NUR 283 COMP 1, 2 & 3 EXAMS (GALEN) NEWEST
2026/2027 TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3 EXAM
REVIEWS WITH COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. A newly licensed RN is assigned to care for a client on a medical-surgical unit.
Which task can the nurse delegate to a UAP?
A) Assessing a client’s pain level
B) Measuring a client’s intake and output
C) Administering a tube feeding
D) Changing a sterile dressing
Answer B: Measuring a client’s intake and output
Rationale: UAPs can perform non-invasive tasks (I&O, vital signs, hygiene).
Assessment and sterile procedures require licensed staff.
2. The nurse is caring for four clients. Which client should be assessed first?
A) Client with a blood glucose of 65 mg/dL who is awake and alert
B) Client with a new onset of confusion and an oxygen saturation of 88% on room air
C) Client with a fractured leg requesting pain medication
D) Client with a urinary catheter who needs output recorded
Answer B: Client with a new onset of confusion and an oxygen saturation of
88% on room air
,Rationale: Hypoxemia with confusion is an immediate threat; assess and apply
oxygen.
3. The charge nurse is making assignments. Which client is most appropriate to
assign to an LPN?
A) Client with a new tracheostomy requiring frequent suctioning
B) Client with a urinary tract infection on oral antibiotics
C) Client with a chest tube on water seal
D) Client receiving IV dopamine for septic shock
Answer B: Client with a urinary tract infection on oral antibiotics
Rationale: Stable client on oral medications is within LPN scope. Tracheostomy,
chest tube, and vasopressors require RN.
4. A client refuses a prescribed blood transfusion due to religious beliefs. The
nurse’s first action should be to:
A) Notify the hospital attorney
B) Respect the client’s decision and notify the provider
C) Administer the transfusion under emergency consent
D) Ask the family to override the decision
Answer B: Respect the client’s decision and notify the provider
Rationale: A competent adult has the right to refuse treatment based on religious
beliefs (autonomy). Provider must be informed.
5. A nurse is using the SBAR tool to call a provider about a client’s change in
condition. Which statement is part of the “Situation” component?
,A) “The client has a history of hypertension.”
B) “The blood pressure is 90/50 mmHg.”
C) “I’m calling about Mr. Jones in room 205. He has new-onset confusion.”
D) “I recommend you come see him.”
Answer C: “I’m calling about Mr. Jones in room 205. He has new-onset
confusion.”
Rationale: Situation identifies the client and the current concern.
6. A nurse is preparing to delegate a task to a UAP. Which instruction is
appropriate?
A) “Assess the client’s lung sounds and report any crackles.”
B) “Measure the client’s urine output and write it on the intake/output sheet.”
C) “Change the client’s sterile dressing.”
D) “Administer the client’s pain medication.”
Answer B: “Measure the client’s urine output and write it on the intake/output
sheet.”
Rationale: Measuring I&O is within UAP scope. Assessment, sterile dressings, and
medications require licensed staff.
7. The nurse is documenting an incident report after a client fall. Which
statement should be included?
A) “The UAP left the side rails down.”
B) “Client found on floor next to bed at 02:00. Vital signs stable. Notified provider.”
C) “It was the night shift’s fault.”
D) “Client was confused and should have been restrained.”
, Answer B: “Client found on floor next to bed at 02:00. Vital signs stable. Notified
provider.”
Rationale: Incident reports should be factual, objective, and not assign blame. They
are separate from the medical record.
8. The nurse is teaching a client about a new medication. The client is able to
state the purpose and side effects. This demonstrates learning in which
domain?
A) Affective
B) Cognitive
C) Psychomotor
D) Behavioral
Answer B: Cognitive
Rationale: Cognitive domain involves knowledge and recall of information.
9. A nurse is caring for a client with a new colostomy. Which statement
indicates understanding of stoma care?
A) “I will use alcohol to clean the stoma.”
B) “I will gently clean the stoma with warm water and a soft cloth.”
C) “I will apply baby powder around the stoma.”
D) “I will change the pouch every day.”
Answer B: “I will gently clean the stoma with warm water and a soft cloth.”
Rationale: Warm water is sufficient. Alcohol and powder irritate skin; pouches are
changed every 3-7 days.
2026/2027 TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3 EXAM
REVIEWS WITH COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. A newly licensed RN is assigned to care for a client on a medical-surgical unit.
Which task can the nurse delegate to a UAP?
A) Assessing a client’s pain level
B) Measuring a client’s intake and output
C) Administering a tube feeding
D) Changing a sterile dressing
Answer B: Measuring a client’s intake and output
Rationale: UAPs can perform non-invasive tasks (I&O, vital signs, hygiene).
Assessment and sterile procedures require licensed staff.
2. The nurse is caring for four clients. Which client should be assessed first?
A) Client with a blood glucose of 65 mg/dL who is awake and alert
B) Client with a new onset of confusion and an oxygen saturation of 88% on room air
C) Client with a fractured leg requesting pain medication
D) Client with a urinary catheter who needs output recorded
Answer B: Client with a new onset of confusion and an oxygen saturation of
88% on room air
,Rationale: Hypoxemia with confusion is an immediate threat; assess and apply
oxygen.
3. The charge nurse is making assignments. Which client is most appropriate to
assign to an LPN?
A) Client with a new tracheostomy requiring frequent suctioning
B) Client with a urinary tract infection on oral antibiotics
C) Client with a chest tube on water seal
D) Client receiving IV dopamine for septic shock
Answer B: Client with a urinary tract infection on oral antibiotics
Rationale: Stable client on oral medications is within LPN scope. Tracheostomy,
chest tube, and vasopressors require RN.
4. A client refuses a prescribed blood transfusion due to religious beliefs. The
nurse’s first action should be to:
A) Notify the hospital attorney
B) Respect the client’s decision and notify the provider
C) Administer the transfusion under emergency consent
D) Ask the family to override the decision
Answer B: Respect the client’s decision and notify the provider
Rationale: A competent adult has the right to refuse treatment based on religious
beliefs (autonomy). Provider must be informed.
5. A nurse is using the SBAR tool to call a provider about a client’s change in
condition. Which statement is part of the “Situation” component?
,A) “The client has a history of hypertension.”
B) “The blood pressure is 90/50 mmHg.”
C) “I’m calling about Mr. Jones in room 205. He has new-onset confusion.”
D) “I recommend you come see him.”
Answer C: “I’m calling about Mr. Jones in room 205. He has new-onset
confusion.”
Rationale: Situation identifies the client and the current concern.
6. A nurse is preparing to delegate a task to a UAP. Which instruction is
appropriate?
A) “Assess the client’s lung sounds and report any crackles.”
B) “Measure the client’s urine output and write it on the intake/output sheet.”
C) “Change the client’s sterile dressing.”
D) “Administer the client’s pain medication.”
Answer B: “Measure the client’s urine output and write it on the intake/output
sheet.”
Rationale: Measuring I&O is within UAP scope. Assessment, sterile dressings, and
medications require licensed staff.
7. The nurse is documenting an incident report after a client fall. Which
statement should be included?
A) “The UAP left the side rails down.”
B) “Client found on floor next to bed at 02:00. Vital signs stable. Notified provider.”
C) “It was the night shift’s fault.”
D) “Client was confused and should have been restrained.”
, Answer B: “Client found on floor next to bed at 02:00. Vital signs stable. Notified
provider.”
Rationale: Incident reports should be factual, objective, and not assign blame. They
are separate from the medical record.
8. The nurse is teaching a client about a new medication. The client is able to
state the purpose and side effects. This demonstrates learning in which
domain?
A) Affective
B) Cognitive
C) Psychomotor
D) Behavioral
Answer B: Cognitive
Rationale: Cognitive domain involves knowledge and recall of information.
9. A nurse is caring for a client with a new colostomy. Which statement
indicates understanding of stoma care?
A) “I will use alcohol to clean the stoma.”
B) “I will gently clean the stoma with warm water and a soft cloth.”
C) “I will apply baby powder around the stoma.”
D) “I will change the pouch every day.”
Answer B: “I will gently clean the stoma with warm water and a soft cloth.”
Rationale: Warm water is sufficient. Alcohol and powder irritate skin; pouches are
changed every 3-7 days.
