• NSG 4800 COMPS 09/08/2026
Exam
NSG 4800 COMPS Exam – 2026/2027
Complete Edition Questions with Answers for
Guaranteed Pass and First Attempt– (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the room for
the child and places a sign at the child's bedside. What does this sign tell staff to avoid?
Palpating the abdomen
Taking temperatures rectally
Turning the child to the right side
Measuring blood pressure in the right arm - Correct Answer :Palpating the abdomen
P 1
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale: The nurse would place a sign at the child's bedside warning against palpation of the child's abdomen.
Wilms' tumor, or nephroblastoma, is the most common renal tumor in children. Arising from the renal
parenchyma of the kidney, this tumor grows very rapidly. It may be unilateral and localized or bilateral and
sometimes involves metastasis to other organs. The tumor mass should not be palpated because of the risk that
the protective capsule will rupture. Excessive manipulation can result in seeding of the tumor and the spread of
cancerous cells. Taking temperatures rectally, turning the child to the right side, and measuring blood pressure in
the right arm are interventions that do not need to be avoided.
A client with multiple sclerosis (MS) has been started on baclofen for muscle spasms. The client calls the primary
health care provider's office 1 week after beginning the medication and tells the nurse that she/he feels
extremely drowsy. What does the nurse most appropriately tell the client?
That she/he will need to be seen by the primary health care provider
That the medication will need to be discontinued
That drowsiness usually diminishes with continued therapy
To stop the medication for 2 days and then resume it at the prescribed dosage - Correct Answer :That
drowsiness usually diminishes with continued therapy
Rationale: Baclofen is a centrally acting skeletal muscle relaxant. Side effects of baclofen include drowsiness,
dizziness, weakness, and nausea. The nurse most appropriately tells the client that drowsiness usually diminishes
with continued therapy. However, the client is told to avoid activities that require alertness until the response to
the medication has been established. Therefore it is not necessary to call the primary health care provider or
discontinue or stop the medication.
Alprazolam is prescribed for a client to treat an anxiety disorder. Which side effect does the nurse warn the client
of?
Headache
Urine retention
Lightheadedness
Increased salivation - Correct Answer :Lightheadedness
P 2
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale: Alprazolam is a benzodiazepine that is used to manage anxiety disorders. Common side effects
include muscle incoordination, lightheadedness, transient mild drowsiness, and slurred speech. The other
options are not side effects of this medication.
The nurse is preparing to administer a tube feeding by way of a nasogastric tube. Which action does the nurse
carry out as a priority before starting the flow of the solution?
Flushing the tube with 30 mL of tap water
Checking urine output in the previous 24 hours
Scrubbing the port with povidone-iodine solution
Checking for gastric residual volume and assessing tube placement - Correct Answer :Checking for gastric
residual volume and assessing tube placement
Rationale: View video. When a client has a nasogastric tube, a priority concern is the risk for aspiration. The nurse
would not administer a feeding or flush the tube unless residual volume and tube placement had been checked.
To check residual volume, the nurse would draw up 30 mL of air in a catheter-tipped syringe, attach it to the
feeding tube, inject the air, and then pull back the plunger to aspirate all of the gastric contents. The gastric
contents are checked for amount and appearance and then the pH is checked for acidity to ensure accurate
placement. It is not necessary to scrub the port with povidone-iodine solution; administering a tube feeding is a
clean, not sterile procedure. Although intake and output may be monitored, it is not necessary to check urine
output for the previous 24 hours before starting a feeding.
A nurse is caring for a client who has had a cast applied to the left leg and is at risk for acute compartment
syndrome. For which early sign of this complication does the nurse monitor the client?
Paresthesia
Cold, bluish toes
Weak pedal pulse
Severe pain relieved by medication - Correct Answer :Paresthesia
Rationale: Sensory deficits such as paresthesia abnormal dermal sensation (e.g., a tingling, pricking, chilling,
burning, or numb sensation on the skin) with no apparent physical cause generally appear as an early sign of
acute compartment syndrome before changes in vascular or motor signs. Acute compartment syndrome is a
P 3
, • NSG 4800 COMPS 09/08/2026
Exam
serious condition in which increased pressure within one or more compartments causes massive compromise of
circulation to the area. Resultant edema causes pressure on the nerve endings and subsequent pain. The client
will also complain of severe diffuse pain that is not relieved by analgesics.
A primary health care provider writes a prescription for 1000 mL of 0.9% normal saline solution to be
administered intravenously (IV) to a client over 10 hours. The drop factor for the infusion set is 15 gtt/mL. At what
drip rate does the nurse set the infusion? Type answer in the box provided. _______________ gtt/min - Correct
Answer :25
A nurse is performing an assessment of a client being admitted to the hospital with a diagnosis of multiple
sclerosis (MS). The client tells the nurse that she took baclofen for the past 9 months but completely stopped
the medication 2 days ago because it was making her feel weak. On the basis of this information, the nurse notes
in the plan of care what should be monitored most closely in the client?
Spasticity
Drowsiness
Muscle spasms
Seizure activity - Correct Answer :Seizure activity
Rationale: The nurse should most closely monitor the client for seizure activity. Abrupt withdrawal of baclofen
may produce hallucinations or seizures. Baclofen is a skeletal muscle relaxant, acting at the level of the spinal
cord to reduce the frequency and amplitude of muscle spasms and spasticity in clients with spinal cord injuries
and diseases, as well as multiple sclerosis. Drowsiness may occur as a result of taking the medication but
diminishes with continued therapy.
A nurse is caring for a client who is immobilized in skeletal traction after sustaining a leg fracture in a motor
vehicle crash. The nurse notes that the client is restless, and the client complains of being bored. Which problem
does the nurse identify on the basis of this information?
Lack of control
Lack of physical mobility
Lack of adequate diversional activity
Lack of energy to bathe and feed self - Correct Answer :Lack of adequate diversional activity
P 4
Exam
NSG 4800 COMPS Exam – 2026/2027
Complete Edition Questions with Answers for
Guaranteed Pass and First Attempt– (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the room for
the child and places a sign at the child's bedside. What does this sign tell staff to avoid?
Palpating the abdomen
Taking temperatures rectally
Turning the child to the right side
Measuring blood pressure in the right arm - Correct Answer :Palpating the abdomen
P 1
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale: The nurse would place a sign at the child's bedside warning against palpation of the child's abdomen.
Wilms' tumor, or nephroblastoma, is the most common renal tumor in children. Arising from the renal
parenchyma of the kidney, this tumor grows very rapidly. It may be unilateral and localized or bilateral and
sometimes involves metastasis to other organs. The tumor mass should not be palpated because of the risk that
the protective capsule will rupture. Excessive manipulation can result in seeding of the tumor and the spread of
cancerous cells. Taking temperatures rectally, turning the child to the right side, and measuring blood pressure in
the right arm are interventions that do not need to be avoided.
A client with multiple sclerosis (MS) has been started on baclofen for muscle spasms. The client calls the primary
health care provider's office 1 week after beginning the medication and tells the nurse that she/he feels
extremely drowsy. What does the nurse most appropriately tell the client?
That she/he will need to be seen by the primary health care provider
That the medication will need to be discontinued
That drowsiness usually diminishes with continued therapy
To stop the medication for 2 days and then resume it at the prescribed dosage - Correct Answer :That
drowsiness usually diminishes with continued therapy
Rationale: Baclofen is a centrally acting skeletal muscle relaxant. Side effects of baclofen include drowsiness,
dizziness, weakness, and nausea. The nurse most appropriately tells the client that drowsiness usually diminishes
with continued therapy. However, the client is told to avoid activities that require alertness until the response to
the medication has been established. Therefore it is not necessary to call the primary health care provider or
discontinue or stop the medication.
Alprazolam is prescribed for a client to treat an anxiety disorder. Which side effect does the nurse warn the client
of?
Headache
Urine retention
Lightheadedness
Increased salivation - Correct Answer :Lightheadedness
P 2
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale: Alprazolam is a benzodiazepine that is used to manage anxiety disorders. Common side effects
include muscle incoordination, lightheadedness, transient mild drowsiness, and slurred speech. The other
options are not side effects of this medication.
The nurse is preparing to administer a tube feeding by way of a nasogastric tube. Which action does the nurse
carry out as a priority before starting the flow of the solution?
Flushing the tube with 30 mL of tap water
Checking urine output in the previous 24 hours
Scrubbing the port with povidone-iodine solution
Checking for gastric residual volume and assessing tube placement - Correct Answer :Checking for gastric
residual volume and assessing tube placement
Rationale: View video. When a client has a nasogastric tube, a priority concern is the risk for aspiration. The nurse
would not administer a feeding or flush the tube unless residual volume and tube placement had been checked.
To check residual volume, the nurse would draw up 30 mL of air in a catheter-tipped syringe, attach it to the
feeding tube, inject the air, and then pull back the plunger to aspirate all of the gastric contents. The gastric
contents are checked for amount and appearance and then the pH is checked for acidity to ensure accurate
placement. It is not necessary to scrub the port with povidone-iodine solution; administering a tube feeding is a
clean, not sterile procedure. Although intake and output may be monitored, it is not necessary to check urine
output for the previous 24 hours before starting a feeding.
A nurse is caring for a client who has had a cast applied to the left leg and is at risk for acute compartment
syndrome. For which early sign of this complication does the nurse monitor the client?
Paresthesia
Cold, bluish toes
Weak pedal pulse
Severe pain relieved by medication - Correct Answer :Paresthesia
Rationale: Sensory deficits such as paresthesia abnormal dermal sensation (e.g., a tingling, pricking, chilling,
burning, or numb sensation on the skin) with no apparent physical cause generally appear as an early sign of
acute compartment syndrome before changes in vascular or motor signs. Acute compartment syndrome is a
P 3
, • NSG 4800 COMPS 09/08/2026
Exam
serious condition in which increased pressure within one or more compartments causes massive compromise of
circulation to the area. Resultant edema causes pressure on the nerve endings and subsequent pain. The client
will also complain of severe diffuse pain that is not relieved by analgesics.
A primary health care provider writes a prescription for 1000 mL of 0.9% normal saline solution to be
administered intravenously (IV) to a client over 10 hours. The drop factor for the infusion set is 15 gtt/mL. At what
drip rate does the nurse set the infusion? Type answer in the box provided. _______________ gtt/min - Correct
Answer :25
A nurse is performing an assessment of a client being admitted to the hospital with a diagnosis of multiple
sclerosis (MS). The client tells the nurse that she took baclofen for the past 9 months but completely stopped
the medication 2 days ago because it was making her feel weak. On the basis of this information, the nurse notes
in the plan of care what should be monitored most closely in the client?
Spasticity
Drowsiness
Muscle spasms
Seizure activity - Correct Answer :Seizure activity
Rationale: The nurse should most closely monitor the client for seizure activity. Abrupt withdrawal of baclofen
may produce hallucinations or seizures. Baclofen is a skeletal muscle relaxant, acting at the level of the spinal
cord to reduce the frequency and amplitude of muscle spasms and spasticity in clients with spinal cord injuries
and diseases, as well as multiple sclerosis. Drowsiness may occur as a result of taking the medication but
diminishes with continued therapy.
A nurse is caring for a client who is immobilized in skeletal traction after sustaining a leg fracture in a motor
vehicle crash. The nurse notes that the client is restless, and the client complains of being bored. Which problem
does the nurse identify on the basis of this information?
Lack of control
Lack of physical mobility
Lack of adequate diversional activity
Lack of energy to bathe and feed self - Correct Answer :Lack of adequate diversional activity
P 4
