NSG 4100 (AHIII) Exam 4 Testbank PREP
NSG 4100 (AHIII) EXAM 4 TESTBANK PREP NEWEST 2025/2026
ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
A pt is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this pt's care, the nurse would
expect to administer what priority medication?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Mannitol (Osmitrol)
d. Spriolactone (Aldactone) - Correct Answer-C
The nurse is caring for a pt who is postoperative following a craniotomy. When
writing the plan of care, the nurse identifies a diagnosis of deficient fluid volume
r/t fluid restriction & osmotic diuretic use. What would be an appropriate
intervention for this diagnosis?
a. change the pt's position as indicated
b. monitor serum electrolytes
c. maintain NPO status
d. monitor arterial blood gas (ABG) values - Correct Answer-B
1|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
A pt who has been on long-term phenytoin (Dilantin) therapy is admitted to the
unit. In light of the adverse of effects of this medication, the nurse should
prioritize which of the following in the pt's plan of care?
a. monitoring of pulse oximetry
b. administration of a low-protein diet
c. administration of thorough oral hygiene
d. fluid restriction as ordered - Correct Answer-C
A nurse is admitting a pt w a severe migraine headache and a hx of acute coronary
syndrome. What migraine medication would the nurse question for this pt?
a. Rizatriptan (Mazalt)
b. naratriptan (Amerge)
c. sumatriptan succinate (Imitrex)
d. zomitriptan (Zomig) - Correct Answer-C
The nurse is caring for a pt w increased ICP. The pt has a nursing dx of ineffective
cerebral tissue perfusion. What would be an expected outcome that the nurse
would document for this diagnosis?
a. copes w sensory deprivation
b. registers nml body temperature
c. pays attention to grooming
d. obeys commands w appropriate motor responses - Correct Answer-D
2|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
A pt exhibiting an altered LOC due to blunt-force trauma to the head is admitted
to the ED. The physician determines the pt's injury is causing increased ICP. The
nurse should gauge the pt's LOC on the results of what diagnostic tool?
a. Monro-Kellie hypothesis
b. Glasgow Coma Scale
c. Cranial nerve function
d. mental status examination - Correct Answer-B
A pt w increased ICP has a ventriculostomy for monitoring ICP. The nurses most
recent assessment reveals that the pt is now exhibiting nuchal rigidity and
photophobia. The nurse would be correct in suspecting the presence of what
complication?
a. encephalitis
b. CSF leak
c. meningitis
d. catheter occlusion - Correct Answer-C
The nurse is participating in the care of a pt w increased ICP. What diagnostic test
is contraindicated in this pt's treatment?
a. computed tomography (CT) scan
b. lumbar puncture
c. magnetic resonance imaging (MRI)
d. venous doppler studies - Correct Answer-B
3|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
The nurse has created a plan of care for a pt who is at risk for increased ICP. The
pt's care plan should specify monitoring for what early sign of increased ICP?
a. disorientation and restlessness
b. decreased pulse and respirations
c. projectile vomiting
d. loss of corneal reflex - Correct Answer-A
The neurologic ICU nurse is admitting a pt following a craniotomy using the
supratentorial approach. How should the nurse best position the pt?
a. position the pt supine
b. maintain HOB elevated at 30-45 degrees
c. position pt in prone position
d. maintain bed in Trendelenberg position - Correct Answer-B
A pt has developed diabetes insipidness after having increased ICP following head
trauma. What nursing assessment best addresses this complication?
a. vigilant monitoring of fluid balance
b. continuous BP monitoring
c. serial arterial blood gases (ABGs)
d. monitoring of the pt's airway for patency - Correct Answer-A
What would the nurse suspect when hourly assessment of UO on a pt
postcrainiotomy exhibits a urine output from a catheter of 1,500mL for 2
consecutive hours?
4|Page
NSG 4100 (AHIII) EXAM 4 TESTBANK PREP NEWEST 2025/2026
ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
A pt is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this pt's care, the nurse would
expect to administer what priority medication?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Mannitol (Osmitrol)
d. Spriolactone (Aldactone) - Correct Answer-C
The nurse is caring for a pt who is postoperative following a craniotomy. When
writing the plan of care, the nurse identifies a diagnosis of deficient fluid volume
r/t fluid restriction & osmotic diuretic use. What would be an appropriate
intervention for this diagnosis?
a. change the pt's position as indicated
b. monitor serum electrolytes
c. maintain NPO status
d. monitor arterial blood gas (ABG) values - Correct Answer-B
1|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
A pt who has been on long-term phenytoin (Dilantin) therapy is admitted to the
unit. In light of the adverse of effects of this medication, the nurse should
prioritize which of the following in the pt's plan of care?
a. monitoring of pulse oximetry
b. administration of a low-protein diet
c. administration of thorough oral hygiene
d. fluid restriction as ordered - Correct Answer-C
A nurse is admitting a pt w a severe migraine headache and a hx of acute coronary
syndrome. What migraine medication would the nurse question for this pt?
a. Rizatriptan (Mazalt)
b. naratriptan (Amerge)
c. sumatriptan succinate (Imitrex)
d. zomitriptan (Zomig) - Correct Answer-C
The nurse is caring for a pt w increased ICP. The pt has a nursing dx of ineffective
cerebral tissue perfusion. What would be an expected outcome that the nurse
would document for this diagnosis?
a. copes w sensory deprivation
b. registers nml body temperature
c. pays attention to grooming
d. obeys commands w appropriate motor responses - Correct Answer-D
2|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
A pt exhibiting an altered LOC due to blunt-force trauma to the head is admitted
to the ED. The physician determines the pt's injury is causing increased ICP. The
nurse should gauge the pt's LOC on the results of what diagnostic tool?
a. Monro-Kellie hypothesis
b. Glasgow Coma Scale
c. Cranial nerve function
d. mental status examination - Correct Answer-B
A pt w increased ICP has a ventriculostomy for monitoring ICP. The nurses most
recent assessment reveals that the pt is now exhibiting nuchal rigidity and
photophobia. The nurse would be correct in suspecting the presence of what
complication?
a. encephalitis
b. CSF leak
c. meningitis
d. catheter occlusion - Correct Answer-C
The nurse is participating in the care of a pt w increased ICP. What diagnostic test
is contraindicated in this pt's treatment?
a. computed tomography (CT) scan
b. lumbar puncture
c. magnetic resonance imaging (MRI)
d. venous doppler studies - Correct Answer-B
3|Page
, NSG 4100 (AHIII) Exam 4 Testbank PREP
The nurse has created a plan of care for a pt who is at risk for increased ICP. The
pt's care plan should specify monitoring for what early sign of increased ICP?
a. disorientation and restlessness
b. decreased pulse and respirations
c. projectile vomiting
d. loss of corneal reflex - Correct Answer-A
The neurologic ICU nurse is admitting a pt following a craniotomy using the
supratentorial approach. How should the nurse best position the pt?
a. position the pt supine
b. maintain HOB elevated at 30-45 degrees
c. position pt in prone position
d. maintain bed in Trendelenberg position - Correct Answer-B
A pt has developed diabetes insipidness after having increased ICP following head
trauma. What nursing assessment best addresses this complication?
a. vigilant monitoring of fluid balance
b. continuous BP monitoring
c. serial arterial blood gases (ABGs)
d. monitoring of the pt's airway for patency - Correct Answer-A
What would the nurse suspect when hourly assessment of UO on a pt
postcrainiotomy exhibits a urine output from a catheter of 1,500mL for 2
consecutive hours?
4|Page
