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NSG 4100 (AHIII) EXAM 4 NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 180 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| BRAND
NEW!!
The pt w fibromyalgia is suffering from pain at 12 of the 18
identification sites, including the neck & upper back & knees. The
pt also reports non-refreshing sleep, depression, & being anxious
when dealing w multiple tasks. The nurse should teach this pt
about what treatments? Select all that apply:
a. Minimal aerobic exercise
b. Relaxation strategy (biofeedback)
c. Anti-seizure during phenytoin
d. Serotonin reuptake inhibitor (e.g. sertraline)
e. Establish a regular sleep pattern .......ANSWER.......B, D, E
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The nurse caring for a client w a head injury would recognize
which assessment finding as early signs of increased ICP? Select
all that apply:
a. Kussmaul breathing
b. Projectile vomiting
c. Weakness in one extremity
d. Headache not aggravated by movement of straining
e. Decreased urine output
f. Papilledema .......ANSWER.......A, C, D
A nurse caring for a client diagnosed to have head injury. Which
of the following situations needs intervention by the nurse?
a. The padded side rails up
b. The bed is adjusted to low level
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c. The client's spouse turns on the TV one hour in the afternoon
and 3 hours in the evening
d. The head of bed is elevated at 30 degree angle
.......ANSWER.......C
The critical care nurse is caring for a client w a head injury
secondary to a motorcycle accident who, on morning rounds, is
responsive to painful stimulus and assumes decorticate posturing.
Two hours later, which data would warrant immediate
intervention by the nurse?
a. The client has purposeful movement when the nurse rubs the
sternum
b. The client extends the upper and lower extremities in response
to painful stimuli
c. The client is aimlessly thrashing in the bed when a noxious
stimuli is applied .......ANSWER.......B
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The nurse is caring for clients in the ED. Which client should the
nurse assess first?
a. The client w an epidural hematoma
b. The client who had a seizure who is in the postictal state
c. The client diagnosed w R/O encephalitis who has a headache
d. The client w multiple sclerosis who has scanning speech
.......ANSWER.......A
A female pt has experienced an episode of myasthenic crisis. The
nurse would assess whether the pt has precipitating factors such
as:
a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods .......ANSWER.......C
NSG 4100 (AHIII) EXAM 4 NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 180 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| BRAND
NEW!!
The pt w fibromyalgia is suffering from pain at 12 of the 18
identification sites, including the neck & upper back & knees. The
pt also reports non-refreshing sleep, depression, & being anxious
when dealing w multiple tasks. The nurse should teach this pt
about what treatments? Select all that apply:
a. Minimal aerobic exercise
b. Relaxation strategy (biofeedback)
c. Anti-seizure during phenytoin
d. Serotonin reuptake inhibitor (e.g. sertraline)
e. Establish a regular sleep pattern .......ANSWER.......B, D, E
,Page 2 of 158
The nurse caring for a client w a head injury would recognize
which assessment finding as early signs of increased ICP? Select
all that apply:
a. Kussmaul breathing
b. Projectile vomiting
c. Weakness in one extremity
d. Headache not aggravated by movement of straining
e. Decreased urine output
f. Papilledema .......ANSWER.......A, C, D
A nurse caring for a client diagnosed to have head injury. Which
of the following situations needs intervention by the nurse?
a. The padded side rails up
b. The bed is adjusted to low level
,Page 3 of 158
c. The client's spouse turns on the TV one hour in the afternoon
and 3 hours in the evening
d. The head of bed is elevated at 30 degree angle
.......ANSWER.......C
The critical care nurse is caring for a client w a head injury
secondary to a motorcycle accident who, on morning rounds, is
responsive to painful stimulus and assumes decorticate posturing.
Two hours later, which data would warrant immediate
intervention by the nurse?
a. The client has purposeful movement when the nurse rubs the
sternum
b. The client extends the upper and lower extremities in response
to painful stimuli
c. The client is aimlessly thrashing in the bed when a noxious
stimuli is applied .......ANSWER.......B
, Page 4 of 158
The nurse is caring for clients in the ED. Which client should the
nurse assess first?
a. The client w an epidural hematoma
b. The client who had a seizure who is in the postictal state
c. The client diagnosed w R/O encephalitis who has a headache
d. The client w multiple sclerosis who has scanning speech
.......ANSWER.......A
A female pt has experienced an episode of myasthenic crisis. The
nurse would assess whether the pt has precipitating factors such
as:
a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods .......ANSWER.......C
