2026 New NSG 48001 comps exam 2 latest update
1. The nurse is preparing to administer prescribed medications to the following clients. It is
most important for the nurse to follow up with the PCP for the client who has:
a. A prosthetic mitral valve, an INR of 3.0 and is currently taking a prescribed dose of warfarin.
b. Constipation predominant IBS and has been prescribed loperamide. (Handwritten note: 4
diarrhea)
c. Diabetes mellitus, is scheduled to have a computer tomography scan with IV contrast, and has
been prescribed to withhold metformin.
d. A methicillin-resistant staphylococcus aureus wound infection, an allergy to sulfonamide, and
has been prescribed vancomycin.
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following actions is appropriate for the nurse to take?
a. Limit the amount of medication to 4ml when injecting into the deltoid muscle.
b. Use the deltoid site if the client is an adult who requires 3ml of medication. (Handwritten
note: size needle IM=zilac [?])
c. Draw up an air bubble into the syringe after the medications has been prepared.
d. Hold the skin taut when using the z-track method.
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate
for the nurse to state that men should:
, a. Perform a monthly testicular self-examination immediately after a bath or shower.
b. Begin having a sigmoidoscopy once every 10 years beginning at age 50 (every 5 years once
year are 45).
c. Begin having an annual prostate examination beginning at age 40 (50 years old every 2 years).
d. Be tested annually for sexually transmitted diseases upon becoming sexually active.
(Handwritten note: comp 3)
4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation
implant. Which of the following would require the nurse to intervene?
a. Keeping the door to the client's room closed.
b. Keeping dedicated equipment in the clients until the implant is removed.
c. Wearing a lead shield when providing client care.
d. Placing bed linens in a receptacle kept inside the client's room.
(Handwritten note: comp 3)
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should
clarify the prescription for the client who:
a. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago and is to
receive alteplase intravenously.
b. Has a creatinine level of 2.8 mg/dl and is scheduled to have a cardiac catheterization in the
morning. (Handwritten note: might have seen)
c. Had a myocardial infarction 3 hours ago and is to have troponin levels drawn in 3 hours.
d. Had a permanent pacemaker inserted 6 months ago and is scheduled for a radiography (x-
ray) of the chest.
(Handwritten note: comp 3 - preeclampsia, dim lights in room, prunt szr's)
1. The nurse is preparing to administer prescribed medications to the following clients. It is
most important for the nurse to follow up with the PCP for the client who has:
a. A prosthetic mitral valve, an INR of 3.0 and is currently taking a prescribed dose of warfarin.
b. Constipation predominant IBS and has been prescribed loperamide. (Handwritten note: 4
diarrhea)
c. Diabetes mellitus, is scheduled to have a computer tomography scan with IV contrast, and has
been prescribed to withhold metformin.
d. A methicillin-resistant staphylococcus aureus wound infection, an allergy to sulfonamide, and
has been prescribed vancomycin.
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following actions is appropriate for the nurse to take?
a. Limit the amount of medication to 4ml when injecting into the deltoid muscle.
b. Use the deltoid site if the client is an adult who requires 3ml of medication. (Handwritten
note: size needle IM=zilac [?])
c. Draw up an air bubble into the syringe after the medications has been prepared.
d. Hold the skin taut when using the z-track method.
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate
for the nurse to state that men should:
, a. Perform a monthly testicular self-examination immediately after a bath or shower.
b. Begin having a sigmoidoscopy once every 10 years beginning at age 50 (every 5 years once
year are 45).
c. Begin having an annual prostate examination beginning at age 40 (50 years old every 2 years).
d. Be tested annually for sexually transmitted diseases upon becoming sexually active.
(Handwritten note: comp 3)
4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation
implant. Which of the following would require the nurse to intervene?
a. Keeping the door to the client's room closed.
b. Keeping dedicated equipment in the clients until the implant is removed.
c. Wearing a lead shield when providing client care.
d. Placing bed linens in a receptacle kept inside the client's room.
(Handwritten note: comp 3)
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should
clarify the prescription for the client who:
a. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago and is to
receive alteplase intravenously.
b. Has a creatinine level of 2.8 mg/dl and is scheduled to have a cardiac catheterization in the
morning. (Handwritten note: might have seen)
c. Had a myocardial infarction 3 hours ago and is to have troponin levels drawn in 3 hours.
d. Had a permanent pacemaker inserted 6 months ago and is scheduled for a radiography (x-
ray) of the chest.
(Handwritten note: comp 3 - preeclampsia, dim lights in room, prunt szr's)
