NSG 4800 Comps Exam Questions and 100% Correct Answers 2026/2027
Latest– Galen College Of Nursing
Provided the answer key with rationales at the end!
Comprehensive Topics A
1. The nurse is assisting with discharge planning for assigned clients. Which of the following
referrals is appropriate for the nurse to make?
a. A social worker referral for a client who has diabetes mellitus (type 2) and has neuropathy.
b. A physical therapy (PT) referral for a client who had a total knee replacement (TKR) and
needs instruction on the use of a walker.
c. An occupational therapy (OT) referral for a client who had an amputation and requires
long- term IV antibiotics.
d. A speech therapy referral for a client who is scheduled to undergo an
outpatient esophagogastroduodenoscopy (EGD).
2. The nurse has attended a continuing education program on legal issues in nursing
practice. Which of the following statements by the nurse indicates a correct understanding
of the conference?
a. “Failure to communicate concerns about an older adult client who is confused and is
being discharged home is an example of neglect.”
b. “Giving clients false assurance about a health care condition or expected outcome is
an example of libel.”
c. “Threatening to touch a client without the client’s consent is an example of battery.”
d. “Posting information about a client on social media without the client’s permission is
an example of slander.”
3. The nurse working in a medical-surgical unit is caring for assigned clients. Which of the
following tasks is appropriate to delegate?
a. Asking an unlicensed assistive personnel (UAP) to turn off the tube feeding for a client who is
receiving continuous tube feedings and is vomiting.
b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a
client who has become diaphoretic.
c. Asking an unlicensed assistive personnel (UAP) to flush the closed-wound drainage system
(JP) drain of a client who is 2 days postoperative from an open appendectomy.
NSG 4800 Comps Exam
, d. Asking a licensed practical nurse (LPN/VN) to teach a client who has a newly created
ileostomy how to change the appliance.
4. The nurse working on the pediatric unit is caring for the following clients. It is most
appropriate for the nurse to initiate an interdisciplinary conference for a client who
is:
a. 7 months old, has intussusception, is vomiting, has colicky abdominal pain, and is having
jelly-like stools.
b. 6 months old, has respiratory syncytial virus (RSV), is wheezing, and has copious nasal
discharge.
c. 2 years old, has impaired fine and gross motor sills, and was just diagnosed with
cerebral palsy.
d. 2 months old, has developmental dysplasia of the hip, unequal leg lengths, internal
abduction of the left hip, and asymmetry of the gluteal folds.
5. The nurse working on the medical-surgical unit is caring for assigned clients. The nurse
should initially assess the client who:
a. Has pericarditis with a temperature (T) of 101.8 F and chest pain that is relieved when
the client leans forward.
b. Has atrial fibrillation (AFib) with a pulse (P) that varies from 110 to 140 and is refusing to
take the scheduled dose of warfarin.
c. Has status asthmaticus, had wheezing on inspiration and expiration upon admission
30 minutes ago, received a nebulizer treatment, and now has vesicular breath sounds.
d. Had thoracic surgery 12 hours ago with a chest tube to water seal drainage and has
drained 175 mL of serous sanguineous fluid in the past hour.
6. The nurse is caring for a client who weighs 150 lbs (68 kg) and has developed hepatic
encephalopathy. It is a priority for the nurse to notify the primary health care provider (PHCP) if
the client develops:
a. The development of flaccidity to the lower extremities.
b. An increase in urine output to 1,450 mL/day.
c. A change in pupil size from 7 to 5 mm.
d. An increase in alanine aminotransferase (ALT) levels.
NSG 4800 Comps Exam
, 7. The nurse working in the emergency department (ED) has received the following
prescriptions for newly admitted clients. Which prescription should the nurse implement first?
a. Initiate an IV of 0.9% sodium chloride (normal saline) for a client who was admitted with a
urinary tract infection (UT() and has a blood pressure (BP) of 122/68 mm Hg.
b. Administer a second unit of packed red blood cells (PRBCs) to a client who has a hemoglobin
(Hgb) of 8 mg/dL.
c. Administer labetalol IV to a client who has a blood pressure (BP) of 192/98 mm Hg and a
pulse (P) of 138.
d. Administer lactulose to a client who has portal hypertension and is reporting nausea.
8. The nurse is caring for a teenage client who has chronic streptococcal infections of the
throat and is now reporting swelling around the eyes. Which of the following is the priority
action for the nurse?
a. Test the urine for glucose and ketones.
b. Administer an antihistamine to decrease swelling.
c. Inspect for generalized edema.
d. Check the blood pressure for hypotension.
9. The nurse preceptor is observing care provided by a newly hired nurse. The nurse
preceptor identifies that follow-up is needed if the newly hired nurse:
a. Preps an IV insertion site with alcohol using a back-and-forth pattern.
b. Primes IV tubing with 0.9% sodium chloride (normal saline) before starting a blood
transfusion.
c. Uses clean gloves when colleting a 24-hour urine specimen.
d. Administers an influenza vaccine using the Z-track method.
10. The nurse manager has provided a continuing education session to nursing staff
regarding client rights and responsibilities. Which of the following statements by a participant
indicates a correct understanding of the teaching?
a. “Clients who have a mental health diagnosis waive the right to confidentiality
once hospitalized.”
b. “Clients are not allowed to review their medical record during hospitalization.”
NSG 4800 Comps Exam
Latest– Galen College Of Nursing
Provided the answer key with rationales at the end!
Comprehensive Topics A
1. The nurse is assisting with discharge planning for assigned clients. Which of the following
referrals is appropriate for the nurse to make?
a. A social worker referral for a client who has diabetes mellitus (type 2) and has neuropathy.
b. A physical therapy (PT) referral for a client who had a total knee replacement (TKR) and
needs instruction on the use of a walker.
c. An occupational therapy (OT) referral for a client who had an amputation and requires
long- term IV antibiotics.
d. A speech therapy referral for a client who is scheduled to undergo an
outpatient esophagogastroduodenoscopy (EGD).
2. The nurse has attended a continuing education program on legal issues in nursing
practice. Which of the following statements by the nurse indicates a correct understanding
of the conference?
a. “Failure to communicate concerns about an older adult client who is confused and is
being discharged home is an example of neglect.”
b. “Giving clients false assurance about a health care condition or expected outcome is
an example of libel.”
c. “Threatening to touch a client without the client’s consent is an example of battery.”
d. “Posting information about a client on social media without the client’s permission is
an example of slander.”
3. The nurse working in a medical-surgical unit is caring for assigned clients. Which of the
following tasks is appropriate to delegate?
a. Asking an unlicensed assistive personnel (UAP) to turn off the tube feeding for a client who is
receiving continuous tube feedings and is vomiting.
b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a
client who has become diaphoretic.
c. Asking an unlicensed assistive personnel (UAP) to flush the closed-wound drainage system
(JP) drain of a client who is 2 days postoperative from an open appendectomy.
NSG 4800 Comps Exam
, d. Asking a licensed practical nurse (LPN/VN) to teach a client who has a newly created
ileostomy how to change the appliance.
4. The nurse working on the pediatric unit is caring for the following clients. It is most
appropriate for the nurse to initiate an interdisciplinary conference for a client who
is:
a. 7 months old, has intussusception, is vomiting, has colicky abdominal pain, and is having
jelly-like stools.
b. 6 months old, has respiratory syncytial virus (RSV), is wheezing, and has copious nasal
discharge.
c. 2 years old, has impaired fine and gross motor sills, and was just diagnosed with
cerebral palsy.
d. 2 months old, has developmental dysplasia of the hip, unequal leg lengths, internal
abduction of the left hip, and asymmetry of the gluteal folds.
5. The nurse working on the medical-surgical unit is caring for assigned clients. The nurse
should initially assess the client who:
a. Has pericarditis with a temperature (T) of 101.8 F and chest pain that is relieved when
the client leans forward.
b. Has atrial fibrillation (AFib) with a pulse (P) that varies from 110 to 140 and is refusing to
take the scheduled dose of warfarin.
c. Has status asthmaticus, had wheezing on inspiration and expiration upon admission
30 minutes ago, received a nebulizer treatment, and now has vesicular breath sounds.
d. Had thoracic surgery 12 hours ago with a chest tube to water seal drainage and has
drained 175 mL of serous sanguineous fluid in the past hour.
6. The nurse is caring for a client who weighs 150 lbs (68 kg) and has developed hepatic
encephalopathy. It is a priority for the nurse to notify the primary health care provider (PHCP) if
the client develops:
a. The development of flaccidity to the lower extremities.
b. An increase in urine output to 1,450 mL/day.
c. A change in pupil size from 7 to 5 mm.
d. An increase in alanine aminotransferase (ALT) levels.
NSG 4800 Comps Exam
, 7. The nurse working in the emergency department (ED) has received the following
prescriptions for newly admitted clients. Which prescription should the nurse implement first?
a. Initiate an IV of 0.9% sodium chloride (normal saline) for a client who was admitted with a
urinary tract infection (UT() and has a blood pressure (BP) of 122/68 mm Hg.
b. Administer a second unit of packed red blood cells (PRBCs) to a client who has a hemoglobin
(Hgb) of 8 mg/dL.
c. Administer labetalol IV to a client who has a blood pressure (BP) of 192/98 mm Hg and a
pulse (P) of 138.
d. Administer lactulose to a client who has portal hypertension and is reporting nausea.
8. The nurse is caring for a teenage client who has chronic streptococcal infections of the
throat and is now reporting swelling around the eyes. Which of the following is the priority
action for the nurse?
a. Test the urine for glucose and ketones.
b. Administer an antihistamine to decrease swelling.
c. Inspect for generalized edema.
d. Check the blood pressure for hypotension.
9. The nurse preceptor is observing care provided by a newly hired nurse. The nurse
preceptor identifies that follow-up is needed if the newly hired nurse:
a. Preps an IV insertion site with alcohol using a back-and-forth pattern.
b. Primes IV tubing with 0.9% sodium chloride (normal saline) before starting a blood
transfusion.
c. Uses clean gloves when colleting a 24-hour urine specimen.
d. Administers an influenza vaccine using the Z-track method.
10. The nurse manager has provided a continuing education session to nursing staff
regarding client rights and responsibilities. Which of the following statements by a participant
indicates a correct understanding of the teaching?
a. “Clients who have a mental health diagnosis waive the right to confidentiality
once hospitalized.”
b. “Clients are not allowed to review their medical record during hospitalization.”
NSG 4800 Comps Exam
