Your patient is experiencing myasthenia exacerbation related to missed dose of
medication. Which are signs of this crisis state (SATA) - CORRECT ANSWER--
NSG 4100 (AH111) EXAM 4 2025 UPDATE COMPREHENSIVE
Difficult speaking (Dysphonia)
QUESTIONS AND VERIFIED ANSWERS (complete solutions) ASSURED
SUCCESS/GRADED A+!!! -Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Which statement is correct about meningococcal vaccines #1 prevention? -
CORRECT ANSWER-Recommended between the ages 11-12 and boosters Which of the following is indicative of worsening condition? - CORRECT
should be recv'd by age 16 ANSWER-Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which is appropriate when caring for a patient with encephalitis? - CORRECT
ANSWER-Keeping room lights dim or off Which position is best best for patient who is at risk for increased ICP? -
CORRECT ANSWER-Semi Fowler position
You are caring for a patient who has had Huntington's for 15 years and is
admitted with pneumonia. Which actions is priority? - CORRECT ANSWER-Set Your patient is S/P craniotomy for tumor removal. Which of the following is
up bedside humidification indicative of a complication? - CORRECT 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 that this medication is used to? - CORRECT ANSWER-Improve What is a normal reaction of a patient has received a craniotomy? - CORRECT
muscle strength
ANSWER-Eyes that are swollen post op
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is S/P a craniotomy. Which of the following will need to reported to
the PCP? - CORRECT ANSWER-BP change from 120/80 to 140/88
,Your patient is diagnosed with Fibromyalgia. Which is a key feature of this
disease? - CORRECT ANSWER-Difficulty Sleeping (insomnia)
The nurse is caring for a client with a head injury and would recognize which
assessment findings as early sings of increase ICP? SATA - CORRECT ANSWER--
Kussmaul breathing
What education statment is correct when teaching your patient with MS, about
activity and mobility? - CORRECT ANSWER-Waking improves gait -Weakness in one extremity
Your patient sustained a C4 injury. You will expect all of the following EXCEPT? - A nurse is caring for a client diagnosed to have a head injury. Which of the
CORRECT ANSWER-Full range of motion following situations needs intervention by the nurse? - CORRECT ANSWER-The
client's spouse turns on the TV one hours in the afternoon and 3 hours in the
evening.
Autonomic dysreflexia is considered an emergency. Why? - CORRECT ANSWER-
Increase in BP can raise ICP
(You need low stimulation)
The patient with fibromyalgiai suffering from pain at 12 of the 18 identification
site sites, including the neck upper back and the knees. The patient also reports In a client with head injury ICP, _____________. External stimuli should be
nonfreshing sleep, depression, and being anxious when dealing with multiple ________ to __________ oxygen consumption and prevent seizures. - CORRECT
tasks. The nurse should teach the patient about what treatments? (SATA) - ANSWER-1. increases 2. Reduced 3. Decrease
CORRECT ANSWER--Relaxation strategy (biofeedback)
-Serotonin reputake inhihibitor (e.g setraline) The critical care nurse is caring for a client with a head injury secondary to a MVA.
-Establish a regular sleep patern In the am the patient is responsive to painful stimuli and assumed decorticate
posturing. Two hours later which data would warrent immediate intervention by
-Instruct patient on performing regular LOW IMPACT exercise such as walking, the nurse? - CORRECT ANSWER-The client extends the upper and lower
swimming, biking and water exercise. extremities in response to painful stimuli
What medicaitons are approved for fibromyalgia pain? - CORRECT ANSWER- Extension of the upper and lower extremities is assuming a ___________ posture,
Antidepressants (preglabalin & duloxetine) as these meds work to release which indicated the client's intracranial pressure is ____________ - CORRECT
serotonin and nor-epinephrine in the brain
ANSWER-1. Decerebrate 2. Increasing
, What is the treatment for Increased ICP? - CORRECT ANSWER-Mannitol
The nurse is caring for clients in the emergency department. Which client should
the nurse assess first? - CORRECT ANSWER-The client with an epidural
What is the treatment for Neurogenic Shock? - CORRECT ANSWER-Atropine
hematoma
Sulfate
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. What is the treatment for Autonomic Dysreflexia? - CORRECT ANSWER-
Hydralizine IV
- CORRECT ANSWER-Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse What is the difference between Hospice and Pallative Care? - CORRECT
would assess whether the patient is precipitating factors such as? - CORRECT ANSWER-Hospice care occurs when the person has <6 m to live and may not be
actively dying, the goal is to allow for comfortability with no life-saving methods
ANSWER-Omitting doses of medication
"Care NOT Cure"
Myasthenic crisis often is caused by _____________-medication and responds to
Pallative care occurs when the person has >6m to live and may not be actively
the administration of cholinergic medications such as neostigmine and
dying, the goal is to improve quality of life by using holistic care; Gradual decline
____________ - CORRECT ANSWER-1. Over Under 2. Pyridostigmine
Chronic illness (DM, Heart disease, dementia)
What is the treatment for Guillian Barre - CORRECT ANSWER-Plasmapherisis
Describe the Sepsis bundle that should be completed within 3 hours? - CORRECT
ANSWER-1) Measure Lactate Level
What is the treatment for Bacterial Meningitis? - CORRECT ANSWER-Broad 2) Obtain Blood cultures
Spectrum Antibiotics
3) administration of broad spectrum ABX
4) Administer fluids 30 ml/kg crystalloid for hypotension or lactate >4
What is the treatment for Spinal Cord injury? - CORRECT ANSWER-
Methylprednisone
medication. Which are signs of this crisis state (SATA) - CORRECT ANSWER--
NSG 4100 (AH111) EXAM 4 2025 UPDATE COMPREHENSIVE
Difficult speaking (Dysphonia)
QUESTIONS AND VERIFIED ANSWERS (complete solutions) ASSURED
SUCCESS/GRADED A+!!! -Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Which statement is correct about meningococcal vaccines #1 prevention? -
CORRECT ANSWER-Recommended between the ages 11-12 and boosters Which of the following is indicative of worsening condition? - CORRECT
should be recv'd by age 16 ANSWER-Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which is appropriate when caring for a patient with encephalitis? - CORRECT
ANSWER-Keeping room lights dim or off Which position is best best for patient who is at risk for increased ICP? -
CORRECT ANSWER-Semi Fowler position
You are caring for a patient who has had Huntington's for 15 years and is
admitted with pneumonia. Which actions is priority? - CORRECT ANSWER-Set Your patient is S/P craniotomy for tumor removal. Which of the following is
up bedside humidification indicative of a complication? - CORRECT 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 that this medication is used to? - CORRECT ANSWER-Improve What is a normal reaction of a patient has received a craniotomy? - CORRECT
muscle strength
ANSWER-Eyes that are swollen post op
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is S/P a craniotomy. Which of the following will need to reported to
the PCP? - CORRECT ANSWER-BP change from 120/80 to 140/88
,Your patient is diagnosed with Fibromyalgia. Which is a key feature of this
disease? - CORRECT ANSWER-Difficulty Sleeping (insomnia)
The nurse is caring for a client with a head injury and would recognize which
assessment findings as early sings of increase ICP? SATA - CORRECT ANSWER--
Kussmaul breathing
What education statment is correct when teaching your patient with MS, about
activity and mobility? - CORRECT ANSWER-Waking improves gait -Weakness in one extremity
Your patient sustained a C4 injury. You will expect all of the following EXCEPT? - A nurse is caring for a client diagnosed to have a head injury. Which of the
CORRECT ANSWER-Full range of motion following situations needs intervention by the nurse? - CORRECT ANSWER-The
client's spouse turns on the TV one hours in the afternoon and 3 hours in the
evening.
Autonomic dysreflexia is considered an emergency. Why? - CORRECT ANSWER-
Increase in BP can raise ICP
(You need low stimulation)
The patient with fibromyalgiai suffering from pain at 12 of the 18 identification
site sites, including the neck upper back and the knees. The patient also reports In a client with head injury ICP, _____________. External stimuli should be
nonfreshing sleep, depression, and being anxious when dealing with multiple ________ to __________ oxygen consumption and prevent seizures. - CORRECT
tasks. The nurse should teach the patient about what treatments? (SATA) - ANSWER-1. increases 2. Reduced 3. Decrease
CORRECT ANSWER--Relaxation strategy (biofeedback)
-Serotonin reputake inhihibitor (e.g setraline) The critical care nurse is caring for a client with a head injury secondary to a MVA.
-Establish a regular sleep patern In the am the patient is responsive to painful stimuli and assumed decorticate
posturing. Two hours later which data would warrent immediate intervention by
-Instruct patient on performing regular LOW IMPACT exercise such as walking, the nurse? - CORRECT ANSWER-The client extends the upper and lower
swimming, biking and water exercise. extremities in response to painful stimuli
What medicaitons are approved for fibromyalgia pain? - CORRECT ANSWER- Extension of the upper and lower extremities is assuming a ___________ posture,
Antidepressants (preglabalin & duloxetine) as these meds work to release which indicated the client's intracranial pressure is ____________ - CORRECT
serotonin and nor-epinephrine in the brain
ANSWER-1. Decerebrate 2. Increasing
, What is the treatment for Increased ICP? - CORRECT ANSWER-Mannitol
The nurse is caring for clients in the emergency department. Which client should
the nurse assess first? - CORRECT ANSWER-The client with an epidural
What is the treatment for Neurogenic Shock? - CORRECT ANSWER-Atropine
hematoma
Sulfate
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. What is the treatment for Autonomic Dysreflexia? - CORRECT ANSWER-
Hydralizine IV
- CORRECT ANSWER-Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse What is the difference between Hospice and Pallative Care? - CORRECT
would assess whether the patient is precipitating factors such as? - CORRECT ANSWER-Hospice care occurs when the person has <6 m to live and may not be
actively dying, the goal is to allow for comfortability with no life-saving methods
ANSWER-Omitting doses of medication
"Care NOT Cure"
Myasthenic crisis often is caused by _____________-medication and responds to
Pallative care occurs when the person has >6m to live and may not be actively
the administration of cholinergic medications such as neostigmine and
dying, the goal is to improve quality of life by using holistic care; Gradual decline
____________ - CORRECT ANSWER-1. Over Under 2. Pyridostigmine
Chronic illness (DM, Heart disease, dementia)
What is the treatment for Guillian Barre - CORRECT ANSWER-Plasmapherisis
Describe the Sepsis bundle that should be completed within 3 hours? - CORRECT
ANSWER-1) Measure Lactate Level
What is the treatment for Bacterial Meningitis? - CORRECT ANSWER-Broad 2) Obtain Blood cultures
Spectrum Antibiotics
3) administration of broad spectrum ABX
4) Administer fluids 30 ml/kg crystalloid for hypotension or lactate >4
What is the treatment for Spinal Cord injury? - CORRECT ANSWER-
Methylprednisone
