NUR280 Comprehensive Exam Review | Transition
to RN Practice | Galen College | 2026/2027 Updated
| Complete Guide with 450+ Verified Q&A | 100%
Correct
Subtitle: Final Synthesis of Nursing Knowledge & Clinical Judgment | NCLEX-RN
Readiness Assessment | 2026/2027 Standards
Galen College of Nursing | NUR 280 Transition to RN Practice | Comprehensive Final
Review
Part 1: Domains of Nursing Practice Synthesis (2026/2027 Focus)
Organized by NCLEX-RN Client Needs Categories with 2026/2027 forward-looking
essentials
1. Safe & Effective Care Environment
A. Management of Care (25% of NCLEX)
1. AI-augmented delegation: verifying competency of remote monitoring
technicians who interpret continuous wearable data.
2. Tele-present RN leadership during hybrid hospital-at-home rounds;
maintaining HIPAA-compliant encrypted XR (extended-reality) hand-offs.
3. 2026 Interstate Nurse Licensure Compact addenda for cross-state
tele-practice; RN duty-to-respond statutes for AI-generated alerts.
4. Genomic-informed triage: prioritizing carriers of pharmacogenomic
high-risk alleles for pharmacist co-signature.
5. Climate-adapted emergency triage: wildfire smoke surge protocols with
AI-predicted air-quality–based respiratory allocations.
2. B. Safety & Infection Control (15%)
1. Post-2025 CDC tiers for isolation: tier-4 triple-resistant Candida auris
requiring UV-C drones & copper-infused textiles.
, 2. AI-powered predictive fall-risk dashboards integrating real-time
bed-to-chair transfer vector analysis.
3. 2027 WHO hand-hygiene augmented-reality overlays that gamify
5-moment compliance for students & staff.
4. Radiological exposure wearables: automatic dose alerts for staff in hybrid
interventional suites.
5. “Green” HVAC standards: balancing negative-pressure energy savings with
infection prevention in remodeled units.
3. Health Promotion & Maintenance (7%)
1. SDOH screening via blockchain-secured app; auto-referral to community AI
resource navigators.
2. CRISPR-carrier reproductive counseling: RN role in explaining germ-line vs.
somatic distinctions.
3. 2026 mRNA multi-cancer yearly boosters: scheduling algorithms for
high-risk populations.
4. Digital therapeutic games for adolescent ADHD; RN evaluates adherence
analytics.
5. Wearable-guided pelvic-floor training for postpartum persons discharged
within 12 h—tele-surveillance cut-off values.
4. Psychosocial Integrity (6%)
1. FDA-approved VR exposure therapy for PTSD; RN monitors cybersickness
VS (vital signs).
2. AI chatbot “therapeutic alliance” scores—escalation thresholds to human
counselors.
3. 2027 language-generative informed consent for ECT; RN witnesses
capacitancy documentation.
4. Culturally-responsive genomic counseling when carrier status impacts
arranged-marriage communities.
5. Digital self-harm contracts on NFT-blockchain; RN validates
smart-contract expiry.
5. Physiological Integrity
A. Basic Care & Comfort (7%)
1. Smart-textile mattresses that redistribute pressure based on real-time
tissue-oxygen sensors.
2. Non-pharmacologic VR labor analgesia—RN troubleshoots headset
hygiene between uses.
3. Voice-first feeding robots for ALS clients; RN verifies swallow-study
thresholds.
4. Climate-controlled cloth gowns that auto-cool febrile pediatric patients.
, 5. Genomic-driven lotion selection for xerosis (FLG mutation carriers).
6. B. Pharmacologic & Parenteral Therapies (13%)
1. 2026 bi-monthly siRNA LDL-lowering injectables; monitor hepatic genes
(PCSK9 variants).
2. Pharmacogenomic warfarin algorithms that auto-populate EPIC 2027.
3. AI smart-pump libraries updated for gene-therapy high-cost
vesicles—double-verify lot numbers.
4. Continuous sub-cut glucagon monitors for toddlers; RN teaches
nasal-glucagon backup.
5. XR simulation for bi-specific antibody cytokine-release mimic; identify
grade-2 CRS.
7. C. Reduction of Risk Potential (12%)
1. Predictive AKI algorithms using hourly creatinine micro-sensors; RN
escalation SBAR.
2. AI-generated ECG 12-lead “STEMI-equivalent” alerts for women with
microvascular disease.
3. Post-2025 troponin I gender-specific 5th-generation cut-offs.
4. Closed-loop MRI-compatible insulin pods; safety checks for ferromagnetic
components.
5. Wearable NIBP calibration against intra-arterial
standards—quality-assurance intervals.
8. D. Physiological Adaptation (11%)
1. Managing CAR-T cytokine storm: step-wise dexamethasone per 2026 NIH
pediatrics.
2. CRISPR sickle-cell trials: monitor for delayed hemolytic conversion.
3. ECMO-anticoag with 2027 aptamer-based reversible agents; half-life
calculations.
4. Sepsis-4 definitions incorporating mitochondrial-DNA release as early
marker.
5. AI-forecasted stroke evolution maps; RN prepares hybrid neuro-suite.
Part 2: Comprehensive Final Practice Examination
Integrated Practice Questions & Verified Answers | 2026/2027 Context
Instructions: Time: 180 minutes. This comprehensive exam assesses readiness for RN
practice in the 2026/2027 healthcare environment and the NCLEX-RN. Integrate
to RN Practice | Galen College | 2026/2027 Updated
| Complete Guide with 450+ Verified Q&A | 100%
Correct
Subtitle: Final Synthesis of Nursing Knowledge & Clinical Judgment | NCLEX-RN
Readiness Assessment | 2026/2027 Standards
Galen College of Nursing | NUR 280 Transition to RN Practice | Comprehensive Final
Review
Part 1: Domains of Nursing Practice Synthesis (2026/2027 Focus)
Organized by NCLEX-RN Client Needs Categories with 2026/2027 forward-looking
essentials
1. Safe & Effective Care Environment
A. Management of Care (25% of NCLEX)
1. AI-augmented delegation: verifying competency of remote monitoring
technicians who interpret continuous wearable data.
2. Tele-present RN leadership during hybrid hospital-at-home rounds;
maintaining HIPAA-compliant encrypted XR (extended-reality) hand-offs.
3. 2026 Interstate Nurse Licensure Compact addenda for cross-state
tele-practice; RN duty-to-respond statutes for AI-generated alerts.
4. Genomic-informed triage: prioritizing carriers of pharmacogenomic
high-risk alleles for pharmacist co-signature.
5. Climate-adapted emergency triage: wildfire smoke surge protocols with
AI-predicted air-quality–based respiratory allocations.
2. B. Safety & Infection Control (15%)
1. Post-2025 CDC tiers for isolation: tier-4 triple-resistant Candida auris
requiring UV-C drones & copper-infused textiles.
, 2. AI-powered predictive fall-risk dashboards integrating real-time
bed-to-chair transfer vector analysis.
3. 2027 WHO hand-hygiene augmented-reality overlays that gamify
5-moment compliance for students & staff.
4. Radiological exposure wearables: automatic dose alerts for staff in hybrid
interventional suites.
5. “Green” HVAC standards: balancing negative-pressure energy savings with
infection prevention in remodeled units.
3. Health Promotion & Maintenance (7%)
1. SDOH screening via blockchain-secured app; auto-referral to community AI
resource navigators.
2. CRISPR-carrier reproductive counseling: RN role in explaining germ-line vs.
somatic distinctions.
3. 2026 mRNA multi-cancer yearly boosters: scheduling algorithms for
high-risk populations.
4. Digital therapeutic games for adolescent ADHD; RN evaluates adherence
analytics.
5. Wearable-guided pelvic-floor training for postpartum persons discharged
within 12 h—tele-surveillance cut-off values.
4. Psychosocial Integrity (6%)
1. FDA-approved VR exposure therapy for PTSD; RN monitors cybersickness
VS (vital signs).
2. AI chatbot “therapeutic alliance” scores—escalation thresholds to human
counselors.
3. 2027 language-generative informed consent for ECT; RN witnesses
capacitancy documentation.
4. Culturally-responsive genomic counseling when carrier status impacts
arranged-marriage communities.
5. Digital self-harm contracts on NFT-blockchain; RN validates
smart-contract expiry.
5. Physiological Integrity
A. Basic Care & Comfort (7%)
1. Smart-textile mattresses that redistribute pressure based on real-time
tissue-oxygen sensors.
2. Non-pharmacologic VR labor analgesia—RN troubleshoots headset
hygiene between uses.
3. Voice-first feeding robots for ALS clients; RN verifies swallow-study
thresholds.
4. Climate-controlled cloth gowns that auto-cool febrile pediatric patients.
, 5. Genomic-driven lotion selection for xerosis (FLG mutation carriers).
6. B. Pharmacologic & Parenteral Therapies (13%)
1. 2026 bi-monthly siRNA LDL-lowering injectables; monitor hepatic genes
(PCSK9 variants).
2. Pharmacogenomic warfarin algorithms that auto-populate EPIC 2027.
3. AI smart-pump libraries updated for gene-therapy high-cost
vesicles—double-verify lot numbers.
4. Continuous sub-cut glucagon monitors for toddlers; RN teaches
nasal-glucagon backup.
5. XR simulation for bi-specific antibody cytokine-release mimic; identify
grade-2 CRS.
7. C. Reduction of Risk Potential (12%)
1. Predictive AKI algorithms using hourly creatinine micro-sensors; RN
escalation SBAR.
2. AI-generated ECG 12-lead “STEMI-equivalent” alerts for women with
microvascular disease.
3. Post-2025 troponin I gender-specific 5th-generation cut-offs.
4. Closed-loop MRI-compatible insulin pods; safety checks for ferromagnetic
components.
5. Wearable NIBP calibration against intra-arterial
standards—quality-assurance intervals.
8. D. Physiological Adaptation (11%)
1. Managing CAR-T cytokine storm: step-wise dexamethasone per 2026 NIH
pediatrics.
2. CRISPR sickle-cell trials: monitor for delayed hemolytic conversion.
3. ECMO-anticoag with 2027 aptamer-based reversible agents; half-life
calculations.
4. Sepsis-4 definitions incorporating mitochondrial-DNA release as early
marker.
5. AI-forecasted stroke evolution maps; RN prepares hybrid neuro-suite.
Part 2: Comprehensive Final Practice Examination
Integrated Practice Questions & Verified Answers | 2026/2027 Context
Instructions: Time: 180 minutes. This comprehensive exam assesses readiness for RN
practice in the 2026/2027 healthcare environment and the NCLEX-RN. Integrate
