NUR 283 COMP 1 Exam – RN Transition Practice 2026 UPDAT… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 283 COMP 1 Exam – RN Transition Practice
2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 283 COMP 1 Exam – RN Transition Practice 2026 UPDAT… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Performing an initial head-to-toe assessment on a new admission
B. Evaluating the effectiveness of a patient’s pain medication
C. Assisting a stable patient with ambulation to the bathroom
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Delegation to UAP should be limited to routine tasks, such as ADLs and ambulating stable patients.
Assessment, evaluation, and teaching are responsibilities of the RN. This is an important clinical concept
because selecting the correct answer (C) requires understanding both the pathophysiology and the practical
nursing implications.
2. The nurse uses the SBAR communication tool during a hand-off report. What does the ‘B’ in
SBAR stand for?
A. Background
B. Behavior
C. Beliefs
D. Biological
Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. It is used to
standardize communication between healthcare members. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
3. Which action by the RN demonstrates the ethical principle of Autonomy?
A. Ensuring the patient has provided informed consent for surgery
B. Performing a procedure correctly to avoid harm
C. Telling the truth about a diagnosis to the patient
D. Distributing nursing care resources equally among all patients
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions. Informed consent is a
primary way to respect a patient’s autonomy. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 283 COMP 1 Exam – RN Transition Practice 2026 UPDAT… 2026 Update • Verified Answers
4. A patient is diagnosed with fluid volume deficit. Which clinical manifestation should the
nurse expect to find?
A. Distended neck veins
B. Orthostatic hypotension
C. Bounding peripheral pulses
D. Crackles in the lower lung fields
Answer: B
Rationale: Orthostatic hypotension and decreased skin turgor are classic signs of fluid volume deficit. The
other options are signs of fluid volume excess. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which rhythm change is
most likely on the ECG?
A. Prominent U waves
B. Tall, peaked T waves
C. Prolonged PR interval
D. ST-segment depression
Answer: B
Rationale: Hyperkalemia (potassium > 5.0) typically causes tall, peaked T waves. Hypokalemia (low
potassium) causes U waves and ST depression. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (B) requires understanding both the pathophysiology and the practical nursing
implications.
6. When assessing a patient with right-sided heart failure, the nurse expects to find:
A. Pulmonary edema
B. Peripheral edema
C. Shortness of breath
D. Crackles in the lungs
Answer: B
Rationale: Right-sided heart failure leads to systemic congestion, resulting in peripheral edema, JVD, and
hepatomegaly. Left-sided failure causes pulmonary symptoms. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 283 COMP 1 Exam – RN Transition Practice
2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 283 COMP 1 Exam – RN Transition Practice 2026 UPDAT… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Performing an initial head-to-toe assessment on a new admission
B. Evaluating the effectiveness of a patient’s pain medication
C. Assisting a stable patient with ambulation to the bathroom
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Delegation to UAP should be limited to routine tasks, such as ADLs and ambulating stable patients.
Assessment, evaluation, and teaching are responsibilities of the RN. This is an important clinical concept
because selecting the correct answer (C) requires understanding both the pathophysiology and the practical
nursing implications.
2. The nurse uses the SBAR communication tool during a hand-off report. What does the ‘B’ in
SBAR stand for?
A. Background
B. Behavior
C. Beliefs
D. Biological
Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. It is used to
standardize communication between healthcare members. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
3. Which action by the RN demonstrates the ethical principle of Autonomy?
A. Ensuring the patient has provided informed consent for surgery
B. Performing a procedure correctly to avoid harm
C. Telling the truth about a diagnosis to the patient
D. Distributing nursing care resources equally among all patients
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions. Informed consent is a
primary way to respect a patient’s autonomy. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 283 COMP 1 Exam – RN Transition Practice 2026 UPDAT… 2026 Update • Verified Answers
4. A patient is diagnosed with fluid volume deficit. Which clinical manifestation should the
nurse expect to find?
A. Distended neck veins
B. Orthostatic hypotension
C. Bounding peripheral pulses
D. Crackles in the lower lung fields
Answer: B
Rationale: Orthostatic hypotension and decreased skin turgor are classic signs of fluid volume deficit. The
other options are signs of fluid volume excess. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which rhythm change is
most likely on the ECG?
A. Prominent U waves
B. Tall, peaked T waves
C. Prolonged PR interval
D. ST-segment depression
Answer: B
Rationale: Hyperkalemia (potassium > 5.0) typically causes tall, peaked T waves. Hypokalemia (low
potassium) causes U waves and ST depression. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (B) requires understanding both the pathophysiology and the practical nursing
implications.
6. When assessing a patient with right-sided heart failure, the nurse expects to find:
A. Pulmonary edema
B. Peripheral edema
C. Shortness of breath
D. Crackles in the lungs
Answer: B
Rationale: Right-sided heart failure leads to systemic congestion, resulting in peripheral edema, JVD, and
hepatomegaly. Left-sided failure causes pulmonary symptoms. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
