NUR 283 COMP 1, 2 & 3 EXAMS (GALEN) NEWEST 2026
TEST BANK| NUR283 TRANSITION TO REGISTERED
NURSING V1, V2 AND V3 EXAM REVIEWS WITH 200
COMPLETE ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!).
EXAM OVERVIEW
Course: NUR 283 Transition to Registered Nursing Practice
Focus: Adult Health II (Medical-Surgical Nursing II) | Clinical Judgment and Prioritization
Question Count
Exam Focus Areas
(Approx.)
COMP Prioritization, Delegation, Clinical Judgment, Safety, Professional Role
~50
1 Transition
COMP Pharmacology, Emergency Care, Developmental Stages, Nursing
~50
2 Process, Fluid/Electrolytes
COMP Complex Medical-Surgical Conditions, End-of-Life Care, Legal/Ethical
~50
3 Issues, Care Coordination
Exam Tips:
• Priority = ABCs (Airway, Breathing, Circulation) + Safety — assess the patient
who will deteriorate first
• Know scope of practice for RN vs. LPN vs. UAP
• Delegation: UAP can perform tasks that do not require nursing judgment (vital
signs, I&O, ambulation, repositioning); LPN can administer medications (PO, SQ,
IM, IV isotonic) and reinforce teaching
, • RN responsibilities: Assessment, planning of care, nursing diagnosis, evaluation,
and complex interventions
• Fiscal responsibility and resource management are key concepts
SECTION 1: PRIORITIZATION & DELEGATION (Questions 1–
35)
1. The nurse working on a pediatric unit has received the hand-off report and is
reviewing client data and orders. Which client should the nurse plan to see FIRST?
• A. A toddler with bronchiolitis on room air and mild wheezing
• B. An infant with pertussis 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
• Correct Answer: B
• Rationale: Infants with pertussis are at high risk for apnea and severe respiratory
compromise. Any child on supplemental O₂ with a respiratory diagnosis is a
higher priority than stable conditions. Early recognition and intervention are
essential in pediatric safety.
2. The nurse preceptor is observing a newly licensed nurse provide discharge
teaching to a client who speaks a different language. The new nurse uses the
client's family member as an interpreter. Which action should the preceptor take?
• A. Praise the nurse for including the family in teaching
• B. Immediately stop the teaching session
• C. Allow the session to continue but document the use of family interpreter
• D. Report the nurse to the nurse manager
• Correct Answer: B
, • Rationale: Using family members as interpreters risks inaccuracies and breaches
confidentiality. Professional standards require a qualified interpreter for teaching
and informed consent. The preceptor must correct this to align with ethical and
legal practice.
3. The nurse working on a medical-surgical unit is caring for assigned clients. The
nurse should INITIALLY assess the client who:
• A. Has pericarditis with a temperature of 101.8°F and chest pain relieved when
leaning forward
• B. Has atrial fibrillation with a pulse varying from 110–140 and is refusing
medication
• C. Has a new onset of confusion and is post-operative day 2
• D. Has a urinary tract infection and is requesting pain medication
• Correct Answer: C
• Rationale: New onset confusion in a post-operative patient may indicate a life-
threatening complication such as hypoxia, infection, or stroke. This finding
requires immediate assessment. The other options are concerning but stable.
4. A nurse is caring for a client after lumbar surgery. Which nursing intervention is
MOST important in the immediate postoperative period?
• A. Encourage the client to ambulate without assistance
• B. Provide pain control and monitor neurologic status
• C. Keep the client in high Fowler's position at all times
• D. Restrict all fluid intake
• Correct Answer: B
• Rationale: After lumbar surgery, the nurse should monitor pain, neurologic
function, sensation, movement, and signs of complications such as cerebrospinal
fluid leakage or increased intracranial pressure.
, 5. A client who is postoperative from lumbar surgery reports a severe headache,
and the nurse notices clear drainage from the incision. What should the nurse do
FIRST?
• A. Place the client flat and assess the drainage
• B. Encourage the client to sit upright
• C. Remove the dressing completely
• D. Ambulate the client immediately
• Correct Answer: A
• Rationale: Clear drainage from a lumbar incision may indicate a cerebrospinal
fluid (CSF) leak. Placing the client flat reduces CSF pressure and helps prevent
further leakage. The nurse should assess the drainage and notify the provider.
6. The nurse is caring for a client who develops a cardiac dysrhythmia. Which
medication should the nurse anticipate administering?
• A. Amiodarone
• B. Acetaminophen
• C. Furosemide
• D. Omeprazole
• Correct Answer: A
• Rationale: Amiodarone is an antiarrhythmic medication used for certain
ventricular dysrhythmias.
7. A newly hired nurse is discussing health care economics and fiscal responsibility
with the nurse preceptor. Which statement by the newly hired nurse requires
FOLLOW-UP?
• A. "I should avoid waste by only opening supplies I actually need."
• B. "Using evidence-based practices can help decrease length of stay."
• C. "Involving the family in client care activities is an example of fiscal
responsibility."
• D. "I should order extra supplies for every client to ensure nothing is missing."
TEST BANK| NUR283 TRANSITION TO REGISTERED
NURSING V1, V2 AND V3 EXAM REVIEWS WITH 200
COMPLETE ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!).
EXAM OVERVIEW
Course: NUR 283 Transition to Registered Nursing Practice
Focus: Adult Health II (Medical-Surgical Nursing II) | Clinical Judgment and Prioritization
Question Count
Exam Focus Areas
(Approx.)
COMP Prioritization, Delegation, Clinical Judgment, Safety, Professional Role
~50
1 Transition
COMP Pharmacology, Emergency Care, Developmental Stages, Nursing
~50
2 Process, Fluid/Electrolytes
COMP Complex Medical-Surgical Conditions, End-of-Life Care, Legal/Ethical
~50
3 Issues, Care Coordination
Exam Tips:
• Priority = ABCs (Airway, Breathing, Circulation) + Safety — assess the patient
who will deteriorate first
• Know scope of practice for RN vs. LPN vs. UAP
• Delegation: UAP can perform tasks that do not require nursing judgment (vital
signs, I&O, ambulation, repositioning); LPN can administer medications (PO, SQ,
IM, IV isotonic) and reinforce teaching
, • RN responsibilities: Assessment, planning of care, nursing diagnosis, evaluation,
and complex interventions
• Fiscal responsibility and resource management are key concepts
SECTION 1: PRIORITIZATION & DELEGATION (Questions 1–
35)
1. The nurse working on a pediatric unit has received the hand-off report and is
reviewing client data and orders. Which client should the nurse plan to see FIRST?
• A. A toddler with bronchiolitis on room air and mild wheezing
• B. An infant with pertussis 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
• Correct Answer: B
• Rationale: Infants with pertussis are at high risk for apnea and severe respiratory
compromise. Any child on supplemental O₂ with a respiratory diagnosis is a
higher priority than stable conditions. Early recognition and intervention are
essential in pediatric safety.
2. The nurse preceptor is observing a newly licensed nurse provide discharge
teaching to a client who speaks a different language. The new nurse uses the
client's family member as an interpreter. Which action should the preceptor take?
• A. Praise the nurse for including the family in teaching
• B. Immediately stop the teaching session
• C. Allow the session to continue but document the use of family interpreter
• D. Report the nurse to the nurse manager
• Correct Answer: B
, • Rationale: Using family members as interpreters risks inaccuracies and breaches
confidentiality. Professional standards require a qualified interpreter for teaching
and informed consent. The preceptor must correct this to align with ethical and
legal practice.
3. The nurse working on a medical-surgical unit is caring for assigned clients. The
nurse should INITIALLY assess the client who:
• A. Has pericarditis with a temperature of 101.8°F and chest pain relieved when
leaning forward
• B. Has atrial fibrillation with a pulse varying from 110–140 and is refusing
medication
• C. Has a new onset of confusion and is post-operative day 2
• D. Has a urinary tract infection and is requesting pain medication
• Correct Answer: C
• Rationale: New onset confusion in a post-operative patient may indicate a life-
threatening complication such as hypoxia, infection, or stroke. This finding
requires immediate assessment. The other options are concerning but stable.
4. A nurse is caring for a client after lumbar surgery. Which nursing intervention is
MOST important in the immediate postoperative period?
• A. Encourage the client to ambulate without assistance
• B. Provide pain control and monitor neurologic status
• C. Keep the client in high Fowler's position at all times
• D. Restrict all fluid intake
• Correct Answer: B
• Rationale: After lumbar surgery, the nurse should monitor pain, neurologic
function, sensation, movement, and signs of complications such as cerebrospinal
fluid leakage or increased intracranial pressure.
, 5. A client who is postoperative from lumbar surgery reports a severe headache,
and the nurse notices clear drainage from the incision. What should the nurse do
FIRST?
• A. Place the client flat and assess the drainage
• B. Encourage the client to sit upright
• C. Remove the dressing completely
• D. Ambulate the client immediately
• Correct Answer: A
• Rationale: Clear drainage from a lumbar incision may indicate a cerebrospinal
fluid (CSF) leak. Placing the client flat reduces CSF pressure and helps prevent
further leakage. The nurse should assess the drainage and notify the provider.
6. The nurse is caring for a client who develops a cardiac dysrhythmia. Which
medication should the nurse anticipate administering?
• A. Amiodarone
• B. Acetaminophen
• C. Furosemide
• D. Omeprazole
• Correct Answer: A
• Rationale: Amiodarone is an antiarrhythmic medication used for certain
ventricular dysrhythmias.
7. A newly hired nurse is discussing health care economics and fiscal responsibility
with the nurse preceptor. Which statement by the newly hired nurse requires
FOLLOW-UP?
• A. "I should avoid waste by only opening supplies I actually need."
• B. "Using evidence-based practices can help decrease length of stay."
• C. "Involving the family in client care activities is an example of fiscal
responsibility."
• D. "I should order extra supplies for every client to ensure nothing is missing."
