NUR 283 COMP 1-3 EXAMS – TRANSITION TO RN
PRACTICE – (2026) ACTUAL QUESTIONS &
ANSWERS (GALEN)
100% GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nurse is caring for a patient with a wound infection. Which finding indicates
the wound is healing properly?
A) Purulent drainage with foul odor
B) Granulation tissue formation and epithelialization
C) Erythema and warmth around the wound
D) Dark, necrotic tissue in the wound bed
Rationale: Granulation tissue (red, moist, beefy tissue) and epithelialization (pink tissue
growing across the wound) are signs of proper wound healing. Purulent drainage,
erythema, warmth, and necrotic tissue indicate infection or delayed healing.
2. A nurse is preparing to administer an intramuscular (IM) injection using the Z-
track technique. Which site is most appropriate?
A) Deltoid muscle
B) Dorsogluteal muscle
C) Ventrogluteal muscle
D) Vastus lateralis muscle
Rationale: The Z-track technique is recommended for IM injections at the ventrogluteal
site to prevent medication leakage into subcutaneous tissue and reduce pain. The
technique involves pulling the skin laterally before injection.
,3. A patient is placed on droplet precautions. Which PPE is required when entering
the room?
A) N95 respirator
B) Surgical mask
C) Gown and gloves only
D) Full PPE including goggles
Rationale: Droplet precautions require a surgical mask when within 3 feet of the patient.
Gown and gloves are used for contact with body fluids. N95 is for airborne precautions.
4. A nurse is applying a sequential compression device (SCD) to a patient. Which
finding indicates the device is working properly?
A) The sleeve is loose on the leg
B) The sleeve inflates and deflates in a sequential pattern
C) The patient reports pain during inflation
D) The device is turned off during ambulation
Rationale: SCDs should inflate and deflate in a sequential pattern to promote venous
return. The sleeve should fit snugly, not loosely. Pain during inflation may indicate
improper fit.
5. A patient is on neutropenic precautions. Which food should the nurse remove
from the patient's tray?
A) Canned fruit
B) Fresh strawberries
C) Cooked vegetables
D) Pasteurized yogurt
Rationale: Fresh fruits and vegetables may contain bacteria that can cause infection in
immunocompromised patients. Canned, cooked, and pasteurized foods are safer options
for neutropenic patients.
,6. A nurse is caring for a patient with a tracheostomy. Which action is appropriate
when suctioning the airway?
A) Applying suction continuously while inserting the catheter
B) Applying suction intermittently for no more than 10-15 seconds
C) Using clean technique instead of sterile technique
D) Suctioning the patient every hour without assessment
Rationale: Suction should be applied intermittently for no more than 10-15 seconds at a
time to prevent hypoxia. Sterile technique is required, and the patient should be assessed
for the need to suction.
7. A nurse is preparing to administer a suppository to a patient. Which position is
most appropriate?
A) Sims' position
B) Supine position
C) Trendelenburg position
D) Lithotomy position
Rationale: Sims' position (lying on the left side with the right knee bent) is used for rectal
medication administration. This position facilitates easy access and patient comfort.
8. A patient is on fall precautions. Which intervention should the nurse prioritize?
A) Keeping the bed in the highest position
B) Placing the call light within reach and the bed in the lowest position
C) Keeping all personal items out of reach
D) Restraining the patient at all times
Rationale: The bed should be in the lowest position with the call light within reach.
Personal items should be within reach to prevent patients from reaching or falling.
Restraints should be a last resort.
, 9. A nurse is caring for a patient with a central line. Which action reduces the risk
of catheter-related bloodstream infection?
A) Changing the dressing daily
B) Using sterile technique for all dressing changes and line access
C) Leaving the dressing off to allow the site to "breathe"
D) Using clean gloves for all central line care
Rationale: Sterile technique is required for central line care. Dressings should be changed
every 7 days (or when soiled), not daily. The dressing should remain intact and dry.
10. A patient is experiencing a transfusion reaction. Which action should the nurse
take first?
A) Administering diphenhydramine (Benadryl)
B) Slowing the transfusion rate
C) Stopping the transfusion immediately
D) Continuing the transfusion while monitoring
Rationale: The first action in a suspected transfusion reaction is to stop the transfusion
immediately and notify the provider. Vital signs should be assessed, and the IV line should
be kept open with normal saline.
11. A nurse is preparing to administer an enteral feeding through an NG tube.
Which action is essential?
A) Verifying tube placement by aspirating gastric contents and checking pH
B) Flushing the tube with 100 mL of air
C) Placing the patient in a supine position
D) Checking the tube for patency by listening for bowel sounds
Rationale: Tube placement must be verified before each feeding using multiple methods,
including aspirating gastric contents and checking pH (typically ≤ 5). X-ray is the gold
standard for initial placement confirmation.
PRACTICE – (2026) ACTUAL QUESTIONS &
ANSWERS (GALEN)
100% GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nurse is caring for a patient with a wound infection. Which finding indicates
the wound is healing properly?
A) Purulent drainage with foul odor
B) Granulation tissue formation and epithelialization
C) Erythema and warmth around the wound
D) Dark, necrotic tissue in the wound bed
Rationale: Granulation tissue (red, moist, beefy tissue) and epithelialization (pink tissue
growing across the wound) are signs of proper wound healing. Purulent drainage,
erythema, warmth, and necrotic tissue indicate infection or delayed healing.
2. A nurse is preparing to administer an intramuscular (IM) injection using the Z-
track technique. Which site is most appropriate?
A) Deltoid muscle
B) Dorsogluteal muscle
C) Ventrogluteal muscle
D) Vastus lateralis muscle
Rationale: The Z-track technique is recommended for IM injections at the ventrogluteal
site to prevent medication leakage into subcutaneous tissue and reduce pain. The
technique involves pulling the skin laterally before injection.
,3. A patient is placed on droplet precautions. Which PPE is required when entering
the room?
A) N95 respirator
B) Surgical mask
C) Gown and gloves only
D) Full PPE including goggles
Rationale: Droplet precautions require a surgical mask when within 3 feet of the patient.
Gown and gloves are used for contact with body fluids. N95 is for airborne precautions.
4. A nurse is applying a sequential compression device (SCD) to a patient. Which
finding indicates the device is working properly?
A) The sleeve is loose on the leg
B) The sleeve inflates and deflates in a sequential pattern
C) The patient reports pain during inflation
D) The device is turned off during ambulation
Rationale: SCDs should inflate and deflate in a sequential pattern to promote venous
return. The sleeve should fit snugly, not loosely. Pain during inflation may indicate
improper fit.
5. A patient is on neutropenic precautions. Which food should the nurse remove
from the patient's tray?
A) Canned fruit
B) Fresh strawberries
C) Cooked vegetables
D) Pasteurized yogurt
Rationale: Fresh fruits and vegetables may contain bacteria that can cause infection in
immunocompromised patients. Canned, cooked, and pasteurized foods are safer options
for neutropenic patients.
,6. A nurse is caring for a patient with a tracheostomy. Which action is appropriate
when suctioning the airway?
A) Applying suction continuously while inserting the catheter
B) Applying suction intermittently for no more than 10-15 seconds
C) Using clean technique instead of sterile technique
D) Suctioning the patient every hour without assessment
Rationale: Suction should be applied intermittently for no more than 10-15 seconds at a
time to prevent hypoxia. Sterile technique is required, and the patient should be assessed
for the need to suction.
7. A nurse is preparing to administer a suppository to a patient. Which position is
most appropriate?
A) Sims' position
B) Supine position
C) Trendelenburg position
D) Lithotomy position
Rationale: Sims' position (lying on the left side with the right knee bent) is used for rectal
medication administration. This position facilitates easy access and patient comfort.
8. A patient is on fall precautions. Which intervention should the nurse prioritize?
A) Keeping the bed in the highest position
B) Placing the call light within reach and the bed in the lowest position
C) Keeping all personal items out of reach
D) Restraining the patient at all times
Rationale: The bed should be in the lowest position with the call light within reach.
Personal items should be within reach to prevent patients from reaching or falling.
Restraints should be a last resort.
, 9. A nurse is caring for a patient with a central line. Which action reduces the risk
of catheter-related bloodstream infection?
A) Changing the dressing daily
B) Using sterile technique for all dressing changes and line access
C) Leaving the dressing off to allow the site to "breathe"
D) Using clean gloves for all central line care
Rationale: Sterile technique is required for central line care. Dressings should be changed
every 7 days (or when soiled), not daily. The dressing should remain intact and dry.
10. A patient is experiencing a transfusion reaction. Which action should the nurse
take first?
A) Administering diphenhydramine (Benadryl)
B) Slowing the transfusion rate
C) Stopping the transfusion immediately
D) Continuing the transfusion while monitoring
Rationale: The first action in a suspected transfusion reaction is to stop the transfusion
immediately and notify the provider. Vital signs should be assessed, and the IV line should
be kept open with normal saline.
11. A nurse is preparing to administer an enteral feeding through an NG tube.
Which action is essential?
A) Verifying tube placement by aspirating gastric contents and checking pH
B) Flushing the tube with 100 mL of air
C) Placing the patient in a supine position
D) Checking the tube for patency by listening for bowel sounds
Rationale: Tube placement must be verified before each feeding using multiple methods,
including aspirating gastric contents and checking pH (typically ≤ 5). X-ray is the gold
standard for initial placement confirmation.
