NSG 4100 AH111 FINAL EXAM NEWEST 2025 ACTUAL

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NSG 4100 (AH111) FINAL EXAM NEWEST 2025 ACTUAL

EXAM COMPLETE QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+

You are caring for a patient who has had Huntington's for 15 years & is admitted with pneumonia. Which action is a priority? - ANSWER-a. they are more at prone for infections, so set up bedside humidification

b. cm: chorea, cognitive impairment, behavioral features

what is a comfort measure a nurse can do for a patient with encephalitis/craniotomy? - ANSWER-a. limit the environmental stimuli (keeping room lights dim or off) to ensure there's no increased ICP

• cluster care
• give anticonvulsants to prevent seizures (DO NOT HOLD)
• slow IV over an hour to prevent urine crystallization

if a patient with myasthenia gravis forgets to take medication, what is a complication of 1 / 4

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the disease? - ANSWER-a. may need ventilatory support - prepare for respiratory failure

• because delaying the medication can cause muscle weakness

c. cm: diplopia and dysphonia, extreme muscle weakness,

shallow slow respirations, dysphagia, difficulty speaking

what is the treatment for myasthenia gravis and what does the medication do? - ANSWER-a. pyridostigmine bromide

(Mestnon) (acetylcholinesterase inhibitor): inhibits

breakdown of acetylcholine and increasing relative concentration of available acetylcholine at neuromuscular junction

• Pt statements that prove the medication (Pyridostigmine) for

IMPROVING

MUSCLE STRENGTH is WORKING:

• I was able to get up on my own.

ii. I was able to make breakfast on my own.iii. I was able to brush my teeth on my own.

c. adverse effects: diarrhea, abdominal cramps, excessive saliv

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what are clinical manifestations for a patient with fibromyalgia and what item from their

hx do you need to ask? - ANSWER-a. cm: chronic fatigue,

generalized muscle achiness/stiffness, sleep disturbances, functional impairment

b. trigger points: anxiety, depression, physical trauma, emotional

stress, sleep disorder, viral infection

c. cm: pins and needle sensation, difficulty sleeping

• Difficulty sleeping (ask the pt if they have any difficulty

sleeping r/t pain)

what are some triggers for multiple sclerosis and myasthenia

gravis? - ANSWER-a. myasthenia gravis: vigorous physical

activity, some medications, and high environmental temperature.

b. multiple sclerosis:???

What education statement is CORRECT when teaching your patient, with multiple sclerosis, about activity and mobility? - ANSWER-a. Walking improves gait 3 / 4

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• use of assistive devices, walk with feet apart to widen base of

support

• watch feet while walking, do gait training, voiding schedule,

drinking schedule, enhance communication and manage swallowing difficulties, improve cognitive function, improve home management, promote sexual functioning, and self-care improvements

what are the stages of amyotrophic lateral sclerosis (ALS) and what is a severe complication that can occur? - ANSWER-a. weakness and muscle wasting of the upper extremities, then impaired speech, swallowing, breathing

• sclerosis starts in the legs and moves up
• Assist with decisions about life support, and patient desires for

life supportive treatments (ventilator care, Feeding Tubes, etc)

d. nutritional support: try to eat apple sauce

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