1
NUR 283 COMP 1, 2 & 3 EXAMS (GALEN)
[QUESTION 1-200] AND ANSWERS UPDATED 2026-
2027 100% VERIFIED | DETAILED RATIONALES –
PASS GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
INTRODUCTION
The NUR 283 Transition to Registered Nursing Practice examination is the capstone comprehensive assessment
at Galen College of Nursing, designed to integrate, reflect upon, and synthesize concepts from all previous
nursing coursework to facilitate the transition to professional RN practice. This rigorous examination evaluates
a student's readiness to practice as a registered nurse across three comprehensive exams that cover the full
spectrum of nursing knowledge, including prioritization and delegation, pharmacology, emergency and critical
care, complex patient management, leadership, and interprofessional collaboration. The exam consists of 150-
200 advanced, scenario-based questions that test clinical judgment, safe patient-centered care, and
professional nursing competencies required for the transition from student to practicing RN. This
comprehensive question bank contains 200 questions carefully designed to simulate the actual NUR 283 exam
experience across all three competency exams. Each question is crafted to test application-level nursing
knowledge, clinical reasoning, and prioritization skills at the graduate level, with detailed rationales explaining
both correct and incorrect answers. By mastering these questions, you will develop the critical thinking skills
necessary to pass the NUR 283 Comp 1, 2, and 3 exams on your first attempt and successfully transition to
registered nursing practice.
CORE DOMAINS TESTED
1. COMP 1: Prioritization, Delegation & Clinical Judgment (33%) – ABCs, safety, triage, delegation within
scope of practice (RN, LPN, UAP), therapeutic communication, clinical judgment foundations, infection
control, and nursing process.
2. COMP 2: Pharmacology, Emergency Care & Critical Care (33%) – Advanced medical-surgical nursing,
pharmacology principles, emergency response, critical care concepts, EKG rhythm interpretation, and
management of acute conditions.
3. COMP 3: Complex Care, Leadership & Interprofessional Collaboration (34%) – Cardiac and perfusion,
renal and fluid/electrolyte balance, endocrine disorders, respiratory management, comprehensive
patient management, ethics, interdisciplinary collaboration, and leadership skills.
4. Across All Exams: Program Student Learning Outcomes – Safe, patient-centered care; caring
behaviors; effective communication; clinical judgment; collaboration; and leadership skills.
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Q
UESTIONS 1-100
Q1: The nurse is working on a pediatric unit and has received the
hand-off report. Which of the following clients should the nurse
plan to assess FIRST?
A) A toddler with bronchiolitis on room air with mild wheezing
B) The infant who has a diagnosis of pertussis and is receiving oxygen
via nasal cannula
C) A preschooler with otitis media awaiting discharge
D) A school-age child with a simple fracture in a cast
Rationale: The correct answer is B because infants with pertussis are
at high risk for apnea and severe respiratory compromise. Any child
on supplemental oxygen with a respiratory diagnosis is a higher
priority than stable conditions. Early recognition and intervention are
essential in pediatric safety. Option A is incorrect because the toddler
with bronchiolitis on room air with mild wheezing is stable. Option C
is incorrect because the preschooler with otitis media awaiting
discharge is stable and does not require immediate assessment.
Option D is incorrect because the school-age child with a simple
fracture in a cast is stable.
Q2: A nurse is caring for four patients. Which patient should the
nurse assess FIRST?
,3
A) Post-op day 2 patient with pain rating 6/10
B) Newly admitted patient with pneumonia and oxygen saturation of
89%
C) Patient with diabetes requesting insulin before breakfast
D) Patient with dementia wandering in the hallway
Rationale: The correct answer is B because an oxygen saturation of
89% indicates hypoxemia, an airway/breathing priority. Airway and
breathing take precedence over pain, medication requests, or safety
concerns. Option A is incorrect because pain of 6/10 is manageable
and not immediately life-threatening. Option C is incorrect because
the insulin request is important but not the highest priority. Option D
is incorrect because wandering is a safety concern but not
immediately life-threatening.
Q3: The RN delegates vital signs to an LPN for a stable patient.
Which action by the LPN requires the RN to intervene?
A) Taking blood pressure in the patient's arm with an IV line
B) Recording temperature as 98.6°F orally
C) Counting respiratory rate for 30 seconds and multiplying by 2
D) Asking the patient about pain during vital signs
Rationale: The correct answer is A because blood pressure should not
be taken on an arm with an IV infusion because it can affect accuracy
and potentially dislodge the IV. LPNs can take vital signs, but this
technique is incorrect. Option B is incorrect because recording oral
temperature is within LPN scope. Option C is incorrect because
counting respirations for 30 seconds and multiplying by 2 is an
acceptable technique. Option D is incorrect because asking about
pain during vital signs is appropriate and within scope.
, 4
Q4: A new graduate nurse is assigned a patient with a chest tube.
The graduate is unsure how to assess for an air leak. What is the
BEST action?
A) Guess based on prior observation
B) Ask another new graduate for advice
C) Look up the policy while the patient is unattended
D) Ask the charge nurse for a demonstration
Rationale: The correct answer is D because the safest and most
professional action is to seek guidance from an experienced nurse
(charge nurse or preceptor). Guessing or relying on another novice
risks patient harm. Option A is incorrect because guessing could lead
to patient harm. Option B is incorrect because another new graduate
may not have the correct knowledge. Option C is incorrect because
leaving the patient unattended to look up a policy is unsafe.
Q5: Which task can the RN delegate to an unlicensed assistive
personnel (UAP)?
A) Suctioning a tracheostomy
B) Inserting a Foley catheter
C) Assisting a patient with ambulation after a fall risk assessment
D) Administering a tube feeding
Rationale: The correct answer is C because ambulation assistance,
after the RN determines the patient is stable and safe, is within UAP
scope. Suctioning, catheter insertion, and tube feedings require
licensed nursing judgment. Option A is incorrect because
tracheostomy suctioning requires nursing judgment. Option B is
incorrect because Foley catheter insertion is a sterile procedure
requiring nursing judgment. Option D is incorrect because tube
feeding administration requires nursing assessment and judgment.
NUR 283 COMP 1, 2 & 3 EXAMS (GALEN)
[QUESTION 1-200] AND ANSWERS UPDATED 2026-
2027 100% VERIFIED | DETAILED RATIONALES –
PASS GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
INTRODUCTION
The NUR 283 Transition to Registered Nursing Practice examination is the capstone comprehensive assessment
at Galen College of Nursing, designed to integrate, reflect upon, and synthesize concepts from all previous
nursing coursework to facilitate the transition to professional RN practice. This rigorous examination evaluates
a student's readiness to practice as a registered nurse across three comprehensive exams that cover the full
spectrum of nursing knowledge, including prioritization and delegation, pharmacology, emergency and critical
care, complex patient management, leadership, and interprofessional collaboration. The exam consists of 150-
200 advanced, scenario-based questions that test clinical judgment, safe patient-centered care, and
professional nursing competencies required for the transition from student to practicing RN. This
comprehensive question bank contains 200 questions carefully designed to simulate the actual NUR 283 exam
experience across all three competency exams. Each question is crafted to test application-level nursing
knowledge, clinical reasoning, and prioritization skills at the graduate level, with detailed rationales explaining
both correct and incorrect answers. By mastering these questions, you will develop the critical thinking skills
necessary to pass the NUR 283 Comp 1, 2, and 3 exams on your first attempt and successfully transition to
registered nursing practice.
CORE DOMAINS TESTED
1. COMP 1: Prioritization, Delegation & Clinical Judgment (33%) – ABCs, safety, triage, delegation within
scope of practice (RN, LPN, UAP), therapeutic communication, clinical judgment foundations, infection
control, and nursing process.
2. COMP 2: Pharmacology, Emergency Care & Critical Care (33%) – Advanced medical-surgical nursing,
pharmacology principles, emergency response, critical care concepts, EKG rhythm interpretation, and
management of acute conditions.
3. COMP 3: Complex Care, Leadership & Interprofessional Collaboration (34%) – Cardiac and perfusion,
renal and fluid/electrolyte balance, endocrine disorders, respiratory management, comprehensive
patient management, ethics, interdisciplinary collaboration, and leadership skills.
4. Across All Exams: Program Student Learning Outcomes – Safe, patient-centered care; caring
behaviors; effective communication; clinical judgment; collaboration; and leadership skills.
,2
Q
UESTIONS 1-100
Q1: The nurse is working on a pediatric unit and has received the
hand-off report. Which of the following clients should the nurse
plan to assess FIRST?
A) A toddler with bronchiolitis on room air with mild wheezing
B) The infant who has a diagnosis of pertussis and is receiving oxygen
via nasal cannula
C) A preschooler with otitis media awaiting discharge
D) A school-age child with a simple fracture in a cast
Rationale: The correct answer is B because infants with pertussis are
at high risk for apnea and severe respiratory compromise. Any child
on supplemental oxygen with a respiratory diagnosis is a higher
priority than stable conditions. Early recognition and intervention are
essential in pediatric safety. Option A is incorrect because the toddler
with bronchiolitis on room air with mild wheezing is stable. Option C
is incorrect because the preschooler with otitis media awaiting
discharge is stable and does not require immediate assessment.
Option D is incorrect because the school-age child with a simple
fracture in a cast is stable.
Q2: A nurse is caring for four patients. Which patient should the
nurse assess FIRST?
,3
A) Post-op day 2 patient with pain rating 6/10
B) Newly admitted patient with pneumonia and oxygen saturation of
89%
C) Patient with diabetes requesting insulin before breakfast
D) Patient with dementia wandering in the hallway
Rationale: The correct answer is B because an oxygen saturation of
89% indicates hypoxemia, an airway/breathing priority. Airway and
breathing take precedence over pain, medication requests, or safety
concerns. Option A is incorrect because pain of 6/10 is manageable
and not immediately life-threatening. Option C is incorrect because
the insulin request is important but not the highest priority. Option D
is incorrect because wandering is a safety concern but not
immediately life-threatening.
Q3: The RN delegates vital signs to an LPN for a stable patient.
Which action by the LPN requires the RN to intervene?
A) Taking blood pressure in the patient's arm with an IV line
B) Recording temperature as 98.6°F orally
C) Counting respiratory rate for 30 seconds and multiplying by 2
D) Asking the patient about pain during vital signs
Rationale: The correct answer is A because blood pressure should not
be taken on an arm with an IV infusion because it can affect accuracy
and potentially dislodge the IV. LPNs can take vital signs, but this
technique is incorrect. Option B is incorrect because recording oral
temperature is within LPN scope. Option C is incorrect because
counting respirations for 30 seconds and multiplying by 2 is an
acceptable technique. Option D is incorrect because asking about
pain during vital signs is appropriate and within scope.
, 4
Q4: A new graduate nurse is assigned a patient with a chest tube.
The graduate is unsure how to assess for an air leak. What is the
BEST action?
A) Guess based on prior observation
B) Ask another new graduate for advice
C) Look up the policy while the patient is unattended
D) Ask the charge nurse for a demonstration
Rationale: The correct answer is D because the safest and most
professional action is to seek guidance from an experienced nurse
(charge nurse or preceptor). Guessing or relying on another novice
risks patient harm. Option A is incorrect because guessing could lead
to patient harm. Option B is incorrect because another new graduate
may not have the correct knowledge. Option C is incorrect because
leaving the patient unattended to look up a policy is unsafe.
Q5: Which task can the RN delegate to an unlicensed assistive
personnel (UAP)?
A) Suctioning a tracheostomy
B) Inserting a Foley catheter
C) Assisting a patient with ambulation after a fall risk assessment
D) Administering a tube feeding
Rationale: The correct answer is C because ambulation assistance,
after the RN determines the patient is stable and safe, is within UAP
scope. Suctioning, catheter insertion, and tube feedings require
licensed nursing judgment. Option A is incorrect because
tracheostomy suctioning requires nursing judgment. Option B is
incorrect because Foley catheter insertion is a sterile procedure
requiring nursing judgment. Option D is incorrect because tube
feeding administration requires nursing assessment and judgment.
