NSG 4800 CORRECT EXAMS QUESTIONS AND
ANSWERS SET A+
✔✔Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the
location of obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - ✔✔1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts, and
pancreas to treat problems of the bile and pancreatic ducts.
✔✔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 - ✔✔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?
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. - ✔✔#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 - ✔✔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 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. - ✔✔#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.
✔✔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 - ✔✔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
DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV) - ✔✔4. DTaP,
Hib, IPV, PCV, and RV are administered at 4 months of age. DTaP is administered at 2,
4, and 6 months of age; at 15 to 18 months of age; and at 4 to 6 years of age. Hib is
administered at 2, 4, and 6 months of age and at 12 to 15 months of age. IPV is
ANSWERS SET A+
✔✔Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the
location of obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - ✔✔1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts, and
pancreas to treat problems of the bile and pancreatic ducts.
✔✔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 - ✔✔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?
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. - ✔✔#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 - ✔✔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 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. - ✔✔#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.
✔✔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 - ✔✔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
DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV) - ✔✔4. DTaP,
Hib, IPV, PCV, and RV are administered at 4 months of age. DTaP is administered at 2,
4, and 6 months of age; at 15 to 18 months of age; and at 4 to 6 years of age. Hib is
administered at 2, 4, and 6 months of age and at 12 to 15 months of age. IPV is
