,NUR 283 Exam 1 – Transition to RN Practice – Actual
Questions & Answers (Galen) 100% Guarantee Pass
Question 1: 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. The infant who has a diagnosis of pertussis and 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
Answer: B. The infant who has a diagnosis of pertussis and 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. Early recognition and intervention are essential in
pediatric safety .
Question 2: A nurse working on a medical-surgical unit has just received a handoff
report on the following clients. The nurse should FIRST plan to assess the client who
has:
A. COPD with SpO2 of 91% on 2 L/min oxygen
B. Scheduled for discharge later today needing medication teaching
C. Acute pancreatitis and is reporting the development of pain on deep inspiration
D. NPO for an abdominal ultrasound this morning
Answer: C. Acute pancreatitis and is reporting the development of pain on deep
inspiration.
Rationale: "Acute" pancreatitis with new pain on deep inspiration suggests possible
diaphragmatic irritation or developing complications. The use of "acute" indicates
urgency—if not caught early, the patient could develop sepsis . ABCs (airway/breathing)
take priority.
,Question 3: The nurse working on a medical-surgical unit has been made aware of the
following client situations. The nurse should first plan to assess the client who:
A. Is scheduled for discharge later today and needs final medication teaching
B. Is receiving preparation for a colonoscopy and whose blood pressure was
128/74 mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Is receiving preparation for a colonoscopy and whose blood pressure
was 128/74 mm Hg and is now 106/60 mm Hg.
Rationale: A drop in BP may indicate hypovolemia from bowel prep or other
hemodynamic instability and can quickly progress to shock if not addressed.
Recognizing unstable trends is critical in transition-to-RN practice. The other clients are
more stable and can safely wait .
Question 4: The nurse has received the hand-off report and is assigning tasks to UAP.
Which task should the nurse instruct the UAP to perform first?
A. Assist a client post-hip replacement with first ambulation
B. Obtain a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago and received dextrose IV
C. Change linens for a client who was incontinent of urine
D. Take vital signs on a client scheduled for afternoon surgery
Answer: B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
Rationale: Rechecking blood glucose after treatment of hypoglycemia is time-
sensitive and determines if treatment was effective. Delegating this stable but urgent
reassessment to UAP is appropriate. The other tasks are important but less emergent .
Question 5: The nurse is prioritizing patient care after a change of shift report. The
nurse should first plan to see the patient who:
, A. Has a headache rated 3/10
B. Had an endoscopic retrograde cholangiopancreatography (ERCP) 30 minutes
ago and is reporting difficulty swallowing
C. Is waiting for morning medication
D. Is requesting the television remote
Answer: B. Had an endoscopic retrograde cholangiopancreatography (ERCP) 30
minutes ago and is reporting difficulty swallowing.
Rationale: Difficulty swallowing = ABCs first (airway compromise). ERCP involves throat
anesthesia/endoscopy; swallowing difficulty may indicate edema, bleeding, or
perforation .
Question 6: The nurse working on the mom/baby unit has become aware of the
following client situations. Which client should the nurse INITIALLY assess?
A. A neonate who is 2 hours old with a heart rate of 140 BPM
B. A postpartum mother requesting pain medication
C. A neonate who is 4 hours old, whose resting heart rate is 95 BPM
D. A mother who needs assistance with breastfeeding
Answer: C. A neonate who is 4 hours old, whose resting heart rate is 95 BPM.
Rationale: Normal heart rate for a newborn is 120-140 BPM. 95 BPM is significantly
low (bradycardia) and may indicate hypoxia, hypoglycemia, or other serious conditions .
Question 7: The nurse working in an outpatient care clinic is assessing clients who are
waiting. Which client should the nurse have the primary health care provider (PHCP)
see first?
A. A 28-year-old with a sprained ankle and mild swelling
B. A 45-year-old who has pleurisy and is reporting worsening shortness of breath
C. A 32-year-old with seasonal allergies and nasal congestion
D. A 55-year-old with chronic low-back pain requesting a refill
Answer: B. A 45-year-old who has pleurisy and is reporting worsening shortness of
breath.
Questions & Answers (Galen) 100% Guarantee Pass
Question 1: 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. The infant who has a diagnosis of pertussis and 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
Answer: B. The infant who has a diagnosis of pertussis and 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. Early recognition and intervention are essential in
pediatric safety .
Question 2: A nurse working on a medical-surgical unit has just received a handoff
report on the following clients. The nurse should FIRST plan to assess the client who
has:
A. COPD with SpO2 of 91% on 2 L/min oxygen
B. Scheduled for discharge later today needing medication teaching
C. Acute pancreatitis and is reporting the development of pain on deep inspiration
D. NPO for an abdominal ultrasound this morning
Answer: C. Acute pancreatitis and is reporting the development of pain on deep
inspiration.
Rationale: "Acute" pancreatitis with new pain on deep inspiration suggests possible
diaphragmatic irritation or developing complications. The use of "acute" indicates
urgency—if not caught early, the patient could develop sepsis . ABCs (airway/breathing)
take priority.
,Question 3: The nurse working on a medical-surgical unit has been made aware of the
following client situations. The nurse should first plan to assess the client who:
A. Is scheduled for discharge later today and needs final medication teaching
B. Is receiving preparation for a colonoscopy and whose blood pressure was
128/74 mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Is receiving preparation for a colonoscopy and whose blood pressure
was 128/74 mm Hg and is now 106/60 mm Hg.
Rationale: A drop in BP may indicate hypovolemia from bowel prep or other
hemodynamic instability and can quickly progress to shock if not addressed.
Recognizing unstable trends is critical in transition-to-RN practice. The other clients are
more stable and can safely wait .
Question 4: The nurse has received the hand-off report and is assigning tasks to UAP.
Which task should the nurse instruct the UAP to perform first?
A. Assist a client post-hip replacement with first ambulation
B. Obtain a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago and received dextrose IV
C. Change linens for a client who was incontinent of urine
D. Take vital signs on a client scheduled for afternoon surgery
Answer: B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
Rationale: Rechecking blood glucose after treatment of hypoglycemia is time-
sensitive and determines if treatment was effective. Delegating this stable but urgent
reassessment to UAP is appropriate. The other tasks are important but less emergent .
Question 5: The nurse is prioritizing patient care after a change of shift report. The
nurse should first plan to see the patient who:
, A. Has a headache rated 3/10
B. Had an endoscopic retrograde cholangiopancreatography (ERCP) 30 minutes
ago and is reporting difficulty swallowing
C. Is waiting for morning medication
D. Is requesting the television remote
Answer: B. Had an endoscopic retrograde cholangiopancreatography (ERCP) 30
minutes ago and is reporting difficulty swallowing.
Rationale: Difficulty swallowing = ABCs first (airway compromise). ERCP involves throat
anesthesia/endoscopy; swallowing difficulty may indicate edema, bleeding, or
perforation .
Question 6: The nurse working on the mom/baby unit has become aware of the
following client situations. Which client should the nurse INITIALLY assess?
A. A neonate who is 2 hours old with a heart rate of 140 BPM
B. A postpartum mother requesting pain medication
C. A neonate who is 4 hours old, whose resting heart rate is 95 BPM
D. A mother who needs assistance with breastfeeding
Answer: C. A neonate who is 4 hours old, whose resting heart rate is 95 BPM.
Rationale: Normal heart rate for a newborn is 120-140 BPM. 95 BPM is significantly
low (bradycardia) and may indicate hypoxia, hypoglycemia, or other serious conditions .
Question 7: The nurse working in an outpatient care clinic is assessing clients who are
waiting. Which client should the nurse have the primary health care provider (PHCP)
see first?
A. A 28-year-old with a sprained ankle and mild swelling
B. A 45-year-old who has pleurisy and is reporting worsening shortness of breath
C. A 32-year-old with seasonal allergies and nasal congestion
D. A 55-year-old with chronic low-back pain requesting a refill
Answer: B. A 45-year-old who has pleurisy and is reporting worsening shortness of
breath.
