NSG 4800 Comprehensive Exam 1 Review Questions
NEWEST 2026-2027 ACTUAL EXAM COMPLETE
150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ BRAND NEW!!
A nurse working on a pediatric cardiac unit is reviewing the telemetry monitors for assigned
clients. Which of the following clients should the nurse initially plan to assess?
A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160
B. A five-year-old child who is watching television and has a heart rate of 78
C. A one month old infant who is crying and has a heart rate of 180
D. A 15-year-old adolescent who is sleeping and has a heart rate of 55 - CORRECT ANSWER:
A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160
Normal toddler HR: 80-120
Additional: Provider prescribed ampicillin 300 mg/kg TID to toddler weighing 22 lbs and safe
dose is 50 mg/kg/day. Which action should the nurse take? - CORRECT ANSWER: Clarify the
prescription with the provider. The amount ordered is out of the safe dose range and would need
clarification.
(This dosing works out that the PHCP ordered 3000mg/dose when the safe dose is 500 mg/day)
The nurse caring for a male client who has deep partial thickness and full thickness burns to 45%
of the lower body. It is a priority for the nurse to notify the PHCP if the client has a:
A. Temperature of 100.2
B. Urinary output of 45 mL for the past two hours
C. Pulse ox reading of 91%
D. Hematocrit level of 60% - CORRECT ANSWER: B. Urinary output of 45 mL for the past two
hours
,The nurse discovers the client was smoking in their bathroom and has dropped a cigarette into
the trash can, which is now smoldering. Which of the following actions should the nurse take
first?
A. Remove the client from the room
B. Close the fire doors to the unit
C. Have someone obtain a fire extinguisher
D. Activate the fire alarm - CORRECT ANSWER: A. Remove the client from the room
The nurse has inserted an intravenous catheter for an assigned client. After insertion, the client
reports pain in the insertion area. Which of the following actions should the nurse take?
A. Apply a warm compress to the insertion area
B. Obtain a prescription for a placement of a central venous access device
C. Reassess the client's pain in 30 minutes
D. Remove the catheter and re-insert in a different location - CORRECT ANSWER: D. Remove
the catheter and re-insert in a different location
The nurse has instructed a client who regularly menstruates about performing breasts exams at
home. Which of the following statements indicates a correct understanding of the teaching?
A. I will examine my breasts once a day while in the shower.
B. I will perform my BSE on the first day of every month.
C. I will perform my BSE 7 days after my period ends.
D. I will examine my breasts using the tips of the first 2 fingers. - CORRECT ANSWER: C. I
will perform my BSE 7 days after my period ends.
The nurse has provided dietary teaching to a client who has a history of other sclerosis and a
recent laboratory test indicating an increased cholesterol level. Which of the following
statements by the client indicates a need for follow up?
A. I flavor my fish with lemon juice
B. I take omega-3 supplements daily
,C. I cook my food with canola oil
D. I eat two poached eggs for breakfast every morning. - CORRECT ANSWER: D. I eat two
poached eggs for breakfast every morning
Regardless of preparation, whole eggs are very high in cholesterol and the patient needs further
education.
Total Cholesterol: <200
LDL: <130
HDL: >45 males, >55 females
The nurse has received the change of shift report on the following assigned clients. The nurse
should first see the client who:
A. Had a vaginal delivery 24 hours ago and is having dark red lochia
B. Had a tubal ligation and is scheduled to be discharged today
C. Had a cesarean delivery four hours ago and is reporting incisional pain
D. Had preeclampsia and a current blood pressure of 138/90 - CORRECT ANSWER: C. Had a
cesarean delivery four hours ago and is reporting incisional pain
The nurse is caring for a client who has sustained severe burn injuries to the entire right and left
legs, and the entire rear torso. Based on the rule of nines, the nurse calculates the estimated
percentage of the burned body surface area as:
A. 27%
B. 45%
C. 54%
D. 36% - CORRECT ANSWER: C. 54%
The nurse is caring for a client who is currently prescribed bedrest. Which of the following
actions should the nurse take to help prevent the development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
, B. Determine if the client is using the incentive spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow - CORRECT ANSWER: A. Instruct the client to perform
leg exercises
While other interventions are correct, they are to prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help with PE's specifically.
The nurse is caring for a client who is suspected of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures - CORRECT ANSWER: A. Initiate droplet precautions
While all are important interventions, initiating droplet precautions should be the priority.
The nurse is caring for an older client who had surgery for an intestinal obstruction and has a
nasogastric tube to low wall section. Which should the nurse include in the plan of care?
1. Discontinue suction when assessing for peristalsis
2. Encourage the use of an incentive spirometer every two hours while awake 3. Maintain
sequential compression devices to bilateral lower extremities
4. Irrigate the NG tube with a sterile normal saline as prescribed
5. Turn and reposition the client every two hours
6. Place a sign at the head of the bed that says "do not manipulate the NG tube"
A. 1, 3, 4, 5
B. 2, 3, 5
C. 3, 4, 5, 6
D. 1, 2, 3 - CORRECT ANSWER: A. 1, 3, 4, 5
NEWEST 2026-2027 ACTUAL EXAM COMPLETE
150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ BRAND NEW!!
A nurse working on a pediatric cardiac unit is reviewing the telemetry monitors for assigned
clients. Which of the following clients should the nurse initially plan to assess?
A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160
B. A five-year-old child who is watching television and has a heart rate of 78
C. A one month old infant who is crying and has a heart rate of 180
D. A 15-year-old adolescent who is sleeping and has a heart rate of 55 - CORRECT ANSWER:
A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160
Normal toddler HR: 80-120
Additional: Provider prescribed ampicillin 300 mg/kg TID to toddler weighing 22 lbs and safe
dose is 50 mg/kg/day. Which action should the nurse take? - CORRECT ANSWER: Clarify the
prescription with the provider. The amount ordered is out of the safe dose range and would need
clarification.
(This dosing works out that the PHCP ordered 3000mg/dose when the safe dose is 500 mg/day)
The nurse caring for a male client who has deep partial thickness and full thickness burns to 45%
of the lower body. It is a priority for the nurse to notify the PHCP if the client has a:
A. Temperature of 100.2
B. Urinary output of 45 mL for the past two hours
C. Pulse ox reading of 91%
D. Hematocrit level of 60% - CORRECT ANSWER: B. Urinary output of 45 mL for the past two
hours
,The nurse discovers the client was smoking in their bathroom and has dropped a cigarette into
the trash can, which is now smoldering. Which of the following actions should the nurse take
first?
A. Remove the client from the room
B. Close the fire doors to the unit
C. Have someone obtain a fire extinguisher
D. Activate the fire alarm - CORRECT ANSWER: A. Remove the client from the room
The nurse has inserted an intravenous catheter for an assigned client. After insertion, the client
reports pain in the insertion area. Which of the following actions should the nurse take?
A. Apply a warm compress to the insertion area
B. Obtain a prescription for a placement of a central venous access device
C. Reassess the client's pain in 30 minutes
D. Remove the catheter and re-insert in a different location - CORRECT ANSWER: D. Remove
the catheter and re-insert in a different location
The nurse has instructed a client who regularly menstruates about performing breasts exams at
home. Which of the following statements indicates a correct understanding of the teaching?
A. I will examine my breasts once a day while in the shower.
B. I will perform my BSE on the first day of every month.
C. I will perform my BSE 7 days after my period ends.
D. I will examine my breasts using the tips of the first 2 fingers. - CORRECT ANSWER: C. I
will perform my BSE 7 days after my period ends.
The nurse has provided dietary teaching to a client who has a history of other sclerosis and a
recent laboratory test indicating an increased cholesterol level. Which of the following
statements by the client indicates a need for follow up?
A. I flavor my fish with lemon juice
B. I take omega-3 supplements daily
,C. I cook my food with canola oil
D. I eat two poached eggs for breakfast every morning. - CORRECT ANSWER: D. I eat two
poached eggs for breakfast every morning
Regardless of preparation, whole eggs are very high in cholesterol and the patient needs further
education.
Total Cholesterol: <200
LDL: <130
HDL: >45 males, >55 females
The nurse has received the change of shift report on the following assigned clients. The nurse
should first see the client who:
A. Had a vaginal delivery 24 hours ago and is having dark red lochia
B. Had a tubal ligation and is scheduled to be discharged today
C. Had a cesarean delivery four hours ago and is reporting incisional pain
D. Had preeclampsia and a current blood pressure of 138/90 - CORRECT ANSWER: C. Had a
cesarean delivery four hours ago and is reporting incisional pain
The nurse is caring for a client who has sustained severe burn injuries to the entire right and left
legs, and the entire rear torso. Based on the rule of nines, the nurse calculates the estimated
percentage of the burned body surface area as:
A. 27%
B. 45%
C. 54%
D. 36% - CORRECT ANSWER: C. 54%
The nurse is caring for a client who is currently prescribed bedrest. Which of the following
actions should the nurse take to help prevent the development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
, B. Determine if the client is using the incentive spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow - CORRECT ANSWER: A. Instruct the client to perform
leg exercises
While other interventions are correct, they are to prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help with PE's specifically.
The nurse is caring for a client who is suspected of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures - CORRECT ANSWER: A. Initiate droplet precautions
While all are important interventions, initiating droplet precautions should be the priority.
The nurse is caring for an older client who had surgery for an intestinal obstruction and has a
nasogastric tube to low wall section. Which should the nurse include in the plan of care?
1. Discontinue suction when assessing for peristalsis
2. Encourage the use of an incentive spirometer every two hours while awake 3. Maintain
sequential compression devices to bilateral lower extremities
4. Irrigate the NG tube with a sterile normal saline as prescribed
5. Turn and reposition the client every two hours
6. Place a sign at the head of the bed that says "do not manipulate the NG tube"
A. 1, 3, 4, 5
B. 2, 3, 5
C. 3, 4, 5, 6
D. 1, 2, 3 - CORRECT ANSWER: A. 1, 3, 4, 5
