• NSG 4800 COMPS 09/08/2026
Exam
NSG 4800 COMPS Exam 4 – 2026/2027
Complete Edition Questions with Answers for
Guaranteed Pass and First Attempt– (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
An older client is admitted to the hospital with abdominal pain and watery, incontinent diarrhea following a
course of antibiotic therapy for pneumonia. Stool cultures reveal the presence of C. difficile. While planning care,
which nursing goal should the nurse establish as the priority?
A.
Fluid and electrolyte balance is maintained.
B.
Health care-associated infection (HAI) transmission of infectious diarrhea is prevented.
P 1
, • NSG 4800 COMPS 09/08/2026
Exam
C.
Abdominal pain is relieved and perianal skin integrity is maintained.
D.
Normal bowel patterns are reestablished. –
Correct Answer :B
Rationale: A priority goal for the client with infectious diarrhea caused by C. difficile is infection control
precautions and the prevention of health care-associated infection (HAI) transmission. Options A and C are goals
dependent on the return of the client's normal bowel pattern.
A young nurse on the night shift has called medical records to have her own mother's paper chart delivered to
unit. What is the charge nurse's next response?
A.
"If you open that chart, I will have to report you to the manager."
B.
"I hope you are not going to review that chart."
C.
"Is your mother having surgery here tomorrow?"
D.
"What are your plans with your mother's chart?" –
Correct Answer :D
Rationale: Family members have the same right to confidentiality as all other client's receiving care. Asking for
the nurse's plans helps identify the need for the chart. If the nurse plans on reviewing the chart, this is a
teachable moment for the charge nurse to review client confidentiality. Having surgery is secondary to the
concern for confidentiality.
The nurse is obtaining a client's sexual history. Which finding requires additional follow-up regarding the client's
self-image?
P 2
, • NSG 4800 COMPS 09/08/2026
Exam
A.
Sexual intercourse with the spouse occurs four times a week.
B.
The spouse has never seen the client naked.
C.
The client has had surgery for permanent birth control.
D.
A history of a 20-lb weight loss occurred in the past year. –
Correct Answer :B
Rationale: It is usual for spouses to see each other without clothing, so a follow-up question about option B
should provide additional information about the client's self-concept and body image. Options A and C are
choices within the continuum of normal and acceptable sexual needs based on each couple's preferences. Body
image is a perception of one's physical self, and weight gain or loss normally affects one's self-image.
A 77-year-old female client states that she has never been so large around the waist and that she has frequent
periods of constipation. Colon disease has been ruled out with a flexible sigmoidoscopy. Which information
should the nurse provide to this client?
A.
As women age, they often become rounder in the middle because they do not exercise properly.
B.
Further assessment is indicated because loss of abdominal muscle tone and constipation do not occur with
aging.
C.
With age, more fatty tissue develops in the abdomen and decreased intestinal movement can cause
constipation.
D.
Because there is no evidence of a diseased colon, there is no need to worry about abdominal size. –
Correct Answer :C
P 3
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale:With aging, the abdominal muscles weaken as fatty tissue is deposited around the trunk and waist.
Slowing peristalsis also affects the emptying of the colon, resulting in constipation. Option A is not the primary
reason for the changes in body structure. Option B is not indicated because loss of muscle tone and constipation
are age-related changes. Option D dismisses the client's concerns and does not help her understand the changes
that she is experiencing.
The nurse is volunteering at a senior center. Which client will the nurse encourage to meet with the counselor
assigned to the center?
A.
A 68-year-old man who tells the nurse that he is feeling fine and really does not need any help from anyone
B.
A 78-year-old widower who requests to be seen at the mental health clinic for counseling after the recent death
of his wife
C.
An 81-year-old woman who states that she enjoys having her grandchildren visit but is usually glad when they go
home
D.
A 75-year-old woman who wishes her friends were still alive so she could change some of the choices she made
over the years –
Correct Answer :D
Rationale:The older woman who wishes she could change the choices she has made in her lifetime is expressing
despair and is still searching for integrity. The nurse uses Erikson stages of development over the lifespan to
assess an older client's adjustment to aging and plans teaching strategies to assist the client to attain integrity
versus despair. Options A, B, and C are normal developmental tasks of older adults.
An older client who resides in a long-term care facility is hearing impaired. How should the nurse modify
interventions for this client?
A.
Turn off the client's television and speak very loudly.
B.
Communicate in writing whenever it is possible.
P 4
Exam
NSG 4800 COMPS Exam 4 – 2026/2027
Complete Edition Questions with Answers for
Guaranteed Pass and First Attempt– (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
An older client is admitted to the hospital with abdominal pain and watery, incontinent diarrhea following a
course of antibiotic therapy for pneumonia. Stool cultures reveal the presence of C. difficile. While planning care,
which nursing goal should the nurse establish as the priority?
A.
Fluid and electrolyte balance is maintained.
B.
Health care-associated infection (HAI) transmission of infectious diarrhea is prevented.
P 1
, • NSG 4800 COMPS 09/08/2026
Exam
C.
Abdominal pain is relieved and perianal skin integrity is maintained.
D.
Normal bowel patterns are reestablished. –
Correct Answer :B
Rationale: A priority goal for the client with infectious diarrhea caused by C. difficile is infection control
precautions and the prevention of health care-associated infection (HAI) transmission. Options A and C are goals
dependent on the return of the client's normal bowel pattern.
A young nurse on the night shift has called medical records to have her own mother's paper chart delivered to
unit. What is the charge nurse's next response?
A.
"If you open that chart, I will have to report you to the manager."
B.
"I hope you are not going to review that chart."
C.
"Is your mother having surgery here tomorrow?"
D.
"What are your plans with your mother's chart?" –
Correct Answer :D
Rationale: Family members have the same right to confidentiality as all other client's receiving care. Asking for
the nurse's plans helps identify the need for the chart. If the nurse plans on reviewing the chart, this is a
teachable moment for the charge nurse to review client confidentiality. Having surgery is secondary to the
concern for confidentiality.
The nurse is obtaining a client's sexual history. Which finding requires additional follow-up regarding the client's
self-image?
P 2
, • NSG 4800 COMPS 09/08/2026
Exam
A.
Sexual intercourse with the spouse occurs four times a week.
B.
The spouse has never seen the client naked.
C.
The client has had surgery for permanent birth control.
D.
A history of a 20-lb weight loss occurred in the past year. –
Correct Answer :B
Rationale: It is usual for spouses to see each other without clothing, so a follow-up question about option B
should provide additional information about the client's self-concept and body image. Options A and C are
choices within the continuum of normal and acceptable sexual needs based on each couple's preferences. Body
image is a perception of one's physical self, and weight gain or loss normally affects one's self-image.
A 77-year-old female client states that she has never been so large around the waist and that she has frequent
periods of constipation. Colon disease has been ruled out with a flexible sigmoidoscopy. Which information
should the nurse provide to this client?
A.
As women age, they often become rounder in the middle because they do not exercise properly.
B.
Further assessment is indicated because loss of abdominal muscle tone and constipation do not occur with
aging.
C.
With age, more fatty tissue develops in the abdomen and decreased intestinal movement can cause
constipation.
D.
Because there is no evidence of a diseased colon, there is no need to worry about abdominal size. –
Correct Answer :C
P 3
, • NSG 4800 COMPS 09/08/2026
Exam
Rationale:With aging, the abdominal muscles weaken as fatty tissue is deposited around the trunk and waist.
Slowing peristalsis also affects the emptying of the colon, resulting in constipation. Option A is not the primary
reason for the changes in body structure. Option B is not indicated because loss of muscle tone and constipation
are age-related changes. Option D dismisses the client's concerns and does not help her understand the changes
that she is experiencing.
The nurse is volunteering at a senior center. Which client will the nurse encourage to meet with the counselor
assigned to the center?
A.
A 68-year-old man who tells the nurse that he is feeling fine and really does not need any help from anyone
B.
A 78-year-old widower who requests to be seen at the mental health clinic for counseling after the recent death
of his wife
C.
An 81-year-old woman who states that she enjoys having her grandchildren visit but is usually glad when they go
home
D.
A 75-year-old woman who wishes her friends were still alive so she could change some of the choices she made
over the years –
Correct Answer :D
Rationale:The older woman who wishes she could change the choices she has made in her lifetime is expressing
despair and is still searching for integrity. The nurse uses Erikson stages of development over the lifespan to
assess an older client's adjustment to aging and plans teaching strategies to assist the client to attain integrity
versus despair. Options A, B, and C are normal developmental tasks of older adults.
An older client who resides in a long-term care facility is hearing impaired. How should the nurse modify
interventions for this client?
A.
Turn off the client's television and speak very loudly.
B.
Communicate in writing whenever it is possible.
P 4
