NSG 4100 Exam 4 (New 2026/ 2027
Update) ADULT HEALTH Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)- GALEN
A pt w herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What
medication would the nurse expect the physician to order for the treatment of this ds
process?
a. cyclosporine (Neoral)
b. acyclovir (Zovirax)
c. cyclobenzaprine (Flexeril)
d. ampicillin (Prinicpen) - Correct answer B
A nurse is planning the care of a 28y/o woman hospitalized w a diagnosis of
myasthenia gravis. What approach would be most appropriate for the care and
scheduling of diagnostic procedures for this pt?
a. all at one time, to provide a longer rest period
b. before meals, to stimulate her appetite
c. in the morning, w frequent rest periods
,c. before bedtime, to promote rest - Correct answer C
The nurse is developing a plan of care for a pt w Guillain-Barr syndrome. Which of the
following interventions should the nurse prioritize for this pt?
a. using the incentive spirometer as prescribed
b. maintaining the pt on bed rest
c. providing aids to compensate for loss of vision
d. assessing frequently for loss of cognitive function - Correct answer A
A 69 y/o pt is brought to the ED bc a family member found him lying on the floor
disoriented and lethargic. The physician suspects bacterial meningitis & admits the pt
to the ICU. The nurse knows that risk factors for an unfavorable outcome include what?
Select all that apply:
a. BP greater than 140/90 mm Hg
b. HR greater than 120 bpm
c. older age
d. low Glasgow scale
e. lack of previous immunizations - Correct answer B, C, D
,The critical care nurse is caring for a 25 y/o man admitted to the ICU w a brain
abscess. What is a priority nursing responsibility in the care of the pt?
a. maintaining the pt's functional independence
b. providing health education
c. monitoring neurologic status closely
d. promoting mobility - Correct answer C
A pt is being admitted to the neurologic ICU w suspected herpes simplex virus
encephalitis. What nursing action best addresses the pt's complaints of headache?
a. initiating a patient-controlled analgesia (PCA) of morphine sulfate
b. administering hydromorphone (Dilaudid) IV as needed
c. dimming the lights and reducing stimulation
d. distracting the pt w activity - Correct answer C
A pt is admitted through the ED w suspected St. Louis encephalitis. The unique clinical
feature of St. Louis encephalitis will make what nursing action a priority?
a. serial assessments of hemoglobin levels
, b. blood glucose monitoring
c. close monitoring of fluid balance
d. assessment of pain along dermatomes - Correct answer C
You are the clinic nurse caring for a pt w a recent diagnosis of myasthenia gravis. The
pt has begun treatment w pyridostigmine bromide (Mestinon). What change in status
would most clearly suggest a therapeutic benefit of this medication?
a. increased muscle strength
b. decreased pain
c. improved GI function
d. improved cognition - Correct answer A
The critical care nurse is admitting a pt in myasthenia crisis to the ICU. The nurse
should prioritize what nursing action in the immediate care of this pt?
a. suctioning secretions
b. facilitating ABG analysis
c. providing ventilatory assistance
d. administering tube feedings - Correct answer C
Update) ADULT HEALTH Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)- GALEN
A pt w herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What
medication would the nurse expect the physician to order for the treatment of this ds
process?
a. cyclosporine (Neoral)
b. acyclovir (Zovirax)
c. cyclobenzaprine (Flexeril)
d. ampicillin (Prinicpen) - Correct answer B
A nurse is planning the care of a 28y/o woman hospitalized w a diagnosis of
myasthenia gravis. What approach would be most appropriate for the care and
scheduling of diagnostic procedures for this pt?
a. all at one time, to provide a longer rest period
b. before meals, to stimulate her appetite
c. in the morning, w frequent rest periods
,c. before bedtime, to promote rest - Correct answer C
The nurse is developing a plan of care for a pt w Guillain-Barr syndrome. Which of the
following interventions should the nurse prioritize for this pt?
a. using the incentive spirometer as prescribed
b. maintaining the pt on bed rest
c. providing aids to compensate for loss of vision
d. assessing frequently for loss of cognitive function - Correct answer A
A 69 y/o pt is brought to the ED bc a family member found him lying on the floor
disoriented and lethargic. The physician suspects bacterial meningitis & admits the pt
to the ICU. The nurse knows that risk factors for an unfavorable outcome include what?
Select all that apply:
a. BP greater than 140/90 mm Hg
b. HR greater than 120 bpm
c. older age
d. low Glasgow scale
e. lack of previous immunizations - Correct answer B, C, D
,The critical care nurse is caring for a 25 y/o man admitted to the ICU w a brain
abscess. What is a priority nursing responsibility in the care of the pt?
a. maintaining the pt's functional independence
b. providing health education
c. monitoring neurologic status closely
d. promoting mobility - Correct answer C
A pt is being admitted to the neurologic ICU w suspected herpes simplex virus
encephalitis. What nursing action best addresses the pt's complaints of headache?
a. initiating a patient-controlled analgesia (PCA) of morphine sulfate
b. administering hydromorphone (Dilaudid) IV as needed
c. dimming the lights and reducing stimulation
d. distracting the pt w activity - Correct answer C
A pt is admitted through the ED w suspected St. Louis encephalitis. The unique clinical
feature of St. Louis encephalitis will make what nursing action a priority?
a. serial assessments of hemoglobin levels
, b. blood glucose monitoring
c. close monitoring of fluid balance
d. assessment of pain along dermatomes - Correct answer C
You are the clinic nurse caring for a pt w a recent diagnosis of myasthenia gravis. The
pt has begun treatment w pyridostigmine bromide (Mestinon). What change in status
would most clearly suggest a therapeutic benefit of this medication?
a. increased muscle strength
b. decreased pain
c. improved GI function
d. improved cognition - Correct answer A
The critical care nurse is admitting a pt in myasthenia crisis to the ICU. The nurse
should prioritize what nursing action in the immediate care of this pt?
a. suctioning secretions
b. facilitating ABG analysis
c. providing ventilatory assistance
d. administering tube feedings - Correct answer C
