NUR283 Comp 2 Exam & Exam 1 | advanced
medical-surgical concepts (2026/2027) Expert
Strategies, Review of Key Practice Questions
and Verified Detailed Answers; for Guaranteed
Success - Galen
NUR 283 comprehensive exams focus on foundational nursing care, clinical prioritization, and
medication calculations. Quiz decks for Exams 1 and 2 feature case study-style questions, lab
value interpretations, and pharmacological therapies—such as computing fluid rates for burns
and understanding therapeutic warfarin ranges.
Core Exam 1 & 2 Concepts
• Priority Nursing Assessments: Triage questions requiring you to determine which
patient to see first (e.g., recognizing pediatric vital sign abnormalities).
• Medication Calculations: Setting up fluid infusion pumps (e.g., calculating \(mL \div
hr\)) and converting units.
• Pharmacology: Therapeutic ranges for anticoagulants (e.g., INR targets) and side
effect management for radiation/chemotherapy
This NUR 283 Comp Exam 2 is a transition-to-registered-nursing assessment that focuses
on advanced medical-surgical concepts, legal/ethical nursing, and pharmacology. The 140-
question study set help students prepare through targeted practice questions focused on clinical
prioritization and core disease processes.
Tip for success: Focus heavily on the rationales behind the correct
answers to apply the concepts to various NCLEX-style scenarios.
,NUR 283 Comp Exam 2
Q1. The pincer grasp (picking up objects between thumb and index finger) typically develops
around 15 months of age. [True/False]
A) True
B) False
Answer: False
Explanation: The pincer grasp is an early fine motor skill in which a child uses thumb and index finger to
pick up small objects; it typically appears much earlier than 15 months. Stating it develops around 15
months contradicts the usual timing for this grasp, which emerges in infancy as finger dexterity improves.
Q2. The anterior fontanelle (the 'soft spot' on an infant's skull) typically closes around 6
months of age. [True/False]
A) True
B) False
Answer: False
Explanation: The anterior fontanelle is the soft spot on an infant’s skull that remains open to allow brain
growth and skull expansion. It typically closes much later in infancy—around 18 months—so stating it
closes near 6 months understates the usual time needed for cranial growth and ossification.
Q3. Explain the developmental significance of cooperative play in school-age children. [Short
Answer]
Answer: Cooperative play helps school-age children learn to follow rules and negotiate roles; by
organizing play with rules and leader/follower roles they practice social skills, teamwork, and
leadership that support classroom and peer interactions.
Explanation: Cooperative play requires children to coordinate actions, accept rules, and take on roles,
which builds social problem-solving, responsibility, and an understanding of group structure. A complete
answer links the play pattern (organized, rule-based, leader/follower) to the developmental skills it
cultivates.
Q4. Explain why the development of the pincer grasp around 8 months is important for infant
development. [Short Answer]
Answer: The pincer grasp, developing around 8 months, allows infants to pick up small objects
between thumb and index finger, enabling finer manipulation of objects, improved self-feeding,
and exploration that supports later fine motor skills.
, Explanation: Pincer grasp marks a shift from gross to precise finger control; this fine motor milestone lets
infants handle smaller items, which promotes feeding independence and hand-eye coordination—
foundations for tasks like writing and dressing later on.
Q5. Which statement best describes the anterior fontanelle and its typical closure time?
[Multiple Choice]
A) Soft spot on an infant's skull that normally closes around 18 months
B) A fused cranial bone that is present at birth and stays fixed
C) A gap in skull muscles that decreases with crawling development
D) A permanent opening in the skull used for growth throughout life
Answer: Soft spot on an infant's skull that normally closes around 18 months
Explanation: The anterior fontanelle is the membranous 'soft spot' on an infant's skull where the cranial
bones have not yet fused; it allows for brain growth and yields during birth, then gradually closes as bones
ossify, usually by about 18 months. It is not a fused bone or a muscle gap, nor is it a permanent opening—
rather, it is a temporary connective-tissue area that closes in early childhood.
Q6. Which age range corresponds to Erikson's 'Trust vs Mistrust' stage? [Multiple Choice]
A) Birth to 1 year
B) 1 to 3 years
C) 3 to 6 years
D) 12 to 20 years
Answer: Birth to 1 year
Explanation: Erikson's first psychosocial stage centers on whether infants develop a sense of trust in their
environment and caregivers; this foundational stage occurs during the first year of life. The other age
ranges correspond to later Erikson stages (e.g., autonomy vs shame and doubt in toddlerhood, initiative vs
guilt in preschool, identity vs role confusion in adolescence) and therefore are not correct for this initial
trust-building period.
Q7. Sphincter control develops at about 30 months and is an important milestone for
beginning toilet training. [True/False]
A) True
B) False
Answer: True
Explanation: Sphincter control refers to the ability to voluntarily control bowel and bladder sphincter
muscles, which is a physiological milestone required for toilet training. Development around 30 months
reflects when many toddlers gain the neuromuscular control and readiness for toileting.
, Q8. Associative play has no group goal, often follows a leader, and is typical of the preschool
period. [True/False]
A) True
B) False
Answer: True
Explanation: Associative play is a form of early social play in which children interact and may follow a lead
child, but they do not work toward a single shared goal. It reflects preschoolers’ growing social interest:
they engage with peers and copy each other without the coordination and rule structure of later
cooperative play.
Q9. Which description best matches associative play? [Multiple Choice]
A) No group goal, often follows a leader; common in preschool children
B) Plays alongside others with minimal interaction; common in toddlers
C) Organized activity with rules and shared goals; common in school-age children
D) Imitation of adult activities as a form of learning; common in preschool children
Answer: No group goal, often follows a leader; common in preschool children
Explanation: Associative play involves children engaging with one another without a coordinated group
objective: they share materials or imitate each other but do not organize roles or rules. This contrasts with
parallel play (children play side-by-side with little interaction), cooperative play (organized activity with
shared goals and rules), and imitative play (children copying adult tasks). Therefore the correct answer
identifies the lack of a shared goal and the leader-following behavior that typifies associative play.
Q10. The Moro reflex is a startle reflex present in infants and is absent by 4 months of age.
[True/False]
A) True
B) False
Answer: True
Explanation: The Moro reflex is a primitive startle reflex present at birth; it disappears as the infant’s
nervous system matures. By about four months the reflex is typically no longer observable because higher-
level postural control is developing and primitive reflexes are inhibited.
Q11. Cooperative play is unorganized, lacks rules, and is typical of the preschool period.
[True/False]
A) True
B) False
Answer: False
medical-surgical concepts (2026/2027) Expert
Strategies, Review of Key Practice Questions
and Verified Detailed Answers; for Guaranteed
Success - Galen
NUR 283 comprehensive exams focus on foundational nursing care, clinical prioritization, and
medication calculations. Quiz decks for Exams 1 and 2 feature case study-style questions, lab
value interpretations, and pharmacological therapies—such as computing fluid rates for burns
and understanding therapeutic warfarin ranges.
Core Exam 1 & 2 Concepts
• Priority Nursing Assessments: Triage questions requiring you to determine which
patient to see first (e.g., recognizing pediatric vital sign abnormalities).
• Medication Calculations: Setting up fluid infusion pumps (e.g., calculating \(mL \div
hr\)) and converting units.
• Pharmacology: Therapeutic ranges for anticoagulants (e.g., INR targets) and side
effect management for radiation/chemotherapy
This NUR 283 Comp Exam 2 is a transition-to-registered-nursing assessment that focuses
on advanced medical-surgical concepts, legal/ethical nursing, and pharmacology. The 140-
question study set help students prepare through targeted practice questions focused on clinical
prioritization and core disease processes.
Tip for success: Focus heavily on the rationales behind the correct
answers to apply the concepts to various NCLEX-style scenarios.
,NUR 283 Comp Exam 2
Q1. The pincer grasp (picking up objects between thumb and index finger) typically develops
around 15 months of age. [True/False]
A) True
B) False
Answer: False
Explanation: The pincer grasp is an early fine motor skill in which a child uses thumb and index finger to
pick up small objects; it typically appears much earlier than 15 months. Stating it develops around 15
months contradicts the usual timing for this grasp, which emerges in infancy as finger dexterity improves.
Q2. The anterior fontanelle (the 'soft spot' on an infant's skull) typically closes around 6
months of age. [True/False]
A) True
B) False
Answer: False
Explanation: The anterior fontanelle is the soft spot on an infant’s skull that remains open to allow brain
growth and skull expansion. It typically closes much later in infancy—around 18 months—so stating it
closes near 6 months understates the usual time needed for cranial growth and ossification.
Q3. Explain the developmental significance of cooperative play in school-age children. [Short
Answer]
Answer: Cooperative play helps school-age children learn to follow rules and negotiate roles; by
organizing play with rules and leader/follower roles they practice social skills, teamwork, and
leadership that support classroom and peer interactions.
Explanation: Cooperative play requires children to coordinate actions, accept rules, and take on roles,
which builds social problem-solving, responsibility, and an understanding of group structure. A complete
answer links the play pattern (organized, rule-based, leader/follower) to the developmental skills it
cultivates.
Q4. Explain why the development of the pincer grasp around 8 months is important for infant
development. [Short Answer]
Answer: The pincer grasp, developing around 8 months, allows infants to pick up small objects
between thumb and index finger, enabling finer manipulation of objects, improved self-feeding,
and exploration that supports later fine motor skills.
, Explanation: Pincer grasp marks a shift from gross to precise finger control; this fine motor milestone lets
infants handle smaller items, which promotes feeding independence and hand-eye coordination—
foundations for tasks like writing and dressing later on.
Q5. Which statement best describes the anterior fontanelle and its typical closure time?
[Multiple Choice]
A) Soft spot on an infant's skull that normally closes around 18 months
B) A fused cranial bone that is present at birth and stays fixed
C) A gap in skull muscles that decreases with crawling development
D) A permanent opening in the skull used for growth throughout life
Answer: Soft spot on an infant's skull that normally closes around 18 months
Explanation: The anterior fontanelle is the membranous 'soft spot' on an infant's skull where the cranial
bones have not yet fused; it allows for brain growth and yields during birth, then gradually closes as bones
ossify, usually by about 18 months. It is not a fused bone or a muscle gap, nor is it a permanent opening—
rather, it is a temporary connective-tissue area that closes in early childhood.
Q6. Which age range corresponds to Erikson's 'Trust vs Mistrust' stage? [Multiple Choice]
A) Birth to 1 year
B) 1 to 3 years
C) 3 to 6 years
D) 12 to 20 years
Answer: Birth to 1 year
Explanation: Erikson's first psychosocial stage centers on whether infants develop a sense of trust in their
environment and caregivers; this foundational stage occurs during the first year of life. The other age
ranges correspond to later Erikson stages (e.g., autonomy vs shame and doubt in toddlerhood, initiative vs
guilt in preschool, identity vs role confusion in adolescence) and therefore are not correct for this initial
trust-building period.
Q7. Sphincter control develops at about 30 months and is an important milestone for
beginning toilet training. [True/False]
A) True
B) False
Answer: True
Explanation: Sphincter control refers to the ability to voluntarily control bowel and bladder sphincter
muscles, which is a physiological milestone required for toilet training. Development around 30 months
reflects when many toddlers gain the neuromuscular control and readiness for toileting.
, Q8. Associative play has no group goal, often follows a leader, and is typical of the preschool
period. [True/False]
A) True
B) False
Answer: True
Explanation: Associative play is a form of early social play in which children interact and may follow a lead
child, but they do not work toward a single shared goal. It reflects preschoolers’ growing social interest:
they engage with peers and copy each other without the coordination and rule structure of later
cooperative play.
Q9. Which description best matches associative play? [Multiple Choice]
A) No group goal, often follows a leader; common in preschool children
B) Plays alongside others with minimal interaction; common in toddlers
C) Organized activity with rules and shared goals; common in school-age children
D) Imitation of adult activities as a form of learning; common in preschool children
Answer: No group goal, often follows a leader; common in preschool children
Explanation: Associative play involves children engaging with one another without a coordinated group
objective: they share materials or imitate each other but do not organize roles or rules. This contrasts with
parallel play (children play side-by-side with little interaction), cooperative play (organized activity with
shared goals and rules), and imitative play (children copying adult tasks). Therefore the correct answer
identifies the lack of a shared goal and the leader-following behavior that typifies associative play.
Q10. The Moro reflex is a startle reflex present in infants and is absent by 4 months of age.
[True/False]
A) True
B) False
Answer: True
Explanation: The Moro reflex is a primitive startle reflex present at birth; it disappears as the infant’s
nervous system matures. By about four months the reflex is typically no longer observable because higher-
level postural control is developing and primitive reflexes are inhibited.
Q11. Cooperative play is unorganized, lacks rules, and is typical of the preschool period.
[True/False]
A) True
B) False
Answer: False
