Page 1 of 36
NSG 4800 COMPREHENSIVE EXAM 2 - 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NSG
Prepare for the NSG 4800 COMPS Exam 2 with this focused study resource designed to
reinforce comprehensive nursing concepts and essential course material. Use it to
review key topics, strengthen clinical knowledge and decision-making, and identify
areas that may require additional study. This resource provides a structured
supplement to your coursework and can help improve your overall exam readiness. It
is a convenient tool for organizing your preparation and approaching Exam 2 with
greater confidence.
MULTIPLE CHOICE.
SECTION 1: FUNDAMENTALS, SAFETY & INFECTION CONTROL (Questions
1–15)
1. A nurse is preparing to care for a patient with a draining wound. Which
action is the priority before touching the patient?
A. Apply gloves
B. Perform hand hygiene
C. Put on a gown
D. Check the wound dressing
Answer: B
Rationale: Hand hygiene is the single most important intervention to
prevent the spread of infection. Gloves are applied after hand hygiene and
before contact with body fluids. A gown is used if soiling is likely.
Checking the dressing comes after standard precautions are initiated.
2. A patient is at high risk for falls. Which intervention is most
appropriate?
A. Keep the bed in the highest position
B. Apply bilateral wrist restraints
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C. Keep the bed in the lowest position and the call light within reach
D. Restrict all ambulation
Answer: C
Rationale: Keeping the bed low and the call light within reach reduces fall
risk. Restraints are a last resort and require a provider order. Restricting
ambulation can worsen weakness and does not prevent falls.
3. A pressure injury has partial-thickness loss of skin with exposed
dermis. How should the nurse stage this injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
Rationale: Stage 2 pressure injury involves partial-thickness loss of skin
with exposed dermis. Stage 1 is nonblanchable erythema. Stage 3
involves full-thickness loss. Stage 4 involves exposed bone, tendon, or
muscle.
4. The nurse is using sterile technique. Which action breaks sterile
technique?
A. Holding sterile items above waist level
B. Reaching over a sterile field
C. Opening sterile packages away from the body
D. Keeping the sterile field in view at all times
Answer: B
Rationale: Reaching over a sterile field contaminates it. Sterile items
must be kept above waist level, packages opened away from the body,
and the field kept in view.
5. A patient is placed in restraints. How often should the nurse assess the
patient?
A. Every 15 minutes
B. Every 30 minutes
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C. Every 1 hour
D. Every 4 hours
Answer: A
Rationale: Patients in restraints require frequent assessment, typically
every 15 minutes, including circulation, skin integrity, and safety needs.
Release and repositioning are usually done every 2 hours.
6. The nurse is assessing for orthostatic hypotension. Which technique is
correct?
A. Measure blood pressure only while lying
B. Measure blood pressure lying, sitting, and standing
C. Measure blood pressure only while standing
D. Measure blood pressure after exercise
Answer: B
Rationale: Orthostatic hypotension is assessed by measuring blood
pressure and heart rate in lying, sitting, and standing positions. A drop of
≥20 mmHg systolic or ≥10 mmHg diastolic indicates orthostasis.
7. Which link in the chain of infection is the portal of exit?
A. The person who is susceptible
B. The place where the organism lives
C. The route by which the organism leaves the host
D. The way the organism enters a new host
Answer: C
Rationale: The portal of exit is the route by which the infectious agent
leaves the reservoir host. The reservoir is where the organism lives. The
portal of entry is how it enters a new host.
8. A patient has Clostridioides difficile infection. Which action should the
nurse take?
A. Use alcohol-based hand rub only
B. Initiate contact precautions and use soap and water for hand hygiene
C. Initiate airborne precautions
D. Wear a mask only
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Answer: B
Rationale: C. difficile requires contact precautions. Alcohol-based hand
rub does not kill C. diff spores; soap and water is required. Airborne
precautions are not indicated.
9. A nurse collects a blood specimen. When should the specimen be
labeled?
A. Before leaving the patient’s bedside
B. After returning to the laboratory
C. At the end of the shift
D. After the patient is discharged
Answer: A
Rationale: Specimens must be labeled at the bedside immediately after
collection to prevent misidentification. Labeling later increases the risk of
error.
10. Which two identifiers should the nurse use before administering
medication?
A. Room number and bed number
B. Patient name and date of birth
C. Diagnosis and age
D. Physician name and room number
Answer: B
Rationale: The nurse must use at least two patient identifiers, such as
name and date of birth. Room numbers and bed numbers are not
acceptable identifiers.
11. A nurse is using SBAR to communicate with a provider. What does the
“B” stand for?
A. Baseline
B. Background
C. Behavior
D. Blood pressure
NSG 4800 COMPREHENSIVE EXAM 2 - 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NSG
Prepare for the NSG 4800 COMPS Exam 2 with this focused study resource designed to
reinforce comprehensive nursing concepts and essential course material. Use it to
review key topics, strengthen clinical knowledge and decision-making, and identify
areas that may require additional study. This resource provides a structured
supplement to your coursework and can help improve your overall exam readiness. It
is a convenient tool for organizing your preparation and approaching Exam 2 with
greater confidence.
MULTIPLE CHOICE.
SECTION 1: FUNDAMENTALS, SAFETY & INFECTION CONTROL (Questions
1–15)
1. A nurse is preparing to care for a patient with a draining wound. Which
action is the priority before touching the patient?
A. Apply gloves
B. Perform hand hygiene
C. Put on a gown
D. Check the wound dressing
Answer: B
Rationale: Hand hygiene is the single most important intervention to
prevent the spread of infection. Gloves are applied after hand hygiene and
before contact with body fluids. A gown is used if soiling is likely.
Checking the dressing comes after standard precautions are initiated.
2. A patient is at high risk for falls. Which intervention is most
appropriate?
A. Keep the bed in the highest position
B. Apply bilateral wrist restraints
, Page 2 of 36
C. Keep the bed in the lowest position and the call light within reach
D. Restrict all ambulation
Answer: C
Rationale: Keeping the bed low and the call light within reach reduces fall
risk. Restraints are a last resort and require a provider order. Restricting
ambulation can worsen weakness and does not prevent falls.
3. A pressure injury has partial-thickness loss of skin with exposed
dermis. How should the nurse stage this injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
Rationale: Stage 2 pressure injury involves partial-thickness loss of skin
with exposed dermis. Stage 1 is nonblanchable erythema. Stage 3
involves full-thickness loss. Stage 4 involves exposed bone, tendon, or
muscle.
4. The nurse is using sterile technique. Which action breaks sterile
technique?
A. Holding sterile items above waist level
B. Reaching over a sterile field
C. Opening sterile packages away from the body
D. Keeping the sterile field in view at all times
Answer: B
Rationale: Reaching over a sterile field contaminates it. Sterile items
must be kept above waist level, packages opened away from the body,
and the field kept in view.
5. A patient is placed in restraints. How often should the nurse assess the
patient?
A. Every 15 minutes
B. Every 30 minutes
, Page 3 of 36
C. Every 1 hour
D. Every 4 hours
Answer: A
Rationale: Patients in restraints require frequent assessment, typically
every 15 minutes, including circulation, skin integrity, and safety needs.
Release and repositioning are usually done every 2 hours.
6. The nurse is assessing for orthostatic hypotension. Which technique is
correct?
A. Measure blood pressure only while lying
B. Measure blood pressure lying, sitting, and standing
C. Measure blood pressure only while standing
D. Measure blood pressure after exercise
Answer: B
Rationale: Orthostatic hypotension is assessed by measuring blood
pressure and heart rate in lying, sitting, and standing positions. A drop of
≥20 mmHg systolic or ≥10 mmHg diastolic indicates orthostasis.
7. Which link in the chain of infection is the portal of exit?
A. The person who is susceptible
B. The place where the organism lives
C. The route by which the organism leaves the host
D. The way the organism enters a new host
Answer: C
Rationale: The portal of exit is the route by which the infectious agent
leaves the reservoir host. The reservoir is where the organism lives. The
portal of entry is how it enters a new host.
8. A patient has Clostridioides difficile infection. Which action should the
nurse take?
A. Use alcohol-based hand rub only
B. Initiate contact precautions and use soap and water for hand hygiene
C. Initiate airborne precautions
D. Wear a mask only
, Page 4 of 36
Answer: B
Rationale: C. difficile requires contact precautions. Alcohol-based hand
rub does not kill C. diff spores; soap and water is required. Airborne
precautions are not indicated.
9. A nurse collects a blood specimen. When should the specimen be
labeled?
A. Before leaving the patient’s bedside
B. After returning to the laboratory
C. At the end of the shift
D. After the patient is discharged
Answer: A
Rationale: Specimens must be labeled at the bedside immediately after
collection to prevent misidentification. Labeling later increases the risk of
error.
10. Which two identifiers should the nurse use before administering
medication?
A. Room number and bed number
B. Patient name and date of birth
C. Diagnosis and age
D. Physician name and room number
Answer: B
Rationale: The nurse must use at least two patient identifiers, such as
name and date of birth. Room numbers and bed numbers are not
acceptable identifiers.
11. A nurse is using SBAR to communicate with a provider. What does the
“B” stand for?
A. Baseline
B. Background
C. Behavior
D. Blood pressure
