,NUR 283 Comp 1–3 Exams – Transition to
RN Practice – Actual Questions &
Answers (Galen) 100% Guarantee Pass
Question 1: The charge nurse is assigning staff to patients on a medical-surgical unit.
Which patient should be assigned to the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis on an insulin drip
B. A patient with pneumonia who is hemodynamically stable and requires scheduled IV
antibiotics
C. A patient post-cardiac arrest requiring frequent neurological assessments
D. A patient with an epidural catheter for post-op pain management
Answer: B. A patient with pneumonia who is hemodynamically stable and requires
scheduled IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and perform
tasks like administering IV antibiotics to stable patients. Unstable patients, those
requiring frequent assessments, or those with complex titratable drips (insulin,
epidurals) require an RN .
Question 2: An RN delegates a UAP to obtain vital signs on a patient who is 24 hours
post-liver biopsy. Which instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient myself afterward."
B. "Get the vitals and let me know what they are when you're done."
C. "Take the vitals; if they are abnormal, retake them in 15 minutes."
D. "You do not need to take vitals on that patient; I will do it myself."
Answer: D. "You do not need to take vitals on that patient; I will do it myself."
Rationale: A patient post-liver biopsy has a high risk of bleeding. The RN must perform
the first set of post-procedure vital signs to establish a baseline and assess for
complications .
,Question 3: The nurse observes a UAP applying restraints to a confused patient who is
pulling at their IV line without an order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing
B. Remove the restraints immediately and assess the patient
C. Sign off on the UAP's actions as a "verbal order"
D. Ignore the situation to avoid conflict with the UAP
Answer: B. Remove the restraints immediately and assess the patient
Rationale: A UAP cannot apply restraints independently; this requires an RN assessment
and a provider's order. The nurse must prioritize patient safety by removing the
restraints immediately. This is also a form of false imprisonment .
Question 4: When delegating tasks to a float RN from a postpartum unit who is
assigned to the medical-surgical unit for the day, the charge nurse should:
A. Assign the float RN the most complex, unstable patient to challenge their skills
B. Assign the float RN stable patients with predictable outcomes, similar to an LPN
assignment
C. Ask the float RN to complete all admission assessments for new patients
D. Have the float RN hang blood products for a patient with active gastrointestinal
bleeding
Answer: B. Assign the float RN stable patients with predictable outcomes, similar
to an LPN assignment
Rationale: A float nurse is often unfamiliar with the specific unit's routines and patient
acuity. Treating the assignment as a "LPN-level assignment" (stable patients, no initial
assessments) ensures patient safety while the nurse orients to the unit .
Question 5: A nurse on a busy telemetry unit is the only RN for 6 patients and has one
UAP. Which task is most appropriate to delegate to the UAP?
, A. Emptying a patient's Foley catheter drainage bag and recording the output
B. Assessing a patient who just returned from the cardiac catheterization lab
C. Interpreting a patient's telemetry strip
D. Administering a PRN pain medication to a stable patient
Answer: A. Emptying a patient's Foley catheter drainage bag and recording the
output
Rationale: UAP can perform basic, stable, predictable tasks such as measuring and
recording intake/output. Assessment, interpretation, and medication administration
require RN-level judgment .
Question 6: Which of the following tasks is outside the scope of practice for an
LPN/LVN, even if the LPN feels competent?
A. Administering a tube feeding to a stable patient with a gastrostomy tube
B. Collecting a sputum specimen via tracheal suctioning
C. Performing the initial admission assessment on a new patient
D. Irrigating a Foley catheter to relieve a mucus plug
Answer: C. Performing the initial admission assessment on a new patient
Rationale: The initial nursing admission assessment, which forms the foundation of the
care plan, requires the comprehensive data collection and critical thinking skills of an
RN. LPNs contribute to ongoing assessments but do not perform the initial independent
assessment .
Question 7: Which statement by an RN indicates INCORRECT understanding of
delegation?
A. "I will check the five rights of delegation before assigning a task to the UAP."
B. "Even though the UAP will take the blood pressure, I am accountable for interpreting
the results."
C. "I am going to delegate the re-assessment of my post-op patient's lung sounds to
the UAP."
RN Practice – Actual Questions &
Answers (Galen) 100% Guarantee Pass
Question 1: The charge nurse is assigning staff to patients on a medical-surgical unit.
Which patient should be assigned to the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis on an insulin drip
B. A patient with pneumonia who is hemodynamically stable and requires scheduled IV
antibiotics
C. A patient post-cardiac arrest requiring frequent neurological assessments
D. A patient with an epidural catheter for post-op pain management
Answer: B. A patient with pneumonia who is hemodynamically stable and requires
scheduled IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and perform
tasks like administering IV antibiotics to stable patients. Unstable patients, those
requiring frequent assessments, or those with complex titratable drips (insulin,
epidurals) require an RN .
Question 2: An RN delegates a UAP to obtain vital signs on a patient who is 24 hours
post-liver biopsy. Which instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient myself afterward."
B. "Get the vitals and let me know what they are when you're done."
C. "Take the vitals; if they are abnormal, retake them in 15 minutes."
D. "You do not need to take vitals on that patient; I will do it myself."
Answer: D. "You do not need to take vitals on that patient; I will do it myself."
Rationale: A patient post-liver biopsy has a high risk of bleeding. The RN must perform
the first set of post-procedure vital signs to establish a baseline and assess for
complications .
,Question 3: The nurse observes a UAP applying restraints to a confused patient who is
pulling at their IV line without an order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing
B. Remove the restraints immediately and assess the patient
C. Sign off on the UAP's actions as a "verbal order"
D. Ignore the situation to avoid conflict with the UAP
Answer: B. Remove the restraints immediately and assess the patient
Rationale: A UAP cannot apply restraints independently; this requires an RN assessment
and a provider's order. The nurse must prioritize patient safety by removing the
restraints immediately. This is also a form of false imprisonment .
Question 4: When delegating tasks to a float RN from a postpartum unit who is
assigned to the medical-surgical unit for the day, the charge nurse should:
A. Assign the float RN the most complex, unstable patient to challenge their skills
B. Assign the float RN stable patients with predictable outcomes, similar to an LPN
assignment
C. Ask the float RN to complete all admission assessments for new patients
D. Have the float RN hang blood products for a patient with active gastrointestinal
bleeding
Answer: B. Assign the float RN stable patients with predictable outcomes, similar
to an LPN assignment
Rationale: A float nurse is often unfamiliar with the specific unit's routines and patient
acuity. Treating the assignment as a "LPN-level assignment" (stable patients, no initial
assessments) ensures patient safety while the nurse orients to the unit .
Question 5: A nurse on a busy telemetry unit is the only RN for 6 patients and has one
UAP. Which task is most appropriate to delegate to the UAP?
, A. Emptying a patient's Foley catheter drainage bag and recording the output
B. Assessing a patient who just returned from the cardiac catheterization lab
C. Interpreting a patient's telemetry strip
D. Administering a PRN pain medication to a stable patient
Answer: A. Emptying a patient's Foley catheter drainage bag and recording the
output
Rationale: UAP can perform basic, stable, predictable tasks such as measuring and
recording intake/output. Assessment, interpretation, and medication administration
require RN-level judgment .
Question 6: Which of the following tasks is outside the scope of practice for an
LPN/LVN, even if the LPN feels competent?
A. Administering a tube feeding to a stable patient with a gastrostomy tube
B. Collecting a sputum specimen via tracheal suctioning
C. Performing the initial admission assessment on a new patient
D. Irrigating a Foley catheter to relieve a mucus plug
Answer: C. Performing the initial admission assessment on a new patient
Rationale: The initial nursing admission assessment, which forms the foundation of the
care plan, requires the comprehensive data collection and critical thinking skills of an
RN. LPNs contribute to ongoing assessments but do not perform the initial independent
assessment .
Question 7: Which statement by an RN indicates INCORRECT understanding of
delegation?
A. "I will check the five rights of delegation before assigning a task to the UAP."
B. "Even though the UAP will take the blood pressure, I am accountable for interpreting
the results."
C. "I am going to delegate the re-assessment of my post-op patient's lung sounds to
the UAP."
