1
NSG 4800 ATI and Comps Newest Complete Questions
And Correct Detailed Answers| Already Graded A+
Your Realistic Practice Exam
The following questions, based on the topics and formats found in the search results, represent the type
of content you can expect.
Question 1
A nurse manager observes that staff morale is low and several experienced nurses have resigned in the
past month. Which leadership action would BEST address this situation?
A. Implement a stricter attendance policy to ensure adequate staffing.
B. Conduct anonymous staff surveys and schedule open-forum meetings to identify and address
concerns.
C. Increase patient-to-nurse ratios to maintain productivity.
D. Ignore the situation, as morale issues typically resolve on their own.
Answer: B. A transformational leader identifies problems through open communication and
collaborative problem-solving.
Question 2
A client who is 2 days post-operative following a total hip arthroplasty is being cared for by an RN, an
LPN, and a UAP. Which task is MOST appropriate for the RN to delegate to the LPN?
A. Developing the client's discharge teaching plan.
B. Administering the client's scheduled oral pain medication.
C. Performing the initial post-operative physical assessment.
D. Assisting the client with bathing and oral care.
Answer: B. An LPN's scope of practice includes administering scheduled oral medications to a stable
patient.
Question 3
A client is receiving a unit of packed red blood cells (PRBCs). Fifteen minutes into the transfusion, the
client reports a sudden headache and a tingling sensation in their fingers. What is the nurse's priority
action?
A. Notify the healthcare provider.
B. Slow the infusion rate and reassess in 15 minutes.
C. Stop the transfusion immediately.
D. Assess the IV site for signs of infiltration.
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Answer: C. A sudden headache and paresthesia are early signs of an acute hemolytic transfusion
reaction. The priority is to immediately stop the transfusion.
Question 4
A client's water-seal chest tube is accidentally dislodged from the insertion site. What is the nursing
action of highest priority?
A. Lay the client flat on their back.
B. Apply a sterile occlusive dressing taped on three sides over the site.
C. Clamp the chest tube near the insertion site.
D. Instruct the client to perform the Valsalva maneuver.
Answer: B. The priority is to prevent a tension pneumothorax. Covering the site with a sterile occlusive
dressing creates a one-way valve to let air escape.
Question 5
A nurse is caring for a client with major depressive disorder. The client states, "No one cares about me.
I'm completely alone." Which of the following responses by the nurse is most therapeutic?
A. "You shouldn't feel that way. Your family visits every day."
B. "What makes you think that no one cares about you?"
C. "Don't worry. You should be feeling better in a few weeks."
D. "I'm sure there are people who care. Let's focus on the positive."
Answer: B. Using an open-ended statement or question encourages the client to express their feelings
and explores the underlying issue.
Question 6
A nurse is caring for a client who is 24 hours post-operative following an open cholecystectomy. The
client reports sudden onset of shortness of breath and pleuritic chest pain. Oxygen saturation is 88% on
room air. The nurse should suspect:
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Myocardial infarction
Correct Answer: C
Rationale: Sudden onset of dyspnea, pleuritic chest pain, and hypoxemia in a post-operative client are
classic signs of pulmonary embolism (PE). Atelectasis and pneumonia have a more gradual onset. MI
typically presents with crushing substernal chest pain. This is a medical emergency requiring immediate
intervention.
Question 7
A nurse is assessing a client's understanding of warfarin (Coumadin) therapy. Which of the following
statements by the client indicates a need for further teaching?
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A. "I will use a soft-bristled toothbrush to prevent bleeding gums."
B. "I will report any signs of black, tarry stools or coffee-ground emesis."
C. "I will take my warfarin at the same time every day."
D. "I can take ginkgo biloba to improve my memory while on warfarin."
Correct Answer: D
Rationale: Ginkgo biloba is an herbal supplement that inhibits platelet aggregation and increases the
risk of bleeding when taken with warfarin. Clients should avoid herbal supplements unless approved by
their provider. The other statements demonstrate correct understanding of warfarin therapy.
Question 8
A nurse is preparing to administer a unit of packed red blood cells (PRBCs). Which of the following
actions should the nurse take?
A. Prime the IV tubing with 5% dextrose in water (D5W).
B. Verify the blood product with another licensed nurse at the bedside.
C. Warm the blood in a microwave before administration.
D. Administer the blood over 6–8 hours.
Correct Answer: B
Rationale: Blood products must be verified by two licensed nurses at the bedside to prevent transfusion
reactions. IV tubing should be primed with 0.9% normal saline only (D5W causes hemolysis). Blood
should never be warmed in a microwave; a blood warmer may be used for rapid transfusion. PRBCs
should be infused within 4 hours.
Question 9
A nurse is monitoring a client receiving a blood transfusion. The client develops chills, fever, and low
back pain. What is the priority nursing action?
A. Slow the transfusion rate and administer acetaminophen.
B. Stop the transfusion immediately and maintain IV access with normal saline.
C. Notify the blood bank and healthcare provider.
D. Collect a urine specimen to assess for hematuria.
Correct Answer: B
Rationale: Chills, fever, and low back pain are signs of an acute hemolytic transfusion reaction, a life-
threatening emergency. The priority is to immediately stop the transfusion to prevent further infusion of
incompatible blood. The IV line should be maintained with normal saline. The provider and blood bank
are notified after stopping the transfusion.
Question 10
A nurse is caring for a client with a platelet count of 25,000/mm³ (normal: 150,000–450,000). Which of
the following interventions should the nurse implement? (Select all that apply.)
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A. Avoid intramuscular injections and venipuncture when possible.
B. Use a soft-bristled toothbrush for oral care.
C. Encourage the client to use a straight-edge razor for shaving.
D. Administer stool softeners to prevent constipation and straining.
E. Monitor for signs of bleeding, including petechiae and ecchymosis.
Correct Answer: A, B, D, E
Rationale: Severe thrombocytopenia (platelets < 50,000) increases bleeding risk. Interventions include
avoiding IM injections/venipuncture, using soft toothbrushes, avoiding rectal procedures, administering
stool softeners, and monitoring for bleeding. Electric razors should be used, not straight-edge razors.
Question 11
A nurse is caring for a client with neutropenia (absolute neutrophil count 400/mm³). Which of the
following interventions should the nurse implement?
A. Allow fresh flowers and live plants in the client's room.
B. Restrict visitors who have recently received live vaccines.
C. Provide a diet that includes fresh fruits and raw vegetables.
D. Take the client's temperature every 8 hours.
Correct Answer: B
Rationale: Clients with severe neutropenia (ANC < 500) are at high risk for life-threatening infection.
Visitors with recent live vaccines (e.g., MMR, varicella, nasal flu vaccine) can shed the virus and should
be restricted. Fresh flowers, plants, and fresh fruits/vegetables are sources of bacteria and should be
avoided. Temperature should be monitored every 4 hours.
Question 12
A nurse is providing discharge teaching to a client with a new diagnosis of systemic lupus erythematosus
(SLE). Which of the following instructions should the nurse include?
A. "You should avoid sun exposure and use sunscreen with SPF 30 or higher."
B. "You can stop taking your medications once your symptoms improve."
C. "You should follow a high-protein, low-carbohydrate diet."
D. "Exercise should be avoided to prevent joint damage."
Correct Answer: A
Rationale: Photosensitivity is a common manifestation of SLE. Sun exposure can trigger disease flares
and skin lesions. Clients should avoid direct sunlight, wear protective clothing, and use sunscreen with
SPF 30 or higher. Medications must be taken as prescribed, even during remission. Low-impact exercise
is encouraged.
NSG 4800 ATI and Comps Newest Complete Questions
And Correct Detailed Answers| Already Graded A+
Your Realistic Practice Exam
The following questions, based on the topics and formats found in the search results, represent the type
of content you can expect.
Question 1
A nurse manager observes that staff morale is low and several experienced nurses have resigned in the
past month. Which leadership action would BEST address this situation?
A. Implement a stricter attendance policy to ensure adequate staffing.
B. Conduct anonymous staff surveys and schedule open-forum meetings to identify and address
concerns.
C. Increase patient-to-nurse ratios to maintain productivity.
D. Ignore the situation, as morale issues typically resolve on their own.
Answer: B. A transformational leader identifies problems through open communication and
collaborative problem-solving.
Question 2
A client who is 2 days post-operative following a total hip arthroplasty is being cared for by an RN, an
LPN, and a UAP. Which task is MOST appropriate for the RN to delegate to the LPN?
A. Developing the client's discharge teaching plan.
B. Administering the client's scheduled oral pain medication.
C. Performing the initial post-operative physical assessment.
D. Assisting the client with bathing and oral care.
Answer: B. An LPN's scope of practice includes administering scheduled oral medications to a stable
patient.
Question 3
A client is receiving a unit of packed red blood cells (PRBCs). Fifteen minutes into the transfusion, the
client reports a sudden headache and a tingling sensation in their fingers. What is the nurse's priority
action?
A. Notify the healthcare provider.
B. Slow the infusion rate and reassess in 15 minutes.
C. Stop the transfusion immediately.
D. Assess the IV site for signs of infiltration.
,2
Answer: C. A sudden headache and paresthesia are early signs of an acute hemolytic transfusion
reaction. The priority is to immediately stop the transfusion.
Question 4
A client's water-seal chest tube is accidentally dislodged from the insertion site. What is the nursing
action of highest priority?
A. Lay the client flat on their back.
B. Apply a sterile occlusive dressing taped on three sides over the site.
C. Clamp the chest tube near the insertion site.
D. Instruct the client to perform the Valsalva maneuver.
Answer: B. The priority is to prevent a tension pneumothorax. Covering the site with a sterile occlusive
dressing creates a one-way valve to let air escape.
Question 5
A nurse is caring for a client with major depressive disorder. The client states, "No one cares about me.
I'm completely alone." Which of the following responses by the nurse is most therapeutic?
A. "You shouldn't feel that way. Your family visits every day."
B. "What makes you think that no one cares about you?"
C. "Don't worry. You should be feeling better in a few weeks."
D. "I'm sure there are people who care. Let's focus on the positive."
Answer: B. Using an open-ended statement or question encourages the client to express their feelings
and explores the underlying issue.
Question 6
A nurse is caring for a client who is 24 hours post-operative following an open cholecystectomy. The
client reports sudden onset of shortness of breath and pleuritic chest pain. Oxygen saturation is 88% on
room air. The nurse should suspect:
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Myocardial infarction
Correct Answer: C
Rationale: Sudden onset of dyspnea, pleuritic chest pain, and hypoxemia in a post-operative client are
classic signs of pulmonary embolism (PE). Atelectasis and pneumonia have a more gradual onset. MI
typically presents with crushing substernal chest pain. This is a medical emergency requiring immediate
intervention.
Question 7
A nurse is assessing a client's understanding of warfarin (Coumadin) therapy. Which of the following
statements by the client indicates a need for further teaching?
,3
A. "I will use a soft-bristled toothbrush to prevent bleeding gums."
B. "I will report any signs of black, tarry stools or coffee-ground emesis."
C. "I will take my warfarin at the same time every day."
D. "I can take ginkgo biloba to improve my memory while on warfarin."
Correct Answer: D
Rationale: Ginkgo biloba is an herbal supplement that inhibits platelet aggregation and increases the
risk of bleeding when taken with warfarin. Clients should avoid herbal supplements unless approved by
their provider. The other statements demonstrate correct understanding of warfarin therapy.
Question 8
A nurse is preparing to administer a unit of packed red blood cells (PRBCs). Which of the following
actions should the nurse take?
A. Prime the IV tubing with 5% dextrose in water (D5W).
B. Verify the blood product with another licensed nurse at the bedside.
C. Warm the blood in a microwave before administration.
D. Administer the blood over 6–8 hours.
Correct Answer: B
Rationale: Blood products must be verified by two licensed nurses at the bedside to prevent transfusion
reactions. IV tubing should be primed with 0.9% normal saline only (D5W causes hemolysis). Blood
should never be warmed in a microwave; a blood warmer may be used for rapid transfusion. PRBCs
should be infused within 4 hours.
Question 9
A nurse is monitoring a client receiving a blood transfusion. The client develops chills, fever, and low
back pain. What is the priority nursing action?
A. Slow the transfusion rate and administer acetaminophen.
B. Stop the transfusion immediately and maintain IV access with normal saline.
C. Notify the blood bank and healthcare provider.
D. Collect a urine specimen to assess for hematuria.
Correct Answer: B
Rationale: Chills, fever, and low back pain are signs of an acute hemolytic transfusion reaction, a life-
threatening emergency. The priority is to immediately stop the transfusion to prevent further infusion of
incompatible blood. The IV line should be maintained with normal saline. The provider and blood bank
are notified after stopping the transfusion.
Question 10
A nurse is caring for a client with a platelet count of 25,000/mm³ (normal: 150,000–450,000). Which of
the following interventions should the nurse implement? (Select all that apply.)
, 4
A. Avoid intramuscular injections and venipuncture when possible.
B. Use a soft-bristled toothbrush for oral care.
C. Encourage the client to use a straight-edge razor for shaving.
D. Administer stool softeners to prevent constipation and straining.
E. Monitor for signs of bleeding, including petechiae and ecchymosis.
Correct Answer: A, B, D, E
Rationale: Severe thrombocytopenia (platelets < 50,000) increases bleeding risk. Interventions include
avoiding IM injections/venipuncture, using soft toothbrushes, avoiding rectal procedures, administering
stool softeners, and monitoring for bleeding. Electric razors should be used, not straight-edge razors.
Question 11
A nurse is caring for a client with neutropenia (absolute neutrophil count 400/mm³). Which of the
following interventions should the nurse implement?
A. Allow fresh flowers and live plants in the client's room.
B. Restrict visitors who have recently received live vaccines.
C. Provide a diet that includes fresh fruits and raw vegetables.
D. Take the client's temperature every 8 hours.
Correct Answer: B
Rationale: Clients with severe neutropenia (ANC < 500) are at high risk for life-threatening infection.
Visitors with recent live vaccines (e.g., MMR, varicella, nasal flu vaccine) can shed the virus and should
be restricted. Fresh flowers, plants, and fresh fruits/vegetables are sources of bacteria and should be
avoided. Temperature should be monitored every 4 hours.
Question 12
A nurse is providing discharge teaching to a client with a new diagnosis of systemic lupus erythematosus
(SLE). Which of the following instructions should the nurse include?
A. "You should avoid sun exposure and use sunscreen with SPF 30 or higher."
B. "You can stop taking your medications once your symptoms improve."
C. "You should follow a high-protein, low-carbohydrate diet."
D. "Exercise should be avoided to prevent joint damage."
Correct Answer: A
Rationale: Photosensitivity is a common manifestation of SLE. Sun exposure can trigger disease flares
and skin lesions. Clients should avoid direct sunlight, wear protective clothing, and use sunscreen with
SPF 30 or higher. Medications must be taken as prescribed, even during remission. Low-impact exercise
is encouraged.
