NUR 283 COMP 1, 2 & 3 EXAMS (GALEN)
NEWEST 2026 TEST BANK| NUR283
TRANSITION TO REGISTERED NURSING
V1, V2 AND V3 EXAM REVIEWS WITH
COMPLETE ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
The nurse working on a pediatric unit has received the hand-off report and is reviewing
client data and orders. 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 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
Answer: B
Rationale: Infants with pertussis are at high risk for apnea and severe respiratory
compromise. Any child on supplemental O₂ with a respiratory diagnosis is a higher
priority than stable conditions. Early recognition and intervention are essential in
pediatric safety .
Question 2
The nurse is prioritizing patient care after a change-of-shift report. The nurse should
FIRST plan to see the patient who:
,A. Is scheduled for discharge later today and needs final medication teaching
B. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B
Rationale: Difficulty swallowing after an ERCP could indicate a complication such as
esophageal perforation, bleeding, or airway compromise. This airway issue takes priority
according to the ABCs (Airway, Breathing, Circulation) .
Question 3
The nurse working on a medical-surgical unit is delegating tasks to UAP. Which
delegated task would REQUIRE FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time
B. Obtaining a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago
C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for an afternoon surgery
Answer: A
Rationale: Anytime a client is doing something for the first time (e.g., first ambulation
post-procedure), the RN must perform or directly supervise the task. Delegating an
initial assessment or first-time activity to a UAP requires follow-up because the RN
needs to evaluate the client's response and stability .
,Question 4
The nurse working on a medical-surgical unit has just received a handoff report. The
nurse should FIRST plan to assess the client who has:
A. Acute pancreatitis and is reporting the development of pain on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. COPD with SpO₂ of 92% on 2 L oxygen
D. A stage II pressure injury needing a dressing change
Answer: A
Rationale: Pain on deep inspiration in a client with acute pancreatitis could indicate
pleuritis, pneumonia, or pancreatic complications such as a pseudocyst or pleural
effusion. This finding warrants immediate assessment. "Acute" conditions can
deteriorate quickly if not addressed .
Question 5
The nurse preceptor is observing a newly hired nurse care for assigned clients. Which
action by the newly hired nurse indicates CORRECT care?
A. Using a 25-gauge, 5/8-inch needle for a deltoid IM injection
B. Using a 23-gauge, 1-inch needle when administering a medication in the deltoid
muscle
C. Using a 20-gauge, 1½-inch needle for a subcutaneous injection
D. Using an 18-gauge, 1-inch needle for an influenza vaccine
Answer: B
, Rationale: For adults, a 22–25 gauge, 1-inch needle is appropriate for IM injections into
the deltoid, depending on size. This choice reflects safe technique. The other options
misuse needle gauge/length for the route and site .
Question 6
The nurse working on a pediatric unit is caring for the following children admitted in the
past 12 hours. It would be a priority goal for the nurse to initiate an interdisciplinary
conference for the child who:
A. Is 5 years old with diagnosed cystic fibrosis and has been hospitalized 4 times in the
past 2 months
B. Has a newly diagnosed simple fracture of the right arm
C. Has an ear infection awaiting discharge
D. Has mild dehydration from gastroenteritis
Answer: A
Rationale: This child has complex, chronic health needs requiring coordination among
multiple disciplines (respiratory therapy, dietary, social work, pulmonology). Frequent
hospitalizations suggest poor disease management or inadequate home support. An
interdisciplinary conference can address the child's needs holistically .
Question 7
The nurse working in an outpatient care clinic is assessing clients who are waiting to be
seen. Which client should the nurse have the primary health care provider (PHCP) see
FIRST?
NEWEST 2026 TEST BANK| NUR283
TRANSITION TO REGISTERED NURSING
V1, V2 AND V3 EXAM REVIEWS WITH
COMPLETE ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
The nurse working on a pediatric unit has received the hand-off report and is reviewing
client data and orders. 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 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
Answer: B
Rationale: Infants with pertussis are at high risk for apnea and severe respiratory
compromise. Any child on supplemental O₂ with a respiratory diagnosis is a higher
priority than stable conditions. Early recognition and intervention are essential in
pediatric safety .
Question 2
The nurse is prioritizing patient care after a change-of-shift report. The nurse should
FIRST plan to see the patient who:
,A. Is scheduled for discharge later today and needs final medication teaching
B. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B
Rationale: Difficulty swallowing after an ERCP could indicate a complication such as
esophageal perforation, bleeding, or airway compromise. This airway issue takes priority
according to the ABCs (Airway, Breathing, Circulation) .
Question 3
The nurse working on a medical-surgical unit is delegating tasks to UAP. Which
delegated task would REQUIRE FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time
B. Obtaining a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago
C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for an afternoon surgery
Answer: A
Rationale: Anytime a client is doing something for the first time (e.g., first ambulation
post-procedure), the RN must perform or directly supervise the task. Delegating an
initial assessment or first-time activity to a UAP requires follow-up because the RN
needs to evaluate the client's response and stability .
,Question 4
The nurse working on a medical-surgical unit has just received a handoff report. The
nurse should FIRST plan to assess the client who has:
A. Acute pancreatitis and is reporting the development of pain on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. COPD with SpO₂ of 92% on 2 L oxygen
D. A stage II pressure injury needing a dressing change
Answer: A
Rationale: Pain on deep inspiration in a client with acute pancreatitis could indicate
pleuritis, pneumonia, or pancreatic complications such as a pseudocyst or pleural
effusion. This finding warrants immediate assessment. "Acute" conditions can
deteriorate quickly if not addressed .
Question 5
The nurse preceptor is observing a newly hired nurse care for assigned clients. Which
action by the newly hired nurse indicates CORRECT care?
A. Using a 25-gauge, 5/8-inch needle for a deltoid IM injection
B. Using a 23-gauge, 1-inch needle when administering a medication in the deltoid
muscle
C. Using a 20-gauge, 1½-inch needle for a subcutaneous injection
D. Using an 18-gauge, 1-inch needle for an influenza vaccine
Answer: B
, Rationale: For adults, a 22–25 gauge, 1-inch needle is appropriate for IM injections into
the deltoid, depending on size. This choice reflects safe technique. The other options
misuse needle gauge/length for the route and site .
Question 6
The nurse working on a pediatric unit is caring for the following children admitted in the
past 12 hours. It would be a priority goal for the nurse to initiate an interdisciplinary
conference for the child who:
A. Is 5 years old with diagnosed cystic fibrosis and has been hospitalized 4 times in the
past 2 months
B. Has a newly diagnosed simple fracture of the right arm
C. Has an ear infection awaiting discharge
D. Has mild dehydration from gastroenteritis
Answer: A
Rationale: This child has complex, chronic health needs requiring coordination among
multiple disciplines (respiratory therapy, dietary, social work, pulmonology). Frequent
hospitalizations suggest poor disease management or inadequate home support. An
interdisciplinary conference can address the child's needs holistically .
Question 7
The nurse working in an outpatient care clinic is assessing clients who are waiting to be
seen. Which client should the nurse have the primary health care provider (PHCP) see
FIRST?
