NSG 48001 COMPS EXAM 2 ACTUAL EXAM 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED PASS A+ |FULL REVISED
NSG 48001 COMPS EXAM 2 REAL EXAM |JUST RELEASED
INSTANT DOWNLOAD PDF
1. A nurse is caring for a client post-cardiac catheterization via the
right femoral artery. Which assessment finding requires immediate
intervention?
A. A small amount of serosanguineous drainage at the insertion site.
B. The client reports mild tenderness at the insertion site.
C. The client's right pedal pulse is absent, and the foot is pale and
cool. Correct Answer
D. Blood pressure of 130/80 mmHg and heart rate of 88 bpm.
Rationale: Option C indicates an acute arterial occlusion or
thrombus formation at the puncture site, which is a medical
emergency requiring immediate revascularization to prevent limb
loss. Options A and B are expected findings post-procedure. Option
D is a normal finding.
,2. A nurse is preparing to administer digoxin to a client with heart
failure. Which assessment would prompt the nurse to hold the dose
and notify the provider?
A. Apical pulse of 58 beats per minute. Correct Answer
B. Serum potassium of 4.0 mEq/L.
C. Serum digoxin level of 1.5 ng/mL.
D. Blood pressure of 110/70 mmHg.
Rationale: Digoxin slows the heart rate. A pulse below 60 bpm in an
adult is generally a parameter to hold the medication and notify the
healthcare provider, as administration could lead to bradycardia or
heart block. Option B is normal, Option C is within therapeutic
range (0.8-2.0 ng/mL), and Option D is normal.
3. A client presents to the emergency department with sudden onset
of pleuritic chest pain, shortness of breath, and a productive cough
with rusty-colored sputum. Which nursing diagnosis is the priority?
A. Acute Pain related to inflammation of the pleura.
B. Ineffective Breathing Pattern related to alveolar inflammation.
C. Impaired Gas Exchange related to alveolar-capillary membrane
changes. Correct Answer
D. Activity Intolerance related to fatigue.
,Rationale: The client's symptoms indicate pneumococcal
pneumonia. While pain and breathing pattern are important, the
physiological priority using Maslow’s hierarchy and ABCs is
ensuring oxygenation and ventilation. "Impaired Gas Exchange"
addresses the underlying pathophysiological problem.
4. A client is admitted with DKA. Which laboratory value is most
critical for the nurse to monitor during the initial treatment phase?
A. Serum calcium.
B. Serum potassium. Correct Answer
C. Serum bilirubin.
D. Serum albumin.
Rationale: During DKA treatment, insulin administration drives
potassium back into the cells, and fluid replacement dilutes serum
potassium, leading to a rapid and severe drop in potassium levels
(hypokalemia). This can cause life-threatening cardiac arrhythmias.
Frequent potassium monitoring is essential.
5. A nurse is reviewing the ECG of a client. The nurse notes no
discernible P waves and an irregular ventricular rhythm. The nurse
interprets this as:
A. Atrial Flutter
B. Ventricular Tachycardia
, C. Sinus Bradycardia
D. Atrial Fibrillation Correct Answer
Rationale: Atrial Fibrillation is characterized by chaotic electrical
activity in the atria, resulting in absent P waves (replaced by
fibrillatory waves) and an irregularly irregular ventricular rhythm.
Atrial flutter has saw-tooth P waves (F waves), V-tach is regular and
wide, and sinus bradycardia has regular P waves.
6. A client is 2 hours post-op from a thyroidectomy. The nurse notes
the client is anxious, has a heart rate of 120 bpm, and is twitching.
What is the priority nursing action?
A. Administer prescribed beta-blocker for tachycardia.
B. Assess for Chvostek's sign and prepare to administer calcium
gluconate. Correct Answer
C. Reposition the client to assess for bleeding at the surgical site.
D. Administer prescribed pain medication for anxiety.
Rationale: The symptoms indicate hypocalcemia due to accidental
removal of or trauma to the parathyroid glands during
thyroidectomy. Tetany and twitching are neuromuscular irritability
signs. Chvostek's sign assessment and preparation for IV calcium
replacement are the priorities.
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED PASS A+ |FULL REVISED
NSG 48001 COMPS EXAM 2 REAL EXAM |JUST RELEASED
INSTANT DOWNLOAD PDF
1. A nurse is caring for a client post-cardiac catheterization via the
right femoral artery. Which assessment finding requires immediate
intervention?
A. A small amount of serosanguineous drainage at the insertion site.
B. The client reports mild tenderness at the insertion site.
C. The client's right pedal pulse is absent, and the foot is pale and
cool. Correct Answer
D. Blood pressure of 130/80 mmHg and heart rate of 88 bpm.
Rationale: Option C indicates an acute arterial occlusion or
thrombus formation at the puncture site, which is a medical
emergency requiring immediate revascularization to prevent limb
loss. Options A and B are expected findings post-procedure. Option
D is a normal finding.
,2. A nurse is preparing to administer digoxin to a client with heart
failure. Which assessment would prompt the nurse to hold the dose
and notify the provider?
A. Apical pulse of 58 beats per minute. Correct Answer
B. Serum potassium of 4.0 mEq/L.
C. Serum digoxin level of 1.5 ng/mL.
D. Blood pressure of 110/70 mmHg.
Rationale: Digoxin slows the heart rate. A pulse below 60 bpm in an
adult is generally a parameter to hold the medication and notify the
healthcare provider, as administration could lead to bradycardia or
heart block. Option B is normal, Option C is within therapeutic
range (0.8-2.0 ng/mL), and Option D is normal.
3. A client presents to the emergency department with sudden onset
of pleuritic chest pain, shortness of breath, and a productive cough
with rusty-colored sputum. Which nursing diagnosis is the priority?
A. Acute Pain related to inflammation of the pleura.
B. Ineffective Breathing Pattern related to alveolar inflammation.
C. Impaired Gas Exchange related to alveolar-capillary membrane
changes. Correct Answer
D. Activity Intolerance related to fatigue.
,Rationale: The client's symptoms indicate pneumococcal
pneumonia. While pain and breathing pattern are important, the
physiological priority using Maslow’s hierarchy and ABCs is
ensuring oxygenation and ventilation. "Impaired Gas Exchange"
addresses the underlying pathophysiological problem.
4. A client is admitted with DKA. Which laboratory value is most
critical for the nurse to monitor during the initial treatment phase?
A. Serum calcium.
B. Serum potassium. Correct Answer
C. Serum bilirubin.
D. Serum albumin.
Rationale: During DKA treatment, insulin administration drives
potassium back into the cells, and fluid replacement dilutes serum
potassium, leading to a rapid and severe drop in potassium levels
(hypokalemia). This can cause life-threatening cardiac arrhythmias.
Frequent potassium monitoring is essential.
5. A nurse is reviewing the ECG of a client. The nurse notes no
discernible P waves and an irregular ventricular rhythm. The nurse
interprets this as:
A. Atrial Flutter
B. Ventricular Tachycardia
, C. Sinus Bradycardia
D. Atrial Fibrillation Correct Answer
Rationale: Atrial Fibrillation is characterized by chaotic electrical
activity in the atria, resulting in absent P waves (replaced by
fibrillatory waves) and an irregularly irregular ventricular rhythm.
Atrial flutter has saw-tooth P waves (F waves), V-tach is regular and
wide, and sinus bradycardia has regular P waves.
6. A client is 2 hours post-op from a thyroidectomy. The nurse notes
the client is anxious, has a heart rate of 120 bpm, and is twitching.
What is the priority nursing action?
A. Administer prescribed beta-blocker for tachycardia.
B. Assess for Chvostek's sign and prepare to administer calcium
gluconate. Correct Answer
C. Reposition the client to assess for bleeding at the surgical site.
D. Administer prescribed pain medication for anxiety.
Rationale: The symptoms indicate hypocalcemia due to accidental
removal of or trauma to the parathyroid glands during
thyroidectomy. Tetany and twitching are neuromuscular irritability
signs. Chvostek's sign assessment and preparation for IV calcium
replacement are the priorities.
