NSG 4100 exam 4 Questions with Detailed
Verified Answers
Head trauma ICP & Abdominal compartment Syndrome Ans: Increased abdomen
pressure compresses abdominal organs to venous system leading to increased ICP
Priority w/ head trauma Ans: Neurological patient is the priority... leaking CSF (halo
sign)
Post-op monitoring for craniotomy Ans: Monitor VS & LOC Q15-60min
-no extreme head rotation
-ETT in place until awake and adequate ventilation
Brain tumor post op complication Ans: CSF leaking from ears or nose (Halo sign)
TBI hormones affects Ans: Disrupts hypothalamus & pituitary gland (ADH) leading to
diabetes insipidus
Hallmark sign of diabetes insipidus Ans: Polyuria, hypotonic urine (low osmolality)
S/S of DI w/ TBI Ans: Nocturnal, incontinence, enuresis (bed wetting), polydipsia,
polyuria, hypotonic urine
Tx of DI w/ TBI Ans: DDAVP & Desmopressin
Decorticate posturing w/ TBI Ans: Flexion posturing indicated severe trauma to CNS
PRIORITY
Nursing considerations for meningitis & encephalitis Ans: Cluster care, dim lights,
decrease noise, limit visitors
, Huntington's disease Ans: Breathing problems arise w/ progression d/t impaired
motor control, swallowing difficulties, and weak respiratory muscles—>Humidified
oxygen
Myasthenia Gravis tx Ans: Pyridostigmine
-sudden/severe deterioration of respiratory function if not routinely medicated
-Crisis: neuromuscular respiratory failure
Fibromyalgia clinical manifestations Ans: -trigger points & pain in muscles
-GI issues
-Fatigue/Malaise
-Spasms/Stiffness
-Sleep disturbances
-Functional Impairments
Multiple Sclerosis symptom management education Ans: Relaxation, sleep 7-9 hours,
smoking cessation, encourage ambulating to improve balance & stay active
-modifications to help control incontinence
Amyotrophic Lateral Sclerosis (ALS) (Lou Gehrig's Disease) Ans: -common to have
muscular weakness/atrophy affecting swallowing leading to aspiration & malnutrition
-Focus on managing symptoms & improving quality of life
C1 spinal injury Ans: Quadriplegia, affects whole body
C2 spinal injury Ans: Some neck motions, rest of body paralyzed
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
Head trauma ICP & Abdominal compartment Syndrome Ans: Increased abdomen
pressure compresses abdominal organs to venous system leading to increased ICP
Priority w/ head trauma Ans: Neurological patient is the priority... leaking CSF (halo
sign)
Post-op monitoring for craniotomy Ans: Monitor VS & LOC Q15-60min
-no extreme head rotation
-ETT in place until awake and adequate ventilation
Brain tumor post op complication Ans: CSF leaking from ears or nose (Halo sign)
TBI hormones affects Ans: Disrupts hypothalamus & pituitary gland (ADH) leading to
diabetes insipidus
Hallmark sign of diabetes insipidus Ans: Polyuria, hypotonic urine (low osmolality)
S/S of DI w/ TBI Ans: Nocturnal, incontinence, enuresis (bed wetting), polydipsia,
polyuria, hypotonic urine
Tx of DI w/ TBI Ans: DDAVP & Desmopressin
Decorticate posturing w/ TBI Ans: Flexion posturing indicated severe trauma to CNS
PRIORITY
Nursing considerations for meningitis & encephalitis Ans: Cluster care, dim lights,
decrease noise, limit visitors
, Huntington's disease Ans: Breathing problems arise w/ progression d/t impaired
motor control, swallowing difficulties, and weak respiratory muscles—>Humidified
oxygen
Myasthenia Gravis tx Ans: Pyridostigmine
-sudden/severe deterioration of respiratory function if not routinely medicated
-Crisis: neuromuscular respiratory failure
Fibromyalgia clinical manifestations Ans: -trigger points & pain in muscles
-GI issues
-Fatigue/Malaise
-Spasms/Stiffness
-Sleep disturbances
-Functional Impairments
Multiple Sclerosis symptom management education Ans: Relaxation, sleep 7-9 hours,
smoking cessation, encourage ambulating to improve balance & stay active
-modifications to help control incontinence
Amyotrophic Lateral Sclerosis (ALS) (Lou Gehrig's Disease) Ans: -common to have
muscular weakness/atrophy affecting swallowing leading to aspiration & malnutrition
-Focus on managing symptoms & improving quality of life
C1 spinal injury Ans: Quadriplegia, affects whole body
C2 spinal injury Ans: Some neck motions, rest of body paralyzed
© Get it right 2025 Getaway - Stuvia US All rights reserved
