Galen NUR 283 Comp - Transition to RN Practice | Medical-Surgical
Nursing Comprehensive Review – (2026/2027) Actual Questions &
Answers with Rationales 100% Guarantee Pass
Fundamentals, Prioritization & Safety
1. Which patient should the RN assess first?
A. Patient with new-onset stridor
B. Patient requesting pain medication
C. Patient awaiting discharge instructions
D. Patient with chronic arthritis pain
Answer: A
Rationale: Stridor indicates possible upper-airway
obstruction. Airway threats take priority under the ABC
framework.
2. Which assessment finding requires immediate
intervention?
A. Oxygen saturation of 84% with respiratory distress
B. Temperature of 37.4°C (99.3°F)
C. Pulse of 88/min
D. Respiratory rate of 16/min
Answer: A
Rationale: Significant hypoxemia with respiratory
distress indicates impaired oxygenation and requires
immediate assessment and intervention.
,3. Which patient should the nurse see first after
receiving report?
A. Patient with sudden unilateral weakness
B. Patient with chronic back pain rated 5/10
C. Patient requesting a snack
D. Patient awaiting routine medication
Answer: A
Rationale: Sudden unilateral weakness may indicate an
acute stroke and requires rapid evaluation.
4. Which nursing action is appropriate when a patient
suddenly becomes confused?
A. Assess oxygenation, glucose, vital signs, and
neurologic status
B. Assume the patient has dementia
C. Apply restraints immediately
D. Wait until the next shift
Answer: A
Rationale: Acute confusion can result from hypoxia,
hypoglycemia, infection, medication effects, or
neurologic deterioration.
5. Which finding suggests shock?
A. Hypotension with altered mental status and cool skin
B. Warm skin and normal mentation
,C. Stable vital signs
D. Normal urine output
Answer: A
Rationale: Hypotension, altered mentation, and poor
peripheral perfusion are concerning for inadequate
tissue perfusion.
6. Which intervention helps prevent hospital-acquired
infection?
A. Consistent hand hygiene
B. Wearing gloves instead of washing hands
C. Reusing disposable equipment
D. Avoiding isolation precautions
Answer: A
Rationale: Hand hygiene is one of the most effective
measures for preventing transmission of infection.
7. Which patient has the highest fall risk?
A. Older adult receiving a sedating medication with
orthostatic hypotension
B. Young adult with no mobility problems
C. Adult independently ambulating
D. Patient with normal gait and stable vital signs
, Answer: A
Rationale: Sedation and orthostatic hypotension
significantly increase fall risk.
8. Which intervention is appropriate for a patient at
high risk for falls?
A. Keep the call light within reach and assist with
ambulation
B. Keep all four side rails raised routinely
C. Encourage independent ambulation despite dizziness
D. Keep the room dark
Answer: A
Rationale: Environmental safety, assistance, and access
to the call light reduce fall risk.
9. Which finding is most concerning for deterioration?
A. New decrease in level of consciousness
B. Stable appetite
C. Chronic mild pain
D. Normal urine output
Answer: A
Rationale: A sudden change in consciousness can
indicate hypoxia, shock, neurologic deterioration, or
metabolic abnormalities.
Nursing Comprehensive Review – (2026/2027) Actual Questions &
Answers with Rationales 100% Guarantee Pass
Fundamentals, Prioritization & Safety
1. Which patient should the RN assess first?
A. Patient with new-onset stridor
B. Patient requesting pain medication
C. Patient awaiting discharge instructions
D. Patient with chronic arthritis pain
Answer: A
Rationale: Stridor indicates possible upper-airway
obstruction. Airway threats take priority under the ABC
framework.
2. Which assessment finding requires immediate
intervention?
A. Oxygen saturation of 84% with respiratory distress
B. Temperature of 37.4°C (99.3°F)
C. Pulse of 88/min
D. Respiratory rate of 16/min
Answer: A
Rationale: Significant hypoxemia with respiratory
distress indicates impaired oxygenation and requires
immediate assessment and intervention.
,3. Which patient should the nurse see first after
receiving report?
A. Patient with sudden unilateral weakness
B. Patient with chronic back pain rated 5/10
C. Patient requesting a snack
D. Patient awaiting routine medication
Answer: A
Rationale: Sudden unilateral weakness may indicate an
acute stroke and requires rapid evaluation.
4. Which nursing action is appropriate when a patient
suddenly becomes confused?
A. Assess oxygenation, glucose, vital signs, and
neurologic status
B. Assume the patient has dementia
C. Apply restraints immediately
D. Wait until the next shift
Answer: A
Rationale: Acute confusion can result from hypoxia,
hypoglycemia, infection, medication effects, or
neurologic deterioration.
5. Which finding suggests shock?
A. Hypotension with altered mental status and cool skin
B. Warm skin and normal mentation
,C. Stable vital signs
D. Normal urine output
Answer: A
Rationale: Hypotension, altered mentation, and poor
peripheral perfusion are concerning for inadequate
tissue perfusion.
6. Which intervention helps prevent hospital-acquired
infection?
A. Consistent hand hygiene
B. Wearing gloves instead of washing hands
C. Reusing disposable equipment
D. Avoiding isolation precautions
Answer: A
Rationale: Hand hygiene is one of the most effective
measures for preventing transmission of infection.
7. Which patient has the highest fall risk?
A. Older adult receiving a sedating medication with
orthostatic hypotension
B. Young adult with no mobility problems
C. Adult independently ambulating
D. Patient with normal gait and stable vital signs
, Answer: A
Rationale: Sedation and orthostatic hypotension
significantly increase fall risk.
8. Which intervention is appropriate for a patient at
high risk for falls?
A. Keep the call light within reach and assist with
ambulation
B. Keep all four side rails raised routinely
C. Encourage independent ambulation despite dizziness
D. Keep the room dark
Answer: A
Rationale: Environmental safety, assistance, and access
to the call light reduce fall risk.
9. Which finding is most concerning for deterioration?
A. New decrease in level of consciousness
B. Stable appetite
C. Chronic mild pain
D. Normal urine output
Answer: A
Rationale: A sudden change in consciousness can
indicate hypoxia, shock, neurologic deterioration, or
metabolic abnormalities.
