NSG 4100 ACTUAL EXAM 4 | 2026-2027
QUESTIONS AND CORRECT ANSWERS |
FREE PDF
What is a normal reaction of a patient has received a craniotomy?
-SELECTED ANSWER 👀 **** Eyes that are swollen post op
Your patient is S/P a craniotomy. Which of the following will need
to reported to the PCP? -SELECTED ANSWER 👀 **** BP
change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1
prevention? -SELECTED ANSWER 👀 **** Recommended
between the ages 11-12 and boosters should be recv'd by age 16
Which is appropriate when caring for a patient with encephalitis? -
SELECTED ANSWER 👀 **** Keeping room lights dim or off
Which of the following is indicative of worsening condition? -
SELECTED ANSWER 👀 **** Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased
ICP? -SELECTED ANSWER 👀 **** Semi Fowler position
,Your patient is S/P craniotomy for tumor removal. Which of the
following is indicative of a complication? -SELECTED ANSWER
👀 **** Client states he feels a lot of drainage at the back of his
throat
You are caring for a patient who has had Huntington's for 15
years and is admitted with pneumonia. Which actions is priority? -
SELECTED ANSWER 👀 **** Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia
gravis. You understand that this medication is used to? -
SELECTED ANSWER 👀 **** Improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to
missed dose of medication. Which are signs of this crisis state
(SATA) -SELECTED ANSWER 👀 **** -Difficult speaking
(Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
,Your patient is diagnosed with Fibromyalgia. Which is a key
feature of this disease? -SELECTED ANSWER 👀 **** Difficulty
Sleeping (insomnia)
What education statment is correct when teaching your patient
with MS, about activity and mobility? -SELECTED ANSWER 👀
**** Waking improves gait
Your patient sustained a C4 injury. You will expect all of the
following EXCEPT? -SELECTED ANSWER 👀 **** Full range of
motion
Autonomic dysreflexia is considered an emergency. Why? -
SELECTED ANSWER 👀 **** Increase in BP can raise ICP
The patient with fibromyalgiai suffering from pain at 12 of the 18
identification site sites, including the neck upper back and the
knees. The patient also reports nonfreshing sleep, depression,
and being anxious when dealing with multiple tasks. The nurse
should teach the patient about what treatments? (SATA) -
SELECTED ANSWER 👀 **** -Relaxation strategy (biofeedback)
-Serotonin reputake inhihibitor (e.g setraline)
-Establish a regular sleep patern
-Instruct patient on performing regular LOW IMPACT exercise
such as walking, swimming, biking and water exercise.
, What medicaitons are approved for fibromyalgia pain? -
SELECTED ANSWER 👀 **** Antidepressants (preglabalin &
duloxetine) as these meds work to release serotonin and nor-
epinephrine in the brain
The nurse is caring for a client with a head injury and would
recognize which assessment findings as early sings of increase
ICP? SATA -SELECTED ANSWER 👀 **** -Kussmaul breathing
-Weakness in one extremity
A nurse is caring for a client diagnosed to have a head injury.
Which of the following situations needs intervention by the nurse?
-SELECTED ANSWER 👀 **** The client's spouse turns on the
TV one hours in the afternoon and 3 hours in the evening.
(You need low stimulation)
In a client with head injury ICP, _____________. External stimuli
should be ________ to __________ oxygen consumption and
prevent seizures. -SELECTED ANSWER 👀 **** 1. increases 2.
Reduced 3. Decrease
The critical care nurse is caring for a client with a head injury
secondary to a MVA. In the am the patient is responsive to painful
stimuli and assumed decorticate posturing. Two hours later which
data would warrent immediate intervention by the nurse? -
QUESTIONS AND CORRECT ANSWERS |
FREE PDF
What is a normal reaction of a patient has received a craniotomy?
-SELECTED ANSWER 👀 **** Eyes that are swollen post op
Your patient is S/P a craniotomy. Which of the following will need
to reported to the PCP? -SELECTED ANSWER 👀 **** BP
change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1
prevention? -SELECTED ANSWER 👀 **** Recommended
between the ages 11-12 and boosters should be recv'd by age 16
Which is appropriate when caring for a patient with encephalitis? -
SELECTED ANSWER 👀 **** Keeping room lights dim or off
Which of the following is indicative of worsening condition? -
SELECTED ANSWER 👀 **** Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased
ICP? -SELECTED ANSWER 👀 **** Semi Fowler position
,Your patient is S/P craniotomy for tumor removal. Which of the
following is indicative of a complication? -SELECTED ANSWER
👀 **** Client states he feels a lot of drainage at the back of his
throat
You are caring for a patient who has had Huntington's for 15
years and is admitted with pneumonia. Which actions is priority? -
SELECTED ANSWER 👀 **** Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia
gravis. You understand that this medication is used to? -
SELECTED ANSWER 👀 **** Improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to
missed dose of medication. Which are signs of this crisis state
(SATA) -SELECTED ANSWER 👀 **** -Difficult speaking
(Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
,Your patient is diagnosed with Fibromyalgia. Which is a key
feature of this disease? -SELECTED ANSWER 👀 **** Difficulty
Sleeping (insomnia)
What education statment is correct when teaching your patient
with MS, about activity and mobility? -SELECTED ANSWER 👀
**** Waking improves gait
Your patient sustained a C4 injury. You will expect all of the
following EXCEPT? -SELECTED ANSWER 👀 **** Full range of
motion
Autonomic dysreflexia is considered an emergency. Why? -
SELECTED ANSWER 👀 **** Increase in BP can raise ICP
The patient with fibromyalgiai suffering from pain at 12 of the 18
identification site sites, including the neck upper back and the
knees. The patient also reports nonfreshing sleep, depression,
and being anxious when dealing with multiple tasks. The nurse
should teach the patient about what treatments? (SATA) -
SELECTED ANSWER 👀 **** -Relaxation strategy (biofeedback)
-Serotonin reputake inhihibitor (e.g setraline)
-Establish a regular sleep patern
-Instruct patient on performing regular LOW IMPACT exercise
such as walking, swimming, biking and water exercise.
, What medicaitons are approved for fibromyalgia pain? -
SELECTED ANSWER 👀 **** Antidepressants (preglabalin &
duloxetine) as these meds work to release serotonin and nor-
epinephrine in the brain
The nurse is caring for a client with a head injury and would
recognize which assessment findings as early sings of increase
ICP? SATA -SELECTED ANSWER 👀 **** -Kussmaul breathing
-Weakness in one extremity
A nurse is caring for a client diagnosed to have a head injury.
Which of the following situations needs intervention by the nurse?
-SELECTED ANSWER 👀 **** The client's spouse turns on the
TV one hours in the afternoon and 3 hours in the evening.
(You need low stimulation)
In a client with head injury ICP, _____________. External stimuli
should be ________ to __________ oxygen consumption and
prevent seizures. -SELECTED ANSWER 👀 **** 1. increases 2.
Reduced 3. Decrease
The critical care nurse is caring for a client with a head injury
secondary to a MVA. In the am the patient is responsive to painful
stimuli and assumed decorticate posturing. Two hours later which
data would warrent immediate intervention by the nurse? -
