,NUR 283 Comp 3 Exam – Transition to RN Practice
– Actual Q&A (GCN) (Updated PDF)
1. Which patient should the nurse assign to the LPN?
A) A patient with diabetic ketoacidosis on an insulin drip
B) A patient with pneumonia who is hemodynamically stable and needs
scheduled IV antibiotics
C) A patient post-cardiac arrest requiring frequent neurologic assessments
D) A patient with an epidural catheter for postoperative pain
Correct Answer: B) A patient with pneumonia who is hemodynamically stable
and needs scheduled IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and
administer scheduled IV antibiotics. Patients with titratable drips, epidurals, or
requiring frequent RN assessments should be assigned to an RN.
2. Which postoperative change should the nurse identify as the priority?
A) The client reports an increased pain level of 8 out of 10 after receiving an
opioid
B) The client reports nausea after an antibiotic
C) The client has a small amount of new serosanguineous drainage
D) The client voided 200 mL in 4 hours
Correct Answer: A) The client reports an increased pain level of 8 out of 10 after
receiving an opioid
,Rationale: Unrelieved or increasing pain after opioid administration may signal
hemorrhage, compartment syndrome, or anastomotic leak. This change requires
immediate evaluation. The other findings are less urgent.
3. Which situation is an example of malpractice?
A) A nurse documents care at the end of the shift rather than in real time
B) A nurse delays a routine oral medication by 30 minutes
C) A competent client refuses an antidepressant, but the nurse dissolves it in
food and gives it without consent
D) A nurse forgets to orient a new client to the call light
Correct Answer: C) A competent client refuses an antidepressant, but the nurse
dissolves it in food and gives it without consent
Rationale: This action violates the client's right to refuse treatment and
constitutes battery. It also violates informed consent, making it malpractice. The
other actions may be errors but are not deliberate violations of patient rights.
4. Which laboratory value should the nurse monitor to evaluate heparin
therapy?
A) INR
B) aPTT or PTT
C) Platelet count only
D) PT
Correct Answer: B) aPTT or PTT
, Rationale: Heparin therapy is monitored by activated partial thromboplastin
time or partial thromboplastin time, with a therapeutic range of 1.5 to 2.5 times
control. INR and PT monitor warfarin. Platelet count detects heparin-induced
thrombocytopenia.
5. Which instruction should the nurse include for sublingual nitroglycerin?
A) Chew the tablet for faster effect
B) Take one tablet at angina onset; if pain persists, take another every 5 minutes
up to 3 tablets and seek help if unrelieved
C) Swallow the tablet with water
D) Take only prophylactically before exercise
Correct Answer: B) Take one tablet at angina onset; if pain persists, take
another every 5 minutes up to 3 tablets and seek help if unrelieved
Rationale: Sublingual nitroglycerin is taken at angina onset. The patient may
repeat every 5 minutes for up to 3 doses. If pain continues, emergency help is
needed.
6. Which finding in a sleeping 1-month-old is most concerning?
A) Heart rate 140 bpm
B) Respiratory rate 30 breaths/min
C) Heart rate 180 bpm
D) SpO₂ 96%
– Actual Q&A (GCN) (Updated PDF)
1. Which patient should the nurse assign to the LPN?
A) A patient with diabetic ketoacidosis on an insulin drip
B) A patient with pneumonia who is hemodynamically stable and needs
scheduled IV antibiotics
C) A patient post-cardiac arrest requiring frequent neurologic assessments
D) A patient with an epidural catheter for postoperative pain
Correct Answer: B) A patient with pneumonia who is hemodynamically stable
and needs scheduled IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and
administer scheduled IV antibiotics. Patients with titratable drips, epidurals, or
requiring frequent RN assessments should be assigned to an RN.
2. Which postoperative change should the nurse identify as the priority?
A) The client reports an increased pain level of 8 out of 10 after receiving an
opioid
B) The client reports nausea after an antibiotic
C) The client has a small amount of new serosanguineous drainage
D) The client voided 200 mL in 4 hours
Correct Answer: A) The client reports an increased pain level of 8 out of 10 after
receiving an opioid
,Rationale: Unrelieved or increasing pain after opioid administration may signal
hemorrhage, compartment syndrome, or anastomotic leak. This change requires
immediate evaluation. The other findings are less urgent.
3. Which situation is an example of malpractice?
A) A nurse documents care at the end of the shift rather than in real time
B) A nurse delays a routine oral medication by 30 minutes
C) A competent client refuses an antidepressant, but the nurse dissolves it in
food and gives it without consent
D) A nurse forgets to orient a new client to the call light
Correct Answer: C) A competent client refuses an antidepressant, but the nurse
dissolves it in food and gives it without consent
Rationale: This action violates the client's right to refuse treatment and
constitutes battery. It also violates informed consent, making it malpractice. The
other actions may be errors but are not deliberate violations of patient rights.
4. Which laboratory value should the nurse monitor to evaluate heparin
therapy?
A) INR
B) aPTT or PTT
C) Platelet count only
D) PT
Correct Answer: B) aPTT or PTT
, Rationale: Heparin therapy is monitored by activated partial thromboplastin
time or partial thromboplastin time, with a therapeutic range of 1.5 to 2.5 times
control. INR and PT monitor warfarin. Platelet count detects heparin-induced
thrombocytopenia.
5. Which instruction should the nurse include for sublingual nitroglycerin?
A) Chew the tablet for faster effect
B) Take one tablet at angina onset; if pain persists, take another every 5 minutes
up to 3 tablets and seek help if unrelieved
C) Swallow the tablet with water
D) Take only prophylactically before exercise
Correct Answer: B) Take one tablet at angina onset; if pain persists, take
another every 5 minutes up to 3 tablets and seek help if unrelieved
Rationale: Sublingual nitroglycerin is taken at angina onset. The patient may
repeat every 5 minutes for up to 3 doses. If pain continues, emergency help is
needed.
6. Which finding in a sleeping 1-month-old is most concerning?
A) Heart rate 140 bpm
B) Respiratory rate 30 breaths/min
C) Heart rate 180 bpm
D) SpO₂ 96%
