NSG 4800 ALL COMPS EXAM WITH VERIFIED QUESTIONS
AND ANSWERS LATEST 2026-2027
Introduction
NSG 4800 materials identifying the course as **Transition to Professional Nursing
Practice, covers topics including spanning prioritization, infection control,
medication administration, legal/ethical practice, adult/pediatric care, maternity,
emergency care, and professional nursing concepts.
**1.** A nurse receives report on four clients. Which client should the nurse assess
**first**?
A. Client with a UTI reporting urinary frequency
B. Client with pneumonia and a temperature of 38.1°C (100.6°F)
C. Client with type 1 diabetes who is difficult to arouse and has a glucose of 38 mg/dL
D. Client with appendicitis reporting abdominal pain of 4/10
**Answer: C**
**Rationale:** Severe hypoglycemia with altered level of consciousness is
immediately life-threatening.
---
**2.** Which intervention is appropriate for a client requiring airborne precautions?
A. Place the client in a positive-pressure room
,B. Use an N95 respirator when entering the room
C. Wear only a surgical mask
D. Place the client in a semiprivate room
**Answer: B**
**Rationale:** Airborne diseases require appropriate respiratory protection and an
airborne infection isolation room.
---
**3.** A client with pertussis is being transported to another department. Which
action is appropriate?
A. Have the client wear a surgical mask
B. Place the client in a negative-pressure wheelchair
C. Require the client to wear an N95 respirator
D. Cancel all transportation
**Answer: A**
**Rationale:** Pertussis is transmitted by respiratory droplets; the client should
wear a mask during transport.
---
**4.** A nurse is preparing to administer IV potassium chloride. Which action is
,essential?
A. Administer it by IV push
B. Dilute it and administer it using an infusion pump
C. Give it undiluted through a peripheral IV
D. Administer it rapidly if the potassium level is low
**Answer: B**
**Rationale:** IV potassium must be diluted and administered at a controlled rate.
IV push potassium can cause fatal dysrhythmias.
---
**5.** A client receiving packed RBCs develops chills, headache, and back pain. What
is the nurse's **priority** action?
A. Slow the transfusion
B. Stop the transfusion
C. Administer acetaminophen
D. Increase the IV rate
**Answer: B**
**Rationale:** These may indicate a transfusion reaction. The transfusion must be
stopped immediately.
---
, **6.** Before administering morphine through a PCA pump, which assessment is the
priority?
A. Respiratory rate
B. Temperature
C. Bowel sounds
D. Skin turgor
**Answer: A**
**Rationale:** Opioids can cause respiratory depression.
---
**7.** Which finding is most concerning in a client receiving morphine?
A. Respiratory rate of 8/min
B. Pain score of 5/10
C. Heart rate of 82/min
D. Mild nausea
**Answer: A**
**Rationale:** Significant respiratory depression is a potentially life-threatening
opioid adverse effect.
AND ANSWERS LATEST 2026-2027
Introduction
NSG 4800 materials identifying the course as **Transition to Professional Nursing
Practice, covers topics including spanning prioritization, infection control,
medication administration, legal/ethical practice, adult/pediatric care, maternity,
emergency care, and professional nursing concepts.
**1.** A nurse receives report on four clients. Which client should the nurse assess
**first**?
A. Client with a UTI reporting urinary frequency
B. Client with pneumonia and a temperature of 38.1°C (100.6°F)
C. Client with type 1 diabetes who is difficult to arouse and has a glucose of 38 mg/dL
D. Client with appendicitis reporting abdominal pain of 4/10
**Answer: C**
**Rationale:** Severe hypoglycemia with altered level of consciousness is
immediately life-threatening.
---
**2.** Which intervention is appropriate for a client requiring airborne precautions?
A. Place the client in a positive-pressure room
,B. Use an N95 respirator when entering the room
C. Wear only a surgical mask
D. Place the client in a semiprivate room
**Answer: B**
**Rationale:** Airborne diseases require appropriate respiratory protection and an
airborne infection isolation room.
---
**3.** A client with pertussis is being transported to another department. Which
action is appropriate?
A. Have the client wear a surgical mask
B. Place the client in a negative-pressure wheelchair
C. Require the client to wear an N95 respirator
D. Cancel all transportation
**Answer: A**
**Rationale:** Pertussis is transmitted by respiratory droplets; the client should
wear a mask during transport.
---
**4.** A nurse is preparing to administer IV potassium chloride. Which action is
,essential?
A. Administer it by IV push
B. Dilute it and administer it using an infusion pump
C. Give it undiluted through a peripheral IV
D. Administer it rapidly if the potassium level is low
**Answer: B**
**Rationale:** IV potassium must be diluted and administered at a controlled rate.
IV push potassium can cause fatal dysrhythmias.
---
**5.** A client receiving packed RBCs develops chills, headache, and back pain. What
is the nurse's **priority** action?
A. Slow the transfusion
B. Stop the transfusion
C. Administer acetaminophen
D. Increase the IV rate
**Answer: B**
**Rationale:** These may indicate a transfusion reaction. The transfusion must be
stopped immediately.
---
, **6.** Before administering morphine through a PCA pump, which assessment is the
priority?
A. Respiratory rate
B. Temperature
C. Bowel sounds
D. Skin turgor
**Answer: A**
**Rationale:** Opioids can cause respiratory depression.
---
**7.** Which finding is most concerning in a client receiving morphine?
A. Respiratory rate of 8/min
B. Pain score of 5/10
C. Heart rate of 82/min
D. Mild nausea
**Answer: A**
**Rationale:** Significant respiratory depression is a potentially life-threatening
opioid adverse effect.
