,NUR283/NUR 283 COMP 2 Exam | RN Transition
Practice | Galen College | Q & A | 2026 Edition (PDF)
**1. The nurse is prioritizing patient care after a change-of-shift report. Which client should the nurse
see FIRST?**
A) A client scheduled for discharge who needs final medication teaching
B) A client who had a knee arthroscopy yesterday and reports pain at 4/10
C) A client who had an ERCP 30 minutes ago and is reporting difficulty swallowing
D) A client who is NPO for an abdominal ultrasound this morning
Correct Answer: C) A client who had an ERCP 30 minutes ago and is reporting difficulty swallowing
Rationale: The ABC framework prioritizes airway compromise above all else. After an ERCP, the gag
reflex may be absent, putting the patient at risk for aspiration. Difficulty swallowing suggests the airway
might be compromised, requiring immediate bedside assessment.
**2. The nurse working on a pediatric unit has received the hand-off report. Which client should the
nurse plan to see FIRST?**
A) A toddler with bronchiolitis on room air and mild wheezing
B) An infant with pertussis who is receiving oxygen via nasal cannula
C) A preschooler with otitis media awaiting discharge
D) A school-age child with a simple fracture in a cast
Correct Answer: B) An infant with pertussis who is receiving oxygen via nasal cannula
Rationale: Infants with pertussis are at high risk for apnea and severe respiratory compromise. Any child
on supplemental oxygen with a respiratory diagnosis is a higher priority than stable conditions. Pertussis
requires droplet precautions to prevent transmission.
**3. A nurse on a medical-surgical unit receives report on four clients. Which client should the nurse
assess FIRST?**
,A) A client with acute pancreatitis reporting pain on deep inspiration
B) A client with COPD with SpO₂ of 93% on 2 L oxygen
C) A client with type 2 diabetes with glucose of 220 mg/dL
D) A client who is postoperative day 1 following a total knee replacement
Correct Answer: A) A client with acute pancreatitis reporting pain on deep inspiration
Rationale: Pain on deep inspiration in a client with pancreatitis may indicate pleuritic irritation,
pneumonia, or pulmonary embolism, which could compromise breathing. While the COPD client has
stable oxygenation and the diabetes client's glucose is elevated but not critical, the pancreatitis client's
symptom suggests a potential respiratory complication requiring immediate assessment.
**4. The nurse is assisting with discharge planning for assigned clients. Which referral is appropriate for
the nurse to make?**
A) A social worker referral for a client who has diabetes mellitus type 2 and neuropathy
B) A physical therapy referral for a client who had a total knee replacement and needs instruction on the
use of a walker
C) An occupational therapy referral for a client who had an amputation and requires long-term IV
antibiotics
D) A speech therapy referral for a client who is scheduled for an outpatient EGD
Correct Answer: B) A physical therapy referral for a client who had a total knee replacement and needs
instruction on the use of a walker
Rationale: PT assists with mobility and ambulation training. OT would be appropriate for activities of
daily living, social work for community resources and support, and speech therapy for swallowing or
communication disorders.
**5. The nurse is caring for a client who develops the rhythm indicated below. Which action should the
nurse take?**
A) Arrange for the client to have a cardiac catheter ablation
B) Prepare to administer amiodarone
, C) Connect the client to a transcutaneous pacemaker
D) Measure the client for jugular vein distention (JVD)
Correct Answer: B) Prepare to administer amiodarone
Rationale: The rhythm is ventricular tachycardia (VT). Amiodarone is first-line for stable VT. Unstable VT
requires immediate synchronized cardioversion, while stable VT is managed with antiarrhythmic
medications such as amiodarone.
**6. The nurse is caring for a teenage client who has chronic streptococcal infections of the throat and is
now reporting swelling around the eyes. Which action is the priority?**
A) Test the urine for glucose and ketones
B) Administer an antihistamine to decrease swelling
C) Inspect for generalized edema
D) Check the blood pressure
Correct Answer: D) Check the blood pressure
Rationale: Swelling around the eyes (periorbital edema) in a client with a history of chronic streptococcal
infections suggests possible post-streptococcal glomerulonephritis, which can lead to hypertension and
renal impairment. Checking blood pressure is the priority to assess for hypertension, a key finding in this
condition.
**7. Which leadership style involves the leader making decisions independently without input from
team members?**
A) Democratic
B) Autocratic
C) Laissez-faire
D) Transformational
Correct Answer: B) Autocratic
Practice | Galen College | Q & A | 2026 Edition (PDF)
**1. The nurse is prioritizing patient care after a change-of-shift report. Which client should the nurse
see FIRST?**
A) A client scheduled for discharge who needs final medication teaching
B) A client who had a knee arthroscopy yesterday and reports pain at 4/10
C) A client who had an ERCP 30 minutes ago and is reporting difficulty swallowing
D) A client who is NPO for an abdominal ultrasound this morning
Correct Answer: C) A client who had an ERCP 30 minutes ago and is reporting difficulty swallowing
Rationale: The ABC framework prioritizes airway compromise above all else. After an ERCP, the gag
reflex may be absent, putting the patient at risk for aspiration. Difficulty swallowing suggests the airway
might be compromised, requiring immediate bedside assessment.
**2. The nurse working on a pediatric unit has received the hand-off report. Which client should the
nurse plan to see FIRST?**
A) A toddler with bronchiolitis on room air and mild wheezing
B) An infant with pertussis who is receiving oxygen via nasal cannula
C) A preschooler with otitis media awaiting discharge
D) A school-age child with a simple fracture in a cast
Correct Answer: B) An infant with pertussis who is receiving oxygen via nasal cannula
Rationale: Infants with pertussis are at high risk for apnea and severe respiratory compromise. Any child
on supplemental oxygen with a respiratory diagnosis is a higher priority than stable conditions. Pertussis
requires droplet precautions to prevent transmission.
**3. A nurse on a medical-surgical unit receives report on four clients. Which client should the nurse
assess FIRST?**
,A) A client with acute pancreatitis reporting pain on deep inspiration
B) A client with COPD with SpO₂ of 93% on 2 L oxygen
C) A client with type 2 diabetes with glucose of 220 mg/dL
D) A client who is postoperative day 1 following a total knee replacement
Correct Answer: A) A client with acute pancreatitis reporting pain on deep inspiration
Rationale: Pain on deep inspiration in a client with pancreatitis may indicate pleuritic irritation,
pneumonia, or pulmonary embolism, which could compromise breathing. While the COPD client has
stable oxygenation and the diabetes client's glucose is elevated but not critical, the pancreatitis client's
symptom suggests a potential respiratory complication requiring immediate assessment.
**4. The nurse is assisting with discharge planning for assigned clients. Which referral is appropriate for
the nurse to make?**
A) A social worker referral for a client who has diabetes mellitus type 2 and neuropathy
B) A physical therapy referral for a client who had a total knee replacement and needs instruction on the
use of a walker
C) An occupational therapy referral for a client who had an amputation and requires long-term IV
antibiotics
D) A speech therapy referral for a client who is scheduled for an outpatient EGD
Correct Answer: B) A physical therapy referral for a client who had a total knee replacement and needs
instruction on the use of a walker
Rationale: PT assists with mobility and ambulation training. OT would be appropriate for activities of
daily living, social work for community resources and support, and speech therapy for swallowing or
communication disorders.
**5. The nurse is caring for a client who develops the rhythm indicated below. Which action should the
nurse take?**
A) Arrange for the client to have a cardiac catheter ablation
B) Prepare to administer amiodarone
, C) Connect the client to a transcutaneous pacemaker
D) Measure the client for jugular vein distention (JVD)
Correct Answer: B) Prepare to administer amiodarone
Rationale: The rhythm is ventricular tachycardia (VT). Amiodarone is first-line for stable VT. Unstable VT
requires immediate synchronized cardioversion, while stable VT is managed with antiarrhythmic
medications such as amiodarone.
**6. The nurse is caring for a teenage client who has chronic streptococcal infections of the throat and is
now reporting swelling around the eyes. Which action is the priority?**
A) Test the urine for glucose and ketones
B) Administer an antihistamine to decrease swelling
C) Inspect for generalized edema
D) Check the blood pressure
Correct Answer: D) Check the blood pressure
Rationale: Swelling around the eyes (periorbital edema) in a client with a history of chronic streptococcal
infections suggests possible post-streptococcal glomerulonephritis, which can lead to hypertension and
renal impairment. Checking blood pressure is the priority to assess for hypertension, a key finding in this
condition.
**7. Which leadership style involves the leader making decisions independently without input from
team members?**
A) Democratic
B) Autocratic
C) Laissez-faire
D) Transformational
Correct Answer: B) Autocratic
