NSG 4800 COMPS FINAL EXAM –
2026/2027 COMPLETE EDITION – 100
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 final 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 Final
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 and NCLEX success.
SECTION ONE: QUESTIONS 1–100
Question 1
The nurse has been made aware of the following client situations. It is
necessary for the nurse to initially assess the client who has:
A. Type 1 diabetes mellitus; it is difficult to arouse the patient when the blood
glucose is 30 mg/dL.
B. Asthma; has a peak flow reading of 80% of personal best.
C. Hypertension; blood pressure is 142/88 mmHg.
D. Gastroenteritis; reports one episode of vomiting.
A. Type 1 diabetes mellitus; it is difficult to arouse the patient when the
blood glucose is 30 mg/dL.
RATIONALE: This is a critical and potentially life-threatening situation
indicating severe hypoglycemia. Immediate intervention is required to
prevent neurological damage or death. A blood glucose of 30 mg/dL with
altered level of consciousness takes priority over all other options.
Question 2
The nurse has received handoff report and is assigning tasks to unlicensed
assistive personnel (UAP). Which task should the nurse instruct the UAP to
perform?
A. Assess a client's pain level 30 minutes after medication.
B. Teach a client how to use an incentive spirometer.
,C. Turn and reposition a client who was last turned 2 hours ago.
D. Evaluate wound healing of a surgical incision.
C. Turn and reposition a client who was last turned 2 hours ago.
RATIONALE: Turning and repositioning is within the scope of a UAP's
responsibilities and promotes client safety and skin integrity. Assessment,
teaching, and evaluation require licensed nursing judgment and cannot be
delegated.
Question 3
A nurse is caring for a client with heart failure who suddenly develops
crackles, dyspnea, and pink frothy sputum. Which action should the nurse
perform FIRST?
A. Administer IV fluids.
B. Place the client in high Fowler's position.
C. Encourage oral fluids.
D. Obtain a sputum sample.
B. Place the client in high Fowler's position.
RATIONALE: The client is exhibiting signs of acute pulmonary edema, a
life-threatening complication of heart failure. Positioning the client upright
helps decrease venous return to the heart and improves lung expansion,
enhancing oxygenation. IV fluids would worsen pulmonary congestion.
Question 4
Which laboratory value should the nurse immediately report for a client
receiving warfarin therapy?
A. INR of 1.0
B. INR of 2.5
C. INR of 5.8
D. INR of 2.0
C. INR of 5.8
, RATIONALE: A therapeutic INR for most conditions is usually between
2.0 and 3.0. An INR of 5.8 places the client at high risk for bleeding
complications and requires immediate intervention. The nurse should notify
the provider promptly for possible dosage adjustment or vitamin K
administration.
Question 5
A nurse is assessing a client with hypoglycemia. Which symptom should the
nurse expect?
A. Bradycardia
B. Cool clammy skin
C. Fruity breath odor
D. Deep respirations
B. Cool clammy skin
RATIONALE: Hypoglycemia activates the sympathetic nervous system,
causing diaphoresis, tremors, tachycardia, and cool clammy skin. Fruity
breath odor and deep respirations are associated with diabetic ketoacidosis
(hyperglycemia).
Question 6
A postoperative client reports sudden calf pain and swelling. Which
complication should the nurse suspect FIRST?
A. Pneumonia
B. Deep vein thrombosis
C. Myocardial infarction
D. Pulmonary edema
B. Deep vein thrombosis
RATIONALE: Calf pain, warmth, redness, and swelling are classic signs of
deep vein thrombosis (DVT). Postoperative immobility increases the risk of
clot formation. Immediate intervention is necessary to prevent pulmonary
embolism.
2026/2027 COMPLETE EDITION – 100
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 final 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 Final
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 and NCLEX success.
SECTION ONE: QUESTIONS 1–100
Question 1
The nurse has been made aware of the following client situations. It is
necessary for the nurse to initially assess the client who has:
A. Type 1 diabetes mellitus; it is difficult to arouse the patient when the blood
glucose is 30 mg/dL.
B. Asthma; has a peak flow reading of 80% of personal best.
C. Hypertension; blood pressure is 142/88 mmHg.
D. Gastroenteritis; reports one episode of vomiting.
A. Type 1 diabetes mellitus; it is difficult to arouse the patient when the
blood glucose is 30 mg/dL.
RATIONALE: This is a critical and potentially life-threatening situation
indicating severe hypoglycemia. Immediate intervention is required to
prevent neurological damage or death. A blood glucose of 30 mg/dL with
altered level of consciousness takes priority over all other options.
Question 2
The nurse has received handoff report and is assigning tasks to unlicensed
assistive personnel (UAP). Which task should the nurse instruct the UAP to
perform?
A. Assess a client's pain level 30 minutes after medication.
B. Teach a client how to use an incentive spirometer.
,C. Turn and reposition a client who was last turned 2 hours ago.
D. Evaluate wound healing of a surgical incision.
C. Turn and reposition a client who was last turned 2 hours ago.
RATIONALE: Turning and repositioning is within the scope of a UAP's
responsibilities and promotes client safety and skin integrity. Assessment,
teaching, and evaluation require licensed nursing judgment and cannot be
delegated.
Question 3
A nurse is caring for a client with heart failure who suddenly develops
crackles, dyspnea, and pink frothy sputum. Which action should the nurse
perform FIRST?
A. Administer IV fluids.
B. Place the client in high Fowler's position.
C. Encourage oral fluids.
D. Obtain a sputum sample.
B. Place the client in high Fowler's position.
RATIONALE: The client is exhibiting signs of acute pulmonary edema, a
life-threatening complication of heart failure. Positioning the client upright
helps decrease venous return to the heart and improves lung expansion,
enhancing oxygenation. IV fluids would worsen pulmonary congestion.
Question 4
Which laboratory value should the nurse immediately report for a client
receiving warfarin therapy?
A. INR of 1.0
B. INR of 2.5
C. INR of 5.8
D. INR of 2.0
C. INR of 5.8
, RATIONALE: A therapeutic INR for most conditions is usually between
2.0 and 3.0. An INR of 5.8 places the client at high risk for bleeding
complications and requires immediate intervention. The nurse should notify
the provider promptly for possible dosage adjustment or vitamin K
administration.
Question 5
A nurse is assessing a client with hypoglycemia. Which symptom should the
nurse expect?
A. Bradycardia
B. Cool clammy skin
C. Fruity breath odor
D. Deep respirations
B. Cool clammy skin
RATIONALE: Hypoglycemia activates the sympathetic nervous system,
causing diaphoresis, tremors, tachycardia, and cool clammy skin. Fruity
breath odor and deep respirations are associated with diabetic ketoacidosis
(hyperglycemia).
Question 6
A postoperative client reports sudden calf pain and swelling. Which
complication should the nurse suspect FIRST?
A. Pneumonia
B. Deep vein thrombosis
C. Myocardial infarction
D. Pulmonary edema
B. Deep vein thrombosis
RATIONALE: Calf pain, warmth, redness, and swelling are classic signs of
deep vein thrombosis (DVT). Postoperative immobility increases the risk of
clot formation. Immediate intervention is necessary to prevent pulmonary
embolism.
