NURl 283/l NUR283l Comprehensivel Mockl
Examl V5l –l (Newl 2026/l 2027l Update)l
Transitionl tol Registeredl Nursingl Practice|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Al clientl withl al centrall venousl catheterl (CVC)l reportsl chestl painl andl shortnessl ofl
breath.l Whatl shouldl thel nursel dol first?
A.l Notifyl thel provider
B.l Administerl morphine
C.l Clampl thel catheter
D.l Placel inl leftl sidel Trendelenburgl position
Answer:
D.l Placel inl leftl sidel Trendelenburgl position
Rationale:l Thesel symptomsl mayl indicatel airl embolisml froml thel CVC.l Placingl thel
clientl inl thel leftl laterall Trendelenburgl positionl helpsl trapl airl inl thel rightl atriuml andl
preventl embolization.
QUESTION
Thel nursel isl teachingl al clientl withl gastroesophageall refluxl diseasel (GERD)l aboutl
lifestylel modifications.l Whichl statementl byl thel clientl indicatesl correctl understanding?
A.l "I'lll drinkl milkl beforel bedl tol coatl myl stomach."
B.l "I'lll eatl smaller,l morel frequentl meals."
C.l "I'lll liel flatl afterl eatingl tol helpl digestion."
D.l "I'lll wearl tightl clothingl tol supportl myl abdomen."
,Answer:
B.l "I'lll eatl smaller,l morel frequentl meals."
Rationale:l Smaller,l frequentl mealsl reducel gastricl pressurel andl reflux.l Clientsl shouldl
avoidl lyingl flatl afterl meals,l avoidl tightl clothing,l andl limitl dairyl productsl ifl theyl
worsenl symptoms.
Thel nursel isl caringl forl al clientl withl diabeticl ketoacidosisl (DKA).l Whichl interventionl isl
thel priority?
A.l Administerl IVl insulin
B.l Beginl potassiuml supplementation
C.l Administerl sodiuml bicarbonate
D.l Beginl IVl fluidl resuscitation
Answer:
D.l Beginl IVl fluidl resuscitation
Rationale:l Inl DKA,l severel dehydrationl isl life-threatening.l Fluidl resuscitationl withl
isotonicl salinel isl thel firstl step,l followedl byl insulinl andl electrolytel correction.
QUESTION
Al nursel isl caringl forl al clientl whol hadl al thyroidectomyl 24l hoursl ago.l Whichl findingl
requiresl immediatel attention?
A.l Sorel throat
B.l Hoarsenessl whenl speaking
C.l Tinglingl inl thel fingersl andl aroundl thel mouth
D.l Painl atl thel incisionl site
Answer:
C.l Tinglingl inl thel fingersl andl aroundl thel mouth
Rationale:l Tinglingl mayl indicatel hypocalcemial duel tol accidentall parathyroidl removal.l
Thisl isl al priorityl concernl asl itl canl progressl tol tetanyl orl seizures.
, QUESTION
Al clientl withl chronicl obstructivel pulmonaryl diseasel (COPD)l isl beingl dischargedl home.l
Whichl statementl byl thel clientl indicatesl al needl forl furtherl teaching?
A.l "Il willl usel myl inhalerl beforel activity."
B.l "I'lll restl betweenl tasksl tol conservel energy."
C.l "I'lll drinkl plentyl ofl fluidsl tol thinl secretions."
D.l "I'lll avoidl vaccinationsl tol preventl flare-ups.
Answer:
D.l "I'lll avoidl vaccinationsl tol preventl flare-ups.
Rationale:l Clientsl withl COPDl shouldl receivel influenzal andl pneumococcall vaccinationsl
tol reducel thel riskl ofl respiratoryl infectionsl thatl canl leadl tol exacerbations.
QUESTION
Thel nursel isl caringl forl al clientl withl al newl tracheostomy.l Whichl actionl byl thel nursel
requiresl immediatel correction?
A.l Suctioningl thel tracheostomyl forl 10l seconds
B.l Changingl thel trachl tiesl immediatelyl post-op
C.l Hyperoxygenatingl beforel suctioning
D.l Keepingl anl obturatorl atl thel bedside
Answer:
B.l Changingl thel trachl tiesl immediatelyl post-op
Rationale:l Changingl trachl tiesl tool soonl (especiallyl withinl thel firstl 24-48l hours)l canl
leadl tol accidentall decannulation,l al seriousl complication.
QUESTION
Examl V5l –l (Newl 2026/l 2027l Update)l
Transitionl tol Registeredl Nursingl Practice|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Al clientl withl al centrall venousl catheterl (CVC)l reportsl chestl painl andl shortnessl ofl
breath.l Whatl shouldl thel nursel dol first?
A.l Notifyl thel provider
B.l Administerl morphine
C.l Clampl thel catheter
D.l Placel inl leftl sidel Trendelenburgl position
Answer:
D.l Placel inl leftl sidel Trendelenburgl position
Rationale:l Thesel symptomsl mayl indicatel airl embolisml froml thel CVC.l Placingl thel
clientl inl thel leftl laterall Trendelenburgl positionl helpsl trapl airl inl thel rightl atriuml andl
preventl embolization.
QUESTION
Thel nursel isl teachingl al clientl withl gastroesophageall refluxl diseasel (GERD)l aboutl
lifestylel modifications.l Whichl statementl byl thel clientl indicatesl correctl understanding?
A.l "I'lll drinkl milkl beforel bedl tol coatl myl stomach."
B.l "I'lll eatl smaller,l morel frequentl meals."
C.l "I'lll liel flatl afterl eatingl tol helpl digestion."
D.l "I'lll wearl tightl clothingl tol supportl myl abdomen."
,Answer:
B.l "I'lll eatl smaller,l morel frequentl meals."
Rationale:l Smaller,l frequentl mealsl reducel gastricl pressurel andl reflux.l Clientsl shouldl
avoidl lyingl flatl afterl meals,l avoidl tightl clothing,l andl limitl dairyl productsl ifl theyl
worsenl symptoms.
Thel nursel isl caringl forl al clientl withl diabeticl ketoacidosisl (DKA).l Whichl interventionl isl
thel priority?
A.l Administerl IVl insulin
B.l Beginl potassiuml supplementation
C.l Administerl sodiuml bicarbonate
D.l Beginl IVl fluidl resuscitation
Answer:
D.l Beginl IVl fluidl resuscitation
Rationale:l Inl DKA,l severel dehydrationl isl life-threatening.l Fluidl resuscitationl withl
isotonicl salinel isl thel firstl step,l followedl byl insulinl andl electrolytel correction.
QUESTION
Al nursel isl caringl forl al clientl whol hadl al thyroidectomyl 24l hoursl ago.l Whichl findingl
requiresl immediatel attention?
A.l Sorel throat
B.l Hoarsenessl whenl speaking
C.l Tinglingl inl thel fingersl andl aroundl thel mouth
D.l Painl atl thel incisionl site
Answer:
C.l Tinglingl inl thel fingersl andl aroundl thel mouth
Rationale:l Tinglingl mayl indicatel hypocalcemial duel tol accidentall parathyroidl removal.l
Thisl isl al priorityl concernl asl itl canl progressl tol tetanyl orl seizures.
, QUESTION
Al clientl withl chronicl obstructivel pulmonaryl diseasel (COPD)l isl beingl dischargedl home.l
Whichl statementl byl thel clientl indicatesl al needl forl furtherl teaching?
A.l "Il willl usel myl inhalerl beforel activity."
B.l "I'lll restl betweenl tasksl tol conservel energy."
C.l "I'lll drinkl plentyl ofl fluidsl tol thinl secretions."
D.l "I'lll avoidl vaccinationsl tol preventl flare-ups.
Answer:
D.l "I'lll avoidl vaccinationsl tol preventl flare-ups.
Rationale:l Clientsl withl COPDl shouldl receivel influenzal andl pneumococcall vaccinationsl
tol reducel thel riskl ofl respiratoryl infectionsl thatl canl leadl tol exacerbations.
QUESTION
Thel nursel isl caringl forl al clientl withl al newl tracheostomy.l Whichl actionl byl thel nursel
requiresl immediatel correction?
A.l Suctioningl thel tracheostomyl forl 10l seconds
B.l Changingl thel trachl tiesl immediatelyl post-op
C.l Hyperoxygenatingl beforel suctioning
D.l Keepingl anl obturatorl atl thel bedside
Answer:
B.l Changingl thel trachl tiesl immediatelyl post-op
Rationale:l Changingl trachl tiesl tool soonl (especiallyl withinl thel firstl 24-48l hours)l canl
leadl tol accidentall decannulation,l al seriousl complication.
QUESTION
