NSG 4100 EXAM 4 WITH CORRECT ANSWERS 100%
VERIFIED 2025-2026!!
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 client who has had Huntington's for 15 years and is admitted with
pneumonia. Which actions is priority? - ANSWER>>Provide humidification at the
bedside
Which of the following suggests deteriorating status? ANSWER>>Pupil size changing
from 5 to 9mm
(sign of increased ICP)
Which of the following is the optimal position for a client at risk for or with suspected
increased ICP? ANSWER>>Semi Fowler
Your client 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
,Your patient has been ordered pyridostigmine for myasthenia gravis. You understand
this medication is utilized for what purpose? - ANSWER>>To improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient has myasthenia exacerbation related to missed dose of medication. Which
are signs of this crisis state (SATA) - ANSWER>>-Difficulty speaking (Dysphonia)
-Severe weakness
-Labored, shallow RR
-Dysphagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a characteristic feature of this
disease? - ANSWER>>Impaired Sleep (insomnia)
What education statement is correct when teaching your patient with MS about activity
and mobilization? - ANSWER>>Morning improved gait
Your patient suffered from 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
The patient with fibromyalgiai has 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>>The client's spouse turns on
the TV one hours in the afternoon and 3 hours in the evening.
(You need low stimulation)
In a patient with head trauma ICP, _____________. External stimulation must be ________
to __________ cerebral oxygen consumption and to avoid seizures. - ANSWER>>1.
increases 2. Reduced 3. Decrease
The critical care nurse is caring for a client with a head injury secondary to a MVA. In
the am the patient is responsive to painful stimuli and assumed decorticate posturing.
Two hours later which data would warrent immediate intervention by the nurse? -
ANSWER>>The client extends the upper and lower extremities in response to painful
stimuli
Extension of the upper and lower extremities is assuming a ___________ posture, which
indicated the client's intracranial pressure is ____________ - ANSWER>>1. Decerebrate
2. Increasing
, The nurse is caring for clients in the emergency department. Which client should the
nurse assess first? - ANSWER>>The client with an epidural hematoma
An epidural hemtoma results from bleeding between the dura and inner surface of the
skull, and is an active ____________ bleed. This is a MEDICAL EMERGENCY. -
ANSWER>>Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse would
assess whether the patient is precipitating factors such as? - ANSWER>>Omitting
doses of medication
Myasthenic crisis often is caused by _____________-medication and responds to the
administration of cholinergic medications such as neostigmine and ____________ -
ANSWER>>1. Over Under 2. Pyridostigmine
What is the treatment for Guillian Barre - ANSWER>>Plasmapherisis
What is the treatment for Bacterial Meningitis? - ANSWER>>Broad Spectrum
Antibiotics
What is the treatment for Spinal Cord injury? - ANSWER>>Methylprednisone
What is the treatment for Increased ICP? - ANSWER>>Mannitol
What is the treatment for Neurogenic Shock? - ANSWER>>Atropine Sulfate
What is the treatment for Autonomic Dysreflexia? - ANSWER>>Hydralizine IV
What is the difference between Hospice and Pallative Care? - ANSWER>>Hospice care
occurs when the person has <6 m to live and may not be actively dying, the goal is to
VERIFIED 2025-2026!!
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 client who has had Huntington's for 15 years and is admitted with
pneumonia. Which actions is priority? - ANSWER>>Provide humidification at the
bedside
Which of the following suggests deteriorating status? ANSWER>>Pupil size changing
from 5 to 9mm
(sign of increased ICP)
Which of the following is the optimal position for a client at risk for or with suspected
increased ICP? ANSWER>>Semi Fowler
Your client 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
,Your patient has been ordered pyridostigmine for myasthenia gravis. You understand
this medication is utilized for what purpose? - ANSWER>>To improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient has myasthenia exacerbation related to missed dose of medication. Which
are signs of this crisis state (SATA) - ANSWER>>-Difficulty speaking (Dysphonia)
-Severe weakness
-Labored, shallow RR
-Dysphagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a characteristic feature of this
disease? - ANSWER>>Impaired Sleep (insomnia)
What education statement is correct when teaching your patient with MS about activity
and mobilization? - ANSWER>>Morning improved gait
Your patient suffered from 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
The patient with fibromyalgiai has 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>>The client's spouse turns on
the TV one hours in the afternoon and 3 hours in the evening.
(You need low stimulation)
In a patient with head trauma ICP, _____________. External stimulation must be ________
to __________ cerebral oxygen consumption and to avoid seizures. - ANSWER>>1.
increases 2. Reduced 3. Decrease
The critical care nurse is caring for a client with a head injury secondary to a MVA. In
the am the patient is responsive to painful stimuli and assumed decorticate posturing.
Two hours later which data would warrent immediate intervention by the nurse? -
ANSWER>>The client extends the upper and lower extremities in response to painful
stimuli
Extension of the upper and lower extremities is assuming a ___________ posture, which
indicated the client's intracranial pressure is ____________ - ANSWER>>1. Decerebrate
2. Increasing
, The nurse is caring for clients in the emergency department. Which client should the
nurse assess first? - ANSWER>>The client with an epidural hematoma
An epidural hemtoma results from bleeding between the dura and inner surface of the
skull, and is an active ____________ bleed. This is a MEDICAL EMERGENCY. -
ANSWER>>Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse would
assess whether the patient is precipitating factors such as? - ANSWER>>Omitting
doses of medication
Myasthenic crisis often is caused by _____________-medication and responds to the
administration of cholinergic medications such as neostigmine and ____________ -
ANSWER>>1. Over Under 2. Pyridostigmine
What is the treatment for Guillian Barre - ANSWER>>Plasmapherisis
What is the treatment for Bacterial Meningitis? - ANSWER>>Broad Spectrum
Antibiotics
What is the treatment for Spinal Cord injury? - ANSWER>>Methylprednisone
What is the treatment for Increased ICP? - ANSWER>>Mannitol
What is the treatment for Neurogenic Shock? - ANSWER>>Atropine Sulfate
What is the treatment for Autonomic Dysreflexia? - ANSWER>>Hydralizine IV
What is the difference between Hospice and Pallative Care? - ANSWER>>Hospice care
occurs when the person has <6 m to live and may not be actively dying, the goal is to
