NSG 4800 COMP EXAMS REVIEW SUMMARY | 2026 UPDATED | WITH
COMPLETE SOLUTIONS - GALEN.
The nurse has attended a conference on legal and ethical issues in nursing practice. Which of the
following statements by the nurse would indicate a correct understanding of the conference? -
(answer)"A durable power of attorney for health care's (DPAHCs) authority goes into effect once a client
can no longer make decisions."
The nurse is triaging children in a pediatric asthma clinic. The nurse should ask the primary health care
provider (PHCP) to first see the child who is - (answer)12 years old, has mild persistent asthma, and has
been using the prescribed rescue inhaler every two hours without relief.
The nurse is caring for a client who has had a C7 spinal cord injury. The client's blood pressure has
changed from 136/84 mm Hg to 156/96 mm Hg and the client is reporting nasal stuffiness and a severe,
throbbing headache. Which action should the nurse take first?
A. Elevate the head of the client's bed.
B. Auscultate the client's breath sounds.
C. Assess the client's oxygen saturation level.
D. Determine the client's pulse pressure. - (answer)A. Elevate the head of the client's bed.
The nurse is caring for a client who has cirrhosis of the liver with portal hypertension and esophageal
varices. It would be necessary for the nurse to immediately notify the primary health care provider
(PHCP) if a client has
A. passed a black, tarry stool.
B. palms that are warm and erythematous.
C. a musty odor to the breath.
D. an elevated serum ammonia level. - (answer)A. passed a black, tarry stool
, NSG 4800 COMP EXAMS REVIEW SUMMARY | 2026 UPDATED | WITH
COMPLETE SOLUTIONS - GALEN.
The nurse has been made aware of the following client situations. It would be necessary for the nurse to
immediately notify the primary health care provider (PHCP) if a client has - (answer)pericarditis and has
jugular veins that are now visible when the head of the client's bed is at 60 degrees.
The nurse working in an emergency department (ED) is participating in an external disaster drill. The
nurse should first assess the client who is - (answer)20 years old, has a traumatic left below the knee
amputation (BKA), a blood pressure of 70/46 mm Hg, and a pulse rate of 124
The nurse is caring for assigned clients. The nurse should recommend to the primary health care
provider (PHCP) that a referral be initiated to a mental health professional for which of the following
clients? - (answer)39-year-old who has myasthenia gravis, cries frequently, and has developed a
decreased appetite.
The nurse working the emergency department (ED) is assessing a client involved in a motor vehicle
accident
(MVA) and notes a large hematoma on the client's right flank. Which action should the nurse take first?
A. Obtain a urine specimen from the client.
B. Determine the client's vital signs.
C. Palpate the client's bladder.
D. Auscultate the client's bowel sounds. - (answer)B. Determine the client's vital signs.
The nurse is participating in the development of a staff education program about ethical responsibilities
in nursing practice. Which of the following should the nurse include as an ethical dilemma that requires
follow up by a nurse? - (answer)A nurse is preparing to adminsiter a unit of prescribed packed red blood
cells (PRBCs) to a client who is a Jehovah's Witness.
The nurse has provided discharge instructions to a mother who gave birth to a healthy, full-term male.
Which of the following statements by the mother would indicate a correct understanding of the
instructions? - (answer)"I should place my baby on his back to sleep for the first year of life."
COMPLETE SOLUTIONS - GALEN.
The nurse has attended a conference on legal and ethical issues in nursing practice. Which of the
following statements by the nurse would indicate a correct understanding of the conference? -
(answer)"A durable power of attorney for health care's (DPAHCs) authority goes into effect once a client
can no longer make decisions."
The nurse is triaging children in a pediatric asthma clinic. The nurse should ask the primary health care
provider (PHCP) to first see the child who is - (answer)12 years old, has mild persistent asthma, and has
been using the prescribed rescue inhaler every two hours without relief.
The nurse is caring for a client who has had a C7 spinal cord injury. The client's blood pressure has
changed from 136/84 mm Hg to 156/96 mm Hg and the client is reporting nasal stuffiness and a severe,
throbbing headache. Which action should the nurse take first?
A. Elevate the head of the client's bed.
B. Auscultate the client's breath sounds.
C. Assess the client's oxygen saturation level.
D. Determine the client's pulse pressure. - (answer)A. Elevate the head of the client's bed.
The nurse is caring for a client who has cirrhosis of the liver with portal hypertension and esophageal
varices. It would be necessary for the nurse to immediately notify the primary health care provider
(PHCP) if a client has
A. passed a black, tarry stool.
B. palms that are warm and erythematous.
C. a musty odor to the breath.
D. an elevated serum ammonia level. - (answer)A. passed a black, tarry stool
, NSG 4800 COMP EXAMS REVIEW SUMMARY | 2026 UPDATED | WITH
COMPLETE SOLUTIONS - GALEN.
The nurse has been made aware of the following client situations. It would be necessary for the nurse to
immediately notify the primary health care provider (PHCP) if a client has - (answer)pericarditis and has
jugular veins that are now visible when the head of the client's bed is at 60 degrees.
The nurse working in an emergency department (ED) is participating in an external disaster drill. The
nurse should first assess the client who is - (answer)20 years old, has a traumatic left below the knee
amputation (BKA), a blood pressure of 70/46 mm Hg, and a pulse rate of 124
The nurse is caring for assigned clients. The nurse should recommend to the primary health care
provider (PHCP) that a referral be initiated to a mental health professional for which of the following
clients? - (answer)39-year-old who has myasthenia gravis, cries frequently, and has developed a
decreased appetite.
The nurse working the emergency department (ED) is assessing a client involved in a motor vehicle
accident
(MVA) and notes a large hematoma on the client's right flank. Which action should the nurse take first?
A. Obtain a urine specimen from the client.
B. Determine the client's vital signs.
C. Palpate the client's bladder.
D. Auscultate the client's bowel sounds. - (answer)B. Determine the client's vital signs.
The nurse is participating in the development of a staff education program about ethical responsibilities
in nursing practice. Which of the following should the nurse include as an ethical dilemma that requires
follow up by a nurse? - (answer)A nurse is preparing to adminsiter a unit of prescribed packed red blood
cells (PRBCs) to a client who is a Jehovah's Witness.
The nurse has provided discharge instructions to a mother who gave birth to a healthy, full-term male.
Which of the following statements by the mother would indicate a correct understanding of the
instructions? - (answer)"I should place my baby on his back to sleep for the first year of life."
