NSG 4800 COMPS EXAM 2 – 2026/2027
EDITION – 44 QUESTIONS WITH
VERIFIED CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
• Advanced Medical-Surgical Nursing and Complex Care
• Pharmacology and High-Alert Medications
• Critical Care Nursing and Hemodynamic Monitoring
• Maternal-Newborn and Obstetrical Nursing
• Pediatric Nursing and Growth/Development
• Psychiatric-Mental Health Nursing
• Community Health and Population-Based Care
• Nursing Leadership, Delegation, and Healthcare Economics
• Patient Safety, Quality Improvement, and Evidence-Based Practice
• End-of-Life Care and Palliative Nursing
Introduction
This comprehensive examination is designed to evaluate the graduating
nursing student's advanced clinical judgment and comprehensive nursing
knowledge as required for successful completion of the NSG 4800 COMPS
Examination 2 at Galen College of Nursing. This assessment builds upon
,foundational nursing concepts with an emphasis on complex patient scenarios,
prioritization, delegation, interdisciplinary collaboration, and evidence-based
practice. The examination covers advanced medical-surgical nursing, critical
care, pharmacology, maternal-child health, mental health, community health,
and leadership principles. The multiple-choice format challenges students to
synthesize information from multiple content areas and apply critical thinking
to realistic clinical situations, ensuring readiness for professional nursing
practice in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–44
Question 1
A nurse is providing discharge teaching to a client prescribed warfarin. Which
statement by the client indicates a need for further teaching?
A. "I will use a soft-bristled toothbrush."
B. "I will report any black, tarry stools to my provider."
C. "I can take ibuprofen for my occasional headaches."
D. "I will have my blood drawn regularly to check my INR."
C. "I can take ibuprofen for my occasional headaches."
RATIONALE: Ibuprofen is an NSAID that increases the risk of bleeding
when taken with warfarin. The client should avoid NSAIDs and use
acetaminophen for pain instead. The other statements demonstrate correct
understanding of warfarin therapy.
Question 2
The nurse is caring for a client with a chest tube following a thoracotomy.
Which finding requires immediate intervention?
A. Tidaling in the water-seal chamber.
B. Continuous bubbling in the water-seal chamber.
C. 100 mL of sanguineous drainage in the collection chamber.
D. Client reports pain at the insertion site.
, B. Continuous bubbling in the water-seal chamber.
RATIONALE: Continuous bubbling in the water-seal chamber indicates
an air leak, which requires immediate assessment and intervention to prevent
pneumothorax. Tidaling is normal. 100 mL of drainage and pain at the
insertion site are expected findings.
Question 3
The charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A. A client with diabetes mellitus requiring insulin administration.
B. A client with chronic obstructive pulmonary disease (COPD) receiving
oxygen therapy.
C. A client who is 24 hours post-hemorrhagic stroke with fluctuating level of
consciousness.
D. A client with a urinary tract infection receiving IV antibiotics.
C. A client who is 24 hours post-hemorrhagic stroke with fluctuating level
of consciousness.
RATIONALE: A client with a fluctuating level of consciousness following a
hemorrhagic stroke is unstable and requires complex assessment and
intervention. This client should be assigned to the most experienced RN.
Question 4
The nurse is caring for a client with an epidural infusion for postoperative
pain management. Which assessment finding is most concerning?
A. Client reports mild nausea.
B. Client's blood pressure is 100/60 mm Hg.
C. Client reports itching at the infusion site.
D. Client has difficulty moving both legs.
D. Client has difficulty moving both legs.
EDITION – 44 QUESTIONS WITH
VERIFIED CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
• Advanced Medical-Surgical Nursing and Complex Care
• Pharmacology and High-Alert Medications
• Critical Care Nursing and Hemodynamic Monitoring
• Maternal-Newborn and Obstetrical Nursing
• Pediatric Nursing and Growth/Development
• Psychiatric-Mental Health Nursing
• Community Health and Population-Based Care
• Nursing Leadership, Delegation, and Healthcare Economics
• Patient Safety, Quality Improvement, and Evidence-Based Practice
• End-of-Life Care and Palliative Nursing
Introduction
This comprehensive examination is designed to evaluate the graduating
nursing student's advanced clinical judgment and comprehensive nursing
knowledge as required for successful completion of the NSG 4800 COMPS
Examination 2 at Galen College of Nursing. This assessment builds upon
,foundational nursing concepts with an emphasis on complex patient scenarios,
prioritization, delegation, interdisciplinary collaboration, and evidence-based
practice. The examination covers advanced medical-surgical nursing, critical
care, pharmacology, maternal-child health, mental health, community health,
and leadership principles. The multiple-choice format challenges students to
synthesize information from multiple content areas and apply critical thinking
to realistic clinical situations, ensuring readiness for professional nursing
practice in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–44
Question 1
A nurse is providing discharge teaching to a client prescribed warfarin. Which
statement by the client indicates a need for further teaching?
A. "I will use a soft-bristled toothbrush."
B. "I will report any black, tarry stools to my provider."
C. "I can take ibuprofen for my occasional headaches."
D. "I will have my blood drawn regularly to check my INR."
C. "I can take ibuprofen for my occasional headaches."
RATIONALE: Ibuprofen is an NSAID that increases the risk of bleeding
when taken with warfarin. The client should avoid NSAIDs and use
acetaminophen for pain instead. The other statements demonstrate correct
understanding of warfarin therapy.
Question 2
The nurse is caring for a client with a chest tube following a thoracotomy.
Which finding requires immediate intervention?
A. Tidaling in the water-seal chamber.
B. Continuous bubbling in the water-seal chamber.
C. 100 mL of sanguineous drainage in the collection chamber.
D. Client reports pain at the insertion site.
, B. Continuous bubbling in the water-seal chamber.
RATIONALE: Continuous bubbling in the water-seal chamber indicates
an air leak, which requires immediate assessment and intervention to prevent
pneumothorax. Tidaling is normal. 100 mL of drainage and pain at the
insertion site are expected findings.
Question 3
The charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A. A client with diabetes mellitus requiring insulin administration.
B. A client with chronic obstructive pulmonary disease (COPD) receiving
oxygen therapy.
C. A client who is 24 hours post-hemorrhagic stroke with fluctuating level of
consciousness.
D. A client with a urinary tract infection receiving IV antibiotics.
C. A client who is 24 hours post-hemorrhagic stroke with fluctuating level
of consciousness.
RATIONALE: A client with a fluctuating level of consciousness following a
hemorrhagic stroke is unstable and requires complex assessment and
intervention. This client should be assigned to the most experienced RN.
Question 4
The nurse is caring for a client with an epidural infusion for postoperative
pain management. Which assessment finding is most concerning?
A. Client reports mild nausea.
B. Client's blood pressure is 100/60 mm Hg.
C. Client reports itching at the infusion site.
D. Client has difficulty moving both legs.
D. Client has difficulty moving both legs.
