Page 1 of 51
NSG 4100 EXAM 4 (GALEN) NEWEST 2025 ACTUAL
EXAM| NSG4100 NURSING PRACTICE - ADULT
HEALTH III EXAM 4 REVIEW WITH REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
Which of the following is indicative of worsening condition?
.....ANSWER..... Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased
ICP? .....ANSWER..... Semi Fowler position
Your patient 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
What is a normal reaction of a patient has received a
craniotomy? .....ANSWER..... Eyes that are swollen post op
,Page 2 of 51
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 patient who has had Huntington's for 15
years and is admitted with pneumonia. Which actions is priority?
.....ANSWER..... Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia
gravis. You understand that this medication is used to?
.....ANSWER..... Improve muscle strength
,Page 3 of 51
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to
missed dose of medication. Which are signs of this crisis state
(SATA) .....ANSWER..... -Difficult speaking (Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a key
feature of this disease? .....ANSWER..... Difficulty Sleeping
(insomnia)
What education statment is correct when teaching your patient
with MS, about activity and mobility? .....ANSWER..... Waking
improves gait
, Page 4 of 51
Your patient sustained 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 suffering from 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.
NSG 4100 EXAM 4 (GALEN) NEWEST 2025 ACTUAL
EXAM| NSG4100 NURSING PRACTICE - ADULT
HEALTH III EXAM 4 REVIEW WITH REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
Which of the following is indicative of worsening condition?
.....ANSWER..... Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased
ICP? .....ANSWER..... Semi Fowler position
Your patient 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
What is a normal reaction of a patient has received a
craniotomy? .....ANSWER..... Eyes that are swollen post op
,Page 2 of 51
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 patient who has had Huntington's for 15
years and is admitted with pneumonia. Which actions is priority?
.....ANSWER..... Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia
gravis. You understand that this medication is used to?
.....ANSWER..... Improve muscle strength
,Page 3 of 51
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to
missed dose of medication. Which are signs of this crisis state
(SATA) .....ANSWER..... -Difficult speaking (Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a key
feature of this disease? .....ANSWER..... Difficulty Sleeping
(insomnia)
What education statment is correct when teaching your patient
with MS, about activity and mobility? .....ANSWER..... Waking
improves gait
, Page 4 of 51
Your patient sustained 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 suffering from 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.
