NSGl 4100/l NSG4100l Examl 4l –l Adultl
Healthl IIIl Reviewl |l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Thel neurologicl ICUl nursel isl admittingl al ptl followingl al craniotomyl usingl thel
supratentoriall approach.l Howl shouldl thel nursel bestl positionl thel pt?
a.l positionl thel ptl supine
b.l maintainl HOBl elevatedl atl 30-45l degrees
c.l positionl ptl inl pronel position
d.l maintainl bedl inl Trendelenbergl position
Answer:
B
Q:l Al ptl hasl developedl diabetesl insipidnessl afterl havingl increasedl ICPl followingl headl
trauma.l Whatl nursingl assessmentl bestl addressesl thisl complication?
a.l vigilantl monitoringl ofl fluidl balance
b.l continuousl BPl monitoring
c.l seriall arteriall bloodl gasesl (ABGs)
d.l monitoringl ofl thel pt'sl airwayl forl patency
Answer:
A
Q:l Whatl wouldl thel nursel suspectl whenl hourlyl assessmentl ofl UOl onl al ptl
postcrainiotomyl exhibitsl al urinel outputl froml al catheterl ofl 1,500mLl forl 2l consecutivel
hours?
a.l ruchingl syndrom
b.l syndromel ofl inappropriatel antidiureticl hormonel (SIADH)
c.l adrenall crisis
d.l diabetesl insipidus
Answer:
,D
Q:l Duringl thel examl ofl anl unconsciousl pt,l thel nursel observesl thatl thel pt'sl pupilsl arel
fixedl andl dilated.l Whatl isl thel mostl plausiblel clinicall significantl ofl thel nursesl finding?
a.l itl suggestsl onsetl ofl metabolicl problems
b.l itl indicatesl paralysisl onl thel rightl sidel ofl thel body
c.l itl indicatesl paralysisl ofl craniall nervel X
d.l itl indicatesl anl injuryl atl thel midbrainl level
Answer:
D
Q:l Followingl al traumaticl brainl injury,l al ptl hasl beenl inl al comal forl severall days.l
Whichl ofl thel followingl statementsl isl truel ofl thisl pt'sl currentl LOC?
a.l thel ptl occasionallyl makesl incomprehensiblel sounds
b.l thel pt'sl currentl LOCl willl likelyl becomel al permanentl state
c.l thel ptl mayl occasionallyl makel nonl purposefull movements
d.l thel ptl isl incapablel ofl spontaneousl respirations
Answer:
C
Q:l Thel nursel isl caringl forl al ptl wl permanentl neurologicl impairmentsl resultingl froml al
traumaticl headl injury.l Whenl workingl wl thisl ptl andl family,l whatl mutuall goall shouldl bel
prioritized?
a.l achievel asl highl al levell ofl functionl asl possible
b.l enhancel thel quantityl ofl thel pt'sl life
c.l teachl thel familyl properl carel ofl thel pt
d.l providel communityl assistance
Answer:
A
Q:l Thel nursel isl caringl forl al ptl whosel recentl healthl hxl includesl anl alteredl LOC.l
Whatl shouldl bel thel nursesl firstl actionl whenl assessingl thisl pt?
a.l assessingl thel pt'sl verball response
b.l assessingl thel pt'sl abilityl tol followl complexl commands
c.l assessingl thel pt'sl judgment
,d.l assessingl thel pt'sl responsel tol pain
Answer:
A
Q:l Thel nursel forl al ptl inl al persistentl vegetativel statel isl regularlyl assessingl forl
potentiall complications.l Complicationsl ofl neurologicl dysfunctionl forl whichl thel nursel
shouldl assessl includel whichl ofl thel following?l Selectl alll thatl apply:
a.l contractures
b.l hemorrhage
c.l pressurel ulcers
d.l venousl thromboembolism
e.l pneumonia
Answer:
A,l C,l D,l E
Q:l Thel nursel isl caringl forl al ptl wl al brainl tumor.l Whatl drugl wouldl thel nursel expectl
tol bel orderedl tol reducel thel edemal surroundingl thel tumor?
a.l solumedrol
b.l dextromethorphan
c.l dexamethasone
d.l furosemide
Answer:
C
Q:l Thel nursel isl caringl forl al ptl whol sustainedl al moderatel headl injuryl followingl al
bicyclel accident.l Thel nursesl mostl recentl assessmentl revealsl thatl thel pt'sl respiratoryl
effortl hasl increased.l Whatl isl thel nursesl mostl appropriatel response?
a.l informl thel carel teaml andl assessl forl furtherl signsl ofl possiblel increasedl ICP
b.l administerl bronchodilatorsl andl monitorl thel pt'sl LOC
c.l increasel thel pt'sl bedl heightl andl reassessl inl 30l mins
d.l administerl al bolusl ofl normall linel asl ordered
Answer:
A
, Q:l Al ptl hasl al poorl prognosisl afterl beingl involvedl inl al motorl vehiclel accidentl
resultingl inl al headl injury.l Asl thel pt'sl ICPl increasesl andl conditionl worsens,l thel nursel
knowsl tol assessl forl indicationsl ofl approachingl death.l Thesel indicationsl includel whichl
ofl thel following?
a.l hemiplegia
b.l dryl mucousl membranes
c.l signsl ofl internall bleeding
d.l lossl ofl brainl steml reflexes
Answer:
D
Q:l Whenl caringl forl al ptl wl increasedl ICPl thel nursel knowsl thel importancel ofl
monitoringl forl possiblel secondaryl complications,l includingl syndromel ofl inappropriatel
antidiureticl hormonel (SIADH).l Whatl nursingl interventionsl wouldl thel nursel mostl likelyl
initiatel ifl thel ptl developedl SIADH?
a.l fluidl restriction
b.l transfusionl ofl platelets
c.l transfusionl ofl freshl frozenl plasmal (FFP)
d.l electrolytel restriction
Answer:
A
Q:l Al ptl isl recoveringl froml anl intracraniall surgeryl performedl approximatelyl 24l hrsl
agol andl isl complainingl ofl al headachel thatl thel ptl ratesl atl 8l onl al 10-pointl painl scale.l
Whatl nursingl actionl isl mostl appropriate?
a.l administerl morphinel sulfatel asl ordered
b.l repositionl thel ptl inl al pronel position
c.l applyl al hotl packl tol thel pt'sl scalp
d.l implementl distractionl techniques
Answer:
A
Q:l Al ptl isl postoperativel dayl 1l followingl intracraniall surgery.l Thel nursesl assessmentl
revealsl thatl thel LOCl isl slightlyl decreasedl wl thel dayl ofl surgery.l Whatl isl thel nursesl
bestl responsel tol thisl assessmentl finding?
Healthl IIIl Reviewl |l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Thel neurologicl ICUl nursel isl admittingl al ptl followingl al craniotomyl usingl thel
supratentoriall approach.l Howl shouldl thel nursel bestl positionl thel pt?
a.l positionl thel ptl supine
b.l maintainl HOBl elevatedl atl 30-45l degrees
c.l positionl ptl inl pronel position
d.l maintainl bedl inl Trendelenbergl position
Answer:
B
Q:l Al ptl hasl developedl diabetesl insipidnessl afterl havingl increasedl ICPl followingl headl
trauma.l Whatl nursingl assessmentl bestl addressesl thisl complication?
a.l vigilantl monitoringl ofl fluidl balance
b.l continuousl BPl monitoring
c.l seriall arteriall bloodl gasesl (ABGs)
d.l monitoringl ofl thel pt'sl airwayl forl patency
Answer:
A
Q:l Whatl wouldl thel nursel suspectl whenl hourlyl assessmentl ofl UOl onl al ptl
postcrainiotomyl exhibitsl al urinel outputl froml al catheterl ofl 1,500mLl forl 2l consecutivel
hours?
a.l ruchingl syndrom
b.l syndromel ofl inappropriatel antidiureticl hormonel (SIADH)
c.l adrenall crisis
d.l diabetesl insipidus
Answer:
,D
Q:l Duringl thel examl ofl anl unconsciousl pt,l thel nursel observesl thatl thel pt'sl pupilsl arel
fixedl andl dilated.l Whatl isl thel mostl plausiblel clinicall significantl ofl thel nursesl finding?
a.l itl suggestsl onsetl ofl metabolicl problems
b.l itl indicatesl paralysisl onl thel rightl sidel ofl thel body
c.l itl indicatesl paralysisl ofl craniall nervel X
d.l itl indicatesl anl injuryl atl thel midbrainl level
Answer:
D
Q:l Followingl al traumaticl brainl injury,l al ptl hasl beenl inl al comal forl severall days.l
Whichl ofl thel followingl statementsl isl truel ofl thisl pt'sl currentl LOC?
a.l thel ptl occasionallyl makesl incomprehensiblel sounds
b.l thel pt'sl currentl LOCl willl likelyl becomel al permanentl state
c.l thel ptl mayl occasionallyl makel nonl purposefull movements
d.l thel ptl isl incapablel ofl spontaneousl respirations
Answer:
C
Q:l Thel nursel isl caringl forl al ptl wl permanentl neurologicl impairmentsl resultingl froml al
traumaticl headl injury.l Whenl workingl wl thisl ptl andl family,l whatl mutuall goall shouldl bel
prioritized?
a.l achievel asl highl al levell ofl functionl asl possible
b.l enhancel thel quantityl ofl thel pt'sl life
c.l teachl thel familyl properl carel ofl thel pt
d.l providel communityl assistance
Answer:
A
Q:l Thel nursel isl caringl forl al ptl whosel recentl healthl hxl includesl anl alteredl LOC.l
Whatl shouldl bel thel nursesl firstl actionl whenl assessingl thisl pt?
a.l assessingl thel pt'sl verball response
b.l assessingl thel pt'sl abilityl tol followl complexl commands
c.l assessingl thel pt'sl judgment
,d.l assessingl thel pt'sl responsel tol pain
Answer:
A
Q:l Thel nursel forl al ptl inl al persistentl vegetativel statel isl regularlyl assessingl forl
potentiall complications.l Complicationsl ofl neurologicl dysfunctionl forl whichl thel nursel
shouldl assessl includel whichl ofl thel following?l Selectl alll thatl apply:
a.l contractures
b.l hemorrhage
c.l pressurel ulcers
d.l venousl thromboembolism
e.l pneumonia
Answer:
A,l C,l D,l E
Q:l Thel nursel isl caringl forl al ptl wl al brainl tumor.l Whatl drugl wouldl thel nursel expectl
tol bel orderedl tol reducel thel edemal surroundingl thel tumor?
a.l solumedrol
b.l dextromethorphan
c.l dexamethasone
d.l furosemide
Answer:
C
Q:l Thel nursel isl caringl forl al ptl whol sustainedl al moderatel headl injuryl followingl al
bicyclel accident.l Thel nursesl mostl recentl assessmentl revealsl thatl thel pt'sl respiratoryl
effortl hasl increased.l Whatl isl thel nursesl mostl appropriatel response?
a.l informl thel carel teaml andl assessl forl furtherl signsl ofl possiblel increasedl ICP
b.l administerl bronchodilatorsl andl monitorl thel pt'sl LOC
c.l increasel thel pt'sl bedl heightl andl reassessl inl 30l mins
d.l administerl al bolusl ofl normall linel asl ordered
Answer:
A
, Q:l Al ptl hasl al poorl prognosisl afterl beingl involvedl inl al motorl vehiclel accidentl
resultingl inl al headl injury.l Asl thel pt'sl ICPl increasesl andl conditionl worsens,l thel nursel
knowsl tol assessl forl indicationsl ofl approachingl death.l Thesel indicationsl includel whichl
ofl thel following?
a.l hemiplegia
b.l dryl mucousl membranes
c.l signsl ofl internall bleeding
d.l lossl ofl brainl steml reflexes
Answer:
D
Q:l Whenl caringl forl al ptl wl increasedl ICPl thel nursel knowsl thel importancel ofl
monitoringl forl possiblel secondaryl complications,l includingl syndromel ofl inappropriatel
antidiureticl hormonel (SIADH).l Whatl nursingl interventionsl wouldl thel nursel mostl likelyl
initiatel ifl thel ptl developedl SIADH?
a.l fluidl restriction
b.l transfusionl ofl platelets
c.l transfusionl ofl freshl frozenl plasmal (FFP)
d.l electrolytel restriction
Answer:
A
Q:l Al ptl isl recoveringl froml anl intracraniall surgeryl performedl approximatelyl 24l hrsl
agol andl isl complainingl ofl al headachel thatl thel ptl ratesl atl 8l onl al 10-pointl painl scale.l
Whatl nursingl actionl isl mostl appropriate?
a.l administerl morphinel sulfatel asl ordered
b.l repositionl thel ptl inl al pronel position
c.l applyl al hotl packl tol thel pt'sl scalp
d.l implementl distractionl techniques
Answer:
A
Q:l Al ptl isl postoperativel dayl 1l followingl intracraniall surgery.l Thel nursesl assessmentl
revealsl thatl thel LOCl isl slightlyl decreasedl wl thel dayl ofl surgery.l Whatl isl thel nursesl
bestl responsel tol thisl assessmentl finding?
