NSG 4800 (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemismmonitoringmamclientminmthemimmediatempostpartummperiodmformsignsmofmhemorrhag
e.mWhichmsign,mifmnoted,mwouldmbemanmearlymsignmofmexcessivembloodmloss?
Am.temperaturemofm100.4°Fm(38°C)
B.mAnmincreaseminmthempulsemratemfromm88mtom102mbeats/minute
C.mAmbloodmpressuremchangemfromm130/88mtom124/80mmmmHg
D.mAnmincreaseminmthemrespiratorymratemfromm18mtom22mbreaths/minutem-
mCORRECTmANSWERmB,mDuringmthemfourthmstagemofmlabor,mthemmaternalmbloodmpressure,mpulse,m
andmrespirationmshouldmbemcheckedmeverym15mminutesmduringmthemfirstmhour.mAnmincreasingmpuls
emismanmearlymsignmofmexcessivembloodmlossmbecausemthemheartmpumpsmfastermtomcompensatemform
reducedmbloodmvolume.mAmslightmincreaseminmtemperaturemismnormal.mThembloodmpressuremdecre
asesmasmthembloodmvolumemdiminishes,mbutmamdecreasedmbloodmpressuremwouldmnotmbemthemearli
estmsignmofmhemorrhage.mThemrespiratorymratemismslightlymincreasedmfrommnormal.
Themnurseminmthemambulatorymcaremunitmismprovidingmhomemcareminstructionsmtomamclientmaftermcr
yotherapymformthemtreatmentmofmmalignantmskinmlesions.mWhichmstatementmwouldmbemmostmappr
opriatemformthemnursemtomincludeminmthemhomemcareminstructionsmformthismclient?
"Applymicemtomthemsitemtompreventmswelling."
"Cleanmthemsitemwithmalcoholm3mtimesmdaily."
"Applymamwarm,mdampmwashclothmifmdiscomfortmoccurs."
"Avoidmshoweringmormtakingmbathsmuntilmseenmbymthemhealthmcaremproviderminm1mweek."m-
mCORRECTmANSWERm3,mCryotherapyminvolvesmthemlocalmapplicationmofmliquidmnitrogenmtomthemles
ion;mthismcausesmcellmdeathmandmtissuemdestruction.mTissuemfreezingmismfollowedminm1mtom2mdaysmb
ymhemorrhagicmblistermformation;mtherefore,micemismnotmappliedmtomthemsite.mThemapplicationmofma
mwarm,mdampmwashclothmintermittentlymtomthemsitemwillmprovidemreliefmofmanymdiscomfort.mThemn
urseminstructsmthemclientmtomcleanmthemsitemwithmthemprescribedmsolutionmtompreventmsecondarymi
nfection.mAmtopicalmantibioticmalsommaymbemprescribed.mAlcoholmwouldmcausemirritationmtomthemski
n.mTheremismnomreasonmformthemclientmtomavoidmshoweringmormbathing.
,Themregisteredmnursemismcaringmformthemfollowingmclients.mItmwouldmbemamprioritymformthemnursemto
minitiatemammultidisciplinarymconferencemformthemclientmwhomis
A.12myearsmoldmwithmAutismmwhomismstartingmamnewmschoolmandmrecentlymhadmamURIm(uppermrespi
ratorymtractminfection)
B.39myearsmold,mhasmtypem2mDiabetesmMellitus,mismhomelessmandmhadmamrecentmHemoglobinmA1cm
ofm13%
C.52myearsmold,mwithmMyastheniamGravis,mrecentlymprescribedmMestinonm(pyridostigmine)mandmis
memployedmasmammailmcarrier
D.79myearsmold,mhasmbipolarmandmschizophrenia,mlivesmalonemandmreportsmhearingmnonmthreatenin
gmvoices.m-mCORRECTmANSWERmB
AmclientmwithmuncontrolledmDiabetesmMellitusmwouldmrequiremthemgreatestmnumbermofmdiscipline
sm(multidisciplinary)mtommanagemtheirmcaremi.e.mMedicine,mNursing,mSocialmWork,mNutritionist;mth
emothermchoicesmdomnotmrequiremasmmanymprovidersmofmcaremtommeetmtheirmneeds.
Amclientmismscheduledmtombeginmtherapymwithmcarbamazepine.mThemnursemshouldmassessmthemresu
ltsmofmwhichmtest(s)mbeforemadministeringmthemfirstmdosemofmthismmedicationmtomthemclient?
Livermfunctionmtests
Renalmfunctionmtests
Pancreaticmenzymemstudies
Completembloodmcellmcountm-
mCORRECTmANSWERmD.mCarbamazepinemmaymbemusedmtomtreatmamseizuremdisorder.mItmcanmcauseml
eukopenia,manemia,mthrombocytopenia,mand,mverymrarely,mfatalmaplasticmanemia.mTomreducemthem
riskmofmseriousmhematologicalmeffects,mamcompletembloodmcellmcountmshouldmbemdonembeforemtrea
tmentmandmperiodicallymthereafter.mThismmedicationmshouldmbemavoidedminmclientsmwithmpreexisti
ngmhematologicalmabnormalities.mThemclientmalsomismtoldmtomreportmthemoccurrencemofmfever,msore
mthroat,mpallor,mweakness,minfection,measymbruising,mandmpetechiae.mThemresultsmofmthemremainin
gmtestsmlistedminmthemoptionsmaremnotmassociatedmwithmthemusemofmthismmedication.
Amclientmismadmittedmtomamhospitalmwithmamdiagnosismofmdiabeticmketoacidosism(DKA).mTheminitialmb
loodmglucosemlevelmism950mmg/dLm(54.2mmmol/L).mAmcontinuousmintravenousm(IV)minfusionmofmsho
, rt-
actingminsulinmisminitiated,malongmwithmIVmrehydrationmwithmnormalmsaline.mThemserummglucosemle
velmismnowmdecreasedmtom240mmg/dLm(13.7mmmol/L).mThemnursemwouldmnextmpreparemtomadminis
termwhichmmedication?
Anmampulemofm50%mdextrose
NPHminsulinmsubcutaneously
IVmfluidsmcontainingmdextrose
Phenytoinmformthempreventionmofmseizuresm-
mCORRECTmANSWERmC.mEmergencymmanagementmofmDKAmfocusesmonmcorrectingmfluidmandmelectr
olytemimbalancesmandmnormalizingmthemserummglucosemlevel.mIfmthemcorrectionsmoccurmtoomquickl
y,mseriousmconsequences,mincludingmhypoglycemiamandmcerebralmedema,mcanmoccur.mDuringmman
agementmofmDKA,mwhenmthembloodmglucosemlevelmfallsmtom250mtom300mmg/dLm(14.2mtom17.1mmmo
l/L),mthemIVminfusionmratemismreducedmandmamdextrosemsolutionmismaddedmtommaintainmambloodmglu
cosemlevelmofmaboutm250mmg/dLm(14.2mmmol/L),mormuntilmthemclientmrecoversmfrommketosis.mFiftym
percentmdextrosemismusedmtomtreatmhypoglycemia.mNPHminsulinmismnotmusedmtomtreatmDKA.mPhenyt
oinmismnotmamusualmtreatmentmmeasuremformDKA.
Amclientmismbeingmdischargedmfrommthememergencymdepartmentmaftermanmevaluationmformamconcu
ssion.mThemnursemreinforcesmteachingmregardingmfollow-
upmshouldmthemclientmdevelopmcomplications.mWhichmofmthemfollowingmcomplications,mifmlistedmby
mthemclient,mwouldmrequiremfurtherminstruction?
1.Vomiting
2.Minormheadache
3.Difficultymspeaking
4.Difficultymawakeningm-
mCORRECTmANSWERm2;mallmothersmresponsesmwouldmindicatemIICPmandmneedsmtomgomtomthemER
Thempatientmsustainedmanmopenmfracturemofmthemfemurmfrommanmautomobilemaccident.mThemnurse
mshouldmassessmthemclientmformwhichmtypemofmshock?
A.mcardiogenic
B.mhypovolemic
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemismmonitoringmamclientminmthemimmediatempostpartummperiodmformsignsmofmhemorrhag
e.mWhichmsign,mifmnoted,mwouldmbemanmearlymsignmofmexcessivembloodmloss?
Am.temperaturemofm100.4°Fm(38°C)
B.mAnmincreaseminmthempulsemratemfromm88mtom102mbeats/minute
C.mAmbloodmpressuremchangemfromm130/88mtom124/80mmmmHg
D.mAnmincreaseminmthemrespiratorymratemfromm18mtom22mbreaths/minutem-
mCORRECTmANSWERmB,mDuringmthemfourthmstagemofmlabor,mthemmaternalmbloodmpressure,mpulse,m
andmrespirationmshouldmbemcheckedmeverym15mminutesmduringmthemfirstmhour.mAnmincreasingmpuls
emismanmearlymsignmofmexcessivembloodmlossmbecausemthemheartmpumpsmfastermtomcompensatemform
reducedmbloodmvolume.mAmslightmincreaseminmtemperaturemismnormal.mThembloodmpressuremdecre
asesmasmthembloodmvolumemdiminishes,mbutmamdecreasedmbloodmpressuremwouldmnotmbemthemearli
estmsignmofmhemorrhage.mThemrespiratorymratemismslightlymincreasedmfrommnormal.
Themnurseminmthemambulatorymcaremunitmismprovidingmhomemcareminstructionsmtomamclientmaftermcr
yotherapymformthemtreatmentmofmmalignantmskinmlesions.mWhichmstatementmwouldmbemmostmappr
opriatemformthemnursemtomincludeminmthemhomemcareminstructionsmformthismclient?
"Applymicemtomthemsitemtompreventmswelling."
"Cleanmthemsitemwithmalcoholm3mtimesmdaily."
"Applymamwarm,mdampmwashclothmifmdiscomfortmoccurs."
"Avoidmshoweringmormtakingmbathsmuntilmseenmbymthemhealthmcaremproviderminm1mweek."m-
mCORRECTmANSWERm3,mCryotherapyminvolvesmthemlocalmapplicationmofmliquidmnitrogenmtomthemles
ion;mthismcausesmcellmdeathmandmtissuemdestruction.mTissuemfreezingmismfollowedminm1mtom2mdaysmb
ymhemorrhagicmblistermformation;mtherefore,micemismnotmappliedmtomthemsite.mThemapplicationmofma
mwarm,mdampmwashclothmintermittentlymtomthemsitemwillmprovidemreliefmofmanymdiscomfort.mThemn
urseminstructsmthemclientmtomcleanmthemsitemwithmthemprescribedmsolutionmtompreventmsecondarymi
nfection.mAmtopicalmantibioticmalsommaymbemprescribed.mAlcoholmwouldmcausemirritationmtomthemski
n.mTheremismnomreasonmformthemclientmtomavoidmshoweringmormbathing.
,Themregisteredmnursemismcaringmformthemfollowingmclients.mItmwouldmbemamprioritymformthemnursemto
minitiatemammultidisciplinarymconferencemformthemclientmwhomis
A.12myearsmoldmwithmAutismmwhomismstartingmamnewmschoolmandmrecentlymhadmamURIm(uppermrespi
ratorymtractminfection)
B.39myearsmold,mhasmtypem2mDiabetesmMellitus,mismhomelessmandmhadmamrecentmHemoglobinmA1cm
ofm13%
C.52myearsmold,mwithmMyastheniamGravis,mrecentlymprescribedmMestinonm(pyridostigmine)mandmis
memployedmasmammailmcarrier
D.79myearsmold,mhasmbipolarmandmschizophrenia,mlivesmalonemandmreportsmhearingmnonmthreatenin
gmvoices.m-mCORRECTmANSWERmB
AmclientmwithmuncontrolledmDiabetesmMellitusmwouldmrequiremthemgreatestmnumbermofmdiscipline
sm(multidisciplinary)mtommanagemtheirmcaremi.e.mMedicine,mNursing,mSocialmWork,mNutritionist;mth
emothermchoicesmdomnotmrequiremasmmanymprovidersmofmcaremtommeetmtheirmneeds.
Amclientmismscheduledmtombeginmtherapymwithmcarbamazepine.mThemnursemshouldmassessmthemresu
ltsmofmwhichmtest(s)mbeforemadministeringmthemfirstmdosemofmthismmedicationmtomthemclient?
Livermfunctionmtests
Renalmfunctionmtests
Pancreaticmenzymemstudies
Completembloodmcellmcountm-
mCORRECTmANSWERmD.mCarbamazepinemmaymbemusedmtomtreatmamseizuremdisorder.mItmcanmcauseml
eukopenia,manemia,mthrombocytopenia,mand,mverymrarely,mfatalmaplasticmanemia.mTomreducemthem
riskmofmseriousmhematologicalmeffects,mamcompletembloodmcellmcountmshouldmbemdonembeforemtrea
tmentmandmperiodicallymthereafter.mThismmedicationmshouldmbemavoidedminmclientsmwithmpreexisti
ngmhematologicalmabnormalities.mThemclientmalsomismtoldmtomreportmthemoccurrencemofmfever,msore
mthroat,mpallor,mweakness,minfection,measymbruising,mandmpetechiae.mThemresultsmofmthemremainin
gmtestsmlistedminmthemoptionsmaremnotmassociatedmwithmthemusemofmthismmedication.
Amclientmismadmittedmtomamhospitalmwithmamdiagnosismofmdiabeticmketoacidosism(DKA).mTheminitialmb
loodmglucosemlevelmism950mmg/dLm(54.2mmmol/L).mAmcontinuousmintravenousm(IV)minfusionmofmsho
, rt-
actingminsulinmisminitiated,malongmwithmIVmrehydrationmwithmnormalmsaline.mThemserummglucosemle
velmismnowmdecreasedmtom240mmg/dLm(13.7mmmol/L).mThemnursemwouldmnextmpreparemtomadminis
termwhichmmedication?
Anmampulemofm50%mdextrose
NPHminsulinmsubcutaneously
IVmfluidsmcontainingmdextrose
Phenytoinmformthempreventionmofmseizuresm-
mCORRECTmANSWERmC.mEmergencymmanagementmofmDKAmfocusesmonmcorrectingmfluidmandmelectr
olytemimbalancesmandmnormalizingmthemserummglucosemlevel.mIfmthemcorrectionsmoccurmtoomquickl
y,mseriousmconsequences,mincludingmhypoglycemiamandmcerebralmedema,mcanmoccur.mDuringmman
agementmofmDKA,mwhenmthembloodmglucosemlevelmfallsmtom250mtom300mmg/dLm(14.2mtom17.1mmmo
l/L),mthemIVminfusionmratemismreducedmandmamdextrosemsolutionmismaddedmtommaintainmambloodmglu
cosemlevelmofmaboutm250mmg/dLm(14.2mmmol/L),mormuntilmthemclientmrecoversmfrommketosis.mFiftym
percentmdextrosemismusedmtomtreatmhypoglycemia.mNPHminsulinmismnotmusedmtomtreatmDKA.mPhenyt
oinmismnotmamusualmtreatmentmmeasuremformDKA.
Amclientmismbeingmdischargedmfrommthememergencymdepartmentmaftermanmevaluationmformamconcu
ssion.mThemnursemreinforcesmteachingmregardingmfollow-
upmshouldmthemclientmdevelopmcomplications.mWhichmofmthemfollowingmcomplications,mifmlistedmby
mthemclient,mwouldmrequiremfurtherminstruction?
1.Vomiting
2.Minormheadache
3.Difficultymspeaking
4.Difficultymawakeningm-
mCORRECTmANSWERm2;mallmothersmresponsesmwouldmindicatemIICPmandmneedsmtomgomtomthemER
Thempatientmsustainedmanmopenmfracturemofmthemfemurmfrommanmautomobilemaccident.mThemnurse
mshouldmassessmthemclientmformwhichmtypemofmshock?
A.mcardiogenic
B.mhypovolemic
