NSG 3800 All Exams Binder 2026 – Galen College of
Nursing (U.S.) | Complete Course Review & Verified
Answers | Comprehensive Nursing Assessment Guide
Q001: A 68-year-old post-operative client with a history of COPD and coronary artery
disease is receiving morphine via PCA pump. His respiratory rate drops to 6 breaths/min,
and he is difficult to arouse. Which immediate intervention should the nurse implement?
Options:
A. Stop the PCA pump, call the provider, and prepare naloxone - CORRECT
B. Decrease the morphine dose by 50 % and continue monitoring
C. Apply oxygen via nasal cannula at 2 L/min and encourage deep breathing
D. Turn off the PCA pump and administer a sedative to prevent agitation
(Correct Answer: A)
Q002: A 34-year-old woman at 38 weeks gestation presents with severe headache,
blurred vision, and proteinuria of 3+. Her blood pressure is 160/110 mm Hg. Which
action is most appropriate for the nurse?
Options:
A. Encourage bed rest and recheck BP in 1 hour
B. Start magnesium sulfate and prepare for possible delivery - CORRECT
C. Administer oral labetalol and discharge home
D. Obtain a urine culture and start antibiotics
(Correct Answer: B)
Q003: A 5-year-old child with leukemia is receiving chemotherapy. His absolute
neutrophil count is 450 cells/mm³. He develops a fever of 38.5 °C. Which nursing action
is priority?
Options:
A. Give acetaminophen and encourage fluids
B. Begin broad-spectrum antibiotics after blood cultures - CORRECT
C. Apply cooling blankets and monitor q4h
D. Notify the provider in the morning
(Correct Answer: B)
,Q004: A 56-year-old client with schizophrenia refuses oral antipsychotic medication,
stating, “The FBI planted a chip in those pills.” Which therapeutic response by the nurse
is most appropriate?
Options:
A. “That’s not true; you need this medication to get better.”
B. “I understand you’re frightened. Let’s talk about your concerns.” - CORRECT
C. “If you don’t take it, you’ll be restrained.”
D. “I’ll mix it in your food so you won’t notice.”
(Correct Answer: B)
Q005: A 42-year-old man with diabetes reports numbness and tingling in his feet. His
HbA1c is 10.2%. Which education should the nurse provide?
Options:
A. “This is temporary and will improve with better hydration.”
B. “Tight glycemic control can slow progression of neuropathy.” - CORRECT
C. “Increase your insulin only when you feel symptoms.”
D. “Take vitamin B12 to reverse the damage.”
(Correct Answer: B)
Q006: A 30-hour-old newborn’s bilirubin level is 18 mg/dL and rising. The infant is
breast-feeding well but appears jaundiced. Which intervention is most appropriate?
Options:
A. Encourage more frequent breastfeeding
B. Begin phototherapy - CORRECT
C. Prepare for exchange transfusion immediately
D. Discharge home with outpatient follow-up
(Correct Answer: B)
Q007: A client in the ICU with ARDS has a PaO2/FiO2 ratio of 120. Which ventilator
strategy should the nurse anticipate?
Options:
A. High tidal volume (12 mL/kg) to recruit alveoli
B. Low tidal volume (6 mL/kg) and PEEP titration - CORRECT
C. Pressure support ventilation with high FiO2
D. Extubation to high-flow nasal cannula
(Correct Answer: B)
,Q008: A 78-year-old client with heart failure is receiving digoxin and furosemide. He
reports nausea, yellow vision, and muscle weakness. His serum potassium is 2.8 mEq/L.
Which action is priority?
Options:
A. Administer potassium supplements and hold digoxin - CORRECT
B. Increase furosemide dose
C. Give antiemetic and continue digoxin
D. Obtain an ECG and discharge home
(Correct Answer: A)
Q009: A 16-year-old girl is admitted after a suicide attempt by overdose. She is now
medically stable but states, “I still want to die.” Which nursing diagnosis is priority?
Options:
A. Risk for suicide - CORRECT
B. Impaired social interaction
C. Ineffective coping
D. Anxiety
(Correct Answer: A)
Q010: A postpartum client on magnesium sulfate for preeclampsia has absent deep
tendon reflexes and respiratory rate of 10 breaths/min. Which medication should the
nurse prepare?
Options:
A. Calcium gluconate - CORRECT
B. Potassium chloride
C. Sodium bicarbonate
D. Digoxin immune Fab
(Correct Answer: A)
Q011: A 60-year-old client with COPD is prescribed home oxygen therapy. He asks if he
can smoke while using his concentrator. Which response by the nurse is best?
Options:
A. “Only smoke outside while the concentrator is off.”
B. “No smoking is allowed; oxygen supports combustion.” - CORRECT
C. “Use an extension cord so you can smoke far away.”
D. “Turn the oxygen down to 1 L/min while smoking.”
(Correct Answer: B)
, Q012: A 3-day-postpartum client reports breast pain and redness. Her temperature is 38.7
°C. Which intervention is priority?
Options:
A. Encourage continued breastfeeding and initiate antibiotics - CORRECT
B. Apply cold compresses and stop breastfeeding
C. Give acetaminophen and discharge
D. Order a breast ultrasound and discharge
(Correct Answer: A)
Q013: A client with bipolar disorder on lithium reports polyuria and polydipsia. His
lithium level is 1.4 mEq/L (normal 0.6–1.2). Which action is most appropriate?
Options:
A. Hold the next dose and notify the provider - CORRECT
B. Encourage increased fluid intake
C. Administer the dose as scheduled
D. Switch to valproic acid immediately
(Correct Answer: A)
Q014: A 9-year-old with sickle cell disease presents with severe pain in his left leg and a
temperature of 39 °C. Which intervention is priority?
Options:
A. Start IV fluids and obtain blood cultures - CORRECT
B. Give oral acetaminophen and send home
C. Apply warm compresses and elevate the leg
D. Begin hydroxyurea loading dose
(Correct Answer: A)
Q015: A client with a pulmonary embolism is receiving heparin. His aPTT is 110 seconds
(control 30). Which action should the nurse take?
Options:
A. Stop the infusion and call the provider - CORRECT
B. Continue the infusion and recheck in 6 hours
C. Reduce the rate by 10 % and monitor
D. Switch to warfarin immediately
(Correct Answer: A)
Nursing (U.S.) | Complete Course Review & Verified
Answers | Comprehensive Nursing Assessment Guide
Q001: A 68-year-old post-operative client with a history of COPD and coronary artery
disease is receiving morphine via PCA pump. His respiratory rate drops to 6 breaths/min,
and he is difficult to arouse. Which immediate intervention should the nurse implement?
Options:
A. Stop the PCA pump, call the provider, and prepare naloxone - CORRECT
B. Decrease the morphine dose by 50 % and continue monitoring
C. Apply oxygen via nasal cannula at 2 L/min and encourage deep breathing
D. Turn off the PCA pump and administer a sedative to prevent agitation
(Correct Answer: A)
Q002: A 34-year-old woman at 38 weeks gestation presents with severe headache,
blurred vision, and proteinuria of 3+. Her blood pressure is 160/110 mm Hg. Which
action is most appropriate for the nurse?
Options:
A. Encourage bed rest and recheck BP in 1 hour
B. Start magnesium sulfate and prepare for possible delivery - CORRECT
C. Administer oral labetalol and discharge home
D. Obtain a urine culture and start antibiotics
(Correct Answer: B)
Q003: A 5-year-old child with leukemia is receiving chemotherapy. His absolute
neutrophil count is 450 cells/mm³. He develops a fever of 38.5 °C. Which nursing action
is priority?
Options:
A. Give acetaminophen and encourage fluids
B. Begin broad-spectrum antibiotics after blood cultures - CORRECT
C. Apply cooling blankets and monitor q4h
D. Notify the provider in the morning
(Correct Answer: B)
,Q004: A 56-year-old client with schizophrenia refuses oral antipsychotic medication,
stating, “The FBI planted a chip in those pills.” Which therapeutic response by the nurse
is most appropriate?
Options:
A. “That’s not true; you need this medication to get better.”
B. “I understand you’re frightened. Let’s talk about your concerns.” - CORRECT
C. “If you don’t take it, you’ll be restrained.”
D. “I’ll mix it in your food so you won’t notice.”
(Correct Answer: B)
Q005: A 42-year-old man with diabetes reports numbness and tingling in his feet. His
HbA1c is 10.2%. Which education should the nurse provide?
Options:
A. “This is temporary and will improve with better hydration.”
B. “Tight glycemic control can slow progression of neuropathy.” - CORRECT
C. “Increase your insulin only when you feel symptoms.”
D. “Take vitamin B12 to reverse the damage.”
(Correct Answer: B)
Q006: A 30-hour-old newborn’s bilirubin level is 18 mg/dL and rising. The infant is
breast-feeding well but appears jaundiced. Which intervention is most appropriate?
Options:
A. Encourage more frequent breastfeeding
B. Begin phototherapy - CORRECT
C. Prepare for exchange transfusion immediately
D. Discharge home with outpatient follow-up
(Correct Answer: B)
Q007: A client in the ICU with ARDS has a PaO2/FiO2 ratio of 120. Which ventilator
strategy should the nurse anticipate?
Options:
A. High tidal volume (12 mL/kg) to recruit alveoli
B. Low tidal volume (6 mL/kg) and PEEP titration - CORRECT
C. Pressure support ventilation with high FiO2
D. Extubation to high-flow nasal cannula
(Correct Answer: B)
,Q008: A 78-year-old client with heart failure is receiving digoxin and furosemide. He
reports nausea, yellow vision, and muscle weakness. His serum potassium is 2.8 mEq/L.
Which action is priority?
Options:
A. Administer potassium supplements and hold digoxin - CORRECT
B. Increase furosemide dose
C. Give antiemetic and continue digoxin
D. Obtain an ECG and discharge home
(Correct Answer: A)
Q009: A 16-year-old girl is admitted after a suicide attempt by overdose. She is now
medically stable but states, “I still want to die.” Which nursing diagnosis is priority?
Options:
A. Risk for suicide - CORRECT
B. Impaired social interaction
C. Ineffective coping
D. Anxiety
(Correct Answer: A)
Q010: A postpartum client on magnesium sulfate for preeclampsia has absent deep
tendon reflexes and respiratory rate of 10 breaths/min. Which medication should the
nurse prepare?
Options:
A. Calcium gluconate - CORRECT
B. Potassium chloride
C. Sodium bicarbonate
D. Digoxin immune Fab
(Correct Answer: A)
Q011: A 60-year-old client with COPD is prescribed home oxygen therapy. He asks if he
can smoke while using his concentrator. Which response by the nurse is best?
Options:
A. “Only smoke outside while the concentrator is off.”
B. “No smoking is allowed; oxygen supports combustion.” - CORRECT
C. “Use an extension cord so you can smoke far away.”
D. “Turn the oxygen down to 1 L/min while smoking.”
(Correct Answer: B)
, Q012: A 3-day-postpartum client reports breast pain and redness. Her temperature is 38.7
°C. Which intervention is priority?
Options:
A. Encourage continued breastfeeding and initiate antibiotics - CORRECT
B. Apply cold compresses and stop breastfeeding
C. Give acetaminophen and discharge
D. Order a breast ultrasound and discharge
(Correct Answer: A)
Q013: A client with bipolar disorder on lithium reports polyuria and polydipsia. His
lithium level is 1.4 mEq/L (normal 0.6–1.2). Which action is most appropriate?
Options:
A. Hold the next dose and notify the provider - CORRECT
B. Encourage increased fluid intake
C. Administer the dose as scheduled
D. Switch to valproic acid immediately
(Correct Answer: A)
Q014: A 9-year-old with sickle cell disease presents with severe pain in his left leg and a
temperature of 39 °C. Which intervention is priority?
Options:
A. Start IV fluids and obtain blood cultures - CORRECT
B. Give oral acetaminophen and send home
C. Apply warm compresses and elevate the leg
D. Begin hydroxyurea loading dose
(Correct Answer: A)
Q015: A client with a pulmonary embolism is receiving heparin. His aPTT is 110 seconds
(control 30). Which action should the nurse take?
Options:
A. Stop the infusion and call the provider - CORRECT
B. Continue the infusion and recheck in 6 hours
C. Reduce the rate by 10 % and monitor
D. Switch to warfarin immediately
(Correct Answer: A)
