardiovascular effects such as bradycardia and
syncope by increasing heart rate .
Question 7: What are the side effects of an overdose of Atropine?
a. Increased secretions, decreased HR, increased GI tone
b. Decreased secretions, increased HR, decreased GI and Genitourinary tone
c. Hypotension, bradycardia, increased salivation
d. Seizures, hypoglycemia, respiratory depression
Correct Answer: b
Rationale: Atropine overdose causes decreased secretions (dry mouth), increased
heart rate (tachycardia), and decreased GI and genitourinary tone (constipation,
urinary retention) .
Question 8: What is the antidote for Atropine?
