COMPS NSG 4800 Exam
Comprehensive Nursing Examination 2026!!!
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 will be discharged with a prescription for a benzodiazepine.
b. A physical therapist (PT) referral for a client who has rheumatoid arthritis (RA) and requires
instruction in the use of an assistive device for eating.
c. An occupational therapist (OT) referral for a client who has Parkinson's disease and is experiencing
difficulty performing activities of daily living (ADL).
d. A speech therapist referral for a client who will be discharged with intermittent tube feedings.
ANSWER: c. An occupational therapist (OT) referral for a client who has Parkinson's disease and is
experiencing difficulty performing activities of daily living (ADL).
Rationale:
Option A: A social worker referral would be appropriate for clients needing assistance with financial
resources, insurance, or community support services, not specifically for a benzodiazepine prescription.
A pharmacist or the prescribing provider would be more appropriate for medication teaching.
Option B: A physical therapist focuses on gross motor skills, mobility, and ambulation. An occupational
therapist would be more appropriate for fine motor skills and assistive devices for eating activities.
,Option C: CORRECT. Occupational therapists specialize in helping clients perform activities of daily living
(ADL) such as dressing, bathing, eating, and grooming. Clients with Parkinson's disease often experience
tremors, rigidity, and bradykinesia that interfere with ADL performance.
Option D: A speech therapist would be appropriate for swallowing difficulties or communication issues.
Intermittent tube feedings would be better managed by a dietitian or enterostomal therapist for
ongoing nutritional support.
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. "Threatening to touch a client without the client's consent is an example of assault."
b. "Failure to communicate concerns about an elderly client who is confused and is being discharged
home is an example of defamation."
c. "Giving clients false assurance about a health care condition or expected outcome is an example of
libel."
d. "Posting information about a client on social media without the client's permission is an example of
slander."
ANSWER: a. "Threatening to touch a client without the client's consent is an example of assault."
Rationale:
Option A: CORRECT. Assault is defined as a threat or attempt to make bodily contact with another
person without that person's consent. The threat must cause the person to feel fearful or apprehensive.
Battery is the actual physical contact.
Option B: Defamation involves making false statements that damage a person's reputation. Failure to
communicate concerns about a confused elderly client being discharged would be negligence or failure
to advocate, not defamation.
,Option C: Libel is written defamation. Giving false assurance about a health condition would be
considered fraud, misrepresentation, or possibly negligence, but not libel.
Option D: Slander is spoken defamation. Posting information about a client on social media without
permission is a violation of HIPAA privacy regulations and confidentiality, not 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 a licensed practical nurse (LPN/VN) to teach a client who has a newly created ileostomy how to
change the appliance.
b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a client who
has become diabetic.
c. Asking an unlicensed assistive personnel (UAP) to flush the Jackson-Pratt (JP) drain of a client who is 2
days postoperative from an open appendectomy.
d. Asking an unlicensed assistive personnel (UAP) to turn off the tube feeding for a client who is
receiving continuous tube feedings and is vomiting.
ANSWER: b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a
client who has become diabetic.
Rationale:
Option A: Client teaching for a newly created ileostomy requires comprehensive education and
assessment of the client's learning needs and readiness. This is within the scope of the registered nurse,
not LPN/VN. LPN/VNs can reinforce teaching but not provide initial teaching for complex procedures.
Option B: CORRECT. Obtaining capillary blood glucose readings is a standard skill within the LPN/VN
scope of practice. The LPN/VN can perform the procedure and report the results to the RN.
, Option C: Flushing a Jackson-Pratt drain requires sterile technique and assessment of drainage
characteristics. This is a skilled nursing procedure that should not be delegated to UAP. UAP can assist
with positioning or ambulation but not with invasive procedures.
Option D: Tube feedings require assessment and clinical judgment. Turning off a tube feeding for a
vomiting client involves evaluating the client's condition and determining the cause of vomiting. This
decision requires nursing judgment and should not be delegated to UAP.
4. The nurse is caring for the following pediatric clients. It is most appropriate for the nurse to initiate an
interdisciplinary conference for the client who is:
a. 3 days old, has been readmitted with rhinorrhea, hyperreflexia, and a report that the mother has a
history of substance abuse during pregnancy.
b. 5 years old, has a fractured arm from falling on the school playground, and is being discharged with a
fiberglass cast.
c. 6 months old, has acute otitis media with purulent ear drainage, a red, bulging tympanic membrane,
and is crying.
d. 2 months old, has developmental dysplasia of the hip (DDH), unequal leg lengths, limited abduction of
the left hip, and asymmetry of the gluteal folds.
ANSWER: a. 3 days old, has been readmitted with rhinorrhea, hyperreflexia, and a report that the
mother has a history of substance abuse during pregnancy.
Rationale:
Option A: CORRECT. This infant is showing signs of neonatal abstinence syndrome (NAS) secondary to
maternal substance abuse during pregnancy. Symptoms include hyperreflexia, rhinorrhea, irritability,
and poor feeding. An interdisciplinary conference would be appropriate to coordinate care involving
neonatology, social work, child protective services, and addiction specialists to ensure the safety and
well-being of the infant and family.
Comprehensive Nursing Examination 2026!!!
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 will be discharged with a prescription for a benzodiazepine.
b. A physical therapist (PT) referral for a client who has rheumatoid arthritis (RA) and requires
instruction in the use of an assistive device for eating.
c. An occupational therapist (OT) referral for a client who has Parkinson's disease and is experiencing
difficulty performing activities of daily living (ADL).
d. A speech therapist referral for a client who will be discharged with intermittent tube feedings.
ANSWER: c. An occupational therapist (OT) referral for a client who has Parkinson's disease and is
experiencing difficulty performing activities of daily living (ADL).
Rationale:
Option A: A social worker referral would be appropriate for clients needing assistance with financial
resources, insurance, or community support services, not specifically for a benzodiazepine prescription.
A pharmacist or the prescribing provider would be more appropriate for medication teaching.
Option B: A physical therapist focuses on gross motor skills, mobility, and ambulation. An occupational
therapist would be more appropriate for fine motor skills and assistive devices for eating activities.
,Option C: CORRECT. Occupational therapists specialize in helping clients perform activities of daily living
(ADL) such as dressing, bathing, eating, and grooming. Clients with Parkinson's disease often experience
tremors, rigidity, and bradykinesia that interfere with ADL performance.
Option D: A speech therapist would be appropriate for swallowing difficulties or communication issues.
Intermittent tube feedings would be better managed by a dietitian or enterostomal therapist for
ongoing nutritional support.
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. "Threatening to touch a client without the client's consent is an example of assault."
b. "Failure to communicate concerns about an elderly client who is confused and is being discharged
home is an example of defamation."
c. "Giving clients false assurance about a health care condition or expected outcome is an example of
libel."
d. "Posting information about a client on social media without the client's permission is an example of
slander."
ANSWER: a. "Threatening to touch a client without the client's consent is an example of assault."
Rationale:
Option A: CORRECT. Assault is defined as a threat or attempt to make bodily contact with another
person without that person's consent. The threat must cause the person to feel fearful or apprehensive.
Battery is the actual physical contact.
Option B: Defamation involves making false statements that damage a person's reputation. Failure to
communicate concerns about a confused elderly client being discharged would be negligence or failure
to advocate, not defamation.
,Option C: Libel is written defamation. Giving false assurance about a health condition would be
considered fraud, misrepresentation, or possibly negligence, but not libel.
Option D: Slander is spoken defamation. Posting information about a client on social media without
permission is a violation of HIPAA privacy regulations and confidentiality, not 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 a licensed practical nurse (LPN/VN) to teach a client who has a newly created ileostomy how to
change the appliance.
b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a client who
has become diabetic.
c. Asking an unlicensed assistive personnel (UAP) to flush the Jackson-Pratt (JP) drain of a client who is 2
days postoperative from an open appendectomy.
d. Asking an unlicensed assistive personnel (UAP) to turn off the tube feeding for a client who is
receiving continuous tube feedings and is vomiting.
ANSWER: b. Asking a licensed practical nurse (LPN/VN) to obtain a capillary blood glucose reading on a
client who has become diabetic.
Rationale:
Option A: Client teaching for a newly created ileostomy requires comprehensive education and
assessment of the client's learning needs and readiness. This is within the scope of the registered nurse,
not LPN/VN. LPN/VNs can reinforce teaching but not provide initial teaching for complex procedures.
Option B: CORRECT. Obtaining capillary blood glucose readings is a standard skill within the LPN/VN
scope of practice. The LPN/VN can perform the procedure and report the results to the RN.
, Option C: Flushing a Jackson-Pratt drain requires sterile technique and assessment of drainage
characteristics. This is a skilled nursing procedure that should not be delegated to UAP. UAP can assist
with positioning or ambulation but not with invasive procedures.
Option D: Tube feedings require assessment and clinical judgment. Turning off a tube feeding for a
vomiting client involves evaluating the client's condition and determining the cause of vomiting. This
decision requires nursing judgment and should not be delegated to UAP.
4. The nurse is caring for the following pediatric clients. It is most appropriate for the nurse to initiate an
interdisciplinary conference for the client who is:
a. 3 days old, has been readmitted with rhinorrhea, hyperreflexia, and a report that the mother has a
history of substance abuse during pregnancy.
b. 5 years old, has a fractured arm from falling on the school playground, and is being discharged with a
fiberglass cast.
c. 6 months old, has acute otitis media with purulent ear drainage, a red, bulging tympanic membrane,
and is crying.
d. 2 months old, has developmental dysplasia of the hip (DDH), unequal leg lengths, limited abduction of
the left hip, and asymmetry of the gluteal folds.
ANSWER: a. 3 days old, has been readmitted with rhinorrhea, hyperreflexia, and a report that the
mother has a history of substance abuse during pregnancy.
Rationale:
Option A: CORRECT. This infant is showing signs of neonatal abstinence syndrome (NAS) secondary to
maternal substance abuse during pregnancy. Symptoms include hyperreflexia, rhinorrhea, irritability,
and poor feeding. An interdisciplinary conference would be appropriate to coordinate care involving
neonatology, social work, child protective services, and addiction specialists to ensure the safety and
well-being of the infant and family.
