GALEN COLLEGE OF NURSING
NSG 4800 - Transition to Professional Nursing Practice
COMP 3 COMPREHENSIVE REVIEW EXAM - FALL 2026
100 Multiple-Choice Questions with Correct Answers and Rationales
Student Name: ______________________________ Date: __________________
Score: ______ / 100 Term: Fall 2026
Instructions: Select the best answer for each item. Correct-answer positions are randomized. This practice exam
is based only on the uploaded Comp 3 review materials and is not an official Galen exam.
____________________________________________________________________________________________________
1. Which adverse effect is highlighted for IV furosemide in the source notes?
A. Hyperkalemia as the expected desired effect
B. Severe constipation as the main concern
C. Tinnitus
D. Orange urine
✓ Correct Answer: C. Tinnitus
Rationale: The review highlights tinnitus as a furosemide adverse effect and notes that IV administration should be
slow.
2. Which auscultatory finding is associated with pericarditis in the uploaded materials?
A. Carotid bruit only
B. Absent bowel sounds
C. Pleural silence
D. Pericardial friction rub
✓ Correct Answer: D. Pericardial friction rub
Rationale: A pericardial friction rub is highlighted as a characteristic pericarditis finding.
3. Which situation is most consistent with a low-pressure ventilator alarm?
A. Thick airway secretions
B. A disconnection or leak in the ventilator circuit or airway cuff
C. The client biting the endotracheal tube
D. A kinked ventilator tube
✓ Correct Answer: B. A disconnection or leak in the ventilator circuit or airway cuff
Rationale: The notes identify disconnection or leakage as major causes of low-pressure alarms.
4. A nurse threatens a client with an injection after the client refuses a medication. Which intentional tort is
represented by the threat alone?
A. Battery
B. Assault
C. Libel
D. Negligence
✓ Correct Answer: B. Assault
Rationale: The source notes define assault as a threat by words or action; battery involves harmful or offensive
physical contact.
,5. Which organism/condition is explicitly listed under airborne precautions in the uploaded review?
A. Tuberculosis
B. Conjunctivitis
C. Scabies
D. C. difficile
✓ Correct Answer: A. Tuberculosis
Rationale: The isolation review lists tuberculosis, measles, chickenpox, and shingles under airborne precautions.
6. Which stoma finding requires prompt provider notification according to the review?
A. Small amount of expected postoperative swelling
B. Dark blue, purple, or black color
C. Moist red appearance
D. Pink color
✓ Correct Answer: B. Dark blue, purple, or black color
Rationale: The review notes that a dark blue, purple, or black stoma indicates compromised circulation.
7. Which situation is associated with respiratory acidosis in the source review?
A. Diarrhea with bicarbonate loss
B. Hypoventilation with COPD
C. Vomiting with acid loss
D. Hyperventilation from panic
✓ Correct Answer: B. Hypoventilation with COPD
Rationale: The ABG material lists hypoventilation from COPD, asthma, pneumonia, respiratory depression, or fibrosis
as causes of respiratory acidosis.
8. A client with diabetes insipidus is receiving desmopressin. Which finding suggests the medication is
effective?
A. Urine output decreases
B. The client develops increased polyuria
C. Urine output increases markedly
D. Blood pressure falls because of water loss
✓ Correct Answer: A. Urine output decreases
Rationale: The source notes state that desmopressin is effective when urine production decreases and blood pressure
is maintained.
9. Which assessment finding is associated with appendicitis in the uploaded notes?
A. Painless jaundice
B. Bilateral calf pain only
C. Left shoulder pain only
D. Right-lower-quadrant pain at McBurney’s point
✓ Correct Answer: D. Right-lower-quadrant pain at McBurney’s point
Rationale: The review highlights McBurney’s point and right-lower-quadrant pain in appendicitis.
10. Which intervention is appropriate during a sickle cell pain crisis according to the review?
A. Restrict fluids
B. Encourage dehydration to reduce edema
C. Maintain hydration and administer prescribed analgesics
D. Keep painful joints under strain
✓ Correct Answer: C. Maintain hydration and administer prescribed analgesics
Rationale: The sickle cell section emphasizes hydration, oxygen/transfusion as prescribed, and around-the-clock
analgesia.
, 11. A client in skeletal traction is being assessed. Which safety principle is emphasized in the review
notes?
A. Remove the weights for comfort without an order
B. Rest the weights on the mattress
C. Keep the weights hanging freely and do not place them on the floor
D. Move the traction setup whenever the client requests
✓ Correct Answer: C. Keep the weights hanging freely and do not place them on the
floor
Rationale: The traction notes state that weights should hang freely and should not be placed on the floor or moved.
12. A client with hemorrhagic stroke is being evaluated for thrombolytic therapy. Which action is
consistent with the source notes?
A. Give alteplase only after oral fluids
B. Do not administer alteplase
C. Delay all neurologic assessment
D. Administer alteplase immediately
✓ Correct Answer: B. Do not administer alteplase
Rationale: The notes state that alteplase is used for ischemic stroke and should not be given in hemorrhagic stroke
because of bleeding risk.
13. A family following a faith tradition that does not accept organ donation is approached by the care team.
According to the source notes, what is the most appropriate action?
A. Ask the family directly about organ donation rather than assuming
B. Ask only another staff member what the family believes
C. Proceed with donation without discussion
D. Assume donation is prohibited and do not ask
✓ Correct Answer: A. Ask the family directly about organ donation rather than
assuming
Rationale: The notes specifically advise that organ donation should not be assumed based on faith tradition; the family
should be asked.
14. Which teaching is appropriate for a client with multiple sclerosis who has decreased sensation?
A. Use heating pads directly on numb areas
B. Regulate bath-water temperature carefully and avoid heating pads
C. Use very hot water to test sensation
D. Walk barefoot on hot surfaces
✓ Correct Answer: B. Regulate bath-water temperature carefully and avoid heating
pads
Rationale: The source notes emphasize safety measures for sensory loss, including careful water temperature and
avoiding heating pads.
15. Which action is a priority in burn care according to the source notes?
A. Assess oxygen needs and replace fluid volume
B. Delay airway assessment until edema develops
C. Avoid all fluid replacement
D. Focus only on cosmetic wound appearance
✓ Correct Answer: A. Assess oxygen needs and replace fluid volume
Rationale: The review identifies oxygen/airway and fluid volume as early priorities in burn management.
NSG 4800 - Transition to Professional Nursing Practice
COMP 3 COMPREHENSIVE REVIEW EXAM - FALL 2026
100 Multiple-Choice Questions with Correct Answers and Rationales
Student Name: ______________________________ Date: __________________
Score: ______ / 100 Term: Fall 2026
Instructions: Select the best answer for each item. Correct-answer positions are randomized. This practice exam
is based only on the uploaded Comp 3 review materials and is not an official Galen exam.
____________________________________________________________________________________________________
1. Which adverse effect is highlighted for IV furosemide in the source notes?
A. Hyperkalemia as the expected desired effect
B. Severe constipation as the main concern
C. Tinnitus
D. Orange urine
✓ Correct Answer: C. Tinnitus
Rationale: The review highlights tinnitus as a furosemide adverse effect and notes that IV administration should be
slow.
2. Which auscultatory finding is associated with pericarditis in the uploaded materials?
A. Carotid bruit only
B. Absent bowel sounds
C. Pleural silence
D. Pericardial friction rub
✓ Correct Answer: D. Pericardial friction rub
Rationale: A pericardial friction rub is highlighted as a characteristic pericarditis finding.
3. Which situation is most consistent with a low-pressure ventilator alarm?
A. Thick airway secretions
B. A disconnection or leak in the ventilator circuit or airway cuff
C. The client biting the endotracheal tube
D. A kinked ventilator tube
✓ Correct Answer: B. A disconnection or leak in the ventilator circuit or airway cuff
Rationale: The notes identify disconnection or leakage as major causes of low-pressure alarms.
4. A nurse threatens a client with an injection after the client refuses a medication. Which intentional tort is
represented by the threat alone?
A. Battery
B. Assault
C. Libel
D. Negligence
✓ Correct Answer: B. Assault
Rationale: The source notes define assault as a threat by words or action; battery involves harmful or offensive
physical contact.
,5. Which organism/condition is explicitly listed under airborne precautions in the uploaded review?
A. Tuberculosis
B. Conjunctivitis
C. Scabies
D. C. difficile
✓ Correct Answer: A. Tuberculosis
Rationale: The isolation review lists tuberculosis, measles, chickenpox, and shingles under airborne precautions.
6. Which stoma finding requires prompt provider notification according to the review?
A. Small amount of expected postoperative swelling
B. Dark blue, purple, or black color
C. Moist red appearance
D. Pink color
✓ Correct Answer: B. Dark blue, purple, or black color
Rationale: The review notes that a dark blue, purple, or black stoma indicates compromised circulation.
7. Which situation is associated with respiratory acidosis in the source review?
A. Diarrhea with bicarbonate loss
B. Hypoventilation with COPD
C. Vomiting with acid loss
D. Hyperventilation from panic
✓ Correct Answer: B. Hypoventilation with COPD
Rationale: The ABG material lists hypoventilation from COPD, asthma, pneumonia, respiratory depression, or fibrosis
as causes of respiratory acidosis.
8. A client with diabetes insipidus is receiving desmopressin. Which finding suggests the medication is
effective?
A. Urine output decreases
B. The client develops increased polyuria
C. Urine output increases markedly
D. Blood pressure falls because of water loss
✓ Correct Answer: A. Urine output decreases
Rationale: The source notes state that desmopressin is effective when urine production decreases and blood pressure
is maintained.
9. Which assessment finding is associated with appendicitis in the uploaded notes?
A. Painless jaundice
B. Bilateral calf pain only
C. Left shoulder pain only
D. Right-lower-quadrant pain at McBurney’s point
✓ Correct Answer: D. Right-lower-quadrant pain at McBurney’s point
Rationale: The review highlights McBurney’s point and right-lower-quadrant pain in appendicitis.
10. Which intervention is appropriate during a sickle cell pain crisis according to the review?
A. Restrict fluids
B. Encourage dehydration to reduce edema
C. Maintain hydration and administer prescribed analgesics
D. Keep painful joints under strain
✓ Correct Answer: C. Maintain hydration and administer prescribed analgesics
Rationale: The sickle cell section emphasizes hydration, oxygen/transfusion as prescribed, and around-the-clock
analgesia.
, 11. A client in skeletal traction is being assessed. Which safety principle is emphasized in the review
notes?
A. Remove the weights for comfort without an order
B. Rest the weights on the mattress
C. Keep the weights hanging freely and do not place them on the floor
D. Move the traction setup whenever the client requests
✓ Correct Answer: C. Keep the weights hanging freely and do not place them on the
floor
Rationale: The traction notes state that weights should hang freely and should not be placed on the floor or moved.
12. A client with hemorrhagic stroke is being evaluated for thrombolytic therapy. Which action is
consistent with the source notes?
A. Give alteplase only after oral fluids
B. Do not administer alteplase
C. Delay all neurologic assessment
D. Administer alteplase immediately
✓ Correct Answer: B. Do not administer alteplase
Rationale: The notes state that alteplase is used for ischemic stroke and should not be given in hemorrhagic stroke
because of bleeding risk.
13. A family following a faith tradition that does not accept organ donation is approached by the care team.
According to the source notes, what is the most appropriate action?
A. Ask the family directly about organ donation rather than assuming
B. Ask only another staff member what the family believes
C. Proceed with donation without discussion
D. Assume donation is prohibited and do not ask
✓ Correct Answer: A. Ask the family directly about organ donation rather than
assuming
Rationale: The notes specifically advise that organ donation should not be assumed based on faith tradition; the family
should be asked.
14. Which teaching is appropriate for a client with multiple sclerosis who has decreased sensation?
A. Use heating pads directly on numb areas
B. Regulate bath-water temperature carefully and avoid heating pads
C. Use very hot water to test sensation
D. Walk barefoot on hot surfaces
✓ Correct Answer: B. Regulate bath-water temperature carefully and avoid heating
pads
Rationale: The source notes emphasize safety measures for sensory loss, including careful water temperature and
avoiding heating pads.
15. Which action is a priority in burn care according to the source notes?
A. Assess oxygen needs and replace fluid volume
B. Delay airway assessment until edema develops
C. Avoid all fluid replacement
D. Focus only on cosmetic wound appearance
✓ Correct Answer: A. Assess oxygen needs and replace fluid volume
Rationale: The review identifies oxygen/airway and fluid volume as early priorities in burn management.
