NSG 4100 & NSG 4800 COMPREHENSIVE FINAL
EXAMINATION Full Exam Original Practice Questions
with Correct Correct Answers & Rationales|
GAURANTEED PASS WITH 170+ TEST BANK
QUESTIONS 2026 CARRICULUM VERRIFIED TEST
INSTANT PDF DOWNLOAD
Question 1
A nurse is caring for a patient with fibromyalgia who reports pain at
multiple tender points, non-refreshing sleep, and depression. Which
treatments should the nurse anticipate including in the plan of care?
(Select all that apply.)
A. Minimal aerobic exercise
B. Relaxation strategies, such as biofeedback
C. Anti-seizure medication, such as phenytoin
D. A selective serotonin reuptake inhibitor (SSRI), like sertraline
E. Establishing a regular sleep pattern
Correct Answer: B, D, E
Rationale: The management of fibromyalgia is multimodal, focusing
on symptom management and improving function. Evidence-based
treatments include relaxation strategies (biofeedback), SSRIs to
address pain and depression, and establishing a regular sleep
,pattern to combat fatigue. High-intensity exercise can worsen
symptoms, and anti-seizure medications like pregabalin are used,
but phenytoin is not a first-line treatment for fibromyalgia .
Question 2
The nurse is caring for a client with a head injury. Which assessment
finding is the earliest sign of increased intracranial pressure (ICP)?
A. Widening pulse pressure and bradycardia
B. Projectile vomiting
C. A change in the level of consciousness (LOC)
D. Decerebrate posturing
Correct Answer: C
Rationale: A change in the level of consciousness (e.g., restlessness,
confusion, drowsiness) is the most sensitive and earliest indicator of
a change in neurological status and increasing ICP. Cushing's triad
(widening pulse pressure, bradycardia, and irregular respirations) is
a very late and ominous sign .
Question 3
A patient in the neurologic ICU has developed cerebral edema
following an acute head injury. The nurse anticipates administering
which priority medication?
,A. Hydrochlorothiazide
B. Furosemide (Lasix)
C. Mannitol (Osmitrol)
D. Spironolactone (Aldactone)
Correct Answer: C
Rationale: Mannitol is an osmotic diuretic that is the gold standard
for rapidly reducing cerebral edema and lowering intracranial
pressure (ICP). It works by drawing fluid from the brain tissue into
the intravascular space, where it can be excreted by the kidneys .
Question 4
A nurse is caring for a dying patient. The patient's spouse is at the
bedside and states, "I think he is choking to death." What is the
nurse's most appropriate response?
A. "Do not worry. The choking sound is normal during the dying
process."
B. "I will administer more morphine to keep your husband
comfortable."
C. "I can ask the respiratory therapist to suction secretions out
through his nose."
D. "I will have another nurse assist me to turn your husband on his
side."
Correct Answer: D
, Rationale: The "death rattle" is caused by the accumulation of oral
and respiratory secretions that the patient can no longer clear. The
best nursing intervention is to reposition the patient, often on their
side, to allow gravity to help drain the secretions. This is a non-
pharmacological comfort measure that addresses the family's
immediate concern .
Question 5
A nurse manager observes that staff morale is low and nurses are
leaving the unit at high rates. Which leadership style is most
appropriate to address this situation?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Transformational leadership
Correct Answer: D
Rationale: Transformational leadership is the most effective style for
improving morale and inspiring change. It focuses on empowering
and motivating staff by creating a shared vision, fostering a positive
work environment, and supporting individual growth. This is ideal for
addressing high turnover and burnout .
Question 6
EXAMINATION Full Exam Original Practice Questions
with Correct Correct Answers & Rationales|
GAURANTEED PASS WITH 170+ TEST BANK
QUESTIONS 2026 CARRICULUM VERRIFIED TEST
INSTANT PDF DOWNLOAD
Question 1
A nurse is caring for a patient with fibromyalgia who reports pain at
multiple tender points, non-refreshing sleep, and depression. Which
treatments should the nurse anticipate including in the plan of care?
(Select all that apply.)
A. Minimal aerobic exercise
B. Relaxation strategies, such as biofeedback
C. Anti-seizure medication, such as phenytoin
D. A selective serotonin reuptake inhibitor (SSRI), like sertraline
E. Establishing a regular sleep pattern
Correct Answer: B, D, E
Rationale: The management of fibromyalgia is multimodal, focusing
on symptom management and improving function. Evidence-based
treatments include relaxation strategies (biofeedback), SSRIs to
address pain and depression, and establishing a regular sleep
,pattern to combat fatigue. High-intensity exercise can worsen
symptoms, and anti-seizure medications like pregabalin are used,
but phenytoin is not a first-line treatment for fibromyalgia .
Question 2
The nurse is caring for a client with a head injury. Which assessment
finding is the earliest sign of increased intracranial pressure (ICP)?
A. Widening pulse pressure and bradycardia
B. Projectile vomiting
C. A change in the level of consciousness (LOC)
D. Decerebrate posturing
Correct Answer: C
Rationale: A change in the level of consciousness (e.g., restlessness,
confusion, drowsiness) is the most sensitive and earliest indicator of
a change in neurological status and increasing ICP. Cushing's triad
(widening pulse pressure, bradycardia, and irregular respirations) is
a very late and ominous sign .
Question 3
A patient in the neurologic ICU has developed cerebral edema
following an acute head injury. The nurse anticipates administering
which priority medication?
,A. Hydrochlorothiazide
B. Furosemide (Lasix)
C. Mannitol (Osmitrol)
D. Spironolactone (Aldactone)
Correct Answer: C
Rationale: Mannitol is an osmotic diuretic that is the gold standard
for rapidly reducing cerebral edema and lowering intracranial
pressure (ICP). It works by drawing fluid from the brain tissue into
the intravascular space, where it can be excreted by the kidneys .
Question 4
A nurse is caring for a dying patient. The patient's spouse is at the
bedside and states, "I think he is choking to death." What is the
nurse's most appropriate response?
A. "Do not worry. The choking sound is normal during the dying
process."
B. "I will administer more morphine to keep your husband
comfortable."
C. "I can ask the respiratory therapist to suction secretions out
through his nose."
D. "I will have another nurse assist me to turn your husband on his
side."
Correct Answer: D
, Rationale: The "death rattle" is caused by the accumulation of oral
and respiratory secretions that the patient can no longer clear. The
best nursing intervention is to reposition the patient, often on their
side, to allow gravity to help drain the secretions. This is a non-
pharmacological comfort measure that addresses the family's
immediate concern .
Question 5
A nurse manager observes that staff morale is low and nurses are
leaving the unit at high rates. Which leadership style is most
appropriate to address this situation?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Transformational leadership
Correct Answer: D
Rationale: Transformational leadership is the most effective style for
improving morale and inspiring change. It focuses on empowering
and motivating staff by creating a shared vision, fostering a positive
work environment, and supporting individual growth. This is ideal for
addressing high turnover and burnout .
Question 6
