NUR280 Comprehensive Exam Practice Questions |
Transition to RN Practice | Galen College |
2026/2027 Latest | 200+ Q&A with Verified Answers
| 100% Correct
Ultimate NCLEX-RN Question Bank | Complete Practice Set | 2026/2027 Standards
Galen College of Nursing | NUR 280 Transition to RN Practice | Master Question Bank
This master question bank contains 165 practice questions covering the full scope of
nursing knowledge for the 2026/2027 NCLEX-RN.
CLUSTER 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1-33)
1. The charge nurse is making assignments. Which patient should be assigned to
the float RN who is unfamiliar with the unit?
A. Post-op day 1 after CABG on dobutamine drip
B. New admission with chest pain awaiting cardiac cath
*C. Stable chronic heart failure patient scheduled for discharge teaching
D. Patient with acute asthma on continuous BiPAP
Rationale: Float RN receives lowest-acuity, stable patient within scope; discharge
teaching is predictable and safe.
2. Which task can the RN delegate to the UAP on a medical floor? (Select all that
apply.)
*A. Measure vital signs on a stable post-op patient
*B. Stock non-narcotic supplies in rooms
C. Assess pain after morphine administration
*D. Transport a patient to radiology
E. Document the initial assessment on a new admission
, Rationale: UAP scope includes stable VS, transport, stocking; assessment and
pain evaluation remain RN.
3. A patient on contact precautions for VRE needs a stat CT. Which action is
appropriate for the transporting UAP?
A. Remove gown inside patient room
B. Wear gown only outside scanner
*C. Don gown and gloves, transport patient wearing gloves, dispose inside room
on return
D. No special attire needed
Rationale: 2026 CDC: maintain contact precautions during transport; dispose
PPE inside room.
4. A nurse receives a verbal order for morphine 10 mg IV push. Which action is
required?
A. Transcribe directly to MAR
B. Repeat back only if unclear
*C. Repeat back, document order with date/time/provider, and follow agency
policy for co-signature
D. Ask another nurse to listen
Rationale: 2026 TJC: verbal orders must be repeated back and documented per
policy; co-signature within 24 h common.
5. A patient is being discharged on warfarin. Which topic must be included in
teaching? (Select all that apply.)
*A. Need for regular INR monitoring
*B. Report unusual bleeding or bruising
*C. Avoid NSAIDs and aspirin
*D. Consistent vitamin K intake
E. Double dose if missed
Rationale: All correct except E—never double anticoagulant doses.
6. Which finding requires immediate intervention during a blood transfusion?
A. Temperature 37.2 °C
B. BP 118/78
C. Itching without hives
*D. Wheezing and hypotension
Rationale: Wheezing + ↓BP = anaphylactic reaction—stop transfusion, call
provider, give epinephrine.
7. A new graduate nurse is preparing insulin. Which action reduces medication
error?
A. Use pen device only
B. Ask preceptor to double-check only if unsure
, *C. Use barcode scanning and independent double-check with second RN
D. Draw up in busy hallway
Rationale: High-alert medication—barcode + independent double-check is 2026
ISMP standard.
8. A patient’s chest tube becomes disconnected from the drainage system. Which
action is best?
A. Clamp the chest tube immediately
B. Reconnect without cleaning
*C. Place tube 1 inch below sterile saline surface (temporary water seal) and call
provider
D. Tape connection site
Rationale: 2026 ATS guideline: temporary water seal prevents pneumothorax; do
not clamp abruptly.
9. Which action is appropriate when a fire occurs in a patient room?
A. Extinguish first, then move patients
B. Move patients first if fire small
*C. RACE: Rescue, Alarm, Contain, Extinguish/Evacuate
D. Shut door and wait for help
Rationale: RACE protocol is standard hospital fire response.
10. A nurse notes a physician documenting in the wrong chart. Which action
demonstrates professionalism?
A. Ignore to avoid conflict
B. Report to hospital board
*C. Politely point out error, offer correct chart, document event per policy
D. Confront publicly
Rationale: Collegial, private correction maintains respect and patient safety.
11. Which example demonstrates horizontal violence?
A. Nurse corrects a medication error privately
B. Manager assigns extra shift fairly
*C. Senior nurse mocks new graduate’s question in report
D. Educator provides constructive feedback
Rationale: Horizontal violence is peer-to-peer disrespect; mocking undermines
psychological safety.
12. A nurse receives a complaint from a patient’s family. Which response applies
service recovery?
A. Defend the staff member
B. State policy only
*C. Listen, apologize, resolve, and follow-up (LARF model)
, D. Escalate to security
Rationale: LARF model resolves concerns and restores trust.
13. During bedside report, the off-going nurse mentions, “The patient is pleasant.”
Which action improves SBAR?
A. Accept statement
*B. Ask for objective data: vitals, pain, specific assessments
C. Document “pleasant” in chart
D. Skip to next patient
Rationale: SBAR requires objective, concise data; subjective labels are
non-specific.
14. A nurse is pulled to an oncology unit. Which assignment is most appropriate?
A. Patient receiving first dose of chemotherapy
B. Bone marrow biopsy post-procedure with frequent monitoring
*C. Stable patient awaiting discharge after 4 cycles of chemo teaching
completed
D. Patient with neutropenic fever on aminophylline drip
Rationale: Float RN should receive stable, predictable patients within universal
RN competencies.
15. A nurse finds an empty fentanyl patch wrapper in a visitor’s bag. Which action is
mandatory?
A. Confront the visitor
B. Dispose in sharps
*C. Follow agency policy: secure area, notify supervisor, complete event report,
possible security involvement
D. Ignore if patient pain free
Rationale: Potential diversion or safety issue—mandatory reporting per 2026 DEA
regulations.
16. Which action demonstrates a culture of safety?
A. Hide near-miss to avoid blame
B. Blame individual for error
*C. Report near-miss, participate in root cause analysis, share lessons learned
D. Complete incident report only for serious events
Rationale: Just culture encourages reporting and system improvement.
17. A nurse is exposed to blood via needlestick. Which sequence is correct?
A. Wash, report, labs, prophylaxis
B. Apply bandage only
*C. Wash with soap/water, report to employee health immediately, baseline labs,
post-exposure prophylaxis if indicated, counseling
D. Finish patient care first
Transition to RN Practice | Galen College |
2026/2027 Latest | 200+ Q&A with Verified Answers
| 100% Correct
Ultimate NCLEX-RN Question Bank | Complete Practice Set | 2026/2027 Standards
Galen College of Nursing | NUR 280 Transition to RN Practice | Master Question Bank
This master question bank contains 165 practice questions covering the full scope of
nursing knowledge for the 2026/2027 NCLEX-RN.
CLUSTER 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1-33)
1. The charge nurse is making assignments. Which patient should be assigned to
the float RN who is unfamiliar with the unit?
A. Post-op day 1 after CABG on dobutamine drip
B. New admission with chest pain awaiting cardiac cath
*C. Stable chronic heart failure patient scheduled for discharge teaching
D. Patient with acute asthma on continuous BiPAP
Rationale: Float RN receives lowest-acuity, stable patient within scope; discharge
teaching is predictable and safe.
2. Which task can the RN delegate to the UAP on a medical floor? (Select all that
apply.)
*A. Measure vital signs on a stable post-op patient
*B. Stock non-narcotic supplies in rooms
C. Assess pain after morphine administration
*D. Transport a patient to radiology
E. Document the initial assessment on a new admission
, Rationale: UAP scope includes stable VS, transport, stocking; assessment and
pain evaluation remain RN.
3. A patient on contact precautions for VRE needs a stat CT. Which action is
appropriate for the transporting UAP?
A. Remove gown inside patient room
B. Wear gown only outside scanner
*C. Don gown and gloves, transport patient wearing gloves, dispose inside room
on return
D. No special attire needed
Rationale: 2026 CDC: maintain contact precautions during transport; dispose
PPE inside room.
4. A nurse receives a verbal order for morphine 10 mg IV push. Which action is
required?
A. Transcribe directly to MAR
B. Repeat back only if unclear
*C. Repeat back, document order with date/time/provider, and follow agency
policy for co-signature
D. Ask another nurse to listen
Rationale: 2026 TJC: verbal orders must be repeated back and documented per
policy; co-signature within 24 h common.
5. A patient is being discharged on warfarin. Which topic must be included in
teaching? (Select all that apply.)
*A. Need for regular INR monitoring
*B. Report unusual bleeding or bruising
*C. Avoid NSAIDs and aspirin
*D. Consistent vitamin K intake
E. Double dose if missed
Rationale: All correct except E—never double anticoagulant doses.
6. Which finding requires immediate intervention during a blood transfusion?
A. Temperature 37.2 °C
B. BP 118/78
C. Itching without hives
*D. Wheezing and hypotension
Rationale: Wheezing + ↓BP = anaphylactic reaction—stop transfusion, call
provider, give epinephrine.
7. A new graduate nurse is preparing insulin. Which action reduces medication
error?
A. Use pen device only
B. Ask preceptor to double-check only if unsure
, *C. Use barcode scanning and independent double-check with second RN
D. Draw up in busy hallway
Rationale: High-alert medication—barcode + independent double-check is 2026
ISMP standard.
8. A patient’s chest tube becomes disconnected from the drainage system. Which
action is best?
A. Clamp the chest tube immediately
B. Reconnect without cleaning
*C. Place tube 1 inch below sterile saline surface (temporary water seal) and call
provider
D. Tape connection site
Rationale: 2026 ATS guideline: temporary water seal prevents pneumothorax; do
not clamp abruptly.
9. Which action is appropriate when a fire occurs in a patient room?
A. Extinguish first, then move patients
B. Move patients first if fire small
*C. RACE: Rescue, Alarm, Contain, Extinguish/Evacuate
D. Shut door and wait for help
Rationale: RACE protocol is standard hospital fire response.
10. A nurse notes a physician documenting in the wrong chart. Which action
demonstrates professionalism?
A. Ignore to avoid conflict
B. Report to hospital board
*C. Politely point out error, offer correct chart, document event per policy
D. Confront publicly
Rationale: Collegial, private correction maintains respect and patient safety.
11. Which example demonstrates horizontal violence?
A. Nurse corrects a medication error privately
B. Manager assigns extra shift fairly
*C. Senior nurse mocks new graduate’s question in report
D. Educator provides constructive feedback
Rationale: Horizontal violence is peer-to-peer disrespect; mocking undermines
psychological safety.
12. A nurse receives a complaint from a patient’s family. Which response applies
service recovery?
A. Defend the staff member
B. State policy only
*C. Listen, apologize, resolve, and follow-up (LARF model)
, D. Escalate to security
Rationale: LARF model resolves concerns and restores trust.
13. During bedside report, the off-going nurse mentions, “The patient is pleasant.”
Which action improves SBAR?
A. Accept statement
*B. Ask for objective data: vitals, pain, specific assessments
C. Document “pleasant” in chart
D. Skip to next patient
Rationale: SBAR requires objective, concise data; subjective labels are
non-specific.
14. A nurse is pulled to an oncology unit. Which assignment is most appropriate?
A. Patient receiving first dose of chemotherapy
B. Bone marrow biopsy post-procedure with frequent monitoring
*C. Stable patient awaiting discharge after 4 cycles of chemo teaching
completed
D. Patient with neutropenic fever on aminophylline drip
Rationale: Float RN should receive stable, predictable patients within universal
RN competencies.
15. A nurse finds an empty fentanyl patch wrapper in a visitor’s bag. Which action is
mandatory?
A. Confront the visitor
B. Dispose in sharps
*C. Follow agency policy: secure area, notify supervisor, complete event report,
possible security involvement
D. Ignore if patient pain free
Rationale: Potential diversion or safety issue—mandatory reporting per 2026 DEA
regulations.
16. Which action demonstrates a culture of safety?
A. Hide near-miss to avoid blame
B. Blame individual for error
*C. Report near-miss, participate in root cause analysis, share lessons learned
D. Complete incident report only for serious events
Rationale: Just culture encourages reporting and system improvement.
17. A nurse is exposed to blood via needlestick. Which sequence is correct?
A. Wash, report, labs, prophylaxis
B. Apply bandage only
*C. Wash with soap/water, report to employee health immediately, baseline labs,
post-exposure prophylaxis if indicated, counseling
D. Finish patient care first
