NSG 4800 COMPS EXAM 2
1. The nurse is preparing to administer prescribed medications to the following clients. It is most
important for the nurse to follow up with the PCP for the client who has:
A. A prosthetic mitral valve, an INR of 3.0, and is currently taking a prescribed dose of warfarin
B. Constipation-predominant IBS and has been prescribed loperamide
C. Diabetes mellitus, is scheduled to have a CT scan with IV contrast, and has been prescribed to
withhold metformin
D. An MRSA wound infection, an allergy to sulfonamide, and has been prescribed vancomycin
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of the
following actions is appropriate for the nurse to take?
A. Limit the amount of medication to 4 mL when injecting into the deltoid muscle
B. Use the deltoid site if the client is an adult who requires 3 mL of medication
C. Draw up an air bubble into the syringe after the medication has been prepared
D. Hold the skin taut when using the Z-track method
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate for the
nurse to state that men should:
A. Perform a monthly testicular self-examination immediately after a bath or shower
B. Begin having a sigmoidoscopy once every 10 years beginning at age 50
C. Begin having an annual prostate examination beginning at age 40
D. Be tested annually for sexually transmitted diseases upon becoming sexually active
,4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation implant.
Which of the following would require the nurse to intervene?
A. Keeping the door to the client's room closed
B. Keeping dedicated equipment in the client's room until the implant is removed
C. Wearing a lead shield when providing client care
D. Placing bed linens in a receptacle kept inside the client's room
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should clarify the
prescription for the client who:
A. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago and is to receive
alteplase intravenously
B. Has a creatinine level of 2.8 mg/dL and is scheduled to have a cardiac catheterization in the morning
C. Had a myocardial infarction 3 hours ago and is to have troponin levels drawn in 3 hours
D. Had a permanent pacemaker inserted 6 months ago and is scheduled for radiography (X-ray) of the
chest
6. The nurse preceptor has discussed appropriate dietary intake for various ages of pediatric clients with
a newly hired nurse. Which of the following statements by the newly hired nurse indicates a need for
further teaching?
A. Sliced banana is an appropriate snack for a toddler-aged child
B. Milk is introduced at 12 months of age in an infant who has been breastfed since birth
C. Honey can be introduced to an infant at 9 months of age
D. Four ounces of fruit juice can be given in a cup to a 13-month-old infant
, 7. The nurse is assessing a client at the scene of a mass-casualty disaster and prioritizing care based on
the disaster triage tag system. The client who should be transported to the healthcare facility first is
the one:
A. A patient who is confused and has an open wound on the right lower leg
B. A patient who has multiple compound fractures and is reporting chest pain
C. A patient who reports abdominal pain and has facial lacerations
D. A patient who has burns to 75% of the posterior trunk and lower body
8. The nurse is caring for a pediatric client who is postoperative following ventriculoperitoneal shunt
placement. The nurse notes the client has been difficult to arouse. Which of the following actions
should the nurse take immediately?
A. Prepare the client for endotracheal tube insertion
B. Measure the client's head circumference
C. Turn the client to the operative side
D. Elevate the client's head of bed to 30 degrees
9. The nurse is caring for a client who has hypovolemic shock and has a pulse of 116. The nurse has
intravenous 0.9% sodium chloride. Which of the following actions should the nurse perform next?
A. Initiate oxygen at 2 L/min via nasal cannula
B. Document and continue to monitor the client
C. Insert an indwelling urethral catheter
D. Obtain a prescription for a vasodilator
1. The nurse is preparing to administer prescribed medications to the following clients. It is most
important for the nurse to follow up with the PCP for the client who has:
A. A prosthetic mitral valve, an INR of 3.0, and is currently taking a prescribed dose of warfarin
B. Constipation-predominant IBS and has been prescribed loperamide
C. Diabetes mellitus, is scheduled to have a CT scan with IV contrast, and has been prescribed to
withhold metformin
D. An MRSA wound infection, an allergy to sulfonamide, and has been prescribed vancomycin
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of the
following actions is appropriate for the nurse to take?
A. Limit the amount of medication to 4 mL when injecting into the deltoid muscle
B. Use the deltoid site if the client is an adult who requires 3 mL of medication
C. Draw up an air bubble into the syringe after the medication has been prepared
D. Hold the skin taut when using the Z-track method
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate for the
nurse to state that men should:
A. Perform a monthly testicular self-examination immediately after a bath or shower
B. Begin having a sigmoidoscopy once every 10 years beginning at age 50
C. Begin having an annual prostate examination beginning at age 40
D. Be tested annually for sexually transmitted diseases upon becoming sexually active
,4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation implant.
Which of the following would require the nurse to intervene?
A. Keeping the door to the client's room closed
B. Keeping dedicated equipment in the client's room until the implant is removed
C. Wearing a lead shield when providing client care
D. Placing bed linens in a receptacle kept inside the client's room
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should clarify the
prescription for the client who:
A. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago and is to receive
alteplase intravenously
B. Has a creatinine level of 2.8 mg/dL and is scheduled to have a cardiac catheterization in the morning
C. Had a myocardial infarction 3 hours ago and is to have troponin levels drawn in 3 hours
D. Had a permanent pacemaker inserted 6 months ago and is scheduled for radiography (X-ray) of the
chest
6. The nurse preceptor has discussed appropriate dietary intake for various ages of pediatric clients with
a newly hired nurse. Which of the following statements by the newly hired nurse indicates a need for
further teaching?
A. Sliced banana is an appropriate snack for a toddler-aged child
B. Milk is introduced at 12 months of age in an infant who has been breastfed since birth
C. Honey can be introduced to an infant at 9 months of age
D. Four ounces of fruit juice can be given in a cup to a 13-month-old infant
, 7. The nurse is assessing a client at the scene of a mass-casualty disaster and prioritizing care based on
the disaster triage tag system. The client who should be transported to the healthcare facility first is
the one:
A. A patient who is confused and has an open wound on the right lower leg
B. A patient who has multiple compound fractures and is reporting chest pain
C. A patient who reports abdominal pain and has facial lacerations
D. A patient who has burns to 75% of the posterior trunk and lower body
8. The nurse is caring for a pediatric client who is postoperative following ventriculoperitoneal shunt
placement. The nurse notes the client has been difficult to arouse. Which of the following actions
should the nurse take immediately?
A. Prepare the client for endotracheal tube insertion
B. Measure the client's head circumference
C. Turn the client to the operative side
D. Elevate the client's head of bed to 30 degrees
9. The nurse is caring for a client who has hypovolemic shock and has a pulse of 116. The nurse has
intravenous 0.9% sodium chloride. Which of the following actions should the nurse perform next?
A. Initiate oxygen at 2 L/min via nasal cannula
B. Document and continue to monitor the client
C. Insert an indwelling urethral catheter
D. Obtain a prescription for a vasodilator
