NSG 4800 COMPS V3 (GALEN) NEWEST 2026 ACTUAL EXAM|
NSG4800 TRANSITION TO PROFESSIONAL NURSING
PRACTICE EXAM WITH COMPLETE 150 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
A client with cirrhosis becomes increasingly confused. The nurse notes
asterixis and a serum ammonia level of 92 mcg/dL. Which prescription
should the nurse implement first?
A. Lactulose
B. Furosemide
C. Spironolactone
D. Vitamin K - Correct Answer - A. Lactulose
Lactulose reduces intestinal ammonia absorption by promoting its
excretion in stool, making it the priority treatment for hepatic
encephalopathy.
pg. 1
,A client with SIADH has a sodium level of 118 mEq/L and reports a
new headache. Which finding requires the nurse's immediate action?
A. Weight gain
B. Muscle cramps
C. Confusion
D. Dry mouth - Correct Answer - C. Confusion
Severe hyponatremia can cause cerebral edema and neurologic
deterioration. New confusion indicates worsening neurologic status and
requires immediate intervention.
A client with Cushing syndrome is being discharged. Which statement
indicates the client needs further teaching?
A. “I will avoid sick contacts.”
B. “I will report black stools.”
C. “I should stop prednisone abruptly.”
D. “I will monitor my blood pressure.” - Correct Answer - C. “I should
stop prednisone abruptly.”
Abrupt corticosteroid withdrawal can cause acute adrenal insufficiency.
Corticosteroids must generally be tapered according to the prescribed
regimen.
A client receiving chemotherapy has a neutrophil count of 700/mm³.
Which finding should the nurse report immediately?
A. Temp 100.4°F (38°C)
B. Fatigue
C. Poor appetite
D. Mild alopecia - Correct Answer - A. Temp 100.4°F (38°C)
pg. 2
,Severe neutropenia greatly increases the risk of life-threatening
infection. A temperature of 100.4°F (38°C) or higher can indicate
infection and requires prompt evaluation and treatment.
A client with chronic kidney disease has a potassium level of 6.3 mEq/L.
Which prescription should the nurse question?
A. IV calcium gluconate
B. Sodium zirconium cyclosilicate
C. Regular insulin with dextrose
D. Lactated Ringer’s infusion - Correct Answer - D. Lactated Ringer’s
infusion
A potassium level of 6.3 mEq/L indicates significant hyperkalemia.
Lactated Ringer’s contains potassium and may further increase the
pg. 3
, serum potassium level. The other therapies are used to stabilize the
myocardium or shift/remove potassium.
A client with myasthenia gravis develops increasing difficulty
swallowing and a weak, ineffective cough after receiving several doses
of pyridostigmine. Which finding is most concerning?
A. Ptosis
B. Diarrhea
C. Shallow respirations
D. Muscle twitching - Correct Answer - C. Shallow respirations
Progressive respiratory muscle weakness can lead to myasthenic crisis
and respiratory failure. Shallow respirations require immediate
assessment of airway and ventilatory status.
pg. 4
NSG4800 TRANSITION TO PROFESSIONAL NURSING
PRACTICE EXAM WITH COMPLETE 150 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
A client with cirrhosis becomes increasingly confused. The nurse notes
asterixis and a serum ammonia level of 92 mcg/dL. Which prescription
should the nurse implement first?
A. Lactulose
B. Furosemide
C. Spironolactone
D. Vitamin K - Correct Answer - A. Lactulose
Lactulose reduces intestinal ammonia absorption by promoting its
excretion in stool, making it the priority treatment for hepatic
encephalopathy.
pg. 1
,A client with SIADH has a sodium level of 118 mEq/L and reports a
new headache. Which finding requires the nurse's immediate action?
A. Weight gain
B. Muscle cramps
C. Confusion
D. Dry mouth - Correct Answer - C. Confusion
Severe hyponatremia can cause cerebral edema and neurologic
deterioration. New confusion indicates worsening neurologic status and
requires immediate intervention.
A client with Cushing syndrome is being discharged. Which statement
indicates the client needs further teaching?
A. “I will avoid sick contacts.”
B. “I will report black stools.”
C. “I should stop prednisone abruptly.”
D. “I will monitor my blood pressure.” - Correct Answer - C. “I should
stop prednisone abruptly.”
Abrupt corticosteroid withdrawal can cause acute adrenal insufficiency.
Corticosteroids must generally be tapered according to the prescribed
regimen.
A client receiving chemotherapy has a neutrophil count of 700/mm³.
Which finding should the nurse report immediately?
A. Temp 100.4°F (38°C)
B. Fatigue
C. Poor appetite
D. Mild alopecia - Correct Answer - A. Temp 100.4°F (38°C)
pg. 2
,Severe neutropenia greatly increases the risk of life-threatening
infection. A temperature of 100.4°F (38°C) or higher can indicate
infection and requires prompt evaluation and treatment.
A client with chronic kidney disease has a potassium level of 6.3 mEq/L.
Which prescription should the nurse question?
A. IV calcium gluconate
B. Sodium zirconium cyclosilicate
C. Regular insulin with dextrose
D. Lactated Ringer’s infusion - Correct Answer - D. Lactated Ringer’s
infusion
A potassium level of 6.3 mEq/L indicates significant hyperkalemia.
Lactated Ringer’s contains potassium and may further increase the
pg. 3
, serum potassium level. The other therapies are used to stabilize the
myocardium or shift/remove potassium.
A client with myasthenia gravis develops increasing difficulty
swallowing and a weak, ineffective cough after receiving several doses
of pyridostigmine. Which finding is most concerning?
A. Ptosis
B. Diarrhea
C. Shallow respirations
D. Muscle twitching - Correct Answer - C. Shallow respirations
Progressive respiratory muscle weakness can lead to myasthenic crisis
and respiratory failure. Shallow respirations require immediate
assessment of airway and ventilatory status.
pg. 4
