Page 1 of 63
NSG 4800 COMPS EXAM — COMPREHENSIVE
PRACTICE ASSESSMENT | FREQUENTLY
TESTED QUESTIONS AND VERIFIED ANSWERS
|100% ACCURATE ANSWERS | ALREADY
GRADED A+
Course Name: Nursing Practice – Transition to Professional
Nursing Practice
Subject: Comprehensive Nursing Practice / NSG 4800
Assessment: Comprehensive (COMPS) Examination Practice
Test
Total Questions: 150
Level: Application, clinical judgment, prioritization, safety,
pharmacology, medical-surgical nursing, maternal-child nursing,
mental health, leadership, ethics, and professional practice
SECTION 1: QUESTIONS 1–50
1. A nurse receives report on four clients. Which client should
the nurse assess first?
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A. A client with pneumonia whose temperature is 38.1°C
(100.6°F)
B. A postoperative client reporting incisional pain of 7/10
C. A client with COPD who is newly confused and has an
oxygen saturation of 82%
D. A client with diabetes whose premeal glucose is 188 mg/dL
❖ Rationale: New confusion with severe hypoxemia indicates
possible respiratory compromise and requires immediate
assessment and intervention. The other findings require
attention but are less immediately life-threatening.
2. A client becomes dizzy when standing after several days of
bed rest. Which action is most appropriate?
A. Encourage the client to stand quickly to improve circulation
B. Assist the client back to a safe position and reassess
orthostatic vital signs
C. Restrict oral fluids
D. Administer the scheduled antihypertensive immediately
❖ Rationale: Orthostatic symptoms increase fall risk. The
nurse should safely reposition the client, assess blood
pressure and pulse with position changes, and determine
the cause before further intervention.
3. Which task is most appropriate for the RN to delegate to an
experienced UAP?
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A. Assessing a newly admitted client's skin
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating the effectiveness of IV analgesia
❖ Rationale: Routine data collection on stable clients can
generally be delegated. Assessment, teaching, and
evaluation remain RN responsibilities.
4. A client with suspected Clostridioides difficile infection
requires which precaution?
A. Airborne
B. Droplet
C. Contact precautions with soap-and-water hand hygiene
D. Protective isolation
❖ Rationale: C. difficile requires contact precautions. Soap
and water are preferred because alcohol-based hand
sanitizer does not reliably eliminate spores.
5. Which action demonstrates correct sterile technique?
A. Allowing the sterile glove to touch the bedrail
B. Reaching across a sterile field
C. Keeping sterile objects above waist level and within view
D. Turning away from a sterile field briefly
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❖ Rationale: Sterile items must remain in view and above
waist level. Contact with contaminated surfaces or loss of
visual control can compromise sterility.
6. A nurse discovers that a medication was administered to the
wrong client. What is the priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client for adverse effects and initiate appropriate
care
D. Document that the medication was given in error
❖ Rationale: Client safety comes first. The nurse assesses the
client, provides necessary treatment, and then follows
reporting and documentation procedures.
7. A client scheduled for surgery states, “I don't want the
surgery anymore.” What should the nurse do?
A. Explain that the consent has already been signed
B. Ask the family to convince the client
C. Notify the surgical team and support the client's decision to
withdraw consent
D. Administer the preoperative sedative
❖ Rationale: A competent client may withdraw consent. The
nurse should stop the process as appropriate and promptly
notify the responsible provider.
NSG 4800 COMPS EXAM — COMPREHENSIVE
PRACTICE ASSESSMENT | FREQUENTLY
TESTED QUESTIONS AND VERIFIED ANSWERS
|100% ACCURATE ANSWERS | ALREADY
GRADED A+
Course Name: Nursing Practice – Transition to Professional
Nursing Practice
Subject: Comprehensive Nursing Practice / NSG 4800
Assessment: Comprehensive (COMPS) Examination Practice
Test
Total Questions: 150
Level: Application, clinical judgment, prioritization, safety,
pharmacology, medical-surgical nursing, maternal-child nursing,
mental health, leadership, ethics, and professional practice
SECTION 1: QUESTIONS 1–50
1. A nurse receives report on four clients. Which client should
the nurse assess first?
,Page 2 of 63
A. A client with pneumonia whose temperature is 38.1°C
(100.6°F)
B. A postoperative client reporting incisional pain of 7/10
C. A client with COPD who is newly confused and has an
oxygen saturation of 82%
D. A client with diabetes whose premeal glucose is 188 mg/dL
❖ Rationale: New confusion with severe hypoxemia indicates
possible respiratory compromise and requires immediate
assessment and intervention. The other findings require
attention but are less immediately life-threatening.
2. A client becomes dizzy when standing after several days of
bed rest. Which action is most appropriate?
A. Encourage the client to stand quickly to improve circulation
B. Assist the client back to a safe position and reassess
orthostatic vital signs
C. Restrict oral fluids
D. Administer the scheduled antihypertensive immediately
❖ Rationale: Orthostatic symptoms increase fall risk. The
nurse should safely reposition the client, assess blood
pressure and pulse with position changes, and determine
the cause before further intervention.
3. Which task is most appropriate for the RN to delegate to an
experienced UAP?
,Page 3 of 63
A. Assessing a newly admitted client's skin
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating the effectiveness of IV analgesia
❖ Rationale: Routine data collection on stable clients can
generally be delegated. Assessment, teaching, and
evaluation remain RN responsibilities.
4. A client with suspected Clostridioides difficile infection
requires which precaution?
A. Airborne
B. Droplet
C. Contact precautions with soap-and-water hand hygiene
D. Protective isolation
❖ Rationale: C. difficile requires contact precautions. Soap
and water are preferred because alcohol-based hand
sanitizer does not reliably eliminate spores.
5. Which action demonstrates correct sterile technique?
A. Allowing the sterile glove to touch the bedrail
B. Reaching across a sterile field
C. Keeping sterile objects above waist level and within view
D. Turning away from a sterile field briefly
, Page 4 of 63
❖ Rationale: Sterile items must remain in view and above
waist level. Contact with contaminated surfaces or loss of
visual control can compromise sterility.
6. A nurse discovers that a medication was administered to the
wrong client. What is the priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client for adverse effects and initiate appropriate
care
D. Document that the medication was given in error
❖ Rationale: Client safety comes first. The nurse assesses the
client, provides necessary treatment, and then follows
reporting and documentation procedures.
7. A client scheduled for surgery states, “I don't want the
surgery anymore.” What should the nurse do?
A. Explain that the consent has already been signed
B. Ask the family to convince the client
C. Notify the surgical team and support the client's decision to
withdraw consent
D. Administer the preoperative sedative
❖ Rationale: A competent client may withdraw consent. The
nurse should stop the process as appropriate and promptly
notify the responsible provider.
