NSG 4800 Comprehensive Exam Prep
Questions AND WELL VERIFIED ANSWERS
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.
Correct ANSWER: d. Defamation is posting inaccurate information regarding a coworker on social media.
Rationale:
Option a (Incorrect): Battery is the intentional harmful or offensive touching of another person without
consent. Keeping a client in their room against their will is false imprisonment, not battery. Security
personnel may be involved in maintaining safety, but detaining a client who wants to leave AMA without
proper legal procedures constitutes false imprisonment.
,Option b (Incorrect): Using a recliner's lap tray to keep a client in the chair is actually considered battery,
not assault. Assault is the threat of harmful or offensive contact, while battery is the actual physical
contact. The lap tray creates physical restraint without consent, which is battery.
Option c (Incorrect): Malpractice is professional negligence, which involves a breach of duty that causes
harm to a client. Applying restraints without an order is considered false imprisonment or battery, not
malpractice. 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 about a coworker on social media meets the criteria for
defamation, as it involves false statements communicated to a third party that could harm the
coworker's reputation.
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).
Correct ANSWER: b. has terminal cancer and needs assistance with pain management at home.
Rationale:
Option a (Incorrect): While diabetes mellitus with CKD is a serious condition, it may not meet hospice
criteria unless the client has a prognosis of 6 months or less to live. Hospice is appropriate for clients
with end-stage disease, and CKD alone does not automatically qualify a client for hospice services.
,Option b (Correct): Hospice care is specifically designed for clients with terminal illnesses who have a life
expectancy of 6 months or less and who desire comfort care rather than curative treatment. Terminal
cancer with pain management needs at home is an appropriate referral for hospice services, as the
focus is on symptom management and quality of life.
Option c (Incorrect): Dysphagia with the need for g-tube feedings indicates a need for skilled nursing
care but does not necessarily mean the client meets hospice criteria. The client may still be receiving
curative or rehabilitative treatment, which is not compatible with hospice philosophy.
Option d (Incorrect): Dementia with ADL assistance needs may be appropriate for home health services
or long-term care, but the client must meet specific hospice criteria, including a prognosis of 6 months
or less. Dementia alone, without other indicators of end-stage disease, does not qualify for hospice.
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.
Correct 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 can be prioritized after addressing more urgent needs. This child is stable and
requires scheduled monitoring, not immediate intervention.
, Option b (Incorrect): Pertussis is characterized by a dry hacking cough, and this infant is exhibiting
expected symptoms of the condition. While pertussis requires monitoring and isolation precautions, the
infant is not showing signs of acute respiratory distress that would require immediate assessment.
Option c (Correct): Visual disturbances in a client with sickle cell crisis can indicate a serious
complication such as a cerebrovascular accident (stroke) or retinal detachment. This is a priority
assessment because it could represent an acute neurological event requiring immediate intervention.
The ABCs (Airway, Breathing, Circulation) and neurological status take precedence.
Option d (Incorrect): Feeding a toddler with bilateral arm casts is an activity of daily living that can be
delegated or delayed. This is not an urgent or life-threatening situation and should be addressed after
the client with a potential neurological emergency.
4. The nurse working in an urgent care clinic is triaging the following clients. Which client should the
nurse have assessed immediately by the primary health care provider (PHCP)?
a. A 4-year-old client who has a laceration to the forehead and is screaming.
b. A 17-year-old client who is suspected of having a right wrist fracture.
c. A 32-year-old client with a painful sunburn to the face and arms.
d. A 46-year-old client who is diaphoretic and reports epigastric pain.
Correct ANSWER: d. A 46-year-old client who is diaphoretic and reports epigastric pain.
Rationale:
Option a (Incorrect): A 4-year-old with a forehead laceration who is screaming is stable. The child is alert
and responsive, indicating a non-life-threatening injury. While the laceration requires care, it is not an
immediate emergency compared to a potential cardiac event.
Questions AND WELL VERIFIED ANSWERS
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.
Correct ANSWER: d. Defamation is posting inaccurate information regarding a coworker on social media.
Rationale:
Option a (Incorrect): Battery is the intentional harmful or offensive touching of another person without
consent. Keeping a client in their room against their will is false imprisonment, not battery. Security
personnel may be involved in maintaining safety, but detaining a client who wants to leave AMA without
proper legal procedures constitutes false imprisonment.
,Option b (Incorrect): Using a recliner's lap tray to keep a client in the chair is actually considered battery,
not assault. Assault is the threat of harmful or offensive contact, while battery is the actual physical
contact. The lap tray creates physical restraint without consent, which is battery.
Option c (Incorrect): Malpractice is professional negligence, which involves a breach of duty that causes
harm to a client. Applying restraints without an order is considered false imprisonment or battery, not
malpractice. 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 about a coworker on social media meets the criteria for
defamation, as it involves false statements communicated to a third party that could harm the
coworker's reputation.
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).
Correct ANSWER: b. has terminal cancer and needs assistance with pain management at home.
Rationale:
Option a (Incorrect): While diabetes mellitus with CKD is a serious condition, it may not meet hospice
criteria unless the client has a prognosis of 6 months or less to live. Hospice is appropriate for clients
with end-stage disease, and CKD alone does not automatically qualify a client for hospice services.
,Option b (Correct): Hospice care is specifically designed for clients with terminal illnesses who have a life
expectancy of 6 months or less and who desire comfort care rather than curative treatment. Terminal
cancer with pain management needs at home is an appropriate referral for hospice services, as the
focus is on symptom management and quality of life.
Option c (Incorrect): Dysphagia with the need for g-tube feedings indicates a need for skilled nursing
care but does not necessarily mean the client meets hospice criteria. The client may still be receiving
curative or rehabilitative treatment, which is not compatible with hospice philosophy.
Option d (Incorrect): Dementia with ADL assistance needs may be appropriate for home health services
or long-term care, but the client must meet specific hospice criteria, including a prognosis of 6 months
or less. Dementia alone, without other indicators of end-stage disease, does not qualify for hospice.
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.
Correct 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 can be prioritized after addressing more urgent needs. This child is stable and
requires scheduled monitoring, not immediate intervention.
, Option b (Incorrect): Pertussis is characterized by a dry hacking cough, and this infant is exhibiting
expected symptoms of the condition. While pertussis requires monitoring and isolation precautions, the
infant is not showing signs of acute respiratory distress that would require immediate assessment.
Option c (Correct): Visual disturbances in a client with sickle cell crisis can indicate a serious
complication such as a cerebrovascular accident (stroke) or retinal detachment. This is a priority
assessment because it could represent an acute neurological event requiring immediate intervention.
The ABCs (Airway, Breathing, Circulation) and neurological status take precedence.
Option d (Incorrect): Feeding a toddler with bilateral arm casts is an activity of daily living that can be
delegated or delayed. This is not an urgent or life-threatening situation and should be addressed after
the client with a potential neurological emergency.
4. The nurse working in an urgent care clinic is triaging the following clients. Which client should the
nurse have assessed immediately by the primary health care provider (PHCP)?
a. A 4-year-old client who has a laceration to the forehead and is screaming.
b. A 17-year-old client who is suspected of having a right wrist fracture.
c. A 32-year-old client with a painful sunburn to the face and arms.
d. A 46-year-old client who is diaphoretic and reports epigastric pain.
Correct ANSWER: d. A 46-year-old client who is diaphoretic and reports epigastric pain.
Rationale:
Option a (Incorrect): A 4-year-old with a forehead laceration who is screaming is stable. The child is alert
and responsive, indicating a non-life-threatening injury. While the laceration requires care, it is not an
immediate emergency compared to a potential cardiac event.
