Galen NSG 4800 COMPS Practice Test Bank 1
with 200 Questions and Correct Answers/ NSG
4800 Exam 2026 Practice Test (New!)
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask
the client about which sign or symptom?
1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other
signs and symptoms include lethargy, personality changes, generalized edema,
impaired memory, slowed speech, cold intolerance, dry skin, muscle weakness,
constipation, weight gain (10-30lbs), heavy menstrual periods (menorrhagia), and
hair loss.
You are caring for a client who has been admitted to the hospital with a leg ulcer
that is infected with vancomycin- resistant S. aureus (VRSA). Which nursing
action can you delegate to an LPN/LVN?
A. Planning ways to improve the client's oral protein intake.
B. Teaching the client about home care of the leg ulcer.
C. Obtaining would cultures during dressing changes.
D. Assessing the risk for further skin breakdown. - ANSWER-C. The other
options can only be done by the RN.
A patient is scheduled to have a radiological examination of the large intestine and
a barium enema is prescribed by the physician. What teaching will the nurse
provide? Select all that apply.
1
,Tell the nurse if you have a sensation of flatulence after the exam.
Instruct the patient that stool may be chalky for up to 72 hours after the exam.
Instruct the patient to drink plenty of fluids and take laxatives as prescribed after
the exam.
Do not eat or drink for 24hours after the exam. - ANSWER-1,2,3
Rationale: Fluids should be promoted after an exam requiring a barium enema to
avoid intestinal obstruction. Appropriate patient teaching for a lower GI series
includes instructing the patient to use laxatives as prescribed by the physician and
educating the patient to expect stools to be chalky white for 24 to 72 hours after the
exam. Flatulence is a sign of the return to normal bowel function.
Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the
location of obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - ANSWER-1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts,
and pancreas to treat problems of the bile and pancreatic ducts.
A 74-year-old male complains of new-onset of headaches. The headaches are
described as bilateral frontal and most severe when arises in the morning; and
when coughing. The history is consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - ANSWER-3 secondary headaches caused by IICP-
awakening the brain swelling is the worst.
2
,A patient is diagnosed with oral candidiasis and the physician prescribes nystatin
(Mycostatin) oral suspension for treatment. What instruction should the nurse
include in the patient teaching?
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - ANSWER-#2
Rationale: The patient is instructed to swish and swallow the oral suspension of
nystatin. The oral suspension should be used four times a day for 7 to 10 days for
fungal infections in the oral cavity.
The nurse is caring for a client following craniotomy for removal of an acoustic
neuroma. Assessment of which cranial nerve would identify a complication
specifically associated with this surgery?
Cranial nerve I, olfactory
Cranial nerve IV, trochlear
Cranial nerve III, oculomotor
Cranial nerve VII, facial nerve - ANSWER-4, An acoustic neuroma (or vestibular
schwannoma) is a unilateral benign tumor that occurs where the vestibulocochlear
or acoustic nerve (cranial nerve VIII) enters the internal auditory canal. It is
important that an early diagnosis be made because the tumor can compress the
trigeminal and facial nerves and arteries within the internal auditory canal.
Treatment for acoustic neuroma is surgical removal via a craniotomy. Assessment
of the trigeminal and facial nerves is important. Extreme care is taken to preserve
remaining hearing and preserve the function of the facial nerve. Acoustic neuromas
rarely recur following surgical removal.
The nurse should expect to find elevated aspartate aminotransferase (AST) and
alanine aminotransferase (ALT) is a patient with what diagnosis?
3
, Aspiration pneumonia.
Viral hepatitis.
Esophageal varices.
Clostridium difficile. - ANSWER-#2
Rationale: AST and ALT are enzymes found in the liver and these enzymes are
elevated in most liver disorders such as viral hepatitis and cirrhosis of the liver.
The nurse is admitting a client with major depression. It would be a priority for the
nurse to
A.Determine if the client was voluntarily admitted
B.Ask the client if suicide has been contemplated
C.Have the client's possessions searched for sharps
D.Administer to the client the prescribed antidepressant - ANSWER-B Asking
about suicidal thoughts or plans is a priority when caring for the depressed client.
The person may not volunteer this information without being asked. If the client
answers yes, further assessment is required, and suicide precautions initiated
The nurse is monitoring a client in the immediate postpartum period for signs of
hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?
A .temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 102 beats/minute
C. A blood pressure change from 130/88 to 124/80 mm Hg
D. An increase in the respiratory rate from 18 to 22 breaths/minute - ANSWER-B,
During the fourth stage of labor, the maternal blood pressure, pulse, and respiration
should be checked every 15 minutes during the first hour. An increasing pulse is an
early sign of excessive blood loss because the heart pumps faster to compensate for
reduced blood volume. A slight increase in temperature is normal. The blood
pressure decreases as the blood volume diminishes, but a decreased blood pressure
would not be the earliest sign of hemorrhage. The respiratory rate is slightly
increased from normal.
4
with 200 Questions and Correct Answers/ NSG
4800 Exam 2026 Practice Test (New!)
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask
the client about which sign or symptom?
1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other
signs and symptoms include lethargy, personality changes, generalized edema,
impaired memory, slowed speech, cold intolerance, dry skin, muscle weakness,
constipation, weight gain (10-30lbs), heavy menstrual periods (menorrhagia), and
hair loss.
You are caring for a client who has been admitted to the hospital with a leg ulcer
that is infected with vancomycin- resistant S. aureus (VRSA). Which nursing
action can you delegate to an LPN/LVN?
A. Planning ways to improve the client's oral protein intake.
B. Teaching the client about home care of the leg ulcer.
C. Obtaining would cultures during dressing changes.
D. Assessing the risk for further skin breakdown. - ANSWER-C. The other
options can only be done by the RN.
A patient is scheduled to have a radiological examination of the large intestine and
a barium enema is prescribed by the physician. What teaching will the nurse
provide? Select all that apply.
1
,Tell the nurse if you have a sensation of flatulence after the exam.
Instruct the patient that stool may be chalky for up to 72 hours after the exam.
Instruct the patient to drink plenty of fluids and take laxatives as prescribed after
the exam.
Do not eat or drink for 24hours after the exam. - ANSWER-1,2,3
Rationale: Fluids should be promoted after an exam requiring a barium enema to
avoid intestinal obstruction. Appropriate patient teaching for a lower GI series
includes instructing the patient to use laxatives as prescribed by the physician and
educating the patient to expect stools to be chalky white for 24 to 72 hours after the
exam. Flatulence is a sign of the return to normal bowel function.
Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the
location of obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - ANSWER-1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts,
and pancreas to treat problems of the bile and pancreatic ducts.
A 74-year-old male complains of new-onset of headaches. The headaches are
described as bilateral frontal and most severe when arises in the morning; and
when coughing. The history is consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - ANSWER-3 secondary headaches caused by IICP-
awakening the brain swelling is the worst.
2
,A patient is diagnosed with oral candidiasis and the physician prescribes nystatin
(Mycostatin) oral suspension for treatment. What instruction should the nurse
include in the patient teaching?
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - ANSWER-#2
Rationale: The patient is instructed to swish and swallow the oral suspension of
nystatin. The oral suspension should be used four times a day for 7 to 10 days for
fungal infections in the oral cavity.
The nurse is caring for a client following craniotomy for removal of an acoustic
neuroma. Assessment of which cranial nerve would identify a complication
specifically associated with this surgery?
Cranial nerve I, olfactory
Cranial nerve IV, trochlear
Cranial nerve III, oculomotor
Cranial nerve VII, facial nerve - ANSWER-4, An acoustic neuroma (or vestibular
schwannoma) is a unilateral benign tumor that occurs where the vestibulocochlear
or acoustic nerve (cranial nerve VIII) enters the internal auditory canal. It is
important that an early diagnosis be made because the tumor can compress the
trigeminal and facial nerves and arteries within the internal auditory canal.
Treatment for acoustic neuroma is surgical removal via a craniotomy. Assessment
of the trigeminal and facial nerves is important. Extreme care is taken to preserve
remaining hearing and preserve the function of the facial nerve. Acoustic neuromas
rarely recur following surgical removal.
The nurse should expect to find elevated aspartate aminotransferase (AST) and
alanine aminotransferase (ALT) is a patient with what diagnosis?
3
, Aspiration pneumonia.
Viral hepatitis.
Esophageal varices.
Clostridium difficile. - ANSWER-#2
Rationale: AST and ALT are enzymes found in the liver and these enzymes are
elevated in most liver disorders such as viral hepatitis and cirrhosis of the liver.
The nurse is admitting a client with major depression. It would be a priority for the
nurse to
A.Determine if the client was voluntarily admitted
B.Ask the client if suicide has been contemplated
C.Have the client's possessions searched for sharps
D.Administer to the client the prescribed antidepressant - ANSWER-B Asking
about suicidal thoughts or plans is a priority when caring for the depressed client.
The person may not volunteer this information without being asked. If the client
answers yes, further assessment is required, and suicide precautions initiated
The nurse is monitoring a client in the immediate postpartum period for signs of
hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?
A .temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 102 beats/minute
C. A blood pressure change from 130/88 to 124/80 mm Hg
D. An increase in the respiratory rate from 18 to 22 breaths/minute - ANSWER-B,
During the fourth stage of labor, the maternal blood pressure, pulse, and respiration
should be checked every 15 minutes during the first hour. An increasing pulse is an
early sign of excessive blood loss because the heart pumps faster to compensate for
reduced blood volume. A slight increase in temperature is normal. The blood
pressure decreases as the blood volume diminishes, but a decreased blood pressure
would not be the earliest sign of hemorrhage. The respiratory rate is slightly
increased from normal.
4
