NUR 282 Advanced Clinical / Transition Nursing Final Exam 2026
|Galen College
1. A nurse is caring for a client who has a prescription for a magnesium sulfate
infusion to treat preeclampsia. Which of the following findings is the priority for
the nurse to report to the provider?
A. Urinary output 40 mL/hr
B. Respiratory rate 10/min
C. Absent patellar reflexes
D. Blood pressure 150/95 mmHg
Answer: B
Rationale: Magnesium sulfate toxicity causes central nervous system depression. A
respiratory rate below 12/min is a critical sign of toxicity and must be reported
immediately.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate to delegate?
A. Evaluating a patient’s response to pain medication
B. Instructing a client on the use of an incentive spirometer
C. Providing post-mortem care to a client
D. Assessing a surgical incision for signs of infection
Answer: C
Rationale: Post-mortem care is a standard procedure that does not require clinical
judgment or assessment, making it appropriate for an AP.
,3. A nurse is prioritizing care for four clients. Which client should the nurse see
first?
A. A client with a chest tube who has 50 mL of drainage in the last hour
B. A client scheduled for an MRI who needs a screening form completed
C. A client who is 2 days postoperative and has not yet had a bowel movement
D. A client with type 1 diabetes who reports feeling shaky and diaphoretic
Answer: D
Rationale: The client reporting shakiness and diaphoresis is showing signs of
hypoglycemia, which is an acute, life-threatening situation requiring immediate
intervention.
4. A nurse receives the following ABG results: pH 7.28, PaCO2 50, HCO3 24. How
should the nurse interpret these results?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Metabolic acidosis
Answer: A
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is
normal, indicating uncompensated respiratory acidosis.
5. Which legal term describes a nurse’s failure to provide the standard of care
that a reasonably prudent nurse would provide in a similar situation?
A. Battery
B. Assault
C. Libel
D. Negligence
Answer: D
, Rationale: Negligence is the failure to act in a reasonable and prudent manner, resulting in
potential or actual harm to the patient.
6. A client is being prepared for surgery. The nurse notices the surgical consent
form is not signed. Which action should the nurse take?
A. Ask the client to sign the form immediately
B. Have the client’s next of kin sign the consent
C. Notify the surgeon that the consent has not been obtained
D. Explain the risks of the surgery and then have the client sign
Answer: C
Rationale: It is the surgeon’s responsibility to explain the procedure and obtain informed
consent. The nurse’s role is to witness the signature and ensure the provider met their
obligation.
7. A nurse is caring for a client in the emergency department who has been
triaged as ‘Red Tag’ during a mass casualty incident. What does this
classification signify?
A. Expectant; injuries are extensive and survival is unlikely
B. Emergent; life-threatening injuries requiring immediate intervention
C. Minimal; minor injuries that can wait for treatment
D. Delayed; injuries are significant but not life-threatening
Answer: B
Rationale: The ‘Red Tag’ category is for emergent clients who have life-threatening
injuries but a high probability of survival if treated immediately.
|Galen College
1. A nurse is caring for a client who has a prescription for a magnesium sulfate
infusion to treat preeclampsia. Which of the following findings is the priority for
the nurse to report to the provider?
A. Urinary output 40 mL/hr
B. Respiratory rate 10/min
C. Absent patellar reflexes
D. Blood pressure 150/95 mmHg
Answer: B
Rationale: Magnesium sulfate toxicity causes central nervous system depression. A
respiratory rate below 12/min is a critical sign of toxicity and must be reported
immediately.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate to delegate?
A. Evaluating a patient’s response to pain medication
B. Instructing a client on the use of an incentive spirometer
C. Providing post-mortem care to a client
D. Assessing a surgical incision for signs of infection
Answer: C
Rationale: Post-mortem care is a standard procedure that does not require clinical
judgment or assessment, making it appropriate for an AP.
,3. A nurse is prioritizing care for four clients. Which client should the nurse see
first?
A. A client with a chest tube who has 50 mL of drainage in the last hour
B. A client scheduled for an MRI who needs a screening form completed
C. A client who is 2 days postoperative and has not yet had a bowel movement
D. A client with type 1 diabetes who reports feeling shaky and diaphoretic
Answer: D
Rationale: The client reporting shakiness and diaphoresis is showing signs of
hypoglycemia, which is an acute, life-threatening situation requiring immediate
intervention.
4. A nurse receives the following ABG results: pH 7.28, PaCO2 50, HCO3 24. How
should the nurse interpret these results?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Metabolic acidosis
Answer: A
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is
normal, indicating uncompensated respiratory acidosis.
5. Which legal term describes a nurse’s failure to provide the standard of care
that a reasonably prudent nurse would provide in a similar situation?
A. Battery
B. Assault
C. Libel
D. Negligence
Answer: D
, Rationale: Negligence is the failure to act in a reasonable and prudent manner, resulting in
potential or actual harm to the patient.
6. A client is being prepared for surgery. The nurse notices the surgical consent
form is not signed. Which action should the nurse take?
A. Ask the client to sign the form immediately
B. Have the client’s next of kin sign the consent
C. Notify the surgeon that the consent has not been obtained
D. Explain the risks of the surgery and then have the client sign
Answer: C
Rationale: It is the surgeon’s responsibility to explain the procedure and obtain informed
consent. The nurse’s role is to witness the signature and ensure the provider met their
obligation.
7. A nurse is caring for a client in the emergency department who has been
triaged as ‘Red Tag’ during a mass casualty incident. What does this
classification signify?
A. Expectant; injuries are extensive and survival is unlikely
B. Emergent; life-threatening injuries requiring immediate intervention
C. Minimal; minor injuries that can wait for treatment
D. Delayed; injuries are significant but not life-threatening
Answer: B
Rationale: The ‘Red Tag’ category is for emergent clients who have life-threatening
injuries but a high probability of survival if treated immediately.
