NSG 4800 COMPS EXAM – 2026/2027
COMPLETE EDITION – 77 QUESTIONS
WITH VERIFIED CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
• Professional Nursing Practice and Legal/Ethical Issues
• Medical-Surgical Nursing and Critical Care
• Pharmacology and Medication Administration
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Community and Public Health Nursing
• Leadership, Delegation, and Management
• Patient Safety, Infection Control, and Emergency Preparedness
• Nursing Process, Clinical Judgment, and Prioritization
Introduction
This comprehensive examination is designed to evaluate the graduating
nursing student's mastery of essential nursing concepts and clinical judgment
as required for successful completion of the NSG 4800 COMPS Examination at
Galen College of Nursing. The assessment covers all major content areas
including medical-surgical nursing, pharmacology, maternal-newborn care,
,pediatrics, mental health, community health, leadership, and professional
nursing practice. The multiple-choice format challenges students to apply
theoretical knowledge to realistic clinical scenarios, emphasizing
prioritization, delegation, patient safety, and evidence-based practice. This
examination serves as a capstone evaluation to ensure readiness for entry into
professional nursing practice.
SECTION ONE: QUESTIONS 1–77
Question 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.
D. Defamation is posting inaccurate information regarding a coworker on
social media.
RATIONALE: 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. Battery is
intentional harmful or offensive touching; keeping a client against their will is
false imprisonment. Using a lap tray to restrain a client is battery, not assault.
Malpractice requires proof of duty, breach, causation, and damages; applying
restraints without an order is false imprisonment or battery.
,Question 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 (ADLs).
B. has terminal cancer and needs assistance with pain management at
home.
RATIONALE: Hospice care is appropriate for clients with a terminal
prognosis of 6 months or less who are no longer seeking curative treatment. A
client with terminal cancer needing pain management at home is an
appropriate candidate. CKD, stroke with g-tube feedings, and dementia
requiring ADL assistance do not automatically qualify for hospice unless the
client meets specific end-stage criteria.
Question 3
The nurse working in the ED has received the following prescriptions for a
newly admitted client. Which prescription should the nurse implement
FIRST?
A. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9 mEq/L.
B. Obtain a stool specimen for culture from a client with bloody diarrhea.
C. Administer an antidiarrheal medication to a client reporting frequent loose
stools.
D. Encourage oral fluids for a client with mild dehydration.
A. Initiate IV sodium and potassium for a client admitted with diarrhea
and dehydration who has a serum potassium level of 2.9 mEq/L.
, RATIONALE: Severe hypokalemia (potassium 2.9 mEq/L) places the
client at immediate risk for life-threatening cardiac dysrhythmias. Correcting
fluid volume deficit and potassium depletion is the highest priority
intervention based on the ABCs and physiologic stability framework.
Question 4
A nurse is caring for a male client who has a deep partial-thickness and a full-
thickness burn to 45% of the lower body. It would be a PRIORITY for the
nurse to notify the provider if the client has:
A. Urinary output of 45 mL over the past 2 hours.
B. Heart rate of 108 beats/min.
C. Temperature of 37.8°C (100°F).
D. Pain rating of 7 on a scale of 0 to 10.
A. Urinary output of 45 mL over the past 2 hours.
RATIONALE: Clients with extensive burns require aggressive fluid
resuscitation. An adult burn client should maintain urine output of at least
30-50 mL/hr. A total output of 45 mL over 2 hours (22.5 mL/hr) indicates
inadequate renal perfusion and possible hypovolemic shock, requiring
immediate provider notification.
Question 5
The nurse is assessing clients at the scene of a mass-casualty disaster and is
prioritizing care based on the disaster triage tag system. Which client should
be transported to the health care facility FIRST?
A. A client who has multiple compound fractures and is reporting chest pain.
B. A client with superficial burns to both arms.
C. A client with a closed tibial fracture and stable vital signs.
D. A client with minor lacerations to the face and scalp.
A. A client who has multiple compound fractures and is reporting chest
pain.
COMPLETE EDITION – 77 QUESTIONS
WITH VERIFIED CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
• Professional Nursing Practice and Legal/Ethical Issues
• Medical-Surgical Nursing and Critical Care
• Pharmacology and Medication Administration
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Community and Public Health Nursing
• Leadership, Delegation, and Management
• Patient Safety, Infection Control, and Emergency Preparedness
• Nursing Process, Clinical Judgment, and Prioritization
Introduction
This comprehensive examination is designed to evaluate the graduating
nursing student's mastery of essential nursing concepts and clinical judgment
as required for successful completion of the NSG 4800 COMPS Examination at
Galen College of Nursing. The assessment covers all major content areas
including medical-surgical nursing, pharmacology, maternal-newborn care,
,pediatrics, mental health, community health, leadership, and professional
nursing practice. The multiple-choice format challenges students to apply
theoretical knowledge to realistic clinical scenarios, emphasizing
prioritization, delegation, patient safety, and evidence-based practice. This
examination serves as a capstone evaluation to ensure readiness for entry into
professional nursing practice.
SECTION ONE: QUESTIONS 1–77
Question 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.
D. Defamation is posting inaccurate information regarding a coworker on
social media.
RATIONALE: 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. Battery is
intentional harmful or offensive touching; keeping a client against their will is
false imprisonment. Using a lap tray to restrain a client is battery, not assault.
Malpractice requires proof of duty, breach, causation, and damages; applying
restraints without an order is false imprisonment or battery.
,Question 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 (ADLs).
B. has terminal cancer and needs assistance with pain management at
home.
RATIONALE: Hospice care is appropriate for clients with a terminal
prognosis of 6 months or less who are no longer seeking curative treatment. A
client with terminal cancer needing pain management at home is an
appropriate candidate. CKD, stroke with g-tube feedings, and dementia
requiring ADL assistance do not automatically qualify for hospice unless the
client meets specific end-stage criteria.
Question 3
The nurse working in the ED has received the following prescriptions for a
newly admitted client. Which prescription should the nurse implement
FIRST?
A. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9 mEq/L.
B. Obtain a stool specimen for culture from a client with bloody diarrhea.
C. Administer an antidiarrheal medication to a client reporting frequent loose
stools.
D. Encourage oral fluids for a client with mild dehydration.
A. Initiate IV sodium and potassium for a client admitted with diarrhea
and dehydration who has a serum potassium level of 2.9 mEq/L.
, RATIONALE: Severe hypokalemia (potassium 2.9 mEq/L) places the
client at immediate risk for life-threatening cardiac dysrhythmias. Correcting
fluid volume deficit and potassium depletion is the highest priority
intervention based on the ABCs and physiologic stability framework.
Question 4
A nurse is caring for a male client who has a deep partial-thickness and a full-
thickness burn to 45% of the lower body. It would be a PRIORITY for the
nurse to notify the provider if the client has:
A. Urinary output of 45 mL over the past 2 hours.
B. Heart rate of 108 beats/min.
C. Temperature of 37.8°C (100°F).
D. Pain rating of 7 on a scale of 0 to 10.
A. Urinary output of 45 mL over the past 2 hours.
RATIONALE: Clients with extensive burns require aggressive fluid
resuscitation. An adult burn client should maintain urine output of at least
30-50 mL/hr. A total output of 45 mL over 2 hours (22.5 mL/hr) indicates
inadequate renal perfusion and possible hypovolemic shock, requiring
immediate provider notification.
Question 5
The nurse is assessing clients at the scene of a mass-casualty disaster and is
prioritizing care based on the disaster triage tag system. Which client should
be transported to the health care facility FIRST?
A. A client who has multiple compound fractures and is reporting chest pain.
B. A client with superficial burns to both arms.
C. A client with a closed tibial fracture and stable vital signs.
D. A client with minor lacerations to the face and scalp.
A. A client who has multiple compound fractures and is reporting chest
pain.
