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COMP Exam – Galen College of Nursing (2025/2026) – 160+ Q&A – NCLEX Prep, Clinical Judgment, Prioritization, Safety & Care Plans

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This document offers over 160 expertly crafted and 100% verified exam questions and answers tailored for the COMP (Comprehensive Predictor) Exam at Galen College of Nursing for the 2025/2026 academic year. It serves as a high-level review and assessment tool designed to prepare nursing students for final semester competency exams and the NCLEX-RN. The content is clinically focused and scenario-driven, emphasizing safe practice, patient prioritization, delegation, pharmacology, health teaching, and legal/ethical responsibilities. Students are challenged to apply knowledge across key domains of nursing practice in real-world patient situations. Topics include: Prioritization & Delegation in acute care, community, and pediatric settings Legal and ethical scenarios (e.g., informed consent, HIPAA, false imprisonment) Safety and infection control (e.g., VRE, MRSA, TB precautions, fire response) Pharmacology and medication administration (e.g., Digoxin, Lithium, Bumetanide, Rifampin) Chronic and acute disease management (e.g., AIDS, diabetes, heart failure, renal failure, bipolar disorder) Maternal, newborn, and pediatric care (e.g., cleft lip care, infant milestones, vaccinations) Mental health and therapeutic communication Nutritional guidance and patient education Emergency scenarios (e.g., burns, suicide risk, substance intoxication) This Q&A resource is ideal for final-semester nursing students preparing for the COMP exit exam or national licensure (NCLEX-RN). It reinforces clinical judgment, critical thinking, and test-taking strategies that align with the current NCLEX test plan. Recommended for students in the following programs: • Associate Degree in Nursing (ADN) • Bachelor of Science in Nursing (BSN) • Practical Nursing (PN/LPN) Transition Programs • NCLEX-RN and NCLEX-PN Prep Courses • Clinical Preceptorship and Capstone Courses Keywords: Galen COMP exam, nursing final exam, NCLEX prep, prioritization questions, nursing scenarios, pharmacology review, maternal nursing, infection control, delegation in nursing, safety in nursing care, nursing ethics, pediatric nursing, mental health nursing, nursing case studies, comprehensive predictor

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COMP Galen College of Nursing
2025/2026 Exam Questions with 100%
Correct Answers | Latest Update



The nurse is reviewing medical prescription for the newly admitted clients.

It would be a PRIORITY for the nurse to flow up with the physician if a

client with - 🧠ANSWER ✔✔a K level of 4.0 and has kayexalate prescribed


The nurse should intervene if the nurse suspects a staff member -

🧠ANSWER ✔✔Obtain a client consent prior to receiving Ativan


The community health nurse is caring for the following clients. It would be a

priority for the nurse to initiate a multidisciplinary conference for the client

who is - 🧠ANSWER ✔✔17 years old, has DM type 1, unemployed, and

recent A1C is 13%

,The Nurse from the postpartum unit has been temporarily assigned to a

med surg floor. It would be most appropriate to assign the nurse to the

client who - 🧠ANSWER ✔✔had surgery two hours ago, appendectomy


The nurse in a well baby clinic has assigned several children today. It

would be appropriate to suggest follow up for the child who is - 🧠ANSWER

✔✔18 months old and needs support to ambulate


The nurse is caring for a mechanically ventilated client who was declared

brain dead. An Advance Directive is not documented in the medical record.

It would be most appropriate to obtain consent for organ donation from the

- 🧠ANSWER ✔✔Clients closest family member


The nurse has received report on 4 clients, who should the nurse assess

first - 🧠ANSWER ✔✔been admitted with Guillian Barre syndrome and has

begun plasmapheresis therapy

It would be appropriate to assign which of these task to the CNA -

🧠ANSWER ✔✔one - on - one client observation for safety


The nurse should intervene is a staff member - 🧠ANSWER ✔✔discussing a

client's DX with visiting family member

, The nurse is preparing a staff presentation on legal and ethical issues in

nursing. The nurse would be correct to include which of the following

examples. - 🧠ANSWER ✔✔Putting a client in a geriatric chair with the lap

tray in front of the client in the day room to watch TV... Example of false

imprisonment

The nurse from the pediatric unit has been temp assigned to the ED. It

would be most appropriate to assign the nurse to the client who -

🧠ANSWER ✔✔Is HIV + reporting nausea and vomiting


Four clients recently returned to the unit following invasive diagnostic

testing. The nurse should immediately intervene if one of the clients: -

🧠ANSWER ✔✔Is observed flexing and extending the legs two hours post

cardiac cath

The nurse is made aware for the following situations. The nurse should first

check the client who - 🧠ANSWER ✔✔Has a history of partial seizures and

is sitting in the bed picking at the clothing and smacking lips

The nurse in a community health clinic is talking with the parent of a child

with celiac disease. Which statement would require follow up by the nurse -

🧠ANSWER ✔✔"I can feed my child oatmeal and eggs for breakfast."


3
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