, NSG 4800 COMP 2 - Original Practice Study Guide
NSG 4800 Comp 2|Transition to Professional Nursing |
2026 Update |100% Correct – Galen College
1. Which clinical judgment best applies? A patient with heart failure has worsening dyspnea and crackles.
Which finding best supports fluid overload?
A) Flat neck veins
B) Dry mucous membranes
C) Rapid weight gain over several days
D) Decreased blood pressure with standing
Correct Answer: Rapid weight gain over several days
Rationale: Rapid weight gain is a sensitive indicator of fluid retention in heart failure. Prioritization should integrate acuity,
potential for deterioration, immediate safety, and expected response to intervention.
2. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. a patient with heart failure has worsening dyspnea and crackles. Which finding best
supports fluid overload?
A) Rapid weight gain over several days
B) Dry mucous membranes
C) Flat neck veins
D) Decreased blood pressure with standing
Correct Answer: Rapid weight gain over several days
Rationale: Rapid weight gain is a sensitive indicator of fluid retention in heart failure. In practice, the nurse should also integrate
ABCs, current vital signs, patient stability, safety, and the need for escalation or reassessment.
3. Which clinical judgment best applies? Which finding may indicate digoxin toxicity?
A) Increased appetite
B) Polyuria and thirst
C) Dry cough
D) Nausea, vomiting, confusion, and visual changes
Correct Answer: Nausea, vomiting, confusion, and visual changes
Rationale: Digoxin toxicity commonly causes GI, neurologic, visual, and cardiac manifestations. Prioritization should integrate
acuity, potential for deterioration, immediate safety, and expected response to intervention.
4. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which finding may indicate digoxin toxicity?
A) Dry cough
B) Polyuria and thirst
C) Nausea, vomiting, confusion, and visual changes
D) Increased appetite
Page 2
, NSG 4800 COMP 2 - Original Practice Study Guide
Correct Answer: Nausea, vomiting, confusion, and visual changes
Rationale: Digoxin toxicity commonly causes GI, neurologic, visual, and cardiac manifestations. In practice, the nurse should
also integrate ABCs, current vital signs, patient stability, safety, and the need for escalation or reassessment.
5. Which clinical judgment best applies? Which patient teaching is appropriate after permanent pacemaker
insertion?
A) Place a cell phone directly over the device
B) Keep strong magnets away and follow device-specific activity restrictions
C) Ignore new dizziness
D) Resume all shoulder activity immediately
Correct Answer: Keep strong magnets away and follow device-specific activity restrictions
Rationale: Pacemaker teaching includes avoiding strong magnetic fields, carrying identification, and following postoperative
activity guidance. Prioritization should integrate acuity, potential for deterioration, immediate safety, and expected response to
intervention.
6. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which patient teaching is appropriate after permanent pacemaker insertion?
A) Ignore new dizziness
B) Place a cell phone directly over the device
C) Keep strong magnets away and follow device-specific activity restrictions
D) Resume all shoulder activity immediately
Correct Answer: Keep strong magnets away and follow device-specific activity restrictions
Rationale: Pacemaker teaching includes avoiding strong magnetic fields, carrying identification, and following postoperative
activity guidance. In practice, the nurse should also integrate ABCs, current vital signs, patient stability, safety, and the need for
escalation or reassessment.
7. Which clinical judgment best applies? Which laboratory marker is most specific for acute myocardial
injury?
A) INR
B) Serum sodium
C) Amylase
D) Troponin
Correct Answer: Troponin
Rationale: Cardiac troponin is a sensitive and specific biomarker for myocardial injury. Prioritization should integrate acuity,
potential for deterioration, immediate safety, and expected response to intervention.
8. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which laboratory marker is most specific for acute myocardial injury?
A) Serum sodium
B) Troponin
C) Amylase
D) INR
Page 3
NSG 4800 Comp 2|Transition to Professional Nursing |
2026 Update |100% Correct – Galen College
1. Which clinical judgment best applies? A patient with heart failure has worsening dyspnea and crackles.
Which finding best supports fluid overload?
A) Flat neck veins
B) Dry mucous membranes
C) Rapid weight gain over several days
D) Decreased blood pressure with standing
Correct Answer: Rapid weight gain over several days
Rationale: Rapid weight gain is a sensitive indicator of fluid retention in heart failure. Prioritization should integrate acuity,
potential for deterioration, immediate safety, and expected response to intervention.
2. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. a patient with heart failure has worsening dyspnea and crackles. Which finding best
supports fluid overload?
A) Rapid weight gain over several days
B) Dry mucous membranes
C) Flat neck veins
D) Decreased blood pressure with standing
Correct Answer: Rapid weight gain over several days
Rationale: Rapid weight gain is a sensitive indicator of fluid retention in heart failure. In practice, the nurse should also integrate
ABCs, current vital signs, patient stability, safety, and the need for escalation or reassessment.
3. Which clinical judgment best applies? Which finding may indicate digoxin toxicity?
A) Increased appetite
B) Polyuria and thirst
C) Dry cough
D) Nausea, vomiting, confusion, and visual changes
Correct Answer: Nausea, vomiting, confusion, and visual changes
Rationale: Digoxin toxicity commonly causes GI, neurologic, visual, and cardiac manifestations. Prioritization should integrate
acuity, potential for deterioration, immediate safety, and expected response to intervention.
4. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which finding may indicate digoxin toxicity?
A) Dry cough
B) Polyuria and thirst
C) Nausea, vomiting, confusion, and visual changes
D) Increased appetite
Page 2
, NSG 4800 COMP 2 - Original Practice Study Guide
Correct Answer: Nausea, vomiting, confusion, and visual changes
Rationale: Digoxin toxicity commonly causes GI, neurologic, visual, and cardiac manifestations. In practice, the nurse should
also integrate ABCs, current vital signs, patient stability, safety, and the need for escalation or reassessment.
5. Which clinical judgment best applies? Which patient teaching is appropriate after permanent pacemaker
insertion?
A) Place a cell phone directly over the device
B) Keep strong magnets away and follow device-specific activity restrictions
C) Ignore new dizziness
D) Resume all shoulder activity immediately
Correct Answer: Keep strong magnets away and follow device-specific activity restrictions
Rationale: Pacemaker teaching includes avoiding strong magnetic fields, carrying identification, and following postoperative
activity guidance. Prioritization should integrate acuity, potential for deterioration, immediate safety, and expected response to
intervention.
6. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which patient teaching is appropriate after permanent pacemaker insertion?
A) Ignore new dizziness
B) Place a cell phone directly over the device
C) Keep strong magnets away and follow device-specific activity restrictions
D) Resume all shoulder activity immediately
Correct Answer: Keep strong magnets away and follow device-specific activity restrictions
Rationale: Pacemaker teaching includes avoiding strong magnetic fields, carrying identification, and following postoperative
activity guidance. In practice, the nurse should also integrate ABCs, current vital signs, patient stability, safety, and the need for
escalation or reassessment.
7. Which clinical judgment best applies? Which laboratory marker is most specific for acute myocardial
injury?
A) INR
B) Serum sodium
C) Amylase
D) Troponin
Correct Answer: Troponin
Rationale: Cardiac troponin is a sensitive and specific biomarker for myocardial injury. Prioritization should integrate acuity,
potential for deterioration, immediate safety, and expected response to intervention.
8. During a comprehensive transition-to-practice review, the nurse encounters a patient scenario involving
this concept. which laboratory marker is most specific for acute myocardial injury?
A) Serum sodium
B) Troponin
C) Amylase
D) INR
Page 3
