NSG 4100 (AH111) EXAM 4 2026 UPDATE COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS (complete solutions) ASSURED
SUCCESS/GRADED A+!!!
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
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
,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
QUESTIONS AND VERIFIED ANSWERS (complete solutions) ASSURED
SUCCESS/GRADED A+!!!
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
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
,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
