Page 1 of 71
NSG 4800 COMPS FINAL EXAM —
COMPREHENSIVE PRACTICE ASSESSMENT |
FREQUENTLY TESTED QUESTIONS AND
VERIFIED ANSWERS |100% ACCURATE
ANSWERS | ALREADY GRADED A+
Course Name: NSG 4800 — Nursing Practice: Transition to
Professional Nursing Practice
Subject: Comprehensive Professional Nursing Practice / Comps
Final Exam
Assessment Type: 150-Question Comprehensive Practice
Examination
Section 1: Questions 1–50
1. The nurse receives report on four clients. Which client
should the nurse assess FIRST?
A. A client with pneumonia whose temperature is 38.1°C
(100.6°F)
B. A client with chronic heart failure who has 2+ bilateral ankle
edema
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C. A client with diabetes who is difficult to arouse and has a
blood glucose of 38 mg/dL
D. A client with a urinary tract infection who reports urinary
frequency
Correct answer: C
❖ Rationale: Severe hypoglycemia with altered level of
consciousness is an immediate airway, neurologic, and
safety concern. The client requires prompt glucose
replacement. The other findings require care but are less
immediately life-threatening.
2. A client scheduled for surgery tells the nurse, “I changed
my mind. I do not want the surgery.” What is the nurse’s
priority action?
A. Explain that the surgeon has already prepared for the
procedure
B. Administer the prescribed preoperative sedative
C. Notify the surgeon and document the client’s decision
D. Ask the family to persuade the client to proceed
Correct answer: C
❖ Rationale: A competent client may withdraw consent at
any time. The nurse should stop the preparation process,
notify the appropriate provider, and document the client’s
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expressed decision. Sedation should not be given to
facilitate a procedure the client no longer accepts.
3. Which statement best describes informed consent?
A. Once signed, consent cannot be withdrawn
B. The nurse is responsible for explaining all surgical risks and
alternatives
C. The provider performing the procedure is responsible for
explaining its nature, risks, benefits, and alternatives
D. A family member must sign whenever the client is anxious
Correct answer: C
❖ Rationale: The provider performing the procedure is
responsible for obtaining informed consent and explaining
the procedure, risks, benefits, and alternatives. The nurse
generally verifies that the consent is signed voluntarily and
witnesses the signature according to policy.
4. A nurse smells smoke coming from a patient's room.
Which action should occur FIRST?
A. Pull the fire alarm
B. Remove the client from immediate danger
C. Close all unit doors
D. Obtain a fire extinguisher
Correct answer: B
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❖ Rationale: RACE begins with Rescue. The nurse first
removes individuals from immediate danger, followed by
Alarm, Confine, and Extinguish/Evacuate as appropriate.
5. Which client requires airborne precautions?
A. A client with Clostridioides difficile infection
B. A client with influenza
C. A client with pulmonary tuberculosis
D. A client with methicillin-resistant Staphylococcus aureus
Correct answer: C
❖ Rationale: Suspected or confirmed pulmonary tuberculosis
requires airborne precautions, including an appropriate
respirator and airborne infection isolation room. C. difficile
requires contact precautions, while influenza generally
requires droplet precautions.
6. Which intervention is most appropriate when caring for a
client with C. difficile?
A. Use alcohol-based hand sanitizer after removing gloves
B. Use soap and water for hand hygiene after client contact
C. Place the client in a positive-pressure room
D. Use only a surgical mask
Correct answer: B
❖ Rationale: Soap and water are preferred after caring for a
client with C. difficile because alcohol-based hand rubs are
NSG 4800 COMPS FINAL EXAM —
COMPREHENSIVE PRACTICE ASSESSMENT |
FREQUENTLY TESTED QUESTIONS AND
VERIFIED ANSWERS |100% ACCURATE
ANSWERS | ALREADY GRADED A+
Course Name: NSG 4800 — Nursing Practice: Transition to
Professional Nursing Practice
Subject: Comprehensive Professional Nursing Practice / Comps
Final Exam
Assessment Type: 150-Question Comprehensive Practice
Examination
Section 1: Questions 1–50
1. The nurse receives report on four clients. Which client
should the nurse assess FIRST?
A. A client with pneumonia whose temperature is 38.1°C
(100.6°F)
B. A client with chronic heart failure who has 2+ bilateral ankle
edema
,Page 2 of 71
C. A client with diabetes who is difficult to arouse and has a
blood glucose of 38 mg/dL
D. A client with a urinary tract infection who reports urinary
frequency
Correct answer: C
❖ Rationale: Severe hypoglycemia with altered level of
consciousness is an immediate airway, neurologic, and
safety concern. The client requires prompt glucose
replacement. The other findings require care but are less
immediately life-threatening.
2. A client scheduled for surgery tells the nurse, “I changed
my mind. I do not want the surgery.” What is the nurse’s
priority action?
A. Explain that the surgeon has already prepared for the
procedure
B. Administer the prescribed preoperative sedative
C. Notify the surgeon and document the client’s decision
D. Ask the family to persuade the client to proceed
Correct answer: C
❖ Rationale: A competent client may withdraw consent at
any time. The nurse should stop the preparation process,
notify the appropriate provider, and document the client’s
,Page 3 of 71
expressed decision. Sedation should not be given to
facilitate a procedure the client no longer accepts.
3. Which statement best describes informed consent?
A. Once signed, consent cannot be withdrawn
B. The nurse is responsible for explaining all surgical risks and
alternatives
C. The provider performing the procedure is responsible for
explaining its nature, risks, benefits, and alternatives
D. A family member must sign whenever the client is anxious
Correct answer: C
❖ Rationale: The provider performing the procedure is
responsible for obtaining informed consent and explaining
the procedure, risks, benefits, and alternatives. The nurse
generally verifies that the consent is signed voluntarily and
witnesses the signature according to policy.
4. A nurse smells smoke coming from a patient's room.
Which action should occur FIRST?
A. Pull the fire alarm
B. Remove the client from immediate danger
C. Close all unit doors
D. Obtain a fire extinguisher
Correct answer: B
, Page 4 of 71
❖ Rationale: RACE begins with Rescue. The nurse first
removes individuals from immediate danger, followed by
Alarm, Confine, and Extinguish/Evacuate as appropriate.
5. Which client requires airborne precautions?
A. A client with Clostridioides difficile infection
B. A client with influenza
C. A client with pulmonary tuberculosis
D. A client with methicillin-resistant Staphylococcus aureus
Correct answer: C
❖ Rationale: Suspected or confirmed pulmonary tuberculosis
requires airborne precautions, including an appropriate
respirator and airborne infection isolation room. C. difficile
requires contact precautions, while influenza generally
requires droplet precautions.
6. Which intervention is most appropriate when caring for a
client with C. difficile?
A. Use alcohol-based hand sanitizer after removing gloves
B. Use soap and water for hand hygiene after client contact
C. Place the client in a positive-pressure room
D. Use only a surgical mask
Correct answer: B
❖ Rationale: Soap and water are preferred after caring for a
client with C. difficile because alcohol-based hand rubs are
