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Nursing Competency Exam 1 Study Guide: 50 Practice Questions with Answer Keys & NCLEX-Style Rationales | NUR 283 Exam Prep | Pass Your Exam

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Are you ready to pass your NUR 283 Competency Exam 1 with confidence? This comprehensive practice question bundle is exactly what you need to test your knowledge, identify weak areas, and master the critical thinking skills required for nursing competency exams. This guide features 50 NCLEX-style practice questions with correct answers AND detailed rationales explaining the "why" behind each answer. It's not just a question bank—it's a complete study session that teaches you how to think like a nurse.

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NUR283 COMP EXAM 1 WITH 50 QUESTIONS
AND CORRECT ANSWERS RATED A+2026/2027

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 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
3 multiple choice options
Sequence for “doffing” (removing) personal protective equipment
(PPE)

, Gloves
Goggles
Gown
Mask
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

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September 23, 2026
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