NSG 4100/ NSG 4100 Exam 4 V2– Latest 2026/2027 Update – Advanced Medical- Surgical Nursing | Questions and | 100 out of 100 2026 / 2027 Academic Year

Exam

NSG 4100/ NSG 4100 Exam 4 V2– Latest 2026/2027 Update – Advanced Medical- Surgical Nursing | Questions and Verified Answers | 100 out of 100 2026 / ... 2027 Academic Year Q: 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 B, D, E Q: 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 A, C, D Q: 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 C Q: 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 B Q: 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 A Q: 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 C Q: 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) C Q: 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 B Q: 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 C Q: 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) C Q: 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 D Q: 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 B Q: 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 C Q: 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 B Q: 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 A Q: 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 B Q: 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 A Q: 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? a. ruching syndrom b. syndrome of inappropriate antidiuretic hormone (SIADH) c. adrenal crisis d. diabetes insipidus D Q: During the exam of an unconscious pt, the nurse observes that the pt's pupils are fixed and dilated. What is the most plausible clinical significant of the nurses finding? a. it suggests onset of metabolic problems b. it indicates paralysis on the right side of the body c. it indicates paralysis of cranial nerve X d. it indicates an injury at the midbrain level D Q: Following a traumatic brain injury, a pt has been in a coma for several days. Which of the following statements is true of this pt's current LOC? a. the pt occasionally makes incomprehensible sounds b. the pt's current LOC will likely become a permanent state c. the pt may occasionally make non purposeful movements

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