NUR 282 Advanced Clinical and Transition Nursing Exam 5 2026
|Galen College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting a stable patient with activities of daily living such as ambulation is
within the scope of practice for a UAP. Evaluation, assessment, and teaching require the
clinical judgment of a licensed nurse.
2. In a mass casualty incident, which color tag is assigned to a patient who has a
sucking chest wound and is in respiratory distress?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
Rationale: Red tags are for immediate priority patients who have life-threatening injuries
but can be saved with rapid intervention, such as respiratory distress.
,3. A patient has sustained partial-thickness burns to the entire left arm and the
anterior trunk. Using the Rule of Nines, what is the estimated percentage of
Total Body Surface Area (TBSA) burned?
A. 18%
B. 36%
C. 27%
D. 45%
Answer: C
Rationale: The entire arm is 9% and the anterior trunk is 18%. 9% + 18% = 27%.
4. A nurse is caring for a patient in the resuscitation phase of a major burn.
Which laboratory finding is expected?
A. Metabolic alkalosis
B. Hyponatremia
C. Decreased hematocrit
D. Hyperkalemia
Answer: D
Rationale: During the initial burn phase (resuscitation), potassium is released from
damaged cells into the extracellular fluid, leading to hyperkalemia.
5. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control.
, 6. A patient’s ABG results are pH 7.30, PaCO2 52, and HCO3 24. How should the
nurse interpret these results?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis
Answer: D
Rationale: The low pH (<7.35) indicates acidosis, and the high PaCO2 (>45) indicates a
respiratory cause.
7. What is the primary goal of the ‘triage’ process during a disaster?
A. To provide comprehensive care to the most critically ill first
B. To ensure every patient receives advanced life support
C. To treat patients in the order they arrive at the scene
D. To do the greatest good for the greatest number of people
Answer: D
Rationale: Disaster triage focuses on resource allocation to maximize survival for the
largest group possible.
8. Which medication is considered the first-line treatment for a patient in
Ventricular Fibrillation (VFib) after initial defibrillation fails?
A. Atropine
B. Digoxin
C. Epinephrine
D. Magnesium Sulfate
Answer: C
Rationale: Epinephrine is the primary vasopressor used during ACLS for VFib and
pulseless VTach.
|Galen College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting a stable patient with activities of daily living such as ambulation is
within the scope of practice for a UAP. Evaluation, assessment, and teaching require the
clinical judgment of a licensed nurse.
2. In a mass casualty incident, which color tag is assigned to a patient who has a
sucking chest wound and is in respiratory distress?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
Rationale: Red tags are for immediate priority patients who have life-threatening injuries
but can be saved with rapid intervention, such as respiratory distress.
,3. A patient has sustained partial-thickness burns to the entire left arm and the
anterior trunk. Using the Rule of Nines, what is the estimated percentage of
Total Body Surface Area (TBSA) burned?
A. 18%
B. 36%
C. 27%
D. 45%
Answer: C
Rationale: The entire arm is 9% and the anterior trunk is 18%. 9% + 18% = 27%.
4. A nurse is caring for a patient in the resuscitation phase of a major burn.
Which laboratory finding is expected?
A. Metabolic alkalosis
B. Hyponatremia
C. Decreased hematocrit
D. Hyperkalemia
Answer: D
Rationale: During the initial burn phase (resuscitation), potassium is released from
damaged cells into the extracellular fluid, leading to hyperkalemia.
5. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control.
, 6. A patient’s ABG results are pH 7.30, PaCO2 52, and HCO3 24. How should the
nurse interpret these results?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis
Answer: D
Rationale: The low pH (<7.35) indicates acidosis, and the high PaCO2 (>45) indicates a
respiratory cause.
7. What is the primary goal of the ‘triage’ process during a disaster?
A. To provide comprehensive care to the most critically ill first
B. To ensure every patient receives advanced life support
C. To treat patients in the order they arrive at the scene
D. To do the greatest good for the greatest number of people
Answer: D
Rationale: Disaster triage focuses on resource allocation to maximize survival for the
largest group possible.
8. Which medication is considered the first-line treatment for a patient in
Ventricular Fibrillation (VFib) after initial defibrillation fails?
A. Atropine
B. Digoxin
C. Epinephrine
D. Magnesium Sulfate
Answer: C
Rationale: Epinephrine is the primary vasopressor used during ACLS for VFib and
pulseless VTach.
