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NSG 4100 Exam 4 Practice Questions and Answers (200+ Questions) – Neurological Disorders, Burns, Shock & Emergency Nursing Review – Walden University 2026

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This comprehensive NSG 4100 Exam 4 study guide for Walden University nursing students includes over 200 exam-style questions with detailed answers and explanations covering high-yield emergency and critical care nursing concepts. The material focuses on neurological disorders, increased intracranial pressure (ICP), traumatic brain injury (TBI), meningitis, encephalitis, spinal cord injuries, burns, shock states, sepsis management, autonomic dysreflexia, and disaster nursing care. The document also reviews important pharmacological interventions including Mannitol, Pyridostigmine, Acyclovir, broad-spectrum antibiotics, vasopressors, and fluid resuscitation protocols commonly tested in advanced nursing and NCLEX-style examinations. This resource is especially valuable for Bachelor of Science in Nursing (BSN), accelerated BSN, RN-to-BSN, and advanced medical-surgical nursing students preparing for NSG 4100 examinations, HESI assessments, ATI testing, and NCLEX preparation. Key nursing interventions, prioritization strategies, emergency response protocols, and patient safety considerations are presented in a simplified question-and-answer format to improve retention and exam performance. The study content aligns with evidence-based nursing principles discussed in leading nursing references including Lewis’s Medical-Surgical Nursing, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, and Ignatavicius: Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care. Topics such as sepsis bundles, burn management using the Parkland Formula, neurological assessment, emergency triage, and critical care interventions are consistent with current clinical nursing standards and emergency nursing guidelines. Keywords NSG 4100, NSG4100 Exam 4, Walden University nursing, nursing exam questions, medical surgical nursing, emergency nursing, critical care nursing, neurological disorders, increased ICP, intracranial pressure, traumatic brain injury, TBI nursing, craniotomy care, meningitis nursing, encephalitis, myasthenia gravis, Guillain Barre syndrome, multiple sclerosis nursing, Huntington disease, spinal cord injury, autonomic dysreflexia, burn management, Parkland formula, burn nursing care, hypovolemic shock, cardiogenic shock, distributive shock, septic shock, neurogenic shock, sepsis bundle, fluid resuscitation, Mannitol nursing, Pyridostigmine, emergency department nursing, disaster triage, mass casualty nursing, NCLEX review, HESI preparation, ATI nursing exams, nursing pharmacology, wound debridement, graft care, neurological assessment, seizure precautions, emergency interventions, nursing priorities, evidence based nursing, ICU nursing, advanced nursing study guide

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NSG 4100 EXAM 4 2026 Exam
Questions with 100% Correct
Answers | Latest Update



Which of the following is indicative of worsening condition? -

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? -

ANSWER ✔✔Semi Fowler position

,Your patient is S/P craniotomy for tumor removal. Which of the following

is indicative of a complication? - ANSWER ✔✔Client states he feels a

lot of drainage at the back of his throat

What is a normal reaction of a patient has received a craniotomy? -

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? - ANSWER ✔✔BP change from 120/80 to

140/88

Which statement is correct about meningococcal vaccines #1

prevention? - 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? -

ANSWER ✔✔Keeping room lights dim or off


You are caring for a patient who has had Huntington's for 15 years and is

admitted with pneumonia. Which actions is priority? - ANSWER

✔✔Set up bedside humidification


Your patient has been ordered pyridostigmine for myasthenia gravis. You

understand that this medication is used to? - 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) -

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? - ANSWER ✔✔Difficulty Sleeping (insomnia)


What education statment is correct when teaching your patient with MS,

about activity and mobility? - ANSWER ✔✔Waking improves gait


Your patient sustained a C4 injury. You will expect all of the following

EXCEPT? - ANSWER ✔✔Full range of motion


Autonomic dysreflexia is considered an emergency. Why? -

ANSWER ✔✔Increase in BP can raise ICP


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, 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) - 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? - 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 -

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? - ANSWER

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