NSG 4800 Comprehensive Exam #1 WITH
QUESTIONS AND WELL VERIFIED ANSWERS
ALREADY GRADED A+ REAL 2026!!!!
1. The nurse manager is preparing an in-service regarding legal issues and client care. Which of
the following is a correct example for the nurse manager to give during the in-service?
a. Battery is having security keep a client in their room when they want to leave against medical
advice (AMA).
b. Using a recliner's attached lap tray to keep the client in the chair is considered assault.
c. Malpractice is applying restraints without an order from the primary health care provider
(PHCP).
d. Defamation is posting inaccurate information regarding a coworker on social media.
ANSWER✨✨✔-: d. Defamation is posting inaccurate information regarding a coworker on
social media.
Rationale:
Option a: Incorrect. Battery is the intentional and unauthorized touching or harm to another
person. Having security keep a client in their room against their will when they want to leave
,AMA constitutes false imprisonment, not battery. False imprisonment occurs when a client is
confined or restrained against their will without legal justification.
Option b: Incorrect. Using a recliner's attached lap tray to keep a client in the chair is
considered false imprisonment, not assault. Assault is the threat or attempt to make bodily
contact with another person without their consent, which causes fear or apprehension. Physical
restraint without consent constitutes false imprisonment.
Option c: Incorrect. Malpractice is professional negligence that results in client harm. Applying
restraints without an order from the PHCP is a violation of client rights and could be considered
false imprisonment or negligence, but it is not specifically malpractice unless harm results from
the action. Malpractice requires proof of duty, breach, causation, and damages.
Option d: Correct. Defamation is the act of making false statements about another person that
damage their reputation. Posting inaccurate information regarding a coworker on social media
is a clear example of defamation, specifically libel (written defamation). This action can have
legal consequences and violates professional standards of conduct.
2. The nurse is assessing assigned clients for hospice services. The nurse should recommend
hospice care for the client who
a. has diabetes mellitus and has developed chronic kidney disease (CKD).
b. has terminal cancer and needs assistance with pain management at home.
c. has dysphagia due to a stroke and needs administration of gastric tube (g-tube) feedings.
d. has dementia and needs assistance with activities of daily living (ADL's).
ANSWER✨✨✔-: b. has terminal cancer and needs assistance with pain management at
home.
,Rationale:
Option a: Incorrect. Diabetes mellitus with chronic kidney disease, while serious, does not
necessarily indicate a terminal prognosis. Hospice care is appropriate for clients with a life
expectancy of six months or less, as certified by two physicians. Clients with CKD may receive
dialysis and other treatments that extend life, making them more appropriate for palliative care
or disease management rather than hospice.
Option b: Correct. Hospice care is specifically designed for clients with terminal illnesses who
have a life expectancy of six months or less and who have chosen comfort-focused care rather
than curative treatments. A client with terminal cancer who needs assistance with pain
management at home is an ideal candidate for hospice services. Hospice provides
interdisciplinary support including pain and symptom management, emotional support, and
assistance with daily needs.
Option c: Incorrect. Dysphagia following a stroke requiring g-tube feedings indicates a need for
ongoing nutritional support, but does not necessarily indicate a terminal prognosis. Many
clients with stroke-related dysphagia can be managed with enteral feeding and may recover
swallowing function over time. This client would be more appropriate for rehabilitation or
skilled nursing services.
Option d: Incorrect. Dementia alone, even with assistance needed for ADLs, does not
automatically qualify a client for hospice care. Hospice criteria for dementia require that the
client demonstrates significant decline in functional status, is in the advanced stages of the
disease, and has a life expectancy of six months or less. Simply needing ADL assistance does not
meet hospice eligibility requirements.
3. The nurse working on a pediatric unit has received the change-of-shift report and is
reviewing client data and prescriptions. Which of the following clients should the nurse plan to
see first?
a. The school-aged child who has diabetes mellitus (type 1) and requires blood glucose
monitoring.
, b. The infant who has a diagnosis of pertussis and has a dry hacking cough.
c. The adolescent who was admitted with sickle cell crisis and reports visual disturbances.
d. The toddler who has bilateral arm casts and needs to be fed their breakfast.
ANSWER✨✨✔-: c. The adolescent who was admitted with sickle cell crisis and reports
visual disturbances.
Rationale:
Option a: Incorrect. While blood glucose monitoring is important for a child with type 1
diabetes, this is a routine task that does not indicate an immediate threat to life or safety. The
child is stable and requires scheduled monitoring, which can be prioritized after addressing
more urgent concerns.
Option b: Incorrect. Pertussis is characterized by a dry hacking cough, and while it requires
respiratory precautions and monitoring, this infant is not showing signs of respiratory distress
or compromise. The cough is an expected manifestation of the disease. The priority is to assess
for complications such as apnea or hypoxia, but without additional concerning symptoms, this
client is stable.
Option c: Correct. Visual disturbances in a client with sickle cell crisis are a concerning symptom
that may indicate a vaso-occlusive event affecting the central nervous system, potentially
leading to a stroke. Sickle cell crisis can cause sickling of red blood cells that occlude blood
vessels, and visual changes could signal retinal vessel occlusion or cerebral involvement. This
client requires immediate assessment to prevent permanent damage or further complications.
This is the priority client.
Option d: Incorrect. A toddler with bilateral arm casts who needs to be fed their breakfast is
stable and requires assistance with activities of daily living. While this client needs care, there is
QUESTIONS AND WELL VERIFIED ANSWERS
ALREADY GRADED A+ REAL 2026!!!!
1. The nurse manager is preparing an in-service regarding legal issues and client care. Which of
the following is a correct example for the nurse manager to give during the in-service?
a. Battery is having security keep a client in their room when they want to leave against medical
advice (AMA).
b. Using a recliner's attached lap tray to keep the client in the chair is considered assault.
c. Malpractice is applying restraints without an order from the primary health care provider
(PHCP).
d. Defamation is posting inaccurate information regarding a coworker on social media.
ANSWER✨✨✔-: d. Defamation is posting inaccurate information regarding a coworker on
social media.
Rationale:
Option a: Incorrect. Battery is the intentional and unauthorized touching or harm to another
person. Having security keep a client in their room against their will when they want to leave
,AMA constitutes false imprisonment, not battery. False imprisonment occurs when a client is
confined or restrained against their will without legal justification.
Option b: Incorrect. Using a recliner's attached lap tray to keep a client in the chair is
considered false imprisonment, not assault. Assault is the threat or attempt to make bodily
contact with another person without their consent, which causes fear or apprehension. Physical
restraint without consent constitutes false imprisonment.
Option c: Incorrect. Malpractice is professional negligence that results in client harm. Applying
restraints without an order from the PHCP is a violation of client rights and could be considered
false imprisonment or negligence, but it is not specifically malpractice unless harm results from
the action. Malpractice requires proof of duty, breach, causation, and damages.
Option d: Correct. Defamation is the act of making false statements about another person that
damage their reputation. Posting inaccurate information regarding a coworker on social media
is a clear example of defamation, specifically libel (written defamation). This action can have
legal consequences and violates professional standards of conduct.
2. The nurse is assessing assigned clients for hospice services. The nurse should recommend
hospice care for the client who
a. has diabetes mellitus and has developed chronic kidney disease (CKD).
b. has terminal cancer and needs assistance with pain management at home.
c. has dysphagia due to a stroke and needs administration of gastric tube (g-tube) feedings.
d. has dementia and needs assistance with activities of daily living (ADL's).
ANSWER✨✨✔-: b. has terminal cancer and needs assistance with pain management at
home.
,Rationale:
Option a: Incorrect. Diabetes mellitus with chronic kidney disease, while serious, does not
necessarily indicate a terminal prognosis. Hospice care is appropriate for clients with a life
expectancy of six months or less, as certified by two physicians. Clients with CKD may receive
dialysis and other treatments that extend life, making them more appropriate for palliative care
or disease management rather than hospice.
Option b: Correct. Hospice care is specifically designed for clients with terminal illnesses who
have a life expectancy of six months or less and who have chosen comfort-focused care rather
than curative treatments. A client with terminal cancer who needs assistance with pain
management at home is an ideal candidate for hospice services. Hospice provides
interdisciplinary support including pain and symptom management, emotional support, and
assistance with daily needs.
Option c: Incorrect. Dysphagia following a stroke requiring g-tube feedings indicates a need for
ongoing nutritional support, but does not necessarily indicate a terminal prognosis. Many
clients with stroke-related dysphagia can be managed with enteral feeding and may recover
swallowing function over time. This client would be more appropriate for rehabilitation or
skilled nursing services.
Option d: Incorrect. Dementia alone, even with assistance needed for ADLs, does not
automatically qualify a client for hospice care. Hospice criteria for dementia require that the
client demonstrates significant decline in functional status, is in the advanced stages of the
disease, and has a life expectancy of six months or less. Simply needing ADL assistance does not
meet hospice eligibility requirements.
3. The nurse working on a pediatric unit has received the change-of-shift report and is
reviewing client data and prescriptions. Which of the following clients should the nurse plan to
see first?
a. The school-aged child who has diabetes mellitus (type 1) and requires blood glucose
monitoring.
, b. The infant who has a diagnosis of pertussis and has a dry hacking cough.
c. The adolescent who was admitted with sickle cell crisis and reports visual disturbances.
d. The toddler who has bilateral arm casts and needs to be fed their breakfast.
ANSWER✨✨✔-: c. The adolescent who was admitted with sickle cell crisis and reports
visual disturbances.
Rationale:
Option a: Incorrect. While blood glucose monitoring is important for a child with type 1
diabetes, this is a routine task that does not indicate an immediate threat to life or safety. The
child is stable and requires scheduled monitoring, which can be prioritized after addressing
more urgent concerns.
Option b: Incorrect. Pertussis is characterized by a dry hacking cough, and while it requires
respiratory precautions and monitoring, this infant is not showing signs of respiratory distress
or compromise. The cough is an expected manifestation of the disease. The priority is to assess
for complications such as apnea or hypoxia, but without additional concerning symptoms, this
client is stable.
Option c: Correct. Visual disturbances in a client with sickle cell crisis are a concerning symptom
that may indicate a vaso-occlusive event affecting the central nervous system, potentially
leading to a stroke. Sickle cell crisis can cause sickling of red blood cells that occlude blood
vessels, and visual changes could signal retinal vessel occlusion or cerebral involvement. This
client requires immediate assessment to prevent permanent damage or further complications.
This is the priority client.
Option d: Incorrect. A toddler with bilateral arm casts who needs to be fed their breakfast is
stable and requires assistance with activities of daily living. While this client needs care, there is
