1
Galen College NUR 283 NUR283 Actual
Exam Questions and Answers with
Rationales 2026/2027 | Transition to
Registered Nursing | Comprehensive Exams |
Pass Guarantee
Q001: A new RN is receiving bedside report on a medical floor. The night nurse
states that the patient’s morphine PCA dose was increased at 0400. Which action
should the new RN take FIRST after assuming care?
A. Immediately administer the next PCA dose
B. Check the patient’s pain rating and respiratory rate
C. Document the dose change in the MAR
D. Ask the patient if they need pain medication
ANSWER: B
Q002: The charge nurse asks a new graduate to delegate morning hygiene care for
four stable patients. Which staff member should the new RN choose to delegate
this task?
A. A nursing student who has never performed hygiene
B. A licensed practical nurse (LPN)
C. A certified nursing assistant (CNA)
D. The charge nurse
ANSWER: C
Q003: During a code blue, the new RN is asked to run the crash cart. Which
responsibility is MOST appropriate for the new RN in this role?
A. Administer medications per ACLS protocol
, 2
B. Perform chest compressions only
C. Document events and medication times
D. Lead the team as code commander
ANSWER: C
Q004: A patient on a heparin drip has a PTT of 100 seconds (control 30). The new
RN notes the last dose was increased 2 hours ago. Which action is BEST?
A. Stop the infusion and call the provider
B. Continue the infusion and recheck in 6 hours
C. Reduce the rate per protocol and recheck PTT
D. Administer protamine sulfate immediately
ANSWER: C
Q005: A new RN hears a ventilator alarm while passing medications. The high-
pressure alarm is sounding and the client appears dyspneic. What is the PRIORITY
intervention?
A. Silence the alarm and continue medications
B. Check for tubing kinks or secretions
C. Page respiratory therapy stat
D. Disconnect the ventilator and bag the patient
ANSWER: B
Q006: The nurse manager implements a new bar-code scanning system. Which
leadership style is MOST effective during this change?
A. Laissez-faire
B. Autocratic
C. Transformational
D. Democratic
, 3
ANSWER: C
Q007: A new RN is asked to float to an unfamiliar ICU. Which action BEST
ensures safe practice?
A. Refuse the assignment
B. Request a brief orientation and buddy nurse
C. Accept and learn on the job
D. Ask to swap with another nurse
ANSWER: B
Q008: A patient’s family member yells at the new RN for being late with pain
medication. Which response demonstrates therapeutic communication?
A. “I’m busy, you’ll have to wait.”
B. “I understand you’re upset. Let me review the schedule together.”
C. “It’s only 10 minutes late.”
D. “Call the manager if you’re unhappy.”
ANSWER: B
Q009: The new RN notes a medication error was made by the previous shift.
Which action aligns with ethical responsibility?
A. Document only if the patient was harmed
B. Report the error through the facility’s event reporting system
C. Tell the nurse privately and forget it
D. Wait until the end of the shift to decide
ANSWER: B
Q010: A patient is scheduled for surgery but tells the new RN he changed his mind.
Which response is MOST appropriate?
A. “You have to do it—your doctor ordered it.”
Galen College NUR 283 NUR283 Actual
Exam Questions and Answers with
Rationales 2026/2027 | Transition to
Registered Nursing | Comprehensive Exams |
Pass Guarantee
Q001: A new RN is receiving bedside report on a medical floor. The night nurse
states that the patient’s morphine PCA dose was increased at 0400. Which action
should the new RN take FIRST after assuming care?
A. Immediately administer the next PCA dose
B. Check the patient’s pain rating and respiratory rate
C. Document the dose change in the MAR
D. Ask the patient if they need pain medication
ANSWER: B
Q002: The charge nurse asks a new graduate to delegate morning hygiene care for
four stable patients. Which staff member should the new RN choose to delegate
this task?
A. A nursing student who has never performed hygiene
B. A licensed practical nurse (LPN)
C. A certified nursing assistant (CNA)
D. The charge nurse
ANSWER: C
Q003: During a code blue, the new RN is asked to run the crash cart. Which
responsibility is MOST appropriate for the new RN in this role?
A. Administer medications per ACLS protocol
, 2
B. Perform chest compressions only
C. Document events and medication times
D. Lead the team as code commander
ANSWER: C
Q004: A patient on a heparin drip has a PTT of 100 seconds (control 30). The new
RN notes the last dose was increased 2 hours ago. Which action is BEST?
A. Stop the infusion and call the provider
B. Continue the infusion and recheck in 6 hours
C. Reduce the rate per protocol and recheck PTT
D. Administer protamine sulfate immediately
ANSWER: C
Q005: A new RN hears a ventilator alarm while passing medications. The high-
pressure alarm is sounding and the client appears dyspneic. What is the PRIORITY
intervention?
A. Silence the alarm and continue medications
B. Check for tubing kinks or secretions
C. Page respiratory therapy stat
D. Disconnect the ventilator and bag the patient
ANSWER: B
Q006: The nurse manager implements a new bar-code scanning system. Which
leadership style is MOST effective during this change?
A. Laissez-faire
B. Autocratic
C. Transformational
D. Democratic
, 3
ANSWER: C
Q007: A new RN is asked to float to an unfamiliar ICU. Which action BEST
ensures safe practice?
A. Refuse the assignment
B. Request a brief orientation and buddy nurse
C. Accept and learn on the job
D. Ask to swap with another nurse
ANSWER: B
Q008: A patient’s family member yells at the new RN for being late with pain
medication. Which response demonstrates therapeutic communication?
A. “I’m busy, you’ll have to wait.”
B. “I understand you’re upset. Let me review the schedule together.”
C. “It’s only 10 minutes late.”
D. “Call the manager if you’re unhappy.”
ANSWER: B
Q009: The new RN notes a medication error was made by the previous shift.
Which action aligns with ethical responsibility?
A. Document only if the patient was harmed
B. Report the error through the facility’s event reporting system
C. Tell the nurse privately and forget it
D. Wait until the end of the shift to decide
ANSWER: B
Q010: A patient is scheduled for surgery but tells the new RN he changed his mind.
Which response is MOST appropriate?
A. “You have to do it—your doctor ordered it.”
