1|Page
NSG 4800 EXAM |COMPREHENSIVE
Q&A FOR CERTIFICATION
SUCCESS
A 74-year-old male complains of new-onset of headaches. The headaches are
described as bilateral frontal and most severe when arises in the morning; and
when coughing. The history is consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - correct-answer - 3 secondary headaches caused by IICP-
awakening the brain swelling is the worst.
A patient is diagnosed with oral candidiasis and the physician prescribes nystatin
(Mycostatin) oral suspension for treatment. What instruction should the nurse
include in the patient teaching?
,2|Page
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before
swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - correct-answer - #2
Rationale: The patient is instructed to swish and swallow the oral suspension of
nystatin. The oral suspension should be used four times a day for 7 to 10 days for
fungal infections in the oral cavity.
The nurse is caring for a client following craniotomy for removal of an acoustic
neuroma. Assessment of which cranial nerve would identify a complication
specifically associated with this surgery?
Cranial nerve I, olfactory
Cranial nerve IV, trochlear
Cranial nerve III, oculomotor
Cranial nerve VII, facial nerve - correct-answer - 4, An acoustic neuroma (or
vestibular schwannoma) is a unilateral benign tumor that occurs where the
vestibulocochlear or acoustic nerve (cranial nerve VIII) enters the internal
,3|Page
auditory canal. It is important that an early diagnosis be made because the tumor
can compress the trigeminal and facial nerves and arteries within the internal
auditory canal. Treatment for acoustic neuroma is surgical removal via a
craniotomy. Assessment of the trigeminal and facial nerves is important. Extreme
care is taken to preserve remaining hearing and preserve the function of the facial
nerve. Acoustic neuromas rarely recur following surgical removal.
The nurse should expect to find elevated aspartate aminotransferase (AST) and
alanine aminotransferase (ALT) is a patient with what diagnosis?
Aspiration pneumonia.
Viral hepatitis.
Esophageal varices.
Clostridium difficile. - correct-answer - #2
Rationale: AST and ALT are enzymes found in the liver and these enzymes are
elevated in most liver disorders such as viral hepatitis and cirrhosis of the liver.
, 4|Page
The nurse is admitting a client with major depression. It would be a priority for
the nurse to
A.Determine if the client was voluntarily admitted
B.Ask the client if suicide has been contemplated
C.Have the client's possessions searched for sharps
D.Administer to the client the prescribed antidepressant - correct-answer - B
Asking about suicidal thoughts or plans is a priority when caring for the depressed
client. The person may not volunteer this information without being asked. If the
client answers yes, further assessment is required, and suicide precautions
initiated
A parent brings her 4-month-old infant to a well-baby clinic for immunizations.
The child is up to date with the immunization schedule. The nurse should prepare
to administer which immunizations to this infant? (Scroll for Answer)
Varicella, hepatitis B vaccine (HepB)
Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR);
inactivated poliovirus vaccine (IPV)
MMR, Haemophilus influenza type b (Hib), DTaP
NSG 4800 EXAM |COMPREHENSIVE
Q&A FOR CERTIFICATION
SUCCESS
A 74-year-old male complains of new-onset of headaches. The headaches are
described as bilateral frontal and most severe when arises in the morning; and
when coughing. The history is consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - correct-answer - 3 secondary headaches caused by IICP-
awakening the brain swelling is the worst.
A patient is diagnosed with oral candidiasis and the physician prescribes nystatin
(Mycostatin) oral suspension for treatment. What instruction should the nurse
include in the patient teaching?
,2|Page
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before
swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - correct-answer - #2
Rationale: The patient is instructed to swish and swallow the oral suspension of
nystatin. The oral suspension should be used four times a day for 7 to 10 days for
fungal infections in the oral cavity.
The nurse is caring for a client following craniotomy for removal of an acoustic
neuroma. Assessment of which cranial nerve would identify a complication
specifically associated with this surgery?
Cranial nerve I, olfactory
Cranial nerve IV, trochlear
Cranial nerve III, oculomotor
Cranial nerve VII, facial nerve - correct-answer - 4, An acoustic neuroma (or
vestibular schwannoma) is a unilateral benign tumor that occurs where the
vestibulocochlear or acoustic nerve (cranial nerve VIII) enters the internal
,3|Page
auditory canal. It is important that an early diagnosis be made because the tumor
can compress the trigeminal and facial nerves and arteries within the internal
auditory canal. Treatment for acoustic neuroma is surgical removal via a
craniotomy. Assessment of the trigeminal and facial nerves is important. Extreme
care is taken to preserve remaining hearing and preserve the function of the facial
nerve. Acoustic neuromas rarely recur following surgical removal.
The nurse should expect to find elevated aspartate aminotransferase (AST) and
alanine aminotransferase (ALT) is a patient with what diagnosis?
Aspiration pneumonia.
Viral hepatitis.
Esophageal varices.
Clostridium difficile. - correct-answer - #2
Rationale: AST and ALT are enzymes found in the liver and these enzymes are
elevated in most liver disorders such as viral hepatitis and cirrhosis of the liver.
, 4|Page
The nurse is admitting a client with major depression. It would be a priority for
the nurse to
A.Determine if the client was voluntarily admitted
B.Ask the client if suicide has been contemplated
C.Have the client's possessions searched for sharps
D.Administer to the client the prescribed antidepressant - correct-answer - B
Asking about suicidal thoughts or plans is a priority when caring for the depressed
client. The person may not volunteer this information without being asked. If the
client answers yes, further assessment is required, and suicide precautions
initiated
A parent brings her 4-month-old infant to a well-baby clinic for immunizations.
The child is up to date with the immunization schedule. The nurse should prepare
to administer which immunizations to this infant? (Scroll for Answer)
Varicella, hepatitis B vaccine (HepB)
Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR);
inactivated poliovirus vaccine (IPV)
MMR, Haemophilus influenza type b (Hib), DTaP
