NSG 4800 Exam Questions and 100% Correct Answers 2026/2027 Latest–
Galen College Of Nursing
1. A client is receiving a unit of packed red blood cells (PRBC). The client experiences tingling in the fingers and
headache. What is the nurse’s priority action?
a. Call the physician
b. Stop the transfusion
c. Slow the infusion rate
d. Assess the IV site for infiltration
2. A client is ordered to receive morphine via patient-controlled analgesia (PCA). Before beginning administration
of this medication, what is the priority assessment?
a. Temperature
b. Neurological status
c. Respirations
d. Urinary output
3. A 58-year-old adult client presents to the Emergency Department with a nosebleed. After applying pressure,
which of the following is the priority nursing action?
a. Collect a medication history
b. Check the blood pressure
c. Instruct not to pick the nose
d. Check the pulse
4. A client had a liver biopsy performed. The nursing action of highest priority to prevent postprocedure
hemorrhage would be to place the client:
a. Supine and flat in bed
b. In a sitting position
c. On the right side
d. On the left side
5. A nurse receives reports on the following clients. Which client is the highest priority to see?
a. 25-year-old male client with a hemoglobin of 15.9
b. 56-year-old female client on warfarin with an INR of 7.5
c. 38-year-old female client with a serum calcium level of 9.4
d. 45-year-old male client with a BUN of 20 and creatinine of 1.1
6. A client is determined to be having an impending anaphylactic reaction secondary to a drug hypersensitivity.
Which of the following is the nurse’s priority action?
a. Administer oxygen
b. Insert an IV catheter
c. Take the vital signs
d. Obtain an arterial blood gas analysis
7. A client’s chest tube has accidentally dislodged. What is the nursing action of highest priority?
a. Lay the client down on the left side.
b. Lay the client down on the right side.
NSG 4800 Exam
, c. Apply a petroleum gauze dressing over the site.
d. Prepare to reinsert a new chest tube.
8. A client who had a cardiac catheterization through the femoral artery is found to have a large amount of blood
under his buttocks. After donning gloves, which action should the nurse take first?
a. Apply pressure to the site.
b. Obtain vital signs.
c. Change the client’s gown and bed linens.
d. Assess the catheterization site.
9. A nurse observes a colleague preparing a medication for IV bolus administration. Which medication being
prepared should prompt the nurse to immediately intervene?
a. Saline flush
b. Potassium chloride
c. Naloxone (Narcan)
d. Adenosine (Adenocard)
10. During an admission assessment the nurse discovers a stage I pressure ulcer on a client. Which of the following
actions should the nurse implement immediately?
a. Turning and repositioning the client every 2 hours
b. Covering with an occlusive transparent dressing
c. Cleaning with hydrogen peroxide and leaving it open to the air
d. Providing the client with a diet high in vitamin C, zinc, and protein
11. A nurse is caring for a client with pneumonia. Which of the following interventions is the highest priority?
a. Increase fluid intake
b. Employ breathing exercises and controlled coughing
c. Ambulate as much as possible
d. Maintain an NPO status
12. A nurse is preparing to administer an IV infusion of magnesium sulfate. What priority assessment should be
made prior to infusion of this medication?
a. Respirations
b. Blood pressure
c. Temperature
d. Deep tendon reflexes
13. A 23-year-old male client is admitted to a psychiatric emergency unit after having been picked up by the police.
He was walking around a residential neighborhood at night without shoes in the snow. The client appears
confused and disoriented. What nursing action is of highest priority?
a. Assess and stabilize his physical needs
b. Assess and stabilize his psychiatric needs
c. Arrange for admission to a medical unit
d. Attempt to contact a family member to obtain an accurate history
NSG 4800 Exam
Galen College Of Nursing
1. A client is receiving a unit of packed red blood cells (PRBC). The client experiences tingling in the fingers and
headache. What is the nurse’s priority action?
a. Call the physician
b. Stop the transfusion
c. Slow the infusion rate
d. Assess the IV site for infiltration
2. A client is ordered to receive morphine via patient-controlled analgesia (PCA). Before beginning administration
of this medication, what is the priority assessment?
a. Temperature
b. Neurological status
c. Respirations
d. Urinary output
3. A 58-year-old adult client presents to the Emergency Department with a nosebleed. After applying pressure,
which of the following is the priority nursing action?
a. Collect a medication history
b. Check the blood pressure
c. Instruct not to pick the nose
d. Check the pulse
4. A client had a liver biopsy performed. The nursing action of highest priority to prevent postprocedure
hemorrhage would be to place the client:
a. Supine and flat in bed
b. In a sitting position
c. On the right side
d. On the left side
5. A nurse receives reports on the following clients. Which client is the highest priority to see?
a. 25-year-old male client with a hemoglobin of 15.9
b. 56-year-old female client on warfarin with an INR of 7.5
c. 38-year-old female client with a serum calcium level of 9.4
d. 45-year-old male client with a BUN of 20 and creatinine of 1.1
6. A client is determined to be having an impending anaphylactic reaction secondary to a drug hypersensitivity.
Which of the following is the nurse’s priority action?
a. Administer oxygen
b. Insert an IV catheter
c. Take the vital signs
d. Obtain an arterial blood gas analysis
7. A client’s chest tube has accidentally dislodged. What is the nursing action of highest priority?
a. Lay the client down on the left side.
b. Lay the client down on the right side.
NSG 4800 Exam
, c. Apply a petroleum gauze dressing over the site.
d. Prepare to reinsert a new chest tube.
8. A client who had a cardiac catheterization through the femoral artery is found to have a large amount of blood
under his buttocks. After donning gloves, which action should the nurse take first?
a. Apply pressure to the site.
b. Obtain vital signs.
c. Change the client’s gown and bed linens.
d. Assess the catheterization site.
9. A nurse observes a colleague preparing a medication for IV bolus administration. Which medication being
prepared should prompt the nurse to immediately intervene?
a. Saline flush
b. Potassium chloride
c. Naloxone (Narcan)
d. Adenosine (Adenocard)
10. During an admission assessment the nurse discovers a stage I pressure ulcer on a client. Which of the following
actions should the nurse implement immediately?
a. Turning and repositioning the client every 2 hours
b. Covering with an occlusive transparent dressing
c. Cleaning with hydrogen peroxide and leaving it open to the air
d. Providing the client with a diet high in vitamin C, zinc, and protein
11. A nurse is caring for a client with pneumonia. Which of the following interventions is the highest priority?
a. Increase fluid intake
b. Employ breathing exercises and controlled coughing
c. Ambulate as much as possible
d. Maintain an NPO status
12. A nurse is preparing to administer an IV infusion of magnesium sulfate. What priority assessment should be
made prior to infusion of this medication?
a. Respirations
b. Blood pressure
c. Temperature
d. Deep tendon reflexes
13. A 23-year-old male client is admitted to a psychiatric emergency unit after having been picked up by the police.
He was walking around a residential neighborhood at night without shoes in the snow. The client appears
confused and disoriented. What nursing action is of highest priority?
a. Assess and stabilize his physical needs
b. Assess and stabilize his psychiatric needs
c. Arrange for admission to a medical unit
d. Attempt to contact a family member to obtain an accurate history
NSG 4800 Exam
