NSG 4800/ NSG4800 Comprehensive Exam Review – Professional Nursing Practice 2026/2027 | Galen | Latest Questions & Verified Answers

NSG 4800/ NSG4800 Comprehensive Exam Review – Professional Nursing Practice 2026/2027 | Galen | Latest Questions & Verified Answers The nurse is caring for assigned clients. Which of the following actions is appropriate for the nurse to take? A. Having a client with pertussis wear a surgical mask during transport B. Wearing a respirator mask when caring for a client who has impetigo C. Initiating airborne precautions for a client diagnosed with epiglottitis D. Placing a client who had a stem cell transplant in contact isolation A. Having a client with pertussis wear a surgical mask during transport Pertussis is droplet precautions which requires the patient to wear a mask during transport and requires the nurse to wear gloves, gown, surgical mask and a private room. The other diseases are incorrectly matched to their isolation type. The nurse is caring for a client who is currently prescribed bedrest. Which of the following actions should the nurse take to help prevent the development of a pulmonary embolus? A. Instruct the client to perform leg exercises B. Determine if the client is using the incentive spirometer correctly C. Encourage the client to cough and deep breath D. Elevate the client's legs on a pillow A. Instruct the client to perform leg exercises While other interventions are correct, they are to prevent atelectasis and pressure ulcers. Leg exercises is the only intervention that would help with PE's specifically. The nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse be prepared to implement to decrease the client's ammonia level? A. Restrict the client's intake of fluid B. Administer prescribed Vitamin K C. Administered prescribe diuretics D. Reduce the client's intake of protein D. Reduce the client's intake of protein The byproduct of protein is amino acids, which results in higher levels of ammonia. This is the only intervention that would help decrease the ammonia level. The nurse is caring for a client who is suspected of having bacterial meningitis. Which of the following actions is a priority for the nurse to take? A. Initiate droplet precautions B. Prepare the client for a lumbar puncture C. Administer IV antibiotics D. Obtain a set of blood cultures A. Initiate droplet precautions While all are important interventions, initiating droplet precautions should be the priority. The nurses talking with the parent of a three-year-old child who states, "I am concerned that my child is in constant motion and is unable to sit long enough to listen to a story. I am wondering if my child may be hyperactive?" Which of the following responses is most appropriate for the nurse to make? A. At three years of age, it is hard to tell. B. I am not seeing any signs of hyperactivity. C. Describe when and where this occurs. D. It is normal for parents to worry about hyperactivity in their children. C. Describe when and where this occurs. The nurse has provided dietary teaching to a client who has a history of other sclerosis and a recent laboratory test indicating an increased cholesterol level. Which of the following statements by the client indicates a need for follow up? A. I flavor my fish with lemon juice B. I take omega-3 supplements daily C. I cook my food with canola oil D. I eat two poached eggs for breakfast every morning. D. I eat two poached eggs for breakfast every morning Regardless of preparation, whole eggs are very high in cholesterol and the patient needs further education. Total Cholesterol: 200 LDL: 130 HDL: 45 males, 55 females The nurse working on a medical surgical unit is delegating tasks to unlicensed assistive personnel. Which of the following tasks would require follow up by the charge nurse? A. Assisting a client who had a total hip arthroplasty to transfer from the bed to the chair for the second time since surgery B. Assisting a client who had a paracentesis two hours ago to get out of bed for the first time C. Providing catheter care to a client who has a CAUTI D. Taking the vital signs of a client who has returned from the PACU four hours ago and is reporting pain rated eight on a scale of 1-10 B. Assisting a client who had a paracentesis two hours ago get our of bed for the first time Delegation should never be "first time" interventions. The nurse is caring for a client who has sustained severe burn injuries to the entire right and left legs, and the entire rear torso. Based on the rule of nines, the nurse calculates the estimated percentage of the burned body surface area as: A. 27% B. 45% C. 54% D. 36% C. 54% The nurse is talking with a newly hired nurse about peritoneal dialysis and how to recognize peritonitis. Which signs and symptoms should the nurse include in the discussion? 1. Fever 2. Rebound abdominal tenderness 3. Amber colored urine 4. Nausea and vomiting 5. Cloudy or opaque outflow 6. Diarrhea A. 1,2,4,5 B. 2,3,5,6 C. 1,4,6 D. 4,5,6 A. 1, 2, 4, 5 The nurse is observing the closed chest drainage system of a client who had a thoracotomy 24 hours ago. The nurse notes a slow steady bubbling in the suction control chamber. Which of the following actions should the nurse take? A. Reinforce the dressing at the insertion site B. Check the amount of suction on the control gauge C. Continue to monitor respiratory status D. Assess the tubing connections for any air leaks C. Continue to monitor respiratory status The nurse is preparing to administer prescribed medications to the following clients. The nurse should question the prescription for the client who is receiving the: A. Alpha blocker, terazosin, and is reporting a headache B. Thiazide diuretic, hydrochlorothiazide, and is reporting light cramps C. Calcium Channel Blocker, diltiazem, and has 1+ non pitting edema D. Angiotensin receptor blocker, losartan, and has a blood pressure of 168/94 B. Thiazide diuretic, HCTZ, and is reporting light cramps Main risks of loop diuretics is risk of hyponatremia and hypokalemia. Light cramps indicates an electrolyte imbalance that might be made worse if a HCTZ is administered. The primary healthcare provider has prescribed ampicillin 150 mg PO TID to a toddler who weighs 22 pounds. The drug available is ampicillin suspension 250 mg/5mL. Which action should the nurse take? A. Administer 3 mL by mouth three times a day B. Check for an allergy to sulfa medications C. Determine the toddlers weight in kilograms D. Contact the PHCP for clarification about the prescription A. Administer 3 mL by mouth three times a day Additional: Provider prescribed ampicillin 300 mg/kg TID to toddler weighing 22 lbs and safe dose is 50 mg/kg/day. Which action should the nurse take? Clarify the prescription with the provider. The amount ordered is out of the safe dose range and would need clarification. (This dosing works out that the PHCP ordered 3000mg/dose when the safe dose is 500 mg/day) A nurse working on a pediatric cardiac unit is reviewing the telemetry monitors for assigned clients. Which of the following clients should the nurse initially plan to assess? A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160 B. A five-year-old child who is watching television and has a heart rate of 78 C. A one month old infant who is crying and has a heart rate of 180 D. A 15-year-old adolescent who is sleeping and has a heart rate of 55 A. A two-year-old toddler who is walking in the hallway and has a heart rate of 160 Normal toddler HR: 80-120 The nurse is teaching a client who has pelvic inflammatory disease about self-care. The client does not speak english. Which of the following actions should the nurse take? A. Utilize a translation dictionary found on the unit to conduct the teaching B. Contact the charge nurse to obtain assistance from a facility approved interpreter C. Ask a UAP who speaks the clients language to serve as an interpreter D. Have a family member who speaks both English in the client's language interpret the instructions B. Contact the charge nurse to obtain assistance from a facility approved interpreter The nurse discovers the client was smoking in their bathroom and has dropped a cigarette into the trash can, which is now smoldering. Which of the following actions should the nurse take first? A. Remove the client from the room B. Close the fire doors to the unit C. Have someone obtain a fire extinguisher D. Activate the fire alarm A. Remove the client from the room The nurse caring for a male client who has deep partial thickness and full thickness burns to 45% of the lower body. It is a priority for the nurse to notify the PHCP if the client has a: A. Temperature of 100.2 B. Urinary output of 45 mL for the past two hours C. Pulse ox reading of 91% D. Hematocrit level of 60% B. Urinary output of 45 mL for the past two hours The nurse has instructed a client who regularly menstruates about performing breasts exams at home. Which of the following statements indicates a correct understanding of the teaching? A. I will examine my breasts once a day while in the shower. B. I will perform my BSE on the first day of every month. C. I will perform my BSE 7 days after my period ends. D. I will examine my breasts using the tips of the first 2 fingers. C. I will perform my BSE 7 days after my period ends. The nurse has received the change of shift report on the following assigned clients. The nurse should first see the client who: A. Had a vaginal delivery 24 hours ago and is having dark red lochia B. Had a tubal ligation and is scheduled to be discharged today C. Had a cesarean delivery four hours ago and is reporting incisional pain D. Had preeclampsia and a current blood pressure of 138/90 C. Had a cesarean delivery four hours ago and is reporting incisional pain The nurse working in an assisted living facility is caring for the following clients who have mental health disorders. The nurse should immediately report to the primary healthcare provider the client who is taking: A. Clozapine and having flu-like symptoms B. Aripiprazole and experiencing dizziness when standing up C. Fluphenazine and reporting nausea and vomiting D. Venlafaxine and experiencing daytime drowsiness A. Clozapine and having flu-like symptoms Clozapine is a REMS drug and anti-psychotic. The most common adverse effect, and cause of high monitoring, is the high risk for low WBC. Any s/sx of infection must be reported. The nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? A. Stop taking this medication if you develop headaches B. You can expect some diarrhea during the first week of taking this medication. C. Do not take diphenhydramine with this medication. D. Be sure and take this medication on an empty stomach. C. Do not take diphenhydramine with this medication. Benadryl (diphenhydramine) can increase the sedative/sleepiness effects of baclofen (a muscle relaxer). The nurse is caring for the following assigned clients. The nurse should refer to the: A. Respiratory therapist, the client who has COPD and has developed dysphagia B. Psychiatrist, the client who has terminal cancer and is requesting to complete an advance directive C. Speech therapist, the client who had outpatient surgery and needs an interpreter for discharge instructions D. Occupational therapist, the client who had a stroke and needs instruction on the use of kitchen tools D. Occupational therapist, the client who had a stroke and needs instruction on the use of kitchen tools This is the only provider correctly matched to the service they provider. The nurse working at a well-child clinic is assessing the vital signs of a two year old client. The nurse obtains the following: T: 99.0˚F, P: 126, RR: 26, BP: 100/62. Which of the following actions should the nurse take? A. Immediately notify the healtcare provider B. Ask the parents if they know the child's usual heart rate C. Wait five minutes and recheck the client's blood pressure D. Document the findings in the client's medical record D. Document the findings in the client's medical records Normal toddler vitals: HR: 98-140 RR: 22-37 BP: S: 86-106, D: 42-63 T: 98.6˚F The nurse working in the emergency department is caring for a newly admitted client with a history of peptic ulcer disease. Initial assessment findings include: BP 110/70, P: 96, coffee ground emesis, HgB: 10.8. It is a priority for the nurse to: A. Type and cross for a packed red blood cell transfusion B. Determine if the client has any stressors C. Insert a nasogastric tube D. Administer an intravenous antiemetic C. Insert a nasogastric tube Coffee ground emesis indicates a GI bleed, which the proper intervention is the insertion of a NG tube. The nurse is caring for an older client who had surgery for an intestinal obstruction and has a nasogastric tube to low wall section. Which should the nurse include in the plan of care? 1. Discontinue suction when assessing for peristalsis 2. Encourage the use of an incentive spirometer every two hours while awake 3. Maintain sequential compression devices to bilateral lower extremities 4. Irrigate the NG tube with a sterile normal saline as prescribed 5. Turn and reposition the client every two hours 6. Place a sign at the head of the bed that says "do not manipulate the NG tube" A. 1, 3, 4, 5 B. 2, 3, 5 C. 3, 4, 5, 6 D. 1, 2, 3 A. 1, 3, 4, 5 The nurse is teaching a class on health promotion and illness prevention. Which of the following actions by the nurse is an example of secondary prevention? A. Teaching foot care to a client who has diabetes B. Providing a community program on stress reduction C. Instructing women how to perform monthly breast self examinations D. Referring to a client who recently lost a spouse to a support group C. Instructing women how to perform monthly breast self examinations The nurse has inserted an intravenous catheter for an assigned client. After insertion, the client reports pain in the insertion area. Which of the following actions should the nurse take? A. Apply a warm compress to the insertion area B. Obtain a prescription for a placement of a central venous access device C. Reassess the client's pain in 30 minutes D. Remove the catheter and re-insert in a different location D. Remove the catheter and re-insert in a different location The nurse is developing a plan of care for a newly admitted client how has historionic personality disorder. Which of the following interventions should the nurse place as a priority? A. Utilize assertive behavior to keep the client in control B. Encourage the client to provide input into their treatment plan and goals C. Assist the client with appropriate behavior during group therapy sessions D. Communicate with the client using concrete language C. Assist the client with appropriate behavior during group therapy sessions