NUR 283 COMP 1, 2 & 3 COMPLETE
EXAM STUDY GUIDE (2026/2027)
QUESTIONS AND ANSWERS
Medications should be given through what?
Central line
The nurse working on a medical surgical unit is delegating tasks to unlicensed
personnel. Which of the following delegated task would REQUIRE FOLLOW UP
by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time.
Rationale – anytime a client is doing something for the first time the RN needs to do
it
The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who:
B. Had an endoscopic retrograde cholangiopancreatography 30 minutes ago and is
reporting difficulty swallowing Rationale – Difficulty swallowing – ABC’s!
The nurse working on the mom/baby unit has become aware of the following
client situations. Which of the following clients should the nurse INITIALLY
assess?
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
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:
D. Acute pancreatitis and is reporting the development of pain on deep inspiration
,Rationale – “acute” if not caught early, will possible burst and patient will become
septic
The nurse working on a pediatric unit is caring for the following children who
have been admitted in the past 12 hours. It would be a priority goal for the
nurse to initiate an interdisciplinary conference for the child who:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4 times in
the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance, everyone
should be conferenced for this patient. This question is asking – WHO / WHICH child
is requiring the MOST help and resources???
The nurse working in the ED has received the following prescriptions for a
newly admitted client. Which prescriptions should the nurse implement
FIRST?
D. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab value and
should be addressed first!
A nurse is working in a community health clinic is assessing clients who are
waiting to be seen. Which client should the nurse have the primary health care
provider see FIRST?
A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the telemetry
monitors for assigned clients. Which client should the nurse INITIALLY plan to
assess?
A. 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
A nurse is caring for a male client who has a deep partial thickness and a full
thickness burn to 45 % of the lower body. It would be a PRIORITY for the nurse
to notify the primary health care physician if the client has:
D. A urinary output of 45 ml over the past two hours
, Rationale – Normal urinary output per hour is 30 ml.hr. This question really has
nothing to do with “burn” and more know your normal values.
The nurse is assessing clients at the scene of a mass casualty disaster and is
prioritizing care based on the disaster triage tag system. Which of the
following clients should be transported to the health care facility FIRST?
C. the client who has multiple compound fractures and is reporting chest
pain Rationale – patient is reporting chest pain
The charge nurse in the ED is reviewing the care provided for recently
admitted clients. which of the following reflects implementation of an accepted
standard of care?
B. placing the client who has suspected Hemophilus influenza on droplet precautions
Rationale – influenza = droplet
A charge nurse is planning to admit several clients in the medical unit. It would
be necessary for the nurse to admit which client to a PRIVATE room?
B. Has a fever of unknown origin
Sequence for “doffing” (removing) personal protective equipment
(PPE)
Gloves
Goggles
Gown
Mask
A nurse is caring for a client who has a sealed radiation implant. Which of the
following precautions should the nurse implement
D. Wear the lead shield while providing client care
A preceptor is working with a newly hired nurse who is preparing to perform a
sterile dressing change. Which of the following actions by the newly hired
nurse would require INTERVENTION by the preceptor?
A. Putting on sterile gloves prior to opening the outer packaging
The nurse is teaching a class on health promotion and illness prevention.
Which of the following actions by the nurse is an example
of secondary prevention?
B. Performing monthly self-breast examinations
EXAM STUDY GUIDE (2026/2027)
QUESTIONS AND ANSWERS
Medications should be given through what?
Central line
The nurse working on a medical surgical unit is delegating tasks to unlicensed
personnel. Which of the following delegated task would REQUIRE FOLLOW UP
by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time.
Rationale – anytime a client is doing something for the first time the RN needs to do
it
The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who:
B. Had an endoscopic retrograde cholangiopancreatography 30 minutes ago and is
reporting difficulty swallowing Rationale – Difficulty swallowing – ABC’s!
The nurse working on the mom/baby unit has become aware of the following
client situations. Which of the following clients should the nurse INITIALLY
assess?
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
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:
D. Acute pancreatitis and is reporting the development of pain on deep inspiration
,Rationale – “acute” if not caught early, will possible burst and patient will become
septic
The nurse working on a pediatric unit is caring for the following children who
have been admitted in the past 12 hours. It would be a priority goal for the
nurse to initiate an interdisciplinary conference for the child who:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4 times in
the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance, everyone
should be conferenced for this patient. This question is asking – WHO / WHICH child
is requiring the MOST help and resources???
The nurse working in the ED has received the following prescriptions for a
newly admitted client. Which prescriptions should the nurse implement
FIRST?
D. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab value and
should be addressed first!
A nurse is working in a community health clinic is assessing clients who are
waiting to be seen. Which client should the nurse have the primary health care
provider see FIRST?
A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the telemetry
monitors for assigned clients. Which client should the nurse INITIALLY plan to
assess?
A. 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
A nurse is caring for a male client who has a deep partial thickness and a full
thickness burn to 45 % of the lower body. It would be a PRIORITY for the nurse
to notify the primary health care physician if the client has:
D. A urinary output of 45 ml over the past two hours
, Rationale – Normal urinary output per hour is 30 ml.hr. This question really has
nothing to do with “burn” and more know your normal values.
The nurse is assessing clients at the scene of a mass casualty disaster and is
prioritizing care based on the disaster triage tag system. Which of the
following clients should be transported to the health care facility FIRST?
C. the client who has multiple compound fractures and is reporting chest
pain Rationale – patient is reporting chest pain
The charge nurse in the ED is reviewing the care provided for recently
admitted clients. which of the following reflects implementation of an accepted
standard of care?
B. placing the client who has suspected Hemophilus influenza on droplet precautions
Rationale – influenza = droplet
A charge nurse is planning to admit several clients in the medical unit. It would
be necessary for the nurse to admit which client to a PRIVATE room?
B. Has a fever of unknown origin
Sequence for “doffing” (removing) personal protective equipment
(PPE)
Gloves
Goggles
Gown
Mask
A nurse is caring for a client who has a sealed radiation implant. Which of the
following precautions should the nurse implement
D. Wear the lead shield while providing client care
A preceptor is working with a newly hired nurse who is preparing to perform a
sterile dressing change. Which of the following actions by the newly hired
nurse would require INTERVENTION by the preceptor?
A. Putting on sterile gloves prior to opening the outer packaging
The nurse is teaching a class on health promotion and illness prevention.
Which of the following actions by the nurse is an example
of secondary prevention?
B. Performing monthly self-breast examinations
