NUR 283
COMP 1 EXAM
(Transition to Registered Nursing Practice)
Actual 50 Questions & Answers w/Rationales
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. A nurse is caring for a client after lumbar surgery. Which nursing intervention is most
important in the immediate postoperative period?
Select the correct answer:
A. Encourage the client to ambulate without assistance
B. Provide pain control and monitor neurologic status
C. Keep the client in high Fowler’s position at all times
D. Restrict all fluid intake
Correct Answer:
B. Provide pain control and monitor neurologic status
Expert Rationale:
After lumbar surgery, the nurse should monitor pain, neurologic function, sensation, movement,
and signs of complications such as cerebrospinal fluid leakage or increased intracranial pressure.
2. A client who is postoperative from lumbar surgery reports a severe headache, and the
nurse notices clear drainage from the incision. What should the nurse do first?
Select the correct answer:
A. Place the client flat and assess the drainage
B. Encourage the client to sit upright
C. Remove the dressing completely
D. Ambulate the client immediately
Correct Answer:
A. Place the client flat and assess the drainage
Expert Rationale:
A severe headache with clear drainage after spinal surgery may indicate a cerebrospinal fluid
leak. The nurse should keep the client flat, assess the drainage, and notify the provider.
3. Which complication can occur after a head injury?
Select the correct answer:
,A. Diabetes insipidus
B. Hypothyroidism
C. Appendicitis
D. Otitis media
Correct Answer:
A. Diabetes insipidus
Expert Rationale:
Head injury can affect the pituitary gland or hypothalamus, leading to diabetes insipidus. This
condition causes excessive water loss due to decreased antidiuretic hormone activity.
4. Which finding is expected in a client with diabetes insipidus?
Select the correct answer:
A. Decreased urine output
B. Increased urine output
C. Dark concentrated urine
D. Fluid overload
Correct Answer:
B. Increased urine output
Expert Rationale:
Diabetes insipidus causes excessive urination and intense thirst due to impaired water
reabsorption. The urine is often dilute, and dehydration can occur quickly.
5. Which nursing intervention is appropriate for a client with a concussion?
Select the correct answer:
A. Limit environmental stimuli
B. Encourage loud music
C. Keep bright lights on continuously
D. Encourage frequent visitors
Correct Answer:
A. Limit environmental stimuli
, Expert Rationale:
After a concussion, the brain needs rest. Reducing noise, bright lights, and excessive activity
helps prevent worsening symptoms such as headache, dizziness, or confusion.
6. A client is 8 hours postoperative from colostomy surgery. Which stoma appearance is most
concerning?
Select the correct answer:
A. Moist and pink
B. Red and slightly swollen
C. Flaccid and pale
D. Slightly edematous
Correct Answer:
C. Flaccid and pale
Expert Rationale:
A healthy new stoma should appear pink to red and moist. A pale, dusky, black, or flaccid stoma
may indicate impaired circulation and requires immediate reporting.
7. Which environmental factor can trigger worsening symptoms in a client with multiple
sclerosis?
Select the correct answer:
A. Moderate room temperature
B. Extreme heat or cold
C. Gentle stretching
D. Adequate rest
Correct Answer:
B. Extreme heat or cold
Expert Rationale:
Temperature extremes, especially heat from hot tubs or hot showers, can worsen multiple
sclerosis symptoms. Clients should avoid overheating and maintain a comfortable environment.
8. Which nursing intervention is appropriate for a client with end-stage cirrhosis?
COMP 1 EXAM
(Transition to Registered Nursing Practice)
Actual 50 Questions & Answers w/Rationales
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. A nurse is caring for a client after lumbar surgery. Which nursing intervention is most
important in the immediate postoperative period?
Select the correct answer:
A. Encourage the client to ambulate without assistance
B. Provide pain control and monitor neurologic status
C. Keep the client in high Fowler’s position at all times
D. Restrict all fluid intake
Correct Answer:
B. Provide pain control and monitor neurologic status
Expert Rationale:
After lumbar surgery, the nurse should monitor pain, neurologic function, sensation, movement,
and signs of complications such as cerebrospinal fluid leakage or increased intracranial pressure.
2. A client who is postoperative from lumbar surgery reports a severe headache, and the
nurse notices clear drainage from the incision. What should the nurse do first?
Select the correct answer:
A. Place the client flat and assess the drainage
B. Encourage the client to sit upright
C. Remove the dressing completely
D. Ambulate the client immediately
Correct Answer:
A. Place the client flat and assess the drainage
Expert Rationale:
A severe headache with clear drainage after spinal surgery may indicate a cerebrospinal fluid
leak. The nurse should keep the client flat, assess the drainage, and notify the provider.
3. Which complication can occur after a head injury?
Select the correct answer:
,A. Diabetes insipidus
B. Hypothyroidism
C. Appendicitis
D. Otitis media
Correct Answer:
A. Diabetes insipidus
Expert Rationale:
Head injury can affect the pituitary gland or hypothalamus, leading to diabetes insipidus. This
condition causes excessive water loss due to decreased antidiuretic hormone activity.
4. Which finding is expected in a client with diabetes insipidus?
Select the correct answer:
A. Decreased urine output
B. Increased urine output
C. Dark concentrated urine
D. Fluid overload
Correct Answer:
B. Increased urine output
Expert Rationale:
Diabetes insipidus causes excessive urination and intense thirst due to impaired water
reabsorption. The urine is often dilute, and dehydration can occur quickly.
5. Which nursing intervention is appropriate for a client with a concussion?
Select the correct answer:
A. Limit environmental stimuli
B. Encourage loud music
C. Keep bright lights on continuously
D. Encourage frequent visitors
Correct Answer:
A. Limit environmental stimuli
, Expert Rationale:
After a concussion, the brain needs rest. Reducing noise, bright lights, and excessive activity
helps prevent worsening symptoms such as headache, dizziness, or confusion.
6. A client is 8 hours postoperative from colostomy surgery. Which stoma appearance is most
concerning?
Select the correct answer:
A. Moist and pink
B. Red and slightly swollen
C. Flaccid and pale
D. Slightly edematous
Correct Answer:
C. Flaccid and pale
Expert Rationale:
A healthy new stoma should appear pink to red and moist. A pale, dusky, black, or flaccid stoma
may indicate impaired circulation and requires immediate reporting.
7. Which environmental factor can trigger worsening symptoms in a client with multiple
sclerosis?
Select the correct answer:
A. Moderate room temperature
B. Extreme heat or cold
C. Gentle stretching
D. Adequate rest
Correct Answer:
B. Extreme heat or cold
Expert Rationale:
Temperature extremes, especially heat from hot tubs or hot showers, can worsen multiple
sclerosis symptoms. Clients should avoid overheating and maintain a comfortable environment.
8. Which nursing intervention is appropriate for a client with end-stage cirrhosis?
