NUR 283 Comp 1 Transition to Registered Nurse Practice
Study Guide Latest Update 2026 | Pass Exam Prep
1. Describe the role of Normal saline and Lactated Ringer's in the management
of septic shock.
They are used to administer antibiotics in septic shock.
They are used to treat hyperglycemia in septic shock.
They are used to reduce blood pressure in septic shock.
Normal saline and Lactated Ringer's are used to restore
intravascular volume and improve circulation in septic shock.
2. If a patient has a first-degree relative diagnosed with colon cancer, what
should be the recommended approach for their colorectal cancer screening?
Screening should be delayed
Increased frequency of screening
No change in screening frequency
Screening is not necessary
3. What is the primary purpose of anticoagulation medication in the context of
pulmonary embolism?
To reduce inflammation in the pulmonary arteries.
To prevent the existing clot from enlarging and prevent new clots
from forming.
To dissolve the existing clot completely.
To increase blood flow to the lungs.
,4. What is the recommended frequency for monitoring lactate levels in patients
suspected of severe sepsis?
Every 8 hours
Every 2 hours
Every 6 hours
Every 4 hours
5. If an LVN finds that a nasogastric (NG) tube is obstructed, what is the most
appropriate initial action to take?
Attempt to flush the tube with saline to clear the obstruction.
Notify the physician and wait for further instructions.
Remove the NG tube and insert a new one immediately.
Change the patient's position and reassess the tube.
6. What specific lab values are suggested for monitoring anticoagulant therapy
in patients with renal impairment?
aPTT
PT/INR
Anti-Factor Xa levels
Hemoglobin levels
7. A patient with a confirmed pulmonary embolism presents with low blood
pressure and altered mental status. What would be the most appropriate
intervention regarding fibrinolytic therapy?
Administer fibrinolytic drugs due to signs of hemodynamic
instability.
, Monitor the patient without intervention.
Refer the patient for surgical intervention immediately.
Start anticoagulant therapy only.
8. During the insertion of an NG tube, what is the nurse's priority action?
Begin tube insertion without patient preparation
Administer pain medication
Insert the tube quickly to minimize discomfort
Measure the distance from the nose to the earlobe and then to the
xiphoid process
9. A nurse is reinforcing discharge teaching with a client who is 3 days post-
operative following a transverse colostomy. Which of the following should
the nurse include in the teaching?
Empty the ostomy bag when it's 3/4 full
Expect 500 to 1000 ml semi-liquid stool after 2 weeks
Stoma should be moist and pink
Mucus will be present in stool for 5 to 7 days after surgery
10. Which of the following are Activities of Daily Living (ADLs)?
Dressing, transportation, communication, and feeding
Dressing, toileting, communication, and transferring
Bathing, dressing, toileting, and feeding
Bathing, toileting, shopping, and housekeeping
, 11. What is the normal range for prothrombin time (PT) in seconds for patients
not receiving anticoagulant therapy?
11-12.5 seconds
13-14 seconds
12-13 seconds
10-11 seconds
12. Which organ is primarily affected by metastasis in colorectal cancer?
The liver
The lungs
The brain
The kidneys
13. What is one way occupational therapy can assist patients with pulmonary
embolism?
By performing surgical interventions.
By prescribing anticoagulant medications.
By providing information and home suggestions for energy
conservation.
By conducting physical therapy sessions.
14. What should the nurse monitor when the patient is prescribed the
medication enoxaparin?
A1C
Signs and symptoms of bleeding
Study Guide Latest Update 2026 | Pass Exam Prep
1. Describe the role of Normal saline and Lactated Ringer's in the management
of septic shock.
They are used to administer antibiotics in septic shock.
They are used to treat hyperglycemia in septic shock.
They are used to reduce blood pressure in septic shock.
Normal saline and Lactated Ringer's are used to restore
intravascular volume and improve circulation in septic shock.
2. If a patient has a first-degree relative diagnosed with colon cancer, what
should be the recommended approach for their colorectal cancer screening?
Screening should be delayed
Increased frequency of screening
No change in screening frequency
Screening is not necessary
3. What is the primary purpose of anticoagulation medication in the context of
pulmonary embolism?
To reduce inflammation in the pulmonary arteries.
To prevent the existing clot from enlarging and prevent new clots
from forming.
To dissolve the existing clot completely.
To increase blood flow to the lungs.
,4. What is the recommended frequency for monitoring lactate levels in patients
suspected of severe sepsis?
Every 8 hours
Every 2 hours
Every 6 hours
Every 4 hours
5. If an LVN finds that a nasogastric (NG) tube is obstructed, what is the most
appropriate initial action to take?
Attempt to flush the tube with saline to clear the obstruction.
Notify the physician and wait for further instructions.
Remove the NG tube and insert a new one immediately.
Change the patient's position and reassess the tube.
6. What specific lab values are suggested for monitoring anticoagulant therapy
in patients with renal impairment?
aPTT
PT/INR
Anti-Factor Xa levels
Hemoglobin levels
7. A patient with a confirmed pulmonary embolism presents with low blood
pressure and altered mental status. What would be the most appropriate
intervention regarding fibrinolytic therapy?
Administer fibrinolytic drugs due to signs of hemodynamic
instability.
, Monitor the patient without intervention.
Refer the patient for surgical intervention immediately.
Start anticoagulant therapy only.
8. During the insertion of an NG tube, what is the nurse's priority action?
Begin tube insertion without patient preparation
Administer pain medication
Insert the tube quickly to minimize discomfort
Measure the distance from the nose to the earlobe and then to the
xiphoid process
9. A nurse is reinforcing discharge teaching with a client who is 3 days post-
operative following a transverse colostomy. Which of the following should
the nurse include in the teaching?
Empty the ostomy bag when it's 3/4 full
Expect 500 to 1000 ml semi-liquid stool after 2 weeks
Stoma should be moist and pink
Mucus will be present in stool for 5 to 7 days after surgery
10. Which of the following are Activities of Daily Living (ADLs)?
Dressing, transportation, communication, and feeding
Dressing, toileting, communication, and transferring
Bathing, dressing, toileting, and feeding
Bathing, toileting, shopping, and housekeeping
, 11. What is the normal range for prothrombin time (PT) in seconds for patients
not receiving anticoagulant therapy?
11-12.5 seconds
13-14 seconds
12-13 seconds
10-11 seconds
12. Which organ is primarily affected by metastasis in colorectal cancer?
The liver
The lungs
The brain
The kidneys
13. What is one way occupational therapy can assist patients with pulmonary
embolism?
By performing surgical interventions.
By prescribing anticoagulant medications.
By providing information and home suggestions for energy
conservation.
By conducting physical therapy sessions.
14. What should the nurse monitor when the patient is prescribed the
medication enoxaparin?
A1C
Signs and symptoms of bleeding
