NSG 4800 Comprehensive Examination
Professional Nursing Practice|
GAURANTEED PASS WITH 170+ TEST
BANK QUESTIONS 2026 CARRICULUM
VERRIFIED TEST INSTANT PDF
DOWNLOAD
1. A nurse is caring for four clients on a medical-surgical unit. Which
client should the nurse assess FIRST?
A. A client with pneumonia who has an oxygen saturation of 94% on
room air
B. A client with a chest tube who reports a sudden onset of severe
pain at the insertion site
C. A client with a new diagnosis of diabetes mellitus who has a blood
glucose of 220 mg/dL
D. A client who is postoperative day 2 and has not had a bowel
movement
Correct Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation)
prioritization framework, the client with a chest tube and new,
severe pain is the priority. This could indicate a complication such as
tube dislodgement, developing pneumothorax, or infection, all of
which can rapidly compromise breathing. The other findings require
assessment and intervention but are less acute .
2. A charge nurse is making assignments for the upcoming shift.
Which client should be assigned to the MOST experienced RN?
A. A client who is 24 hours postoperative following an appendectomy
B. A client who has a new diagnosis of hypertension
C. A client who is receiving chemotherapy for the first time
D. A client who has stable angina and is awaiting discharge
,Correct Answer: C
Rationale: A client receiving chemotherapy for the first time requires
extensive teaching, close monitoring for hypersensitivity reactions,
and potential management of life-threatening adverse effects. This
complex care requires a nurse with experience and strong clinical
judgment. The other clients have more predictable, lower-acuity
needs .
3. A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the nurse to
delegate to the UAP?
A. Assessing a newly admitted client's pain level
B. Teaching a client how to use an incentive spirometer
C. Ambulating a stable client who had a stroke 3 days ago
D. Evaluating a client's response to a diuretic medication
Correct Answer: C
Rationale: Delegation requires the nurse to assign tasks that are
routine, have a predictable outcome, and do not require nursing
judgment. Ambulating a stable client is a standard task that can be
delegated to a UAP. Assessment, teaching, and evaluation are core
components of the nursing process that require clinical judgment
and cannot be delegated .
4. The nurse receives hand-off report on four clients. Which client
should the nurse see FIRST?
A. A client with type 2 diabetes who has a fasting blood glucose of
148 mg/dL
B. A client who had a thyroidectomy 6 hours ago and is now
reporting tingling around the mouth and fingertips
C. A client with a fractured femur who reports pain of 6/10 and is due
for pain medication
D. A client with pneumonia whose temperature is 99.8°F and is
receiving IV antibiotics
Correct Answer: B
,Rationale: Tingling around the mouth and fingertips after
thyroidectomy is a sign of hypocalcemia due to accidental
parathyroid gland damage during surgery. This can lead to life-
threatening tetany and requires immediate assessment and
intervention. The other findings require assessment but are not
immediately life-threatening .
5. A nurse is caring for a client who is scheduled for surgery in 2
hours. The client states, "I've changed my mind. I don't want the
surgery anymore." Which of the following is the BEST action by the
nurse?
A. Tell the client they cannot cancel because the surgeon is already
prepared
B. Administer the pre-operative sedation as ordered to calm the
client's anxiety
C. Notify the surgeon immediately and document the client's
decision
D. Ask the client's family to convince the client to proceed with
surgery
Correct Answer: C
Rationale: The client has the right to withdraw consent at any time.
The nurse must respect client autonomy, notify the healthcare
provider immediately, and document the client's decision. Informed
consent is an ongoing process, and the client retains the right to
refuse treatment .
6. The nurse manager observes that staff morale is low and several
experienced nurses have resigned in the past month. Which
leadership action would BEST address this situation?
A. Implement a stricter attendance policy to ensure adequate
staffing
B. Conduct anonymous staff surveys and schedule open-forum
meetings to identify and address concerns
C. Increase patient-to-nurse ratios to maintain productivity
D. Ignore the situation, as morale issues typically resolve on their
own
, Correct Answer: B
Rationale: A transformational leader identifies problems through
open communication and collaborative problem-solving. Conducting
anonymous surveys and holding open forums allows staff to voice
concerns and participate in finding solutions, which improves morale
and retention .
7. A client is receiving a unit of packed red blood cells (PRBCs).
Fifteen minutes into the transfusion, the client reports a sudden
headache and a tingling sensation in their fingers. What is the
nurse's priority action?
A. Notify the healthcare provider
B. Slow the infusion rate and reassess in 15 minutes
C. Stop the transfusion immediately
D. Assess the IV site for signs of infiltration
Correct Answer: C
Rationale: A sudden headache and paresthesia are early signs of an
acute hemolytic transfusion reaction. The priority is to immediately
stop the transfusion, maintain IV access with normal saline, and then
notify the provider and blood bank. This is a life-threatening
emergency .
8. A client's water-seal chest tube is accidentally dislodged from the
insertion site. What is the nursing action of HIGHEST priority?
A. Lay the client flat on their back
B. Apply a sterile occlusive dressing taped on three sides over the
site
C. Clamp the chest tube near the insertion site
D. Instruct the client to perform the Valsalva maneuver
Correct Answer: B
Rationale: The priority is to prevent a tension pneumothorax.
Covering the site with a sterile occlusive dressing taped on three
sides creates a one-way valve that allows air to escape during
Professional Nursing Practice|
GAURANTEED PASS WITH 170+ TEST
BANK QUESTIONS 2026 CARRICULUM
VERRIFIED TEST INSTANT PDF
DOWNLOAD
1. A nurse is caring for four clients on a medical-surgical unit. Which
client should the nurse assess FIRST?
A. A client with pneumonia who has an oxygen saturation of 94% on
room air
B. A client with a chest tube who reports a sudden onset of severe
pain at the insertion site
C. A client with a new diagnosis of diabetes mellitus who has a blood
glucose of 220 mg/dL
D. A client who is postoperative day 2 and has not had a bowel
movement
Correct Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation)
prioritization framework, the client with a chest tube and new,
severe pain is the priority. This could indicate a complication such as
tube dislodgement, developing pneumothorax, or infection, all of
which can rapidly compromise breathing. The other findings require
assessment and intervention but are less acute .
2. A charge nurse is making assignments for the upcoming shift.
Which client should be assigned to the MOST experienced RN?
A. A client who is 24 hours postoperative following an appendectomy
B. A client who has a new diagnosis of hypertension
C. A client who is receiving chemotherapy for the first time
D. A client who has stable angina and is awaiting discharge
,Correct Answer: C
Rationale: A client receiving chemotherapy for the first time requires
extensive teaching, close monitoring for hypersensitivity reactions,
and potential management of life-threatening adverse effects. This
complex care requires a nurse with experience and strong clinical
judgment. The other clients have more predictable, lower-acuity
needs .
3. A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the nurse to
delegate to the UAP?
A. Assessing a newly admitted client's pain level
B. Teaching a client how to use an incentive spirometer
C. Ambulating a stable client who had a stroke 3 days ago
D. Evaluating a client's response to a diuretic medication
Correct Answer: C
Rationale: Delegation requires the nurse to assign tasks that are
routine, have a predictable outcome, and do not require nursing
judgment. Ambulating a stable client is a standard task that can be
delegated to a UAP. Assessment, teaching, and evaluation are core
components of the nursing process that require clinical judgment
and cannot be delegated .
4. The nurse receives hand-off report on four clients. Which client
should the nurse see FIRST?
A. A client with type 2 diabetes who has a fasting blood glucose of
148 mg/dL
B. A client who had a thyroidectomy 6 hours ago and is now
reporting tingling around the mouth and fingertips
C. A client with a fractured femur who reports pain of 6/10 and is due
for pain medication
D. A client with pneumonia whose temperature is 99.8°F and is
receiving IV antibiotics
Correct Answer: B
,Rationale: Tingling around the mouth and fingertips after
thyroidectomy is a sign of hypocalcemia due to accidental
parathyroid gland damage during surgery. This can lead to life-
threatening tetany and requires immediate assessment and
intervention. The other findings require assessment but are not
immediately life-threatening .
5. A nurse is caring for a client who is scheduled for surgery in 2
hours. The client states, "I've changed my mind. I don't want the
surgery anymore." Which of the following is the BEST action by the
nurse?
A. Tell the client they cannot cancel because the surgeon is already
prepared
B. Administer the pre-operative sedation as ordered to calm the
client's anxiety
C. Notify the surgeon immediately and document the client's
decision
D. Ask the client's family to convince the client to proceed with
surgery
Correct Answer: C
Rationale: The client has the right to withdraw consent at any time.
The nurse must respect client autonomy, notify the healthcare
provider immediately, and document the client's decision. Informed
consent is an ongoing process, and the client retains the right to
refuse treatment .
6. The nurse manager observes that staff morale is low and several
experienced nurses have resigned in the past month. Which
leadership action would BEST address this situation?
A. Implement a stricter attendance policy to ensure adequate
staffing
B. Conduct anonymous staff surveys and schedule open-forum
meetings to identify and address concerns
C. Increase patient-to-nurse ratios to maintain productivity
D. Ignore the situation, as morale issues typically resolve on their
own
, Correct Answer: B
Rationale: A transformational leader identifies problems through
open communication and collaborative problem-solving. Conducting
anonymous surveys and holding open forums allows staff to voice
concerns and participate in finding solutions, which improves morale
and retention .
7. A client is receiving a unit of packed red blood cells (PRBCs).
Fifteen minutes into the transfusion, the client reports a sudden
headache and a tingling sensation in their fingers. What is the
nurse's priority action?
A. Notify the healthcare provider
B. Slow the infusion rate and reassess in 15 minutes
C. Stop the transfusion immediately
D. Assess the IV site for signs of infiltration
Correct Answer: C
Rationale: A sudden headache and paresthesia are early signs of an
acute hemolytic transfusion reaction. The priority is to immediately
stop the transfusion, maintain IV access with normal saline, and then
notify the provider and blood bank. This is a life-threatening
emergency .
8. A client's water-seal chest tube is accidentally dislodged from the
insertion site. What is the nursing action of HIGHEST priority?
A. Lay the client flat on their back
B. Apply a sterile occlusive dressing taped on three sides over the
site
C. Clamp the chest tube near the insertion site
D. Instruct the client to perform the Valsalva maneuver
Correct Answer: B
Rationale: The priority is to prevent a tension pneumothorax.
Covering the site with a sterile occlusive dressing taped on three
sides creates a one-way valve that allows air to escape during
