NSG 4100 EXAM 4 2026/2027 || VERIFIED QUESTIONS & ANSWERS ||
HIGH-YIELD NURSING REVIEW || ADVANCED CLINICAL CONCEPTS,
PATIENT SAFETY & PRIORITIZATION || COMPLETE TEST BANK ||
EXAM-READY STUDY GUIDE || GRADED A+
Which of the following is indicative of worsening condition? - CORRECT
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? -
CORRECT ANSWER - Semi Fowler position
Your patient is S/P craniotomy for tumor removal. Which of the following is
indicative of a complication? - CORRECT 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? -
CORRECT 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? - CORRECT ANSWER - BP change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1 prevention? -
CORRECT 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? -
CORRECT 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? - CORRECT ANSWER
- Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia gravis. You
understand that this medication is used to? - CORRECT ANSWER - Improve
muscle strength
(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) - CORRECT
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? - CORRECT ANSWER - Difficulty Sleeping (insomnia)
What education statment is correct when teaching your patient with MS,
about activity and mobility? - CORRECT ANSWER - Waking improves gait
Your patient sustained a C4 injury. You will expect all of the following
EXCEPT? - CORRECT ANSWER - Full range of motion
,Autonomic dysreflexia is considered an emergency. Why? - CORRECT
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) - CORRECT 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? - CORRECT
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 - CORRECT
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? - CORRECT 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 client with head injury ICP, _____________. External stimuli should be
________ to __________ oxygen consumption and prevent seizures. -
CORRECT 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? - CORRECT 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 ____________ -
CORRECT ANSWER - 1. Decerebrate 2. Increasing
The nurse is caring for clients in the emergency department. Which client
should the nurse assess first? - CORRECT 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. - CORRECT ANSWER - Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse
would assess whether the patient is precipitating factors such as? -
CORRECT ANSWER - Omitting doses of medication
Myasthenic crisis often is caused by _____________-medication and responds
to the administration of cholinergic medications such as neostigmine and
____________ - CORRECT ANSWER - 1. Over Under 2. Pyridostigmine
HIGH-YIELD NURSING REVIEW || ADVANCED CLINICAL CONCEPTS,
PATIENT SAFETY & PRIORITIZATION || COMPLETE TEST BANK ||
EXAM-READY STUDY GUIDE || GRADED A+
Which of the following is indicative of worsening condition? - CORRECT
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? -
CORRECT ANSWER - Semi Fowler position
Your patient is S/P craniotomy for tumor removal. Which of the following is
indicative of a complication? - CORRECT 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? -
CORRECT 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? - CORRECT ANSWER - BP change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1 prevention? -
CORRECT 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? -
CORRECT 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? - CORRECT ANSWER
- Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia gravis. You
understand that this medication is used to? - CORRECT ANSWER - Improve
muscle strength
(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) - CORRECT
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? - CORRECT ANSWER - Difficulty Sleeping (insomnia)
What education statment is correct when teaching your patient with MS,
about activity and mobility? - CORRECT ANSWER - Waking improves gait
Your patient sustained a C4 injury. You will expect all of the following
EXCEPT? - CORRECT ANSWER - Full range of motion
,Autonomic dysreflexia is considered an emergency. Why? - CORRECT
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) - CORRECT 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? - CORRECT
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 - CORRECT
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? - CORRECT 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 client with head injury ICP, _____________. External stimuli should be
________ to __________ oxygen consumption and prevent seizures. -
CORRECT 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? - CORRECT 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 ____________ -
CORRECT ANSWER - 1. Decerebrate 2. Increasing
The nurse is caring for clients in the emergency department. Which client
should the nurse assess first? - CORRECT 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. - CORRECT ANSWER - Arterial
A female patient has experienced an episode of myasthenic crisis. The nurse
would assess whether the patient is precipitating factors such as? -
CORRECT ANSWER - Omitting doses of medication
Myasthenic crisis often is caused by _____________-medication and responds
to the administration of cholinergic medications such as neostigmine and
____________ - CORRECT ANSWER - 1. Over Under 2. Pyridostigmine
