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Exam (elaborations)

: NUR 283 COMP 1: The Ultimate 2026/2027 Nursing Pharmacology Study Guide

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Are you preparing for the NUR 283 Competency 1 exam? This comprehensive, 13-page study guide is your ultimate cheat sheet for mastering high-yield pharmacology, drug toxicity, patient teaching, and critical nursing interventions.

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NUR283 COMP EXAM 1 2026/2027 WITH 50
QUESTIONS AND CORREC ANSWERS
RATED A+[NEWEST!!!]

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 teaching a mother of a five-year-old child about age appropriate
toys. Which of the following toys would be appropriate for the nurse to
recommend?
A – doll and coloring book
Rationale – Do not pick the 100 piece puzzle
The nurse is caring for a pregnant client whose last menstrual period began
on October 21st. Using Naegele’s rule, which of the following dates would be
the due date?
A – July 28th
Rationale – add 7 days – then subtract 3 months
The nurse is planning care for a newly admitted client who has major
depressive disorder following the death of her newborn 2 weeks ago. Which of
the following goals should the nurse identify as the priority?
A. signing a no-harm contract
Rationale – This question is a safety question!! If the nurse could go in and do 1
thing, what would it be – it would be safety for the client!
3 multiple choice options
The nurse is caring for a patient who has paranoid schizophrenia and a
history of auditory hallucinations. The client is yelling and pacing in the
dayroom “I will do it”. What of the following actions will the nurse take?
A. obtaining increased supervision for the client
Rationale – you cannot divert someone who has auditory hallucinations
2 multiple choice options
The nurse working in the psychiatric inpatient unit is caring for a client who
has bi-polar disorder and is in the manic phase. The client states to the nurse,

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September 23, 2026
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