NUR 283
NUR 283 Nursing Exam Review: 88 Practice Questions
with Correct Answers and Detailed Rationales
Gradegurus
This exam contains:
❖NUR 283 Nursing Exam Review
❖ 88 Practice Questions with Correct Answers and Detailed
Rationales
,NUR 283 Practice Questions with Correct Answers and
Rationales
Question 1
The nurse working in a mental health unit is caring for a patient who is scheduled to
have electroconvulsive therapy (ECT) treatment the next day. The patient asks, "Can I
refuse the ECT treatment tomorrow?" Which of the following responses should the
nurse make?
a. "You should consider discussing this decision with your family first."
b. "Having this treatment can be scary, but it is going to help you feel better."
c. "Let's talk with your doctor before you make a final decision."
d. "You have a right to refuse even though you have signed the consent."
Correct Answer: d. "You have a right to refuse even though you have signed the
consent."
Rationale: Patients have the legal and ethical right to refuse any treatment, even after
signing a consent form. Informed consent can be withdrawn at any time. The nurse
,should respect patient autonomy and advocate for the patient's right to refuse. Option
(a) deflects the decision to the family, which is inappropriate. Option (b) is dismissive of
the patient's concerns. Option (c) delays the patient's right to make an autonomous
decision.
Question 2
The nurse has attended a conference on informed consent. It indicates a correct
understanding of the teaching if the nurse states that informed consent:
a. Is an agreement to receive medical treatment that can't be revoked once signed.
b. Forms must be signed when a patient is competent to make an informed decision.
c. Is signed by the nurse to indicate that the patient understands the procedure.
d. Is the nurse's responsibility to explain the risks, benefits, and alternative treatments.
Correct Answer: b. Forms must be signed when a patient is competent to make an
informed decision.
Rationale: Informed consent requires that the patient be competent (able to understand
and make decisions) at the time of signing. Option (a) is incorrect because consent can
be revoked at any time. Option (c) is incorrect because the patient signs the consent
form, not the nurse. Option (d) is incorrect because it is the provider's responsibility (not
the nurse's) to explain risks, benefits, and alternatives.
Question 3
The nurse in the labor and delivery unit has become aware of the following patients
who are in the second stage of labor and are being monitored with external fetal
monitors. The nurse identifies which patient as a priority for follow-up?
a. The patient whose cervix has dilated to 10 cm with moderately intense contractions of
40 to 50 seconds.
b. The patient whose fetal heart rate (FHR) remains consistent at 132 BPM.
, c. The patient whose bloody show is dark red with active pushing.
d. The patient whose contractions are lasting 60 seconds with a 3-minute interval.
Correct Answer: c. The patient whose bloody show is dark red with active pushing.
Rationale: Dark red bloody show with active pushing may indicate a placental abruption
or other serious complication. Normal bloody show is typically pink or bright red. Option
(a) is a normal finding in the second stage of labor. Option (b) is a normal FHR. Option
(d) describes contractions that are close together but not necessarily abnormal in the
second stage.
Question 4
The nurse is prioritizing patient care after receiving the change-of-shift report. The
nurse should first plan to see the patient who:
a. Had laparoscopic surgery 12 hours ago and is reporting right shoulder pain.
b. Had a cardiac catheterization one hour ago and has been drowsy since returning from
the procedure.
c. Is scheduled for an echocardiogram in one hour and is eating food brought in by a
visitor.
d. Had an endoscopic retrograde cholangiopancreatography (ERCP) 1 hour ago and is
reporting difficulty swallowing.
Correct Answer: d. Had an endoscopic retrograde cholangiopancreatography (ERCP) 1
hour ago and is reporting difficulty swallowing.
Rationale: Difficulty swallowing after ERCP may indicate a serious complication such as
esophageal perforation or bleeding. This requires immediate assessment. Option (a) is a
common finding after laparoscopic surgery due to residual CO2. Option (b) drowsiness
after cardiac catheterization is expected. Option (c) is not urgent.
Question 5
NUR 283 Nursing Exam Review: 88 Practice Questions
with Correct Answers and Detailed Rationales
Gradegurus
This exam contains:
❖NUR 283 Nursing Exam Review
❖ 88 Practice Questions with Correct Answers and Detailed
Rationales
,NUR 283 Practice Questions with Correct Answers and
Rationales
Question 1
The nurse working in a mental health unit is caring for a patient who is scheduled to
have electroconvulsive therapy (ECT) treatment the next day. The patient asks, "Can I
refuse the ECT treatment tomorrow?" Which of the following responses should the
nurse make?
a. "You should consider discussing this decision with your family first."
b. "Having this treatment can be scary, but it is going to help you feel better."
c. "Let's talk with your doctor before you make a final decision."
d. "You have a right to refuse even though you have signed the consent."
Correct Answer: d. "You have a right to refuse even though you have signed the
consent."
Rationale: Patients have the legal and ethical right to refuse any treatment, even after
signing a consent form. Informed consent can be withdrawn at any time. The nurse
,should respect patient autonomy and advocate for the patient's right to refuse. Option
(a) deflects the decision to the family, which is inappropriate. Option (b) is dismissive of
the patient's concerns. Option (c) delays the patient's right to make an autonomous
decision.
Question 2
The nurse has attended a conference on informed consent. It indicates a correct
understanding of the teaching if the nurse states that informed consent:
a. Is an agreement to receive medical treatment that can't be revoked once signed.
b. Forms must be signed when a patient is competent to make an informed decision.
c. Is signed by the nurse to indicate that the patient understands the procedure.
d. Is the nurse's responsibility to explain the risks, benefits, and alternative treatments.
Correct Answer: b. Forms must be signed when a patient is competent to make an
informed decision.
Rationale: Informed consent requires that the patient be competent (able to understand
and make decisions) at the time of signing. Option (a) is incorrect because consent can
be revoked at any time. Option (c) is incorrect because the patient signs the consent
form, not the nurse. Option (d) is incorrect because it is the provider's responsibility (not
the nurse's) to explain risks, benefits, and alternatives.
Question 3
The nurse in the labor and delivery unit has become aware of the following patients
who are in the second stage of labor and are being monitored with external fetal
monitors. The nurse identifies which patient as a priority for follow-up?
a. The patient whose cervix has dilated to 10 cm with moderately intense contractions of
40 to 50 seconds.
b. The patient whose fetal heart rate (FHR) remains consistent at 132 BPM.
, c. The patient whose bloody show is dark red with active pushing.
d. The patient whose contractions are lasting 60 seconds with a 3-minute interval.
Correct Answer: c. The patient whose bloody show is dark red with active pushing.
Rationale: Dark red bloody show with active pushing may indicate a placental abruption
or other serious complication. Normal bloody show is typically pink or bright red. Option
(a) is a normal finding in the second stage of labor. Option (b) is a normal FHR. Option
(d) describes contractions that are close together but not necessarily abnormal in the
second stage.
Question 4
The nurse is prioritizing patient care after receiving the change-of-shift report. The
nurse should first plan to see the patient who:
a. Had laparoscopic surgery 12 hours ago and is reporting right shoulder pain.
b. Had a cardiac catheterization one hour ago and has been drowsy since returning from
the procedure.
c. Is scheduled for an echocardiogram in one hour and is eating food brought in by a
visitor.
d. Had an endoscopic retrograde cholangiopancreatography (ERCP) 1 hour ago and is
reporting difficulty swallowing.
Correct Answer: d. Had an endoscopic retrograde cholangiopancreatography (ERCP) 1
hour ago and is reporting difficulty swallowing.
Rationale: Difficulty swallowing after ERCP may indicate a serious complication such as
esophageal perforation or bleeding. This requires immediate assessment. Option (a) is a
common finding after laparoscopic surgery due to residual CO2. Option (b) drowsiness
after cardiac catheterization is expected. Option (c) is not urgent.
Question 5
