NSG 4100 (AHIII) Exam 4
Testbank 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS
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
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
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
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:
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STATEMENT. ALL RIGHTS RESERVED
3
, a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods - ANSWER ✔✔C
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) - 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
Testbank 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS
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
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
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
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:
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods - ANSWER ✔✔C
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) - 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
