NUR 283 Comp 1–3 Exams – Transition to RN
Practice – (2026/2027) Actual Questions &
ANSWER-s (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: Option B is correct because LPNs can care for stable patients with predictable outcomes and
perform tasks like administering IV antibiotics to stable patients. Option A is incorrect because patients
on insulin drips are unstable and require RN titration. Option C is incorrect because post-cardiac arrest
patients require frequent RN assessments. Option D is incorrect because epidural management requires
RN assessment and monitoring.
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: Option D is correct because 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. Option A is incorrect because the RN should do the initial vitals, not just assess after.
Option B is incorrect because UAP should not be the first to assess a high-risk post-procedure patient.
Option C is incorrect because the RN needs to establish the baseline immediately.
,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: Option B is correct because patient safety is the priority; restraints require a provider's order
and RN assessment, and applying them without an order is false imprisonment. Option A is incorrect
because immediate safety comes before reporting. Option C is incorrect because a UAP cannot apply
restraints independently, and the nurse cannot validate an illegal action. Option D is incorrect because
ignoring unsafe practice is negligent.
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: Option B is correct because a float nurse is often unfamiliar with the specific unit's routines
and patient acuity; assigning stable patients ensures safety. Option A is incorrect because assigning
complex patients to an unfamiliar nurse is unsafe. Option C is incorrect because admission assessments
require unit-specific knowledge. Option D is incorrect because hanging blood products requires specific
unit protocols and RN competency on that 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. Assess a patient reporting new chest pain
B. Obtain a stool specimen from a patient with a GI bleed
C. Teach a patient about a new low-sodium diet
D. Evaluate the effectiveness of pain medication
ANSWER✔✨-: B. Obtain a stool specimen from a patient with a GI bleed (Note: While GI bleed is
serious, collecting a specimen is a standard UAP task, whereas A, C, and D are strictly RN tasks.
, Correction for safety: A better UAP task would be "Assist a stable patient with ambulation" or "Obtain
vital signs on a stable patient post-procedure after RN baseline is set". Let's use: Obtain vital signs on a
patient who is 2 days post-op and stable.)
ANSWER✔✨-: Obtain vital signs on a patient who is 2 days post-op and stable.
Rationale: Option B (Vital signs on stable patient) is correct because UAP can perform routine data
collection on stable patients. Option A is incorrect because chest pain requires immediate RN
assessment. Option C is incorrect because teaching is an RN responsibility. Option D is incorrect because
evaluation is an RN responsibility.
Question 6: The RN is caring for a patient with heart failure. Which task is appropriate to delegate to the
LPN?
A. Administer IV furosemide push
B. Assess lung sounds for crackles
C. Administer oral metoprolol
D. Develop a discharge teaching plan
ANSWER✔✨-: C. Administer oral metoprolol
Rationale: Option C is correct because LPNs can administer oral medications to stable patients. Option A
is incorrect because IV push medications are typically an RN responsibility (scope varies by state, but
generally RN for push). Option B is incorrect because assessment is an RN duty. Option D is incorrect
because discharge teaching is an RN duty.
Question 7: Which patient should the RN assess first?
A. A patient with diabetes requesting insulin for a blood glucose of 250 mg/dL
B. A patient with asthma reporting shortness of breath and wheezing
C. A patient with a fracture reporting pain at 4/10
D. A patient with hypertension requesting a snack
ANSWER✔✨-: B. A patient with asthma reporting shortness of breath and wheezing
Rationale: Option B is correct because airway and breathing (ABCs) are the highest priority. Option A is
incorrect because 250 mg/dL is high but not immediately life-threatening compared to respiratory
distress. Option C is incorrect because pain at 4/10 is moderate and not the priority over breathing.
Option D is incorrect because a snack request is low priority.
Question 8: The charge nurse is making assignments. Which patient is most appropriate for a new
graduate RN?
A. A patient with a complex wound requiring negative pressure therapy
B. A patient who is 1 day post-op appendectomy with stable vitals
Practice – (2026/2027) Actual Questions &
ANSWER-s (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: Option B is correct because LPNs can care for stable patients with predictable outcomes and
perform tasks like administering IV antibiotics to stable patients. Option A is incorrect because patients
on insulin drips are unstable and require RN titration. Option C is incorrect because post-cardiac arrest
patients require frequent RN assessments. Option D is incorrect because epidural management requires
RN assessment and monitoring.
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: Option D is correct because 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. Option A is incorrect because the RN should do the initial vitals, not just assess after.
Option B is incorrect because UAP should not be the first to assess a high-risk post-procedure patient.
Option C is incorrect because the RN needs to establish the baseline immediately.
,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: Option B is correct because patient safety is the priority; restraints require a provider's order
and RN assessment, and applying them without an order is false imprisonment. Option A is incorrect
because immediate safety comes before reporting. Option C is incorrect because a UAP cannot apply
restraints independently, and the nurse cannot validate an illegal action. Option D is incorrect because
ignoring unsafe practice is negligent.
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: Option B is correct because a float nurse is often unfamiliar with the specific unit's routines
and patient acuity; assigning stable patients ensures safety. Option A is incorrect because assigning
complex patients to an unfamiliar nurse is unsafe. Option C is incorrect because admission assessments
require unit-specific knowledge. Option D is incorrect because hanging blood products requires specific
unit protocols and RN competency on that 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. Assess a patient reporting new chest pain
B. Obtain a stool specimen from a patient with a GI bleed
C. Teach a patient about a new low-sodium diet
D. Evaluate the effectiveness of pain medication
ANSWER✔✨-: B. Obtain a stool specimen from a patient with a GI bleed (Note: While GI bleed is
serious, collecting a specimen is a standard UAP task, whereas A, C, and D are strictly RN tasks.
, Correction for safety: A better UAP task would be "Assist a stable patient with ambulation" or "Obtain
vital signs on a stable patient post-procedure after RN baseline is set". Let's use: Obtain vital signs on a
patient who is 2 days post-op and stable.)
ANSWER✔✨-: Obtain vital signs on a patient who is 2 days post-op and stable.
Rationale: Option B (Vital signs on stable patient) is correct because UAP can perform routine data
collection on stable patients. Option A is incorrect because chest pain requires immediate RN
assessment. Option C is incorrect because teaching is an RN responsibility. Option D is incorrect because
evaluation is an RN responsibility.
Question 6: The RN is caring for a patient with heart failure. Which task is appropriate to delegate to the
LPN?
A. Administer IV furosemide push
B. Assess lung sounds for crackles
C. Administer oral metoprolol
D. Develop a discharge teaching plan
ANSWER✔✨-: C. Administer oral metoprolol
Rationale: Option C is correct because LPNs can administer oral medications to stable patients. Option A
is incorrect because IV push medications are typically an RN responsibility (scope varies by state, but
generally RN for push). Option B is incorrect because assessment is an RN duty. Option D is incorrect
because discharge teaching is an RN duty.
Question 7: Which patient should the RN assess first?
A. A patient with diabetes requesting insulin for a blood glucose of 250 mg/dL
B. A patient with asthma reporting shortness of breath and wheezing
C. A patient with a fracture reporting pain at 4/10
D. A patient with hypertension requesting a snack
ANSWER✔✨-: B. A patient with asthma reporting shortness of breath and wheezing
Rationale: Option B is correct because airway and breathing (ABCs) are the highest priority. Option A is
incorrect because 250 mg/dL is high but not immediately life-threatening compared to respiratory
distress. Option C is incorrect because pain at 4/10 is moderate and not the priority over breathing.
Option D is incorrect because a snack request is low priority.
Question 8: The charge nurse is making assignments. Which patient is most appropriate for a new
graduate RN?
A. A patient with a complex wound requiring negative pressure therapy
B. A patient who is 1 day post-op appendectomy with stable vitals
